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Screening for neurodevelopmental disorders in preterm Infants

Published online by Cambridge University Press:  26 August 2025

N. Zaidi*
Affiliation:
pédosychiatrie
D. Ben Touhemie
Affiliation:
pédosychiatrie
K. Khemekhem
Affiliation:
pédosychiatrie
K. Chiha
Affiliation:
pédosychiatrie
J. Boudabous
Affiliation:
pédosychiatrie
I. Hadjkacem
Affiliation:
pédosychiatrie
A. Gargouri
Affiliation:
néonatologie, Hédi Chaker university hospital, Sfax, Tunisia
H. Ayédi
Affiliation:
pédosychiatrie
N. Ben Hmida
Affiliation:
néonatologie, Hédi Chaker university hospital, Sfax, Tunisia
Y. Moalla
Affiliation:
pédosychiatrie
*
*Corresponding author.

Abstract

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Introduction

Early detection of neurodevelopmental disorders (NDD) allows for timely intervention and tailored support to address behavioral and learning issues and reduce the impact of severe disabilities. Certain populations of newborns, particularly premature infants, are at higher risk for developing such disorders; identifying them enables the establishment of preventive monitoring and screening.

Objectives

to evaluate the frequency of neurodevelopmental disorders (NDD) in preterm children seen at the outpatient Neonatology department

Methods

Our study was a descriptive cross-sectional study conducted on 193 premature infants hospitalized in the Neonatology service. All children underwent at least two psychiatric assessments evaluating child development, early interactions, and behavioral problems. These assessments were conducted at the Neonatology outpatient department by a child psychiatrist in the presence of at least one parent, from 2016 to June 2024. Sociodemographic and clinical data were collected from their medical records.

Results

In our sample, the average age of infants was 2 years, with a range from 10 months to 3 years. The sex ratio was 1:1. According to the psychiatric interview and clinical examination, we found that 74.1% of children exhibited psychomotor developmental delays, 15% of them have global developmental delays, 11.4% of children have language delays, and 6.7% of them have been diagnosed with autism spectrum disorder, according to DSM-5 criteria. Among the assessed children, 6.7% showed behavioral issues, and 2.5% presented with reactive attachment disorders. Among the examined children, 24.4% were referred for regular follow-up at the outpatient child psychiatry clinic.

Conclusions

Our study indicates that preterm infants are at a high risk of developing neurodevelopmental disorders due to the immaturity and vulnerability of their brains during critical developmental periods. These findings underscore the importance of Child Psychiatry examination for this population.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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