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Journal of Pediatric Psychology Advance Access published online on June 19, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp049
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Behavioral Outcome in Children with a History of Neonatal Encephalopathy following Perinatal Asphyxia

Mariëlle van Handel, MSc1, Hanna Swaab, PhD2, Linda S. de Vries, MD PhD1 and Marian J. Jongmans, PhD1,3

1University Medical Centre Utrecht/Wilhelmina Children's Hospital,2Leiden University and 3University of Utrecht

All correspondence concerning this article should be addressed to Mariëlle van Handel, MSc, c/o Marian J. Jongmans, University Medical Centre Utrecht/Wilhelmina Children's Hospital, KA.00.004.0, P.O. Box 85090, 3508 AB Utrecht, the Netherlands. E-mail: m.vanhandel{at}umcutrecht.nl


  Abstract

Objective To examine the effects of mild and moderate neonatal encephalopathy (NE) on behavioral functioning, and prevalence of psychiatric diagnoses at 9–10 years. Methods The Child Behavior Checklist (CBCL), Teacher's Report Form (TRF), Diagnostic Interview Schedule for Children IV (DISC-IV), and the Children's Social Behavior Questionnaire (CSBQ) were used to assess behavioral outcome of 34 children with mild NE, 47 children with moderate NE, and 53 typically developing controls. Results Both children with mild and moderate NE showed more problematic behaviors than controls, which are related to a diversity of behavioral domains: elevated rates of social problems, anxiety and depression, attention regulation problems, and thought problems. No group differences were found in percentages of children with a DISC-IV (DSM-IV) classification. Conclusions NE has a mildly negative effect on behavioral functioning, but does not lead to elevated levels or specific patterns of developmental psychopathology.

Key words: asphyxia neonatorum; behavioral problems; developmental psychopathology; hypoxia-ischemia; brain..

Received October 24, 2007; revision received April 13, 2009; accepted May 16, 2009


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