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Predictors (0-10 months) of psychopathology at age 11/2 years - a general population study in The Copenhagen Child
A M Skovgaard1, E M Olsen, E Christiansen
1Child and Adolescent Psychiatric Centre, University Hospital of Copenhagen, Glostrup, Denmark. ames@glo.regionH.dk
Insights
Early language and neuro-cognitive development in infancy predict later psychopathology. Unwanted pregnancies and negative parental expectations also predict relationship disturbances in toddlers.
Area of Science:
- Child psychology and developmental disorders.
- Epidemiology of early childhood mental health.
Background:
- Limited epidemiological data exists on mental health in early childhood.
- This study identifies infancy predictors of psychopathology in the second year of life.
Purpose of the Study:
- To investigate early predictors of psychopathology in toddlers.
- To identify risk factors for neuro-developmental disorders and relationship disturbances.
Main Methods:
- Utilized data from the Copenhagen Child Birth Cohort (CCC 2000) including national registers and prospective surveillance.
- Assessed mental health at 1.5 years using standardized measures (e.g., CBCL, ITSCL, CHAT, BSID II) and ICD-10/DC:0-3 diagnoses.
Main Results:
- Deviant language development by 10 months predicted any disorder (OR 3.3).
- Neuro-cognitive deficits, language issues, and impaired social interaction predicted neuro-developmental disorders (ORs 6.8, 5.9, 3.8).
- Unwanted pregnancy and negative parental expectations predicted relationship disturbances.
Conclusions:
- Predictors for neuro-developmental disorders and parent-child relationship issues are identifiable within the first 10 months of life.
- Early identification allows for timely intervention in general population samples.
Background:
Epidemiological studies of mental health problems in the first years of life are few. This study aims to investigate infancy predictors of psychopathology in the second year of life.
Methods:
A random general population sample of 210 children from the Copenhagen Child Birth Cohort CCC 2000 was investigated by data from National Danish registers and data collected prospectively from birth in a general child health surveillance programme. Mental health outcome at 1(1/2) years was assessed by clinical and standardised measures including the Child Behavior Check List 1(1/2)-5 (CBCL 1(1/2)-5), Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development (BSID II), Mannheim Eltern Interview (MEI), Parent Child Early Relational Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS), and disordered children were diagnosed according to the International Classification of Diseases (ICD-10) and Diagnostic Classification Zero to Three (DC: 0-3).
Results:
Deviant language development in the first 10 months of life predicted the child having any disorder at 1(1/2) years, OR 3.3 (1.4-8.0). Neuro-developmental disorders were predicted by deviant neuro-cognitive functioning, OR 6.8 (2.2-21.4), deviant language development, OR 5.9 (1.9-18.7) and impaired social interaction and communication, OR 3.8 (1.3-11.4). Unwanted pregnancy and parents' negative expectations of the child recorded in the first months of the child's life were significant predictors of relationship disturbances at 1(1/2) years.
Conclusions:
Predictors of neuro-developmental disorders and parent-child relationship disturbances can be identified in the first 10 months of life in children from the general population.
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