Evidence map›Paper›PMID 38866929›Full record

ArticleEuropean child & adolescent psychiatry2025

Association of preterm birth and birth size status with neurodevelopmental and psychiatric disorders in spontaneous births.

Linghua Kong, Samson Nivins, Xinxia Chen, Yajun Liang, Mika Gissler, Catharina Lavebratt

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Fetal size, gestational age, and cognitive performance at 5 years in term-born children: Four national cohorts' study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  10. Review
  11. Observational
  12. Article
  13. The Association of Preterm Birth With Autism Spectrum Disorder.Biological psychiatry global open science · 2025
    Article
  14. Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Linghua Kong *School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Shandong, China.ORCID http://orcid.org/0000-0001-8289-4180
Samson Nivins *Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-6777-9333
Xinxia ChenSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Shandong, China.
Yajun LiangDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0870-4953
Mika GisslerDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-8254-7525
Catharina LavebrattDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. catharina.lavebratt@ki.se.ORCID http://orcid.org/0000-0003-4987-2718

Funding

Regional agreement on medical training and clinical research (ALF) between Region Stockholm and Karolinska Institutet, Sweden RS2021-0855Swedish Brain Foundation, Sweden FO2021-0412Swedish Research Council, Sweden 2022-01188
6 · The paper itself

Abstract

Preterm birth (PTB) or small birth size are risk factors for certain neurodevelopmental disorders. The magnitude of these associations in spontaneous births, and of associations for combined PTB and birth size status on neurodevelopmental and psychiatric disorders is unexplored. We investigated whether PTB and small/large for gestational age (SGA/LGA), separately or combined, in spontaneous births, are associated with a wide spectrum of neurodevelopmental and psychiatric disorders. In this population-based registry cohort study, all singleton spontaneous births in Finland from 1996 to 2014 were followed until 2018 (n = 819 764). We show that PTB across gestational ages, and SGA, were associated with higher risks for anxiety disorders, intellectual disabilities, specific developmental disorders (SDD), autism spectrum disorders (ASD), attention-deficit/hyperactivity disorders (ADHD) and other emotional and behavioural disorders (F98). Most of these associations were not attributed to familial factors. Larger effect sizes were observed with lower gestational ages. Extremely PTB was associated at highest risks with intellectual disabilities (HR, 10.70 [95%CI, 8.69-13.17]) and SDD (HR, 8.91 [95%CI, 8.18-9.71]). Moreover, very preterm birth combined with SGA was associated with a higher risk for SDD (HR, 7.55 [95%CI, 6.61-8.62]) than that of very preterm or SGA birth alone. Conversely, LGA birth lowered the risk for SDD and other emotional and behavioural disorders among individuals born very preterm. In conclusion, PTB along with SGA is associated with higher risks for SDD than one exposure alone, whereas LGA lowers the risks for SDD and other emotional and behavioural disorders in individuals born spontaneously.

Indexed as

Birth WeightInfant, Small for Gestational AgeMental DisordersNeurodevelopmental DisordersPremature BirthAdolescentAdultChildCohort StudiesFemaleFinlandHumansInfant, NewbornMaleRegistriesRisk FactorsADHDBirth sizePreterm birthPsychiatric disordersSpecific developmental disordersSpontaneous birth

Identifiers

PMID38866929
PMCPMC11805797

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.