Self-perceived health status and mental health outcomes in young adults born with less than 1000 g

Aim To assess self‐perceived health status and mental health outcomes of former extremely low‐birth‐weight (ELBW) infants at young adulthood compared with community norms and to analyse predictors of poor outcome. Methods Fifty‐five ELBW adults, 18 men (33%), with median (range) gestational age of 2...

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Bibliographic Details
Published in:Acta Paediatrica 2013-03, Vol.102 (3), p.294-299
Main Authors: Natalucci, G, Becker, J, Becher, K, Bickle, GM, Landolt, MA, Bucher, HU
Format: Article
Language:English
Subjects:
Adult
Brief Symptom Inventory
Case-Control Studies
Cohort Studies
Extremely low birth weight
Female
Health Status
Humans
Infant, Extremely Low Birth Weight
Infant, Newborn
Male
Medical outcomes study short form-36
Mental Disorders - epidemiology
Mental Disorders - psychology
Mental Health
Outcome Assessment (Health Care)
Self Concept
Self Report
Socioeconomic Factors
Switzerland - epidemiology
Young Adult
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Summary:Aim To assess self‐perceived health status and mental health outcomes of former extremely low‐birth‐weight (ELBW) infants at young adulthood compared with community norms and to analyse predictors of poor outcome. Methods Fifty‐five ELBW adults, 18 men (33%), with median (range) gestational age of 28.7 (25.0–34.0) weeks and birth weight of 930 (680–990) grams, born in Switzerland, were included. They self‐rated their health status and mental health at a mean (range) age of 23.3 (21.8–25.9) years. Health status was measured by the Medical Outcomes Study Short Form‐36 questionnaire and mental health by the Brief Symptom Inventory. Results The mean scores for both outcome measures were in the normal range. However, the study group self‐rated significantly higher physical health status and lower mental health status compared with the community norms, and scores for self‐perceived mental health tended to be worse in the former. ELBW adults reported more problems in socio‐emotional role functioning compared with the community norms. Female sex was associated with poorer and bronchopulmonary dysplasia with better mental health status. Conclusion Health status and mental health of former ELBW adults were overall satisfying. However, the comparison with the community norms revealed differences, which may be important for parental and patient counselling and developing support strategies.
ISSN:0803-5253
1651-2227
DOI:10.1111/apa.12102