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[Conduct disorders in seven-year-old children--results of ELSPAC study. 3. Postnatal development]
1Výzkumné pracoviste preventivní a sociální pediatrie LF MU, Brno. lubomir.kukla@tiscali.cz
Insights
Conduct disorders affect 4.4% of children, with early signs appearing in toddlerhood. Prenatal nicotine exposure may be a contributing factor, highlighting the need for smoking cessation programs.
Area of Science:
- Pediatric observation and developmental psychology.
- Childhood behavioral disorders research.
Context:
- The European Longitudinal Study of Pregnancy and Childhood (ELSPAC) observed 6100 children at age 7.
- 4.4% of observed children exhibited conduct disorders.
Purpose:
- To identify markers and early signs of conduct disorders in children.
- To explore potential links between prenatal factors and childhood conduct disorders.
Summary:
- Predominant markers include negativism, aggression, attention deficits, hyperactivity, and developmental delays.
- Early signs of conduct disorders can manifest as early as 18 months and 3 years.
- Standardized diagnostic criteria and early psychological/psychiatric care are recommended for toddlers.
Impact:
- Establishes the prevalence of conduct disorders in a large cohort.
- Underscores the importance of early detection and intervention in pediatric practice.
- Suggests prenatal nicotine exposure as a significant risk factor, advocating for smoking cessation programs during pregnancy.
Background:
In the European Longitudinal Study of Pregnancy and Childhood (ELSPAC), the pediatric observation of the cohort of 6100 7-year-old children described 4.4% of them as having conduct disorders.
Methods And Results:
The predominant markers such as strong negativism, aggressivity, attention deficit, non-adequate reactions, hyperactivity, disorders of psychomotoric development, school maturation delay, poorer school results and social adaptation described children behavioral problems. The first signs of conduct disorders were often discovered already at the 18th month and the 3rd year of children's age. The acceptance of standardized criteria of possible conduct disorders in the routine pediatric practice, and the special psychologic and/or psychiatric care for children with the confirmed diagnosis should be recommended as soon as in their toddler age.
Conclusions:
Possible causal associations between prenatal exposure to nicotine and conduct disorders in childhood are another strong reason for the primary prevention and smoking cessation in antenatal clinics.
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