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Published on: March 14, 2018
Screening for risk factors of relational withdrawal behaviour in infants aged 14-18 months
Antoine Guedeney1, Christophe Foucault, Eva Bougen
1Department of Child and Adolescent Psychiatry, hôpital Bichat-Claude Bernard APHP Paris F 75018, France. antoine.guedeney@bch.aphp.fr
Insights
Relational withdrawal behavior in infants is linked to developmental delays and psychopathology, not socioeconomic factors. Early screening for psychopathology in infants aged 2-24 months is recommended.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Infant Mental Health
Background:
- Relational withdrawal behavior in infants is a concern for early development.
- Identifying risk factors and prevalence is crucial for timely intervention.
Purpose of the Study:
- Evaluate the prevalence of relational withdrawal behavior in 14-18 month olds.
- Identify risk factors associated with this behavior in the studied population.
Main Methods:
- Cross-sectional study design.
- Inclusion of 640 infants aged 14-18 months.
- Utilized the ADBB scale for assessment.
Main Results:
- 13% of infants exhibited significant relational withdrawal (ADBB score ≥ 5).
- Withdrawal associated with parental-reported psychological difficulties, developmental delay, being male, and high-risk living conditions (joint custody, foster care, adoption, twin).
- Withdrawn infants were more likely to be cared for at home.
Conclusions:
- Sustained relational withdrawal is linked to developmental disorders and psychopathology.
- No association found with socioeconomic status, ethnicity, or birth order.
- The ADBB scale shows potential for early psychopathology screening in infants (2-24 months).
Objectives:
The objectives of this study were (1) to evaluate the prevalence of relational withdrawal behaviour in infants aged 14-18 months attending a public health centre in Paris, (2) to check some identified risk factors for relational withdrawal behaviour in this population.
Methods:
A cross-sectional study was conducted in infants aged 14-18 months attending a child health screening centre during the year 2005.
Results:
A total of 640 children were included in the study. Thirteen percent of the 640 infants (n=83, 95% CI [10.4%; 15.6%]) had an ADBB score at 5 and over 5 on the ADBB. There was a clear relationship between withdrawal behavior and having psychological difficulties as reported by parents, and between withdrawal and developmental delay. Withdrawal was also significantly associated with being a boy, with living in risk conditions (e.g. child being in joint custody, or with living in a foster family), with being adopted, or with being a twin. More withdrawn infants were taken care of at home.
Conclusion:
Sustained relational withdrawal behaviour was linked with developmental disorders and psychopathology and not with SES, ethnical origin or rank of birth. The scale could be used in screening early psychopathology in infants aged 2-24 months of age.
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