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Can psychopathology at age 7 be predicted from clinical observation at one year? Evidence from the ALSPAC cohort

C S Allely1, O Doolin, C Gillberg

  • 1Institute of Health and Wellbeing, University of Glasgow, RHSC Yorkhill, Glasgow G3 8SJ, Scotland, United Kingdom. Clare.allely@glasgow.ac.uk

Research in Developmental Disabilities
|August 3, 2012
PubMed

Insights

Identifying developmental disorders early is difficult. This study found that clinician observations of one-year-olds could not reliably predict later psychopathology at age seven.

Area of Science:

  • Developmental psychopathology
  • Child psychology
  • Clinical observation

Background:

  • Early identification of developmental disorders is a significant challenge for clinical services.
  • Understanding developmental pathways is crucial for diagnosing disorders in early life.

Purpose of the Study:

  • To investigate if early signs of psychopathology in infants can be identified through clinician observation.
  • To determine the predictive validity of one-year-old caregiver-infant interactions for later developmental disorders.

Main Methods:

  • Utilized data from a large birth cohort.
  • Employed two groups of clinical raters to observe videos of caregiver-infant interactions.
  • Assessed infants at one year of age for precursors to psychopathology.

Main Results:

  • Neither group of clinical raters could reliably identify precursors of later psychopathology.
  • Observations of one-year-old caregiver-infant interactions did not predict developmental disorders at age seven.

Conclusions:

  • Current methods of clinician observation at one year are insufficient for predicting later psychopathology.
  • Further research is needed to identify reliable early indicators of developmental disorders.

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