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

Allely, C.S., Johnson, P.C.D. , 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(1), p. 147. (doi:10.1186/1471-2431-13-147)

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Abstract

<br>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.</br> <br>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.</br> <br>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).</br><br>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.</br>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McConnachie, Dr Alex and Johnson, Dr Paul and Allely, Dr Clare and Wilson, Dr Philip and Gillberg, Professor Christopher and Puckering, Dr Christine
Authors: Allely, C.S., Johnson, P.C.D., Marwick, H., Lidstone, E., Kočovská, E., Puckering, C., McConnachie, A., Golding, J., Gillberg, C., and Wilson, P.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Biodiversity Animal Health and Comparative Medicine
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:BMC Pediatrics
Publisher:BioMed Central
ISSN:1471-2431
ISSN (Online):1471-2431
Copyright Holders:Copyright © 2013 The Authors
First Published:First published in BMC Pediatrics 13(1):147
Publisher Policy:Reproduced under a Creative Commons License

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