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Social, Emotional and Behavioral Problems in Children With Foreign Body Ingestion: A Case Control Study
Betül Öztürk1, Ali Güngör2, Tuðba Çelen Yoldaþ3
1Department of Pediatric Emergency, Ankara Etlik City Hospital, Turkey. Correspondence to: Betül Öztürk, Department of Pediatric Emergency, Ankara Etlik City Hospital, Ankara, Turkey. drbetulozaydinozturk@gmail.com.
Insights
Children aged 1-4 with foreign body ingestion show higher rates of behavioral and emotional issues. Hyperactivity is a key predictor of foreign body ingestion in young children.
Area of Science:
- Pediatric Emergency Medicine
- Developmental Psychology
- Child Behavior Analysis
Background:
- Foreign body ingestion is a common pediatric emergency.
- Understanding the behavioral and emotional profiles of affected children is crucial for prevention and intervention.
Purpose of the Study:
- To compare the social, emotional, and behavioral status of young children (1-4 years) with foreign body ingestion against healthy controls.
- To identify predictors of foreign body ingestion in this age group.
Main Methods:
- A case-control study involving 150 children with foreign body ingestion and 150 matched healthy controls.
- Utilized the Aberrant Behavior Checklist (ABC) and Brief Infant-Toddler Social Emotional Assessment (BITSEA) for evaluation.
- Employed logistic regression to identify predictive factors.
Main Results:
- Children with foreign body ingestion exhibited significantly higher scores on all Aberrant Behavior Checklist subscales and Brief Infant-Toddler Social Emotional Assessment problem areas (P < 0.001).
- Hyperactivity emerged as a significant predictor of foreign body ingestion, with an odds ratio of 1.37 (P < 0.001).
Conclusions:
- Young children experiencing foreign body ingestion demonstrate a higher prevalence of behavioral and emotional problems compared to their healthy peers.
- Hyperactivity is identified as a significant predictive factor for foreign body ingestion in children.
Objectives:
To compare the social, emotional, and behavioral status between the patients aged 1 to 4 years with foreign body ingestion and healthy individuals.
Methods:
A case control study was conducted in a tertiary level hospital over 32 months. Children, aged 1-4 years, admitted to the pediatric emergency department with foreign body ingestion were included as cases. Patients with known autism spectrum disorders, cerebral palsy and incomplete evaluation were excluded. A matched control group constituted healthy individuals. Both groups were evaluated with Aberrant Behavior Checklist (ABC) and Brief Infant-Toddler Social Emotional Assessment (BITSEA) scales. Logistic regression was performed to determine the predictors of foreign body ingestion.
Results:
Cases and controls included 150 children each. All ABC subscale scores (mean irritability, hyperactivity/dissonance, lethargy/social withdrawal, stereotypical behavior, and inappropriate speech) and problem area scores of BITSEA were significantly higher in the cases (P < 0.001). Hyperactivity was significantly predictive of foreign body ingestion [OR (95% CI) 1.37 (1.21, 1.55), P < 0.001].
Conclusion:
Younger children with foreign body ingestion screened significantly higher for behavioral and emotional problems compared to controls. Hyperactivity was an important predictor factor for foreign body aspiration.
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