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Följder av extrem prematuritet: En jämförelse mellan sexåringar födda extremt prematurt och en matchad kontrollgrupp avseende utfall på Brown ADD Scales
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2013 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Barn som föds extremt prematurt (i gestationsvecka 22-27) löper ökad risk för bland annat neurologiska, beteendemässiga samt kognitiva svårigheter. Huvudsyftet med studien var att undersöka indikation på ADHD-problematik hos sexåriga barn födda extremt prematurt (n=40) i jämförelse med en matchad kontrollgrupp födda efter fullgången graviditet (n=40). För att uppnå syftet jämfördes utfallet på Brown ADD Scales. Resultaten visar att det finns signifikanta skillnader mellan grupperna på testets samtliga åtta kluster där barnen födda extremt prematurt uppvisar större problematik än kontrollgruppen. De extremt prematurt födda barnen som grupp överstiger inte det gränsvärde som indikerar behov av vidare utredning kring ADHD. Dock visade utfallet vid uppdelning av de prematurt födda barnen att de som fötts i de lägsta gestationsåldrarna (vecka 22-25) hamnade strax över gränsvärdet. Inga signifikanta skillnader fanns mellan barnen födda extremt prematurt och kontrollgruppen gällande kön. Vidare fanns inga signifikanta skillnader inom gruppen födda extremt prematurt med avseende på mammans utbildningsnivå. Trots att barnen födda extremt prematurt uppvisar större problematik kring exekutiva funktioner och högre grad av ADHD-tendenser uppnår de som grupp inte kliniska svårigheter. Individuella bedömningar av barnens behov av stöd och uppföljning bör utföras då extremt prematur födsel bör betraktas som en riskfaktor, bland annat för den ADHD-problematik denna studie berör.

Abstract [en]

Children born extremely preterm (22-27 weeks of gestation) are at increased risk for neurologic, behavioral and cognitive difficulties. The main purpose of this study was to investigate indication of ADHD-complications in children at the age of six years, born extremely preterm (n=40) in comparison to age-matched children born at term (n=40). Brown ADD Scales was used for comparisons between the two groups of children. The result showed significant differences between the children born extremely preterm and the term born on all eight clusters comprised Brown ADD Scales; where the children born extremely preterm show a higher complexity of problems than the term born. At a group level, children born extremely preterm, did not score above the boundary that indicates the need for further ADHD investigation. However, results show that the children born in the earliest gestational ages (22-25 weeks of gestation) among the extremely preterm born, score just above the boundary for further investigation. No significant sex difference between the children born extremely preterm and the control children was found. Furthermore, no significant difference regarding the mother’s education level was found within the group of children born extremely preterm. Although the children born extremely preterm did exhibit greater problems and complexities regarding executive functions and higher level of ADHD-tendencies, as a group they did not reach the level of clinical difficulties. Consequently, individual evaluation has to be taken in to account for further evaluations and development of support for children born extremely preterm. An extremely preterm birth should be considered as a risk factor, among other things for the ADHD-complications this study consider.

Place, publisher, year, edition, pages
2013.
National Category
Psychology Social Sciences
Identifiers
URN: urn:nbn:se:umu:diva-92787OAI: oai:DiVA.org:umu-92787DiVA: diva2:788643
Subject / course
Examensarbete i psykologi
Educational program
Study Programme for University Diploma in Psychology
Available from: 2014-09-04 Created: 2014-09-03 Last updated: 2015-03-17Bibliographically approved

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CiteExportLink to record
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