Evidence  

https://pubmed.ncbi.nlm.nih.gov/38165581/ 

Megan Galbally, Stuart J Watson, John Newnham, Scott White, Andrew Watkins, Andrew J Lewis 

Infants born prematurely are more likely to develop anxiety disorders later in life. The research shows babies born early have a heightened risk of developing psychiatric disorders, with a majority of cases manifesting as anxiety disorders. 

Education 

Children that were born premature have an increased risk of anxiety than that of full-term children. These problems could have a large impact on their daily life and interaction with other children. Anxiety can also have an effect on children’s thinking where they perceive the fear or danger to be greater than it is. Thinking about the situation, makes them more worried and stressed. 

A child with anxiety may 

• Avoid situations they are scared about 

• Are extremely shy, timid and clingy 

• Afraid to take risks or try new things 

• Afraid of the dark 

• Has trouble falling or staying asleep 

• Have lots of worries 

• Get upset easily 

• Seek reassurance  

Empowerment 

Parents of preterm children should be aware that there may be an increased risk for anxiety and indicate to caregivers, daycare or preschool teachers and mental health professionals that their child was born premature and to assist them with the right interventions. Early detection, parenting support and timely referral to specialised care help give preterm children the best start at school. 

Activities that can reduce anxiety in preschool children include: 

• Validate their feelings: Let your child know that it's okay to feel worried or scared sometimes. Acknowledge their emotions and reassure them that you're there to help them feel safe. 

• Relaxation exercise – helping your child slow down and take deep breaths to calm them. 

• Establish routines: Establishing predictable routines can help children feel more secure and reduce anxiety. Create a consistent daily schedule with regular mealtimes, bedtime routines, and activities. 

• Offer comfort objects: Allow your child to bring a favourite toy, blanket, or stuffed animal to stressful situations for comfort and support. 

• Parents can read more about anxiety and talk to experts to help their children.

If the anxiety is severe, seeking help from a Counsellor or Psychologist for treatment is recommended.  Sometimes a child may be referred to a psychiatrist. Medicating children is always a concern but, in some cases, medication combined with therapy is more beneficial than therapy alone. 

Questions you can ask your health care team: 

• What is my child’s treatment options? 

• What side effects can my child expect from taking medication? 

• What activities can I do with my child to ease their anxiety? 

• Will the parents be involved in therapy? 

• How soon should we expect improvement?

It can be stressful for a parent wondering if your child is suffering from anxiety. You should reach out and seek help from a counsellor or doctor to talk it through if you have any concerns for you or your child. 

Useful Links 

Emerging Minds 

https://emergingminds.com.au/resources/anxiety-in-toddlers-and-preschoolers 

Raising Children 

https://raisingchildren.net.au/toddlers/health-daily-care/mental-health/anxiety-in-children 

Beyond Blue 

https://beyou.edu.au/fact-sheets/mental-health-issues-and-conditions/separation-anxiety 

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