caa a22 4500 605477264 CHVBK 20210128100400.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00787-014-0597-9 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0597-9 Minor neurodevelopmental impairments are associated with increased occurrence of ADHD symptoms in children born extremely preterm [Elektronische Daten] [Silje Elgen, Kristian Sommerfelt, Katrine Leversen, Trond Markestad] ADHD is more common in children born preterm than at term. The purpose of the study was to examine if, and to what extent, ADHD symptoms are associated with minor neurodevelopmental impairments (NDI) in extremely preterm children. In a national population-based cohort with gestational age 22-27weeks or birth weight <1,000g assessed at 5years of age, scores on Yale Children's Inventory (YCI) scales (seven scales) were related to normal functions vs. NDI defined as mild impairments in cognitive function (IQ 70-84), motor function (Movement Assessment Battery for children score > the 95th percentile or freely ambulatory cerebral palsy), vision (correctable), and hearing (no hearing aid). YCI was completed for 213 of 258 eligible children (83%). Children with minor NDIs (n=98) had significantly higher scores (more ADHD symptoms) than those without NDI (n=115) on the YCI scales of Attention, Tractability, Adaptability and Total score. Increasing numbers of minor NDIs were associated with higher mean YCI scores. In multivariate analysis only decreased hearing, IQ, and male gender were significantly associated with scores on the Attention scale. Thirty-three children (16%) had scores >3 on the Attention scale (probably ADHD), and the proportion was significantly higher for those with mild NDIs compared to those without (Odds ratio=2.7, 95% CI 1.3-6.0). Children born extremely preterm with minor NDIs were more likely to have ADHD symptoms than those with no NDI, and increasing number of minor NDIs were associated with more ADHD symptoms. Springer-Verlag Berlin Heidelberg, 2014 Extremely preterm infants nationallicence Attention deficit hyperactivity disorder nationallicence Neurodevelopmental impairment nationallicence Mental health nationallicence Elgen Silje Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut Sommerfelt Kristian Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut Leversen Katrine Department of Pediatrics, Haukeland University Hospital, Bergen, Norway aut Markestad Trond Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 463-470 1018-8827 24:4<463 2015 24 787 https://doi.org/10.1007/s00787-014-0597-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0597-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Elgen Silje Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut NATIONALLICENCE 700 1- Sommerfelt Kristian Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut NATIONALLICENCE 700 1- Leversen Katrine Department of Pediatrics, Haukeland University Hospital, Bergen, Norway aut NATIONALLICENCE 700 1- Markestad Trond Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/4(2015-04-01), 463-470 1018-8827 24:4<463 2015 24 787