[Subjective evaluation by parents and objective findings in former perinatal risk children].
Several studies have shown no correlation between individual perinatal risk factors and outcome. Rather, the children's development depends more on social factors. In our retrospective study we compared the development of 26 at-risk newborns with that of a same-sex healthy sibling 10 to 16 years later. Data were collected by interview, questionnaires and neuropsychological tests. In the parents' view, the children who were at-risk newborns had a special position in the family (close mother-child relationship, overprotectiveness, child cause for concern). They had more educational and behavioral problems and their social network was limited. With one exception (d2 test), the neuropsychological tests showed no significant differences between the two groups of children. However, overall the at-risk children had more attention deficit disorders with hyperactivity (ICD-10, F90.0) and more selected learning disturbances (F81). A division of the children into those with minor and major perinatal risk factors was not of predictive value for outcome. There was only a low correlation between the parent's assessments of the at-risk children and more objective criteria (need for professional help or special schooling). The authors discuss the types of support that should be provided to parents with at-risk newborns.
Frey
C
C
Medizinische Universitätskinderklinik, Inselspital Bern.
Wyss-Senn
K
K
Bossi
E
E
D000293:Adolescent; D001238:Asphyxia Neonatorum / Q000523:psychology*; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology; D001925:Brain Damage, Chronic / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007859:Learning Disabilities / Q000523:psychology; D008297:Male; D009483:Neuropsychological Tests; D010287:Parent-Child Relations; D010552:Personality Assessment; D010553:Personality Development; D012121:Respiration, Artificial; D012307:Risk Factors; D012801:Sibling Relations; D012917:Social Adjustment
Subjektive Elternurteile und objektive Befunde an ehemaligen perinatalen Risikokindern.