Skip to main content Accessibility help

Asociación de los problemas de salud mental en la infancia con el crecimiento físico prenatal y posnatal

  • Nicole Gunther (a1), Marjan Drukker (a1), Frans Feron (a2) and Jim Van Os (a1) (a3)



El presente estudio se realizó para examinar (i) los patrones prenatal y postnatal de crecimiento en relatión con el riesgo de problemas de salud mental posteriores en los niños y (ii) el posible efecto mediador de estos patrones de crecimiento en la asociación entre el nivel socioeconómico de los padres (NSE) y la salud mental de los hijos.

Sujetos y métodos

El presente estudio es parte de un estudio ciego de casos y controles emparejados que implicaba un análisis retrospectivo de datos recogidos prospectivamente a partir de los reconocimientos habituales en los servicios de salud comunitaria para niños y adolescentes. La muestra constaba de 80 pacientes, derivados a los 6-13 años de edad al Centro de Salud Mental Comunitaria en Maastricht, y 320 controles de la poblacion emparejados.


Los niños procedentes de familias sin empleo pesaban menos al nacer, pero el crecimiento postnatal no se asociaba con éste u otros indicadores del NSE. Aunque los niños que usaban la asistencia sanitaria mental eran algo más pequeños en el nacimiento, no había datos de que la delgadez durante la infancia fuera un factor de riesgo para el desarrollo de problemas de salud mental.


Los presentes resultados mostraban algunos datos para las repercusiones del desarrollo intrauterino en los problemas de salud mental de los niños. Además, ni el crecimiento físico prenatal ni el postnatal estaban en la vía entre el NSE de los padres y los problemas de salud mental de los hijos.



Hide All
[1]Barker, DJ. Fetal origins of coronary heart disease. BMJ 1995;311:1714.
[2]Barker, DOsmond, C. Childhood respiratory infection and adult chronic bronchitis in England and Wales. BMJ 1986;293:1271–5.
[3]Bennett, EThe low birth weight, premature infant. In: Gross, RSpiker, DHaynes, C, editors. Helping low birth weight, premature infants. Stanford, CA: Stanford University Press; 1997. p. 316.
[4]Black, MMKrishnakumar, A. Predicting longitudinal growth curves of height and weight using ecological factors for children with and without early growth deficiency. J Nutr 1999;129:539s543s.
[5]Botting, NPowls, ACooke, RWMarlow, N. Attention deficit hyperactivity disorders and other psychiatric outcomes in very low birthweight children at 12 years. J Child Psychol Psychiatry 1997;38:931–41.
[6]Breslau, NBrown, GGDelDotto, JEKumar, SEzhuthachan, SAndreski, P, et al. Psychiatric sequelae of low birth weight at 6 years of age. J Abnorm Child Psychol 1996;24:385400.
[7]CBS. Standaard beroepenclassificatie 1992. Den Haag: SDU; 1993.
[8]De Swaan, A. Care of state: health care, education and welfare in Europe and the USA in the modero era. Cambridge: Polity Press, 1988.
[9]Driessen, GEvers, SVerhey, FVan Os, J. Stroke and mental health care: a record linkage study. Soc Psychiatry Psychiatr Epidemiol 2001;36:608–12.
[10]Drukker, MKaplan, CFeron, FVan Os, J. Children's health-related quality of lite, neighbourhood socio-economic deprivation and social capital. A contextual analysis. Soc Sci Med 2003;57:825–41.
[11]Eveleth, PBTanner, JM. World wide variation in human height. Cambridge: Cambridge University Press; 1976.
[12]Fine, PEAdelstein, AMSnowman, JClarkson, JAEvans, SM. Long term effects of exposure to viral infections in utero. BMJ 1985;290:509–11.
[13]Gunther, NSlavenburg, BFeron, FVan Os, J. Childhood social and early developmental factors associated with mental health service use. Soc Psychiatry Psychiatr Epidemiol 2003;38:101–8.
[14]Hille, ETDen, Ouden ALSaigal, SWolke, DLambert, MWhitaker, A, et al. Behavioural problems in children who weigh 1000 g or less at birth in four countries. Lancet 2001;357:1641–3.
[15]Hortulanus, RPMachielse, JEM. Op het snijvlak van de fysieke en sociale leefomgeving. s-Gravenhage: Elsevier; 2001.
[16]Hoy, EASykes, DHBill, JMHalliday, HLMcClure, BGReid, MM. The social competence of very low birthweight children: teacher, peer, and self-perceptions. J Abnorm Child Psychol 1992;20:123–50.
[17]Keirse, MJ. Epidemiology and aetiology of the growth retarded baby. Clin Obstet Gynaecol 1984;11:415–36.
[18]Koot, HMVerhulst, FC. Prediction of children's referral to mental health and special education services from earlier adjustment. J Child Psychol Psychiatry 1992;33:717–29.
[19]Lasker, GWMascie-Taylor, CG. Effects of social class differences and social mobility on growth in height, weight and body mass index in a Brihsh cohort. Ann Hum Biol 1989;16:18.
[20]Laucht, MEsser, GSchmidt, MH. Differential development of infanis at risk for psychopathology: the moderating role of early maternal responsivity. Dev Med Child Neurol 2001;43:292300.
[21]Lindgren, G. Height, weight and menarche in Swedish urban school children in relation to socio-economic and regional factors. Ann Hum Biol 1976;3:501–28.
[22]Lindgren, GWCernerud, L. Physical growth and socioeconomic background of Stockholm schoolchildren born in 1933-1963. Ann Hum Biol 1992;19:116.
[23]McCormick, MCGortmaker, SLSobol, AM. Very low birth weight children: behavior problems and school difficulty in a national sample. J Pediatr 1990;117:687–93.
[24]McCormick, MCWorkman-Daniels, KBrooks-Gunn, J. The behavioral and emotional well-being of school-age children with different birth weights. Pediatrics 1996;97:1825.
[25]Schnabel, RThe mental health services: more than psychiatry alone. In: Schrijvers, AJP, editor. Health and health cure in the Netherlands: a critical self-assessment by Dutch experts in the medical and health sciences. Utrecht, the Netherlands: De Tijdstroom; 1997. p. 119-31.
[26]Snijders, TBosker, R. Multilevel analysis, an introduction to basic and advanced modeling. London: SAGE Publications; 1999.
[27]Sommerfelt, KTroland, KEllertsen, BMarkestad, T. Behavioral problems in low-birthweight preschoolers. Dev Med Child Neurol 1996;38:927–40,
[28]Szatmari, PSaigal, SRosenbaum, PCampbell, DKing, S. Psychiatric disorders at 5 years among children with birthweights less than 1000 g: a regional perspective. Dev Med Child Neurol 1990;32:954–62.
[29]Szatmari, PSaigal, SRosenbaum, PCampbell, D. Psychopathology and adaptive functioning among extremely low birthweight children at 8 years of age. Dev Psychopathol 1993;5:345–57.
[30]Tansella, MMicciolo, RBiggeri, ABisofffi, GBalestrieri, M. Episodes of care for first-ever psychiatric patients. A long-term caseregister evaluation in a mainly urban area. Br J Psychiatry 1995;167:220–7.
[31]Tessier, RNadeau, LBoivin, MTremblay, RE. The social behaviour of 1 1-12-year-old children born as low birthweight and/or premature infants. Int J Behav Dev 1997;21:795811.
[32]Thompson, H. OECD study highlights widespread and persisten- povverty in Europe and America. 2000. Retrieved 4 February 2000 from internet: (http://www. shtml)
[33]Van Os, JWichers, MDanckaerts, MVan Gestel, S , Derom, CVlietinck, B. A prospective twin study of birth weight discordance and child problem betavior. Biol Psychiatry 2001;50:593–9.
[34]Verkerk, PHZaadstra, BMReerink, JDHerngreen, WPVerloove-Vanhorick, SP. Social class, ethnicity and other risk factors for small for gestational age and preterm delivery in The Netherlands. Eur J Obstet Gynecol Reprod Biol 1994;53:129–34.
[35]Wahlbeck, KForsen, TOsmond, CBarker, DJPEriksson, JG. Association of schizophrenia with low maternal body mass index, small size at birth, and thinness during childhood. Arch Gen Psychiatry 2001;58:4852.
[36]Weisglas-Kuperus, NKoot, HMBaerts, WFetter, WPSauer, PJJ. Behaviour problems of very low-birthweight children. Dev Med Child Neurol 1993;35:406–16.
[37]Zubrick, SRKurinczuk, JJMcDermott, BMMcKelvey, RSSilburn, SRDavies, LC. Fetal growth and subsequent mental health problems in children aged 4-13 years. Dev Med Child Neurol 2000;42:1420.


Asociación de los problemas de salud mental en la infancia con el crecimiento físico prenatal y posnatal

  • Nicole Gunther (a1), Marjan Drukker (a1), Frans Feron (a2) and Jim Van Os (a1) (a3)


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.