Follow‐up of adolescents born extremely preterm: self‐perceived mental health,social and relational outcomes

Aim: The aim of this study was to investigate whether adolescents born extremely preterm differ from full‐term born regarding mental health, social support and attachment style. Methods: Fifty‐one young adults born before the 29th gestational week and 54 born at term were investigated by self‐reports. Psychological health was measured by the Beck Youth Inventories of Emotional and Social Impairment, social support with the Interview Schedule of Social Interaction and attachment style with the Relationship Questionnaire. Results: No difference was noted regarding mental health. The preterm group described themselves as having less social interaction (p ≤ 0.001), but no difference was obtained regarding satisfaction with this circumstance. The prematurely born judged a preoccupied attachment style, concordant with a model of a negative self and positive other, to be applicable more often than the controls (p = 0.02). Conclusion: Extremely preterm born adolescents did not experience more problems regarding mental health compared to controls. Nevertheless, they reported less social interaction and, to a greater extent, a negative model of self.     

Factors influencing child mental health: A state‐wide survey of Victorian children

Aims: This study aims to estimate the prevalence of mental health problems among Victorian children and to investigate factors associated with poorer mental health. Method: Computer‐assisted telephone interviews were undertaken with the parents of 3370 randomly selected Victorian children aged 4 to 12 years. They reported on their child's mental health and special health‐care needs as well as their own mental health, family functioning and a range of community and socio‐demographic variables. Population estimates and odds ratios (OR) were calculated with 95% confidence intervals (95% CI). Results: Overall, 11.6% (95% CI = 10.3–12.9%) of Victorian children were estimated to be at risk of having mental health problems. Factors independently placing children at increased risk of mental health problems that were ‘of concern’ include a child having special health‐care needs (OR = 7.89, 95% CI 5.16 to 12.08), unhealthy family functioning (OR = 3.84, 95% CI 2.19 to 6.74), parental mental health problems (OR = 7.89, 95% CI 5.16 to 12.08), neighbourhood safety (OR = 2.47, 95% CI 1.20 to 5.07) and area of residence (OR = 2.01, 95% CI 1.33 to 3.02). Conclusions: A significant proportion of Victorian children are at some risk of mental health problems. These limited but important predictors of children's mental health reinforce the need for policy solutions that will extend beyond those offered by traditional mental health service systems.