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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Demographic and perinatal factors for behavioral problems among children aged 4-9 in Taiwan

Yen-Nan Chiu1, Susan Shur-Fen Gau, Wen-Che Tsai

  • 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.

Psychiatry and Clinical Neurosciences
|June 6, 2009
PubMed

Insights

Childhood emotional and behavioral problems are influenced by prenatal/perinatal factors and maternal distress. Gender differences exist in problem patterns, highlighting the need for tailored prevention strategies.

Area of Science:

  • Child Psychology
  • Developmental Pediatrics
  • Maternal Health

Background:

  • Childhood emotional and behavioral problems are a significant public health concern.
  • Understanding contributing factors like prenatal/perinatal influences and maternal psychological distress is crucial for early intervention.
  • Gender-specific patterns in these problems require further investigation.

Purpose of the Study:

  • To examine the impact of age, gender, prenatal/perinatal factors, and maternal psychological distress on childhood emotional/behavioral issues.
  • To explore gender differences in the co-occurrence of emotional/behavioral problems.
  • To identify specific risk factors for developing these problems.

Main Methods:

  • A multi-stage sampling method was used to recruit 1391 children aged 4-9 in Taipei.
  • Mothers completed validated questionnaires on demographics, prenatal/perinatal history, and child behavior (Child Behavior Checklist, Chinese Health Questionnaire).
  • Linear and non-linear mixed models were employed for data analysis.

Main Results:

  • Boys exhibited higher rates of externalizing problems, while girls showed more internalizing problems.
  • Age-related trends included decreased aggressive behaviors and increased attention/thought problems.
  • Prenatal/perinatal factors (e.g., alcohol/coffee exposure, gestational diabetes, low birthweight) and maternal distress were significant predictors of emotional/behavioral problems.

Conclusions:

  • Prenatal/perinatal care and maternal well-being are critical for preventing childhood emotional/behavioral problems.
  • Gender-specific approaches are necessary for effective prevention and intervention strategies.
  • Early identification and management of risk factors can mitigate the development of these issues.
Abstract

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