A PILOT EXPLORATION OF THE RELATIONSHIP BETWEEN TEMPERAMENT AND PSYCHOPATHOLOGY IN 12–18 YEAR-OLD CHILDREN BORN AT EXTREMELY LOW BIRTH WEIGHT
DOI:
https://doi.org/10.25159/1812-6371/1624Keywords:
Extremely low birth weight, Mini International Neuropsychiatric Interview, Psychopathology, Revised Cheek and Buss Scale, Shyness, Social phobia, TemperamentAbstract
This pilot study was aimed at exploring the temperament and psychopathology distribution amongst adolescents born at extremely low birth weight (ELBW), i.e. < 1000g. ELBW adolescents (N = 15) completed the Revised Cheek and Buss Scale and Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.), while their legal guardians completed a biographical questionnaire. The median age of the sample was 13 SD = 2.526 years (60% male) and all participants spoke English. The results suggest that being born at ELBW is associated with shyness in adolescence. Anxieties, mood and hyperactivity symptoms were prevalent. Planning of interventions for ELBW individuals should therefore include strategies to prevent or mitigate the effects of these factors in adolescence.References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Publishing. DOI: https://doi.org/10.1176/appi.books.9780890425596
Aron, E. N., Aron, A., & Davies, K. M. (2005). Adult shyness: the interaction of temperamental sensitivity and an adverse childhood environment. Personality & Social Psychology Bulletin, 31(2), 181–197. doi:10.1177/0146167204271419 DOI: https://doi.org/10.1177/0146167204271419
Bassler, D., Stoll, B. J., Schmidt, B., Asztalos, E. V, Roberts, R. S., Robertson, C. M. T. & Sauve, R. S. (2009). Using a count of neonatal morbidities to predict poor outcome in extremely low birth weight infants: added role of neonatal infection. Pediatrics, 123(1), 313–318. DOI: https://doi.org/10.1542/peds.2008-0377
Beidel, D., Turner, S., & Morris, T. (1999). Psychopathology of childhood social phobia. Journal AmerIcan Academy of Child and Adolescent Psychiatry, 38(6), 643–650. DOI: https://doi.org/10.1097/00004583-199906000-00010
Boyle, M. H., Miskovic, V., Van Lieshout, R., Duncan, L., Schmidt, L. A, Hoult, L., … Saigal, S. (2011). Psychopathology in young adults born at extremely low birth weight. Psychological Medicine, 41(8), 1763–1774. DOI: https://doi.org/10.1017/S0033291710002357
Brazier, E., Harper, R., Jones, N. M. B., Cathain, A. O., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire : new outcome. British Medical Journal, 305(July), 160–164. DOI: https://doi.org/10.1136/bmj.305.6846.160
Bunevicus, A., Peceliuniene, J., Mickuviene, N., Valius, L., & Bunevicius, R. (2007). Screening for depression and anxiety disorder in primary care patients. Depression and Anxiety, 24, 455–460. doi:10.1002/da DOI: https://doi.org/10.1002/da.20274
Carducci, B., Hutzel, K., Morrison, E. & Weyer, C. (2001). Social phobia and social anxiety as components of shyness. Poster presented at the Annual Conference of the American Psychological Association; San Francisco.
Cheek, J. M., & Buss, A. H. (1981). Shyness and sociability. Journal of Personality and Social Psychology, 41(2), 330–339. doi:10.1037//0022-3514.41.2.330 DOI: https://doi.org/10.1037/0022-3514.41.2.330
Claas, M., de Vries, L., Bruinse, H., Van Haastert, I., Uniken Venema, M. M. A., Peelen, L. M. & Koopman, C. (2011). Neurodevelopmental outcome over time of preterm born children ≤750 g at birth. Early Human Development, 87(3), 183–191. doi:10.1016/j.earlhumdev.2010.12.002 DOI: https://doi.org/10.1016/j.earlhumdev.2010.12.002
Cohen, A. D., Vardy, D. A., Weiner, Z., Shvartzman, P. & Aviv, T. (2005). Depression in dermatological patients identified by the Mini International Neuropsychiatric Interview questionnaire. Journal AmerIcan Academy of Dermatology, 54, 94–99. doi:10.1016/j.jaad.2005.09.019 DOI: https://doi.org/10.1016/j.jaad.2005.09.019
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences. (2nd ed.). Hillsdale, New Jersey: Erlbaum.
Cooke, R. W. I. (1996). Factors affecting survival and development in extremely tiny babies. Seminars in Neonatology, 1(4), 267–276. doi:10.1016/S1084-2756(96)80046-7 DOI: https://doi.org/10.1016/S1084-2756(96)80046-7
Cooper, P. a., & Sandler, D. L. (1997). Outcome of very low birth weight infants at 12 to 18 months of age in Soweto, South Africa. Pediatrics, 99(4), 537–544. doi:10.1542/peds.99.4.537 DOI: https://doi.org/10.1542/peds.99.4.537
De Pauw, S. S. W., & Mervielde, I. (2010). Temperament, personality and developmental psychopathology: A review based on the conceptual dimensions underlying childhood traits. Child Psychiatry and Human Development, 313–329. doi:10.1007/s10578-009-0171-8 DOI: https://doi.org/10.1007/s10578-009-0171-8
Doyle, L. W. (2006). Evaluation of neonatal intensive care for extremely-low-birth-weight infants. Seminars in Fetal & Neonatal Medicine, 11(2), 139–145. doi:10.1016/j.siny.2005.11.009 DOI: https://doi.org/10.1016/j.siny.2005.11.009
Elgen, I., & Sommerfelt, K. (2002). Low birthweight children: coping in school? Acta Paediatrica (Oslo, Norway : 1992), 91(8), 939–945. DOI: https://doi.org/10.1080/080352502760148676
Field, A. P. (2000). Discovering statistics using SPSS for Windows: Advanced techniques for the beginner. London: Sage.
Flink, I. J. E., Beirens, T. M. J., Looman, C., Landgraf, J. M., Tiemeier, H., Mol, H. A, … Raat, H. (2013). Health-related quality of life of infants from ethnic minority groups: The Generation R Study. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 22(3), 653–664. doi:10.1007/s11136-012-0184-9 DOI: https://doi.org/10.1007/s11136-012-0184-9
Foley, M., McClowry, S. G. & Castellanos, F. X. (2008). The relationship between attention deficit hyperactivity disorder and child temperament. Journal of Applied Developmental Psychology, 29(2), 157–169. doi:10.1016/j.appdev.2007.12.005 DOI: https://doi.org/10.1016/j.appdev.2007.12.005
Geller, B., Zimerman, B., Williams, M., Bolhofner, K., Craney, J. L., Frazier, J., Nickelsburg, M. J. (2002). DSM-IV mania symptoms in a prepubertal and early attention-deficit hyperactive and normal controls. Journal of Child and Adolescent Psychopharmacology, 12(1), 11–25. DOI: https://doi.org/10.1089/10445460252943533
Hack, M. H., Taylor, G., Klein, N., Eiben, R., Schatschneider, C., & Mercuri-Minich., N. (1994). School-age outcomes in children with birth weights under 750g. The New England Journal of Medicine., 331(12), 753–759. DOI: https://doi.org/10.1056/NEJM199409223311201
Heiser, N. A., Turner, S. M., Beidel, D. C., & Roberson-nay, R. (2009). Differentiating social phobia from shyness. Journal of Anxiety Disorders, 23(4), 469–476. doi:10.1016/j.janxdis.2008.10.002. DOI: https://doi.org/10.1016/j.janxdis.2008.10.002
Heiser, N. A., Turner, S. M. S. & Beidel, D. C. D. (2003). Shyness: relationship to social phobia and other psychiatric disorders. Behaviour Research and Therapy, 41(2), 209–241. doi:10.1016/S0005- 7967(02)00003-7 DOI: https://doi.org/10.1016/S0005-7967(02)00003-7
Hillegers, M. H. J., Wals, M., Reichart, C. G., Van Os, J., Verhuls, F. C., Nolen, W. A. & Ormel, J. (2003). Chapter 4: The impact of birth weight and genetic liability on psychopathology in children of bipolar parents. Journal of the American Academy of Child and Adolescent Psychiatry, 42(9), 1116–1121. DOI: https://doi.org/10.1097/01.CHI.0000070242.24125.78
Ho, N. K. (1995). Outcome of the extremely low birth weight infants (less thank 999grams): What messages are we Getting? Singapore Medical Journal, 36(5), 527–531.
Hopko, D. R., Stowell, J., Jones, W. H., Armento, M. E. & Cheek, J. M. (2005). Psychometric properties of the revised Cheek and Buss shyness scale. Journal of Personality Assessment, 84(2), 185–92. doi:10.1207/s15327752jpa8402_08 DOI: https://doi.org/10.1207/s15327752jpa8402_08
Indredavik, M. S., Vik, T., Heyerdahl, S., Kulseng, S., Fayers, P. & Brubakk, A-M. (2004). Psychiatric symptoms and disorders in adolescents with low birth weight. Archives of Disease in Childhood. Fetal and Neonatal Edition, 89(5), F445–450. doi:10.1136/adc.2003.038943 DOI: https://doi.org/10.1136/adc.2003.038943
Janson, H. & Mathiesen, K. S. (2008). Temperament profiles from infancy to middle childhood: Development and associations with behavior problems. Developmental Psychology, 44(5), 1314– 1328. doi:10.1037/a0012713 DOI: https://doi.org/10.1037/a0012713
Kalimba, E. ., & Ballot, D. . (2013). Survival of extremely low-birth-weight infants. South African Journal of Child Health, 7(1), 13–16. doi:10.7196/SAJCH.488 DOI: https://doi.org/10.7196/sajch.488
Kaul, S. M. (2007). The extremely low birth weight infant. Apollo Medicine, 4(2), 85–92. doi:10.1016/ S0976-0016(11)60113-0 DOI: https://doi.org/10.1016/S0976-0016(11)60113-0
Kelly, Y., Nazroo, J. & McMunn, A. (2001). Birthweight and behavioural problems in children : A modifiable effect ? International Journal of Epidemiology, 30(1), 88–94. DOI: https://doi.org/10.1093/ije/30.1.88
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshelman, S., … Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry, 51, 8–19. DOI: https://doi.org/10.1001/archpsyc.1994.03950010008002
Lahey, B. B. (2004). Commentary: role of temperament in developmental models of psychopathology. Journal of Clinical Child and Adolescent Psychology : The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 33(1), 88–93. doi:10.1207/S15374424JCCP3301_9 DOI: https://doi.org/10.1207/S15374424JCCP3301_9
Lorenz, J. M. (2001). The outcome of extreme prematurity. Seminars in Perinatology, 25(5), 348–359. DOI: https://doi.org/10.1053/sper.2001.27164
Matsuda, Y.-T., Okanoya, K. & Myowa-Yamakoshi, M. (2013). Shyness in early infancy: approach-avoidance conflicts in temperament and hypersensitivity to eyes during initial gazes to faces. PLOS ONE, 8(6), e65476. doi:10.1371/journal.pone.0065476 DOI: https://doi.org/10.1371/journal.pone.0065476
Matsuo, H. (2003). The health consequences of low birth weight : Literature review and critique. Pediatrics, 1990, 22–23.
Mokhachane, M., Saloojee, H. & Cooper, P. A. (2006). Earlier discharge of very low birthweight infants from an under-resourced African hospital: a randomised trial. Annals of Tropical Paediatrics, 26(1), 43–51. doi:10.1179/146532806X90600 DOI: https://doi.org/10.1179/146532806X90600
Msall, M. E. & Park, J. J. (2008). The spectrum of behavioral outcomes after extreme prematurity: Regulatory, attention, social, and adaptive dimensions. Seminars in Perinatology, 32(1), 42–50. doi:10.1053/j.semperi.2007.12.006 DOI: https://doi.org/10.1053/j.semperi.2007.12.006
Mula, M., Viana, M., Jauch, R., Schmitz, B., Bettucci, D., Cavanna, A. E. & Strigaro, G. (2009). Health-related quality of life measures and psychiatric comorbidity in patients with migraine. European Journal of Neurology, 16(9), 1017–1021. doi:10.1111/j.1468-1331.2009.02636.x DOI: https://doi.org/10.1111/j.1468-1331.2009.02636.x
Myer, L., Smit, J., Roux, L. Le, Parker, S., Stein, D. J. & Seedat, S. (2008). Common mental disorders among HIV-infected individuals in South Africa: Prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care and STDs, 22(2), 147–158. doi:10.1089/apc.2007.0102 DOI: https://doi.org/10.1089/apc.2007.0102
Neubauer, A., Voss, W. & Kattner, E. (2008). Outcome of extremely low birth weight survivors at school age : The influence of perinatal parameters on neurodevelopment. European Journal of Pediatrics, 167(1), 87–95. doi:10.1007/s00431-007-0435-x DOI: https://doi.org/10.1007/s00431-007-0435-x
Nigg, J. T. (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry, 47(3), 395–422. doi:10.1111/j.1469-7610.2006.01612.x DOI: https://doi.org/10.1111/j.1469-7610.2006.01612.x
Nomura, Y., Wickramaratne, P., Pilowsky, D. J., Newcorna, J. H., Bruder, B., Daveyh, C., … Weissman, M. M. (2007). Low birthweight and risk of affective disorders & selected medical illness in offspring at high and low risk for depression. Comprehensive Psychiatry, 48(5), 470–4789. DOI: https://doi.org/10.1016/j.comppsych.2007.04.005
Olivieri, I., Bova, S. M., Urgesi, C., Ariaudo, G., Perotto, E., Fazzi, E., … Orcesi, S. (2012). Outcome of extremely low birth weight infants: what’s new in the third millennium? Neuropsychological profiles at four years. Early Human Development, 88(4), 241–50. doi:10.1016/j.earlhumdev.2011.08.012 DOI: https://doi.org/10.1016/j.earlhumdev.2011.08.012
Olley, B. O., Seedat, S., Nei, D. G., & Stein, D. J. (2004). Predictors of Major Depression in Recently Diagnosed Patients with HIV/AIDS. AIDS Patient Care and STDs, 18(8), 481–487. DOI: https://doi.org/10.1089/1087291041703700
Olley, B. O., Zeier, M. D., Seedat, S., & Stein, D. J. (2005). Post-Traumatic Stress Disorder Among Recently Diagnosed Patients With HIV/AIDS in South Africa. AIDS Care, 17(5), 550–557. doi:10.1080/0954 0120412331319741 DOI: https://doi.org/10.1080/09540120412331319741
Organisation, W. H. (2013). World Health Statistics. Geneva, Switzerland.
Partridge, J. C., Ranchod, T. M., Ballot, D. E., Martinez, A. M., Cory, B. J., & Davies, V. a. (2005). Intensive care for very low birthweight infants in South Africa: a survey of physician attitudes, parent counseling and resuscitation practices. Journal of Tropical Pediatrics, 51(1), 11–6. doi:10.1093/tropej/fmh066 DOI: https://doi.org/10.1093/tropej/fmh066
Pistorius, L. (2011). Can we comfortably deliver smaller and smaller babies? Obstetrics and Gynaecology Forum, 21(2), 8–9. DOI: https://doi.org/10.4314/ogf.v21i2.66898
Reichman, N. E. (2005). Low Birth Weight and School Readiness. The future of children, 15(1), 91–116. DOI: https://doi.org/10.1353/foc.2005.0008
Ristvedt, S. L., & Trinkaus, K. M. (2009). Trait anxiety as an independent predictor of poor health-related quality of life and post-traumatic stress symptoms in rectal cancer. British Journal of Health Psychology, 14(4), 701–715. doi:10.1348/135910708X400462 DOI: https://doi.org/10.1348/135910708X400462
Robins, W. R., Paulhus, D. L., Vazire, S., & Paulhus, D. L., & Vazire, S. (2007). The self-report method. In R. W. Robins, R. C. Fraley, & R. F. Krueger (Eds.), Handbook of research methods in personality psychology (pp. 224–239). London: The Guilford Press.
Sachs, G. (2000). Comorbidity of attention deficit hyperactivity disorder with early-and late-onset bipolar disorder. American Journal of Psychiatry, 3(157), 466–468. DOI: https://doi.org/10.1176/appi.ajp.157.3.466
Saigal, S., L. A. Hoult, D. L. Streiner, B. L. S. & P. L. R. (2000). School difficulties at adolescence in a regional cohort of children who were extremely low birth weight. Pediatrics, 105(2), 325–331. DOI: https://doi.org/10.1542/peds.105.2.325
Saigal, S., P. L., Rosenbaum, D., Feeny, E., Burrows, W., Furlong, B. L., Stoskopf, & Hoult, L. (2000). School difficulties at adolescence in a regional cohort of children who were extremely low birth weight. Pediatrics, 105(3), 569–574. DOI: https://doi.org/10.1542/peds.105.3.569
Saigal, S., Frcp, C., Pinelli, J., Hoult, L., Kim, M. M., Boyle, M. & Background, A. (2003). Psychopathology and social competencies of adolescents who were extremely low birth weight. Pediatrics, 111(5 Pt 1), 969–975. DOI: https://doi.org/10.1542/peds.111.5.969
Saigal, S., Ouden, L. Den, Wolke, D. & Hoult, L. (2003). School-age outcomes in children who were extremely low birth weight from four international population-based cohorts. Pediatrics, 112(4), 943–950. DOI: https://doi.org/10.1542/peds.112.4.943
Saigal, S., Stoskopf, B., Boyle, M., Paneth, N., Pinelli, J., Streiner, D. & Goddeeris, J. (2007). Comparison of current health, functional limitations, and health care use of young adults who were born with extremely low birth weight and normal birth weight. Pediatrics, 119(3), e562–73. doi:10.1542/ peds.2006-2328 DOI: https://doi.org/10.1542/peds.2006-2328
Schmidt, L. A., Miskovic, V., Boyle, M. H. & Saigal, S. (2008). Shyness and timidity in young adults who were born at extremely low birth weight. Pediatrics, 122(1), e181–187. doi:10.1542/peds.2007-3747 DOI: https://doi.org/10.1542/peds.2007-3747
Schmidt, L. A., & Fox, N. A. (1995). Individual differences in young adults’ shyness and sociability: Personality and health correlates. Personality and Individual Differences, 19(4), 455–462. doi:10.1016/0191-8869(95)00083-I DOI: https://doi.org/10.1016/0191-8869(95)00083-I
Schwartz, C. ., Snidman, N. & Kagan, J. (1999). Adolescent social anxiety as an outcome of inhibited temperament in childhood. Child and Adolescent Psychiatry, 38(8), 1008–1015. DOI: https://doi.org/10.1097/00004583-199908000-00017
Sheehan, D. V, Sheehan, K. H., Shytle, D., Janavs, J., Bannon, Y., Rogers, J., … Stock, Saundra, Wilkinson, B. (2010). Reliability and validity of the Mini International Neuropsychiatric Interview for children and adolescents (MINI-KID). Journal of Clinical Psychiatry, 71(3), 313–326. DOI: https://doi.org/10.4088/JCP.09m05305whi
Sheehan, D., Amorim, P., Lecrubier, Y., Weillerl, E., Hergueta, T. & Sheehan, K. (1998). The Mini- International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinincal Psychiatry, 59(22), 34–57.
Strang-Karlsson, S. (2011). Very Low Birth Weight Infants as young adults: Focus on aspects of cognition, behavior and sleep (Master’s thesis). Retrieved from https://helda.helsinki.fi/bitstream/ handle/10138/24487/verylowb.pdf?sequence=1.
Tekolste, K., Bragg, J., Wendel, S., Bennett, C. F., Chaudhuri, P., Mayock, D., … Zerzan, J. (2004). Extremely Low Birth Weight NICU graduate supplement to the critical elements of care for the low birth weight neonatal intensive care graduate (CEC-LBW). Washington.
Tommiska, V., Heinonen, K., Ikonen, S., Kero, P., Pokela, M.-L., Renlund, M., … Fellman, V. (2001). A national short-term follow-up study of extremely low birth weight infants born in Finland in 1996- 1997. Pediatrics, 107(1), e2–e2. doi:10.1542/peds.107.1.e2 DOI: https://doi.org/10.1542/peds.107.1.e2
Van Berkel, H. (2009). The relationship between personality, coping-styles, and stress, anxiety and depression. University of Cantebury. Retrieved from http://ir.canterbury.ac.nz/bitstream/ handle/10092/2612/thesis_fulltextpdf.pdf;jsessionid=FD842D2A5EEEF98A95F8262BD637E758?s equence=1
Velaphi, S. C., Mokhachane, M., Mphahlele, R. M., Beckh-Arnold, E., Kuwanda, M. L. & Cooper, P. (2005). Survival of very-low-birth-weight infants according to birth weight and gestational age in a public hospital. South African Medical Journal, 95(7), 504–509.
Vohr, B. R. & Garcia-Coll, C. T. (1985). Neurodevelopmental and school performance of school aged children. A seven year longitudinal study. Pediatrics., 76(3), 345–350.
Vohr, B.R., Wright, L. L., Dusick, A.M., Mele, L., Verter, J., Steichen, J.J., Simon, N.P., Wilson, D.C., Broyles, S., Bauer, C.R., Delaney-Black, V., Yolton, K.A., Fleisher, B.E., Papile, L., & Kaplan, M.D. Neurodevelopmental and functional outcomes of elxtremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-1994. Paediatrics, 105(6 ), 1216-1226.
Vohr, B. R., Wright, A. M. Dusick, L. Mele, J. Verter, J. J. Steichen, N. P. Simon, D. C. Wilson, S. Broyles, C. R. Bauer, V. Delaney-Black, K. A. Yolton, B. E. Fleisher, L. A. P. and M. D. K. (2000). Neurodevelopmental and functional outcomes of extremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network 1993-94. Pediatrics., 105(6), 1216–1226. DOI: https://doi.org/10.1542/peds.105.6.1216
Von Wielligh, J. (2012). The use of the revised Griffiths development scales in a group of 9 month-old South African babies . Potchefstroom: North-West University. Retrieved from https://books.google.co.za/ books/about/The_Use_of_the_Revised_Griffiths_Develop.html?id=XfflnQEACAAJ&redir_esc=y
Whitfield, M. F., Grunau, R. V. E. & Holsti, L. (1997). Extremely premature ( < 800 g ) schoolchildren : multiple areas of hidden disability. Archives of Disease in Childhood, 100(2), f85–90. DOI: https://doi.org/10.1136/fn.77.2.F85
World Health Organisation. (2011). Optimal feeding of low birth- weight infants in low-and middle-income countries 2011. Retrieved from http://www.who.int/maternal_child_adolescent/ documents/9789241548366.pdf
Zwicker, J. G. & Harris, S. R. (2008). Quality of life of formerly preterm and very low birth weight infants from preschool age to adulthood: A systematic review. Pediatrics, 121(2), e366–376. doi:10.1542/ peds.2007-0169 DOI: https://doi.org/10.1542/peds.2007-0169
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Accepted 2016-11-01
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