Conséquences à l’adolescence de la grande prématurité sur le bien-être (la confiance en soi, la sociabilité, la qualité de vie)

Kahn, Isaline;Debauche, Christian
(2015) Louvain médical — Vol. 134, n° 4, p. 177-186 (2015)

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Authors
  • Kahn, IsalineUCLouvain
    Author
  • Debauche, ChristianUCLouvain
    Author
Abstract
(en) [Consequences of very preterm birth on well-being in adolescence (self-confidence, sociability, and quality of life)] Objectives In the past few years, numerous studies having investigated the psychological development of very preterm babies (less than 33 weeks of pregnancy) have concluded that these babies exhibit a higher risk of developing anxiety disorders, depression, self-esteem issues, and introversion than their term-born counterparts. Our research sought to compare the well-being of very preterm babies to that of a control group comprising term-born subjects in an effort to confirm the results of the published studies. Materials and Methods Fifty preterm babies, born before 33 weeks of gestation between 1996 and 1998 at the Saint Luc University Hospital, Brussels, were randomly recruited. Of these, 23 have effectively participated in the study, and 16 term-born babies represented the control group. Standard questionnaires were used in order to evaluate the impact of prematurity on the parameters used in our study: R-CMAS (revised children’s manifest of anxiety) for anxiety; MDI-C (multiscore depression inventory for children) for depression; Coopersmith inventory for self-esteem; CPI-R (California psychological inventory, revised) for sociability; QOL-scale (Quality of life scale) for life quality. Results While analyzing the scores for anxiety, depression, self-esteem issues, and sociability, we did not find a statistically significant difference between the group of very preterm babies and the control group. However, significant differences were found in our subgroup analysis for the children born prior to 29 weeks gestation. Furthermore, we noted that the anxiety level in preterm subjects from lower-class families was higher. However, there was no between-group difference in terms of global quality of life, whereas the quality of life of preterm born children was clearly influenced by health-related issues. Conclusions Very preterm-born children (less than 29 weeks gestation) are more likely to suffer from depression and anxiety, tend to have self–esteem issues, and are generally more introverted than their full-term counterparts, although there does not appear to be a difference in global quality of life between the two groups, as illustrated by our study.
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Citations

Kahn, I., & Debauche, C. (2015). Conséquences à l’adolescence de la grande prématurité sur le bien-être (la confiance en soi, la sociabilité, la qualité de vie). Louvain médical, 134(4), 177-186. https://hdl.handle.net/2078.5/34211 (Original work published 2015)