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Prediction of 7-year psychopathology from mother-infant joint attention behaviours: a nested case–control study

Allely, CS, Johnson, PCD, Marwick, H, Lidstone, E, Kočovská, E, Puckering, C, McConnachie, A, Golding, J, Gillberg, C and Wilson, P 2013, 'Prediction of 7-year psychopathology from mother-infant joint attention behaviours: a nested case–control study' , BMC Pediatrics, 13 (147) , pp. 1-9.

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Abstract

Background To investigate whether later diagnosis of psychiatric disorder can be predicted from analysis of mother-infant joint attention (JA) behaviours in social-communicative interaction at 12 months. Method Using data from a large contemporary birth cohort, we examined 159 videos of a mother-infant interaction for joint attention behaviour when children were aged one year, sampled from within the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort. Fifty-three of the videos involved infants who were later considered to have a psychiatric disorder at seven years and 106 were same aged controls. Psychopathologies included in the case group were disruptive behaviour disorders, oppositional-conduct disorder, attention-deficit/hyperactivity disorder, pervasive development disorder, anxiety and depressive disorders. Psychiatric diagnoses were obtained using the Development and Wellbeing Assessment when the children were seven years old. Results None of the three JA behaviours (shared look rate, shared attention rate and shared attention intensity) showed a significant association with the primary outcome of case–control status. Only shared look rate predicted any of the exploratory sub-diagnosis outcomes and was found to be positively associated with later oppositional-conduct disorders (OR [95% CI]: 1.5 [1.0, 2.3]; p = 0.041). Conclusions JA behaviours did not, in general, predict later psychopathology. However, shared look was positively associated with later oppositional-conduct disorders. This suggests that some features of JA may be early markers of later psychopathology. Further investigation will be required to determine whether any JA behaviours can be used to screen for families in need of intervention.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Journal or Publication Title: BMC Pediatrics
Publisher: BioMed Central
Refereed: Yes
ISSN: 1471-2431
Related URLs:
Funders: Medical Research Council, Wellcome Trust, The University of Bristol, Yorkhill Children's Foundation, the Gillberg Neuropsychiatry Centre
Depositing User: CS Allely
Date Deposited: 08 Oct 2014 14:22
Last Modified: 05 Dec 2014 14:10
URI: http://usir.salford.ac.uk/id/eprint/32889

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