Expected and Actual Preterm-Birth and Parental Distress: Impact on Children's Mental Health

NCT06627140 — Recruiting, 250 participants, Goethe University

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Influence of Expected and Actual Preterm-Birth and Parental Distress on Children's Mental Health 6-11 Years Postpartum

RegistryNCT06627140
StatusRecruiting
Study typeObservational
Enrollment250 (Estimated)
SponsorGoethe University (Other); collaborators: Johann Wolfgang Goethe University Hospital
ConditionsPreterm Birth, Psychological Distress, Mental Health, Cognitive Functioning
InterventionsDiagnostic procedures (Diagnostic test)
Datesstart 2024-07-08, primary completion 2024-10-31 (estimated), completion 2024-12-20 (estimated), first posted 2024-10-04, last updated 2024-10-04
Locations1 site in Germany

Related Papers Related Patents Related Grants Related Experts
All trials for Preterm Birth All trials for Psychological Distress All trials of Diagnostic procedures

-Summary

The purpose of the present study is the assessment of the mental health and cognitive development of children 6-11 years after premature or term birth. Impairments in children's' mental health are assessed focusing different disorders or problems (ADHD, Autism traits, Affective disorders, oppositional-aggressive behavior) and using both questionnaires and a clinical interview. Risk and protective factors will be analyzed, e.g., threat and/or actual premature birth compared to term birth, parents' mental health, positive coping, personality traits and social support in the peripartum period and afterwards, as well as medical parameters. The potential interaction of premature birth, medical complications, parental distress and children's mental health will be taken into consideration.

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+Detailed description

A follow-up survey is conducted based on a previous study on psychological distress in parents with preterm infants (NCT01974531). Medical records and previous questionnaire data will be used for grouping the children based on threat of preterm birth, actual preterm birth and term birth as well as to assess the risk and protective factors in the peripartum period.

Parents have been informed within the first study part that a second study part, including their children, would have been followed. Parents were recontacted and asked for participation via telephone or email. Those who agreed, will be contacted via questionnaires in a first step and then in a second step interviewed regarding their own and their children's mental health. The investigators use the following questionnaires to assess children's mental health: Child Behaviour Checklist 6-18R (CBCL 6-18R), Conners 3rd Edition, Social Communication Questionnaire (SCQ), Revised Children\'s Anxiety and Depression Scale (RCADS). In addition, the investigators conduct clinical interviews with parents on their children's mental health and assess children's cognitive competencies using the Wechsler Intelligence Scale for Children (WISC-V). The following questionnaires are used to assess parental risk and protective factors: State-Trait Anxiety-Depression Inventory (STADI), Parental Stress Scale (PSS), Parenting Scale Short Form (PS), Big Five Inventory Short Form (BFI).

+Arms and interventions

ArmTypeInterventionsDescription
Risk groupDiagnostic Test: Diagnostic proceduresRisk for preterm birth, but no actual preterm birth
Preterm birth groupDiagnostic Test: Diagnostic proceduresRisk for preterm birth and actual preterm birth
Control groupDiagnostic Test: Diagnostic proceduresTerm birth without risk for preterm birth
  • Diagnostic procedures (Diagnostic test): Self- and parent-report on behavioral/emotional symptoms and assessment of cognitive functioning

+Outcome measures

Primary outcomes

  • Children's mental health [Single assessment in Summer/Autumn 2024]: Child Behaviour Checklist 6-18R (CBCL 6-18R), eight problem scales: anxious/depressed (scores from 0 to 26), depressed (scores from 0 to 16), somatic complaints (scores from 0 to 22), social problems (scores from 0 to 22), thought problems (scores from 0 to 30), attention problems (scores from 0 to 20), rule-breaking behaviour (scores from 0 to 34), aggressive behaviour (scores from 0 to 36) with higher scores indicating more difficulties.

Secondary outcomes

  • Children's cognitive competencies [Single assessment in Autumn/Winter 2024]: Wechsler Intelligence Scale for Children (WISC-V): Composite score on a IQ standard scores. Higher scores indicate a higher overall intellectual ability.

+Eligibility

Sex: All, accepts healthy volunteers

Children and their parents must have participated in the previous study. Inclusion criteria of the previous study regarding the parents were:

* Pregnant women and their partners from the 24th week of gestation on
* 18 years of age

Exclusion criteria of the previous study were:

* Psychiatric, mainly psychotic diseases
* Drug abuse
* Severe neurological disorders
* Stillbirth

+Locations (1)

FacilityCityCountryStatus
Johann Wolfgang Goethe UniversityFrankfurt am Main, HesseGermanyRecruiting

+Investigators