Can a general health surveillance between birth and 10 months identify children with mental disorder at 1陆 year?
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- 作者：Anne Mette Skovgaard ; Tine Houmann ; Eva Christiansen ; Else Marie Olsen ; Susanne Lassen Landorph ; Anne Lichtenberg and Torben J酶rgensen
- 关键词：screening ; mental health ; infant ; toddler ; psychopathology ; birth cohort ; risks
- 刊名：European Child & Adolescent Psychiatry
- 出版时间：August, 2008
- 出版年：2008
- 期刊代码：55_1018-8827
- 类别：med
- 卷：17
- 期：5
- 页码：290-298
- 数据来源：sp
摘要
Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1陆 year as the outcome. Methods Children considered of concern by community health nurses were cases in a case control study nested in the Copenhagen Child Cohort (CCC 2000). Outcome was mental health status at 1陆 year assessed by clinical and standardised strategies, including videotape recordings, parent interviews and the instruments: CBCL 1陆-5, ITSCL, CHAT, Bayley Scales of Infant Development II, PC ERA and PIR-GAS. Results The positive predictive value of concern in the first 10 months of living was 24%(CI 17.0–31.9), the negative predictive value was 85%(CI 77.9–89.6) and the sensitivity was 56%(CI 42.4–69.0). Concern about development was significantly associated with the child having a neuro-developmental disorder at 1陆 year, and concern about mother–child relationship was associated with emotional, behavioural, eating, and sleeping disturbances. Conclusions A general health surveillance program seems to have potentials to identify infants at risk for mental health problems provided standardised measures and specific training of the involved health professionals.