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Published on: August 25, 2014
Psychosocial correlates of neurodevelopmental disabilities in 2- to 3-year-olds
Stanka A Fitneva1, Bradley A Corbett2, Asuri N Prasad3
1Dept. of Psychology, Queen's University, Kingston, ON, Canada.
Insights
Children with neurodevelopmental disabilities (NDD) exhibit early behavioral differences. Intellectual disability and cerebral palsy are linked to specific behavioral outcomes in young children, highlighting the need for early screening and intervention.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Child Neurology
Background:
- Children with neurodevelopmental disabilities (NDD) face higher risks for behavioral issues.
- Canada's National Longitudinal Study of Children and Youth (NLSCY) provides data on child health and development.
Purpose of the Study:
- To investigate the relationship between specific NDDs (epilepsy, cerebral palsy, intellectual disability) and behavioral outcomes in toddlers.
- To analyze behavioral differences in children with NDDs compared to their peers.
Main Methods:
- Utilized NLSCY data from three cycles, focusing on 2- to 3-year-olds diagnosed with epilepsy, cerebral palsy, or intellectual disability.
- Assessed behavioral measures including hyperactivity-inattention, prosocial behaviors, emotional disorder-anxiety, physical aggression oppositional behavior, and separation anxiety.
- Employed Welch's ANOVA and post hoc analyses to compare behavioral scores between NDD groups and a control group.
Main Results:
- A sample of 10,879 children represented 756,848 Canadian toddlers; 15 had epilepsy, 25 had cerebral palsy, and 28 had intellectual disability.
- Children with intellectual disability showed higher emotional disorder-anxiety and separation anxiety, and lower prosocial behaviors.
- Children with cerebral palsy exhibited lower prosocial behaviors compared to controls; no significant behavioral differences were found for children with epilepsy.
Conclusions:
- Early identification of behavioral differences in children with NDDs is crucial.
- Intervention programs targeting these behaviors may mitigate long-term psychiatric comorbidities associated with NDDs.
Rationale:
Canada's National Longitudinal Study of Children and Youth survey data provide insights into chronic health conditions in children. Children with neurodevelopmental disabilities (NDD) are at increased risk for adverse behavioral outcomes.
Methods:
We examined data from 3 cycles of Canada's National Longitudinal Survey of Children and Youth for the presence of epilepsy (Epi), cerebral palsy (CP), and intellectual disability (ID) in 2- to 3-year-olds. We then examined the relationship of NDD to composite measures of behavior: hyperactivity-inattention (HI), prosocial behaviors (PS), emotional disorder-anxiety (EA), physical aggression oppositional behavior (AO), and separation anxiety (SA).
Results:
There were 15 children with Epi, 25 with CP and 28 with ID in a sample of 10,879, which represented a population of 756,848 2- to 3-year-old Canadian children. Comparison of mean scores of the NDD groups and controls (Welch's ANOVA), indicated statistically significant differences in HI, PS, EA, and SA at the p < 0.001 level. Post hoc analysis showed significant intergroup differences. Children with epilepsy did not differ from controls on any of the behavioral measures. However, in comparison to controls, children with intellectual disability had higher EA and SA scores and lower PS scores, and those with cerebral palsy had lower PS scores.
Conclusions:
Children with NDD show differences in behavioral outcomes at a very early age when compared with controls. Screening for these behaviors and early intervention programs may help avoid longer term psychiatric comorbidity associated with these disabilities.
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