Detailed contribution information
| Contribution title | 3017 - The predictive measures in toddlerhood for psychiatric morbidity in adolescence: 11-year follow-up |
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| Contribution code | PS01-30 (P) |
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| Form of presentation | Poster |
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| Abstract |
Objectives: We aimed to determine the predictive factors for psychiatric problem severity and/or clinical approval 11 years after first assessment between ages 1-4 years. In addition, we aimed to compare mothers and fathers in terms of 11-year follow-up predictive value of their psychiatric complaints of their young children. Methods: The children that were assessed with the Child Behavior Checklist (CBCL) (mothers) and the Brief Infant and Toddler Social Emotional Assessment (BITSEA) (mothers and fathers) in their 1-4 years of age were included. Among the caregivers that we could get into touch (n:139), 83.5% of them accepted (n:116) to participate. The follow-up assessments were made by telephone interviews 11 years later by child psychiatry residents. The primary caregivers responded the follow-up questionnaire items, such as social/academic/behavioral functioning and self-esteem (1-5 Likert type), and the items regarding the psychiatric approval, diagnosis, and treatment history. Results: The CBCL-Internalizing scores in toddlerhood were found to be significantly inversely correlated with social (r:-.31) and behavioral (r:-.28) functioning level and self-esteem (r:-.30) scores (p<0.01). The paternal and maternal BITSEA-Competence scores were found to be positively correlated with social (r:.42, .36) and academic (r:.28, .26) functioning 11 years later (p<0.01). The children that were diagnosed with any psychiatric disorder in last 10 years (n:35) had worse scores on Maternal BITSEA-Competence (p:.002), Paternal BITSEA-Problem (p:.02), Paternal BITSEA-Competence (p:.01), CBCL-social withdrawal (p:.007), CBCL-sleep problems (p:.05), and CBCL-Internalizing (p:.03) in toddlerhood compared to the children without any diagnosis (n:81). Conclusion: The results of this 11-year follow-up study revealed that some measures including CBCL (especially internalizing scores) and BITSEA (both maternal and paternal Competence and Problem scores) completed in toddlerhood significantly indicate the children under risk of psychiatric morbidity in adolescence. Therefore, we conclude that the widespread use of this assessment measures in toddlers and the referral of the group under risk to the psychiatry units for further investigations could be useful preventive interventions. |