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Screening for risk factors of relational withdrawal behaviour in infants aged 14–18 months

Published online by Cambridge University Press:  16 April 2020

Antoine Guedeney ,
Christophe Foucault ,
Eva Bougen ,
Beatrice Larroque  and
France Mentré
Antoine Guedeney*
Affiliation:
Department of Child and Adolescent Psychiatry, hôpital Bichat-Claude Bernard APHPParisF 75018, France Université Paris VII, ParisF 75005, France
Christophe Foucault
Affiliation:
Département des Examens de Santé de l'Enfant, DEPSE, CPAM de Paris, Paris, France
Eva Bougen
Affiliation:
Service de biostatistiques, hôpital Bichat Claude Bernard, Paris, France
Beatrice Larroque
Affiliation:
INSERM U149, Villejuif, France
France Mentré
Affiliation:
Service de biostatistiques, hôpital Bichat Claude Bernard, APHP Paris, France
*
*Corresponding author. Service de psychopathologie de l'enfant et de l'adolescent, policlinique Ney, 124 blvd Ney, 75018 Paris, France. Tel.: +33 1 44 75 02 29; fax: +33 1 42 55 29 72. E-mail address: [email protected] (A. Guedeney).
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Abstract

Objectives

The objectives of this study were (1) to evaluate the prevalence of relational withdrawal behaviour in infants aged 14–18 months attending a public health centre in Paris, (2) to check some identified risk factors for relational withdrawal behaviour in this population.

Methods

A cross-sectional study was conducted in infants aged 14–18 months attending a child health screening centre during the year 2005.

Results

A total of 640 children were included in the study. Thirteen percent of the 640 infants (n = 83, 95% CI [10.4%; 15.6%]) had an ADBB score at 5 and over 5 on the ADBB. There was a clear relationship between withdrawal behavior and having psychological difficulties as reported by parents, and between withdrawal and developmental delay. Withdrawal was also significantly associated with being a boy, with living in risk conditions (e.g. child being in joint custody, or with living in a foster family), with being adopted, or with being a twin. More withdrawn infants were taken care of at home.

Conclusion

Sustained relational withdrawal behaviour was linked with developmental disorders and psychopathology and not with SES, ethnical origin or rank of birth. The scale could be used in screening early psychopathology in infants aged 2–24 months of age.

Keywords

ScreeningInfancy withdrawal behaviourAssessment of relational abilitiesAlarm Distress Baby Scale (ADBB)
Type
Original articles
Information
European Psychiatry , Volume 23 , Issue 2 , March 2008 , pp. 150 - 155
Copyright
Copyright © Elsevier Masson SAS 2008

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