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Parental separation: a risk for the psychomotor development of children aged 28 to 32 months? A cross-sectional study
Nadine Kacenelenbogen1,2, Michèle Dramaix-Wilmet3, M Schetgen4
1Département de Médecine Générale, Université Libre de Bruxelles, Campus Facultaire Erasme, Route de Lennik 808/612, Bruxelles, 1070, Belgium. Nadine.Kacenelenbogen@ulb.ac.be.
Insights
Parental separation is linked to slower psychomotor development in toddlers, particularly in language and drawing skills. This study highlights potential developmental impacts, even when controlling for socioeconomic factors.
Area of Science:
- Child Development
- Developmental Psychology
- Pediatrics
Background:
- Parental separation affects approximately 25% of children in Western countries.
- Previous research has explored the impact of family structure on child health.
- Socioeconomic factors are well-documented influences on child development.
Purpose of the Study:
- To analyze the psychomotor development of children aged 28-32 months.
- To compare development based on family structure: parents together versus separated.
- To isolate the impact of family structure from socioeconomic influences.
Main Methods:
- Cross-sectional study involving 28,871 children.
- Data collected during free preventive medicine consultations.
- Psychomotor development assessed via tasks including jumping, dressing, drawing, and language milestones.
Main Results:
- Children with separated parents showed slower psychomotor development, particularly in graphic and language abilities.
- Adjusted odds ratios indicated challenges in tasks like drawing a vertical line (1.3) and forming a three-word sentence (1.3).
- Specific language delays included using the "I" pronoun (1.2) and stating their first name (1.2).
Conclusions:
- Parental separation is associated with delayed psychomotor progression, especially in language and graphic skills.
- Findings suggest a need for further investigation into the long-term effects.
- Results support the design of a prospective cohort study to confirm these preliminary findings.
Background:
In Western countries, about a quarter of children are affected by parental separation and a number of authors have previously investigated how familial structure impacts children's health. The purpose of the work: to analyze the psychomotor development of children aged 28 to 32 months based on family structure (parents together or separated), independently of the influence of socio-economic environment that is well documented. To analyse the psychomotor development of children younger than 3 years based on family structure (parents together or separated) independently of the influence of socio-economic environment that is well documented.
Methods:
Cross-sectional study by examination of 28 871 children as part of a free preventive medicine consultation. The data came from an assessment conducted 28 to 32 months after birth during which information was collected about the psychomotor development: to perform a standing jump, dress themselves, draw a vertical line and circle, use the "I" pronoun, build a three-word sentence, and say their first name
Results:
Ten percent of the children had separated parents. Compared to parents who were together, when adjusting for the socioeconomic environment, as well as all potential confounders, the adjusted odds ratios (ORs) (95 % confidence interval [CI]) for children with separated parents, in terms of their ability to perform a standing jump, dress themselves, and draw a vertical line and circle were respectively 0.9 (0.7-1.1), 1.1 (0.9-1.2), 1.3 (1.1-1.4) and 1.2 (1.1-1.4). The adjusted ORs (95 % CI) for children's inability to say the "I" pronoun, build a three-word sentence, and say their first name were respectively 1.2 (1.1-1.3), 1.3 (1.2-1.5), and 1.2 (0.9-1.5).
Conclusions:
After adjusting for sociocultural factors and other potential confounders, we observed that the children exhibited slower progression in psychomotor development, especially in language and graphic abilities when their parents were separated. While the implications of our study are somewhat limited, they do provide us with the necessary arguments enabling us to set up a prospective cohort study. Such a study should be able to better assess the impact of parental separation on the child's development, confirming our preliminary results.
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