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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Behavioral and emotional adjustment of teenagers in mainstream school who were born before 29 weeks' gestation.
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Behavioral and emotional adjustment of teenagers in mainstream school who were born before 29 weeks' gestation.

机译：主流学校在怀孕29周之前出生的青少年的行为和情绪调节。

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OBJECTIVES: To investigate behavioral and emotional problems and positive adjustment of 15-to 16-year-olds who were born at extremely low gestational age (ELGA), from the perspective of parents, teachers, and teenagers. METHODS: Prospective follow-up was conducted of birth cohorts, with classroom control subjects. All infants who were born before 29 weeks in 1983-1984 (mean gestational age: 27 weeks) to mothers who resided in 3 regions of the United Kingdom were studied. A total of 82% (179 of 218) of survivors were traced at age 15 to 16. The 150 in mainstream school were compared with age- and gender-matched classroom control subjects (n = 108). Behavioral and emotional problems, delinquency, peer relations, self-esteem, and hobbies, were assessed by standardized, well-validated instruments, including the Strengths and Difficulties Questionnaire, administered by mail to parents, teenagers, and teachers. RESULTS: Parents were more likely to rate ELGA teenagers than control subjects as in the abnormal confidence interval [CI]: 2-12), peer relationship problems (19% vs 5%; difference: 14%; 95% CI: 6-21), and emotional problems (18% vs 7%; difference: 11%; 95% CI: 3-19), but not conduct problems (10% vs 5%; difference: 5%; 95% CI: -1 to 12)). Teachers reported a similar pattern. In contrast, compared with control subjects, ELGA teenagers did not rate themselves as having more problems with peers, hyperactivity, conduct, depression, or low self-esteem. They reported more emotional problems but less delinquency, alcohol, cannabis, and other drug use. CONCLUSIONS: Compared with mainstream classmates, children who are born extremely early continue to have higher levels of parent- and teacher-reported emotional, attentional, and peer problems well into their teens. However, despite these problems, they do not show signs of more serious conduct disorders, delinquency, drug use, or depression.
机译：目的：从父母，老师和青少年的角度调查出生在极低胎龄（ELGA）的15至16岁儿童的行为和情绪问题以及积极调整。方法：对出生队列与教室控制对象进行前瞻性随访。研究了在1983-1984年出生于英国3个地区的母亲在29周之前（平均胎龄：27周）的所有婴儿。在15至16岁的年龄段中，共有82％的幸存者（218名中的179名）被追踪。将主流学校中的150名与年龄和性别相匹配的教室控制对象进行比较（n = 108）。行为和情感问题，违法行为，同伴关系，自尊心和嗜好通过标准化的，经过充分验证的工具进行评估，包括通过长处和困难问卷进行调查，并通过邮寄给父母，青少年和老师的方式进行管理。结果：在异常的置信区间[CI]：2-12），同伴关系问题（19％vs 5％;差异：14％; 95％CI：6-21）中，父母对ELGA青少年的评分高于对照组。 ）和情绪问题（18％vs 7％;差异：11％; 95％CI：3-19），但没有行为问题（10％vs 5％;差异：5％; 95％CI：-1至12 ））。教师报告了类似的模式。相反，与对照组相比，ELGA青少年并未将自己评为同伴，多动，行为，抑郁或自尊心较弱的问题。他们报告了更多的情绪问题，但犯罪，酒精，大麻和其他毒品的使用较少。结论：与主流同学相比，极早出生的孩子到青少年时期，父母和老师报告的情绪，注意力和同伴问题水平仍然较高。但是，尽管存在这些问题，但它们并没有表现出更严重的行为障碍，犯罪，吸毒或抑郁的迹象。

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