Bindt Carola
Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, W 35, 20246 Hamburg, Deutschland.
Psychotherapeut (Berl). 2022;67(1):28-33. doi: 10.1007/s00278-021-00552-z. Epub 2021 Oct 31.
One in 12 children is born before 37 completed weeks of gestation and during the last decades survival rates and developmental outcomes of even very premature children have significantly improved. As a result, mental health sequelae of preterm birth are more frequently addressed. The manifestation of a distinct psychopathological profile with co-occurrence of symptoms associated with attention deficit/hyperactivity, autism spectrum and anxiety disorders has been recognized and discussed as "preterm behavioral phenotype", mainly affecting high-risk children with very low birth weights. Current research findings on parental psychological distress and early childhood developmental conditions after preterm birth indicate contextual factors that are of relevance, also for clinicians in psychotherapeutic practice.
每12名儿童中就有1名在妊娠满37周前出生，在过去几十年里，即使是极低体重早产儿的存活率和发育结局也有了显著改善。因此，早产的心理健康后遗症得到了更频繁的关注。一种独特的精神病理特征，伴有与注意力缺陷/多动、自闭症谱系和焦虑症相关症状的同时出现，已被识别并讨论为“早产行为表型”，主要影响出生体重极低的高危儿童。目前关于早产后父母心理困扰和幼儿发育状况的研究结果表明，这些背景因素也与心理治疗实践中的临床医生相关。
