The edition · Paediatrics
Executive function difficulties after very preterm birth persisted to age 13
An Australian cohort found little catch-up between 2 and 13 years, while problematic social media use and depression fed each other in early adolescence.
The edition in brief
In the Victorian Infant Brain Study, 224 children born before 30 weeks and 77 born at term were assessed with a parent-rated executive function inventory at 2, 5, 7 and 13 years. Very preterm children scored 0.3 to 0.7 standard deviations worse on every scale at every age, with no sign of catching up, and the gap tended to be larger in boys and in families with more social disadvantage. In 11,279 adolescents in the US ABCD study followed over five years, problematic social media use and depressive symptoms predicted each other in some years, more consistently in girls, but no prospective link with anxiety was found. A US Medicaid cohort of 893,212 mother-child pairs linked higher prenatal exposure to wildfire smoke particulates with autism (HR 1.30 per 0.75 µg/m³) but not ADHD. The pearl covers a structured psychosocial history for adolescents.
Problematic social media use and depression fed each other in early adolescence
Ask adolescents about problematic features of social media use and screen for depression when you find them.
Prenatal wildfire smoke exposure linked to autism but not ADHD
Advise practical steps to reduce particulate exposure in pregnancy, without implying cause for any individual child.
A structured psychosocial history for every adolescent
Take a structured psychosocial history with every adolescent, seen alone for part of the visit.
Very preterm children showed no catch-up in executive function by 13
Keep following very preterm children into the school years, asking about attention, planning and self-regulation.
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