Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort
Article first published online: 25 SEP 2008
Copyright © 2008 The Authors. Journal Compilation © 2008 Blackwell Munksgaard
Acta Psychiatrica Scandinavica
Volume 119, Issue 1, pages 54–61, January 2009
How to Cite
Monfils Gustafsson, W., Josefsson, A., Ekholm Selling, K. and Sydsjö, G. (2009), Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort. Acta Psychiatrica Scandinavica, 119: 54–61. doi: 10.1111/j.1600-0447.2008.01267.x
- Issue published online: 9 DEC 2008
- Article first published online: 25 SEP 2008
- Accepted for publication August 19, 2008
- birth characteristics;
- mental illness
Objective: Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization.
Method: A population-based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973–1975.
Results: The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49–3.21); at-term SGA boys (OR 1.55, 95% CI 1.34–1.79); at-term SGA girls (OR 1.31, 95% CI 1.15–1.50). At-term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18–2.45 and OR 1.49, 95% CI 1.14–1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16–9.41) and psychotic disorders (OR 4.36, 95% CI 1.85–10.30).
Conclusion: The results show a relationship between being born SGA and later psychiatric hospitalization, where preterm birth and male gender seem to increase the risk.