Altered grey matter cortical and subcortical T1-weighted/T2-weighted ratio in premature-born adults

Microscopic studies in newborns and animal models indicate impaired myelination after premature birth, particularly for cortical myelination; however, it remains unclear whether such myelination impairments last into adulthood and – if so – are relevant for impaired cognitive performance. It has been suggested that the ratio of T1w and T2w MRI signal intensity (T1w/T2w ratio) is a proxy for myelin content. We hypothesized altered grey matter (GM) T1w/T2w ratio in premature-born adults, which is associated with lower cognitive performance after premature birth.

Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS.