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[Identification of behavioural and emotional problems in premature children in the primary care setting]
Leticia Alcántara-Canabal1, Cristina Fernández-Baizán2, Gonzalo Solís-Sánchez3
1Centro de Salud de Paulino Prieto, Área Sanitaria IV, Oviedo (Asturias), España.
Insights
The Behavior Assessment System for Children (BASC) questionnaire effectively identifies psychological and behavioral issues in premature infants. Pediatricians can use BASC for early detection of these problems in young children.
Area of Science:
- Pediatric Psychology
- Developmental Pediatrics
- Child Psychology
Background:
- Premature infants face higher risks for psychological and behavioral challenges.
- Early detection is crucial for timely intervention and improved outcomes in high-risk children.
Purpose of the Study:
- To evaluate the utility of the Behavior Assessment System for Children (BASC) questionnaire for primary care pediatricians.
- To assess the early detection of psychological and behavioral problems in premature infants using the BASC.
Main Methods:
- A cross-sectional, descriptive study involving 87 premature children (birth weight <1500g) and 43 full-term controls.
- Participants were aged 5-7 years; the parent version of the BASC questionnaire was administered.
Main Results:
- Premature children exhibited significantly higher rates of inactivity, anxiety, and internalization problems compared to controls.
- Preterm boys showed more hyperactivity and behavioral issues, while girls had more attentional problems.
Conclusions:
- The BASC questionnaire is a valuable tool for primary care settings.
- It aids in the early detection and diagnosis of behavioral and emotional difficulties in premature children.
Objective:
To demonstrate the usefulness, for use by the primary care pediatrician, of the BASC questionnaire (Behavior Assessment System for Children) for the early detection of psychological and behavioral problems in premature infants.
Design:
Cross-sectional and descriptive study.
Setting:
Primary care (Health Area IV of the Principado of Asturias) and Hospital Universitario Central de Asturias, Spain.
Participants:
Parents of 87 premature children with birth weight less than 1500g and 43 full-term controls, both aged 5-7 years.
Main Measurements:
The BASC questionnaire (parent version) was applied.
Results:
Preterm children presented a high rate of inactivity (Z = -4.125, P < 0.001), anxiety (Z = -2.801, P = 0.005) and internalization problems (Z = -2.148, P = 0.032), being more evident at 5 years of age. Preterm boys show higher levels of hyperactivity (Z = -2.082, P = 0.037) and behavioural problems (Z = -2.354, P = 0.019) than girls, who presented more attentional problems (Z = -2.345; P = 0.019).
Conclusions:
The BASC questionnaire is useful for the detection and early diagnosis at the primary care level of the behavioral and emotional problems of premature children.
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