UNLABELLED: Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) 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(1/2) year assessed by clinical and standardised strategies, including videotape recordings, parent interviews and the instruments: CBCL 1(1/2)-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(1/2) 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.
RCT Entities:
UNLABELLED: Mental health surveillance in infancy was studied in an existing child health surveillance programme with childpsychiatric disorder at 1(1/2) 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(1/2) year assessed by clinical and standardised strategies, including videotape recordings, parent interviews and the instruments: CBCL 1(1/2)-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(1/2) 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.
Authors: Anne Mette Skovgaard; Else Marie Olsen; Tine Houmann; Eva Christiansen; Vibeke Samberg; Anne Lichtenberg; Torben Jørgensen Journal: Scand J Public Health Date: 2005 Impact factor: 3.021
Authors: Anne Mette Skovgaard; Tine Houmann; Eva Christiansen; Susanne Landorph; Torben Jørgensen; E M Olsen; K Heering; S Kaas-Nielsen; V Samberg; A Lichtenberg Journal: J Child Psychol Psychiatry Date: 2007-01 Impact factor: 8.982
Authors: G Baird; T Charman; S Baron-Cohen; A Cox; J Swettenham; S Wheelwright; A Drew Journal: J Am Acad Child Adolesc Psychiatry Date: 2000-06 Impact factor: 8.829