The predictive social and emotional measures in toddlerhood for psychiatric morbidity in adolescence

Year 2020, , 66 - 72, 02.03.2020

Miraç Barış Usta , Koray Karabekiroglu , Muazzez Aydın Berkan Şahin , Abdullah Bozkurt , Tolga Karaosman Armagan Aral , Ayşegül Duman Kurt Neriman Kesim İrem Sahin

https://doi.org/10.18521/ktd.481924

Abstract

Objective: We aimed to determine the predictive
factors for psychiatric problem severity and/or clinical approval 10 years
after first assessment between ages 1-4 years.

Method: The children that were assessed with the
CBCL and the BITSEA in their 1-4 years of age were included. The follow-up
assessments were made by telephone interviews 10 years later by child
psychiatry residents. The primary caregivers responded the follow-up
questionnaire items, such as social/academic/behavioral functioning and
self-esteem 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 and behavioral
functioning level and self-esteem scores. The paternal and maternal
BITSEA-Competence scores were found to be positively correlated with social and
academic functioning. The CBCL Withdrawn/Depressed points at first evaulation
were determined to be statistically significantly predictive for psychiatric
diagnosis.

Conclusion: The study revealed that some measures
including CBCL and BITSEA 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.

Keywords

Early childhood, assessment, follow-up

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