Do child healthcare professionals and parents recognize social-emotional and behavioral problems in 1-year-old

Jaana Alakortes1,2, Susanna Kovaniemi3,4, Alice S Carter5

  • 1PEDEGO Research Unit, Clinic of Child Psychiatry, University of Oulu, P.O. Box 26, 90029, Oulu, Finland. jjalakortes@gmail.com.

Insights

Early identification of infant social-emotional/behavioral (SEB) problems is low. Combining child healthcare nurse and parental concerns improved detection but still missed many infants needing attention. Routine screening is recommended.

Area of Science:

  • Pediatric Healthcare
  • Developmental Psychology
  • Child Mental Health

Background:

  • Clinically significant social-emotional/behavioral (SEB) problems are increasingly recognized in infants.
  • A significant number of these early SEB issues go undetected by healthcare professionals.
  • Early identification is crucial for timely intervention and improved long-term outcomes.

Purpose of the Study:

  • To assess the identification rates of infant SEB problems by child healthcare nurses (CHCNs) and parents.
  • To evaluate the effectiveness of combining multiple informant reports for detecting SEB concerns.
  • To explore the utility of screening tools like the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in preventive child healthcare.

Main Methods:

  • Cross-sectional study involving 1008 CHCNs and 518 parents of 12-month-old infants in Finland.
  • Collected data on SEB worries from CHCNs and parents.
  • Utilized maternal and paternal BITSEA ratings to assess SEB problems and competencies.

Main Results:

  • Low reporting rates of SEB worries: 1.4-1.8% by CHCNs, 3.9% by mothers, and 3.2% by fathers.
  • Combined reports from CHCNs and parents identified SEB worries in 7.7% of infants.
  • Even combined reports identified only 7.0-13.8% of infants with concerning BITSEA ratings.

Conclusions:

  • Current identification of early infant SEB problems in primary care is insufficient.
  • Combining multiple informants increases detection but remains suboptimal.
  • Routine use of validated screening tools like BITSEA is recommended to enhance early identification and intervention for infant SEB issues.

Related Concept Videos

Socioemotional Development during Infancy01:30

Socioemotional Development during Infancy

Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
1.0K
Piaget's Stage 1 of Cognitive Development01:14

Piaget's Stage 1 of Cognitive Development

The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
Exploration...
2.2K
Relationship with Parents: Attachment01:28

Relationship with Parents: Attachment

Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
306
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.5K
Erikson's Theory on Socioemotional Development during Childhood01:28

Erikson's Theory on Socioemotional Development during Childhood

Erik Erikson, a stage theorist, adapted Freud's theory to emphasize social factors in personality development throughout life, a concept known as psychosocial development. Unlike Freud, who focused on early childhood, Erikson believed that personality evolves across eight life stages, each marked by a specific challenge or "crisis." Successful resolution of each stage fosters competence, while failure may lead to feelings of inadequacy.
The first four of Erikson's eight...
1.9K
Attachment01:20

Attachment

Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that...
659