Internalizing problem behavior in children born premature with and without posthemorrhagic ventricular dilatation

Abstract

Objective: Internalizing problem behavior is a risk factor for the development of mental health problems at a later age. Since premature children often develop behavioral problems, it is necessary to investigate if prematurity is a risk factor for the development of internalizing problem behavior so that early intervention might be possible. Furthermore, post-hemorrhagic ventricular dilatation (PHVD) is a common problem for premature children. Since PHVD seems to be risk factor for the development of a variety of (behavioral)problems, it should also be investigated as a possible risk factor for the development of internalizing problem behavior. The aim of this study is to investigate whether there is a relationship between gestational age and/or PHVD and the development of internalizing problem behavior at two and five years old. Methods: 81 premature children have been investigated through a purposive medical file investigation. Information about gestational age, scores on the CBCL 1.5-5 at two and five years old and whether or not PHVD had occurred, were used for this study. Results: The results show that there is no significant relationship between gestational age or PHVD on the development of internalizing problem behavior. Conclusion: Prematurity and PHVD don’t seem to be risk factors for the development of internalizing problem behavior at two and five years old. Because of the small sample size and other limitations of this study, the results should be interpreted carefully. This research concludes with recommendations for future research.