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

Clare S Allely; Paul C D Johnson; Helen Marwick; Emma Lidstone; Eva Kočovská; Christine Puckering; Alex McConnachie; Jean Golding; Christopher Gillberg; Philip Wilson

doi:10.1186/1471-2431-13-147

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

Clare S Allely, Paul C D Johnson, Helen Marwick, Emma Lidstone, Eva Kočovská, Christine Puckering, Alex McConnachie, Jean Golding, Christopher Gillberg, Philip Wilson

Section of General Practice

2 Citations (Scopus)

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.

Original language	English
Journal	BMC Pediatrics
Volume	13
Pages (from-to)	147
ISSN	1471-2431
DOIs	https://doi.org/10.1186/1471-2431-13-147
Publication status	Published - 24 Sept 2013

Keywords

Adult
Attention
Case-Control Studies
Child
Cohort Studies
Depression, Postpartum/diagnosis
Female
Humans
Infant
Longitudinal Studies
Male
Maternal Behavior/psychology
Mental Disorders/diagnosis
Mother-Child Relations/psychology
Odds Ratio
Videotape Recording

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1471-2431-13-147Final published version, 419 KBLicence: CC BY

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@article{76ae57f565084c6b8f7c6764753227ae,

title = "Prediction of 7-year psychopathology from mother-infant joint attention behaviours: a nested case-control study",

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.",

keywords = "Adult, Attention, Case-Control Studies, Child, Cohort Studies, Depression, Postpartum/diagnosis, Female, Humans, Infant, Longitudinal Studies, Male, Maternal Behavior/psychology, Mental Disorders/diagnosis, Mother-Child Relations/psychology, Odds Ratio, Videotape Recording",

author = "Allely, {Clare S} and Johnson, {Paul C D} and Helen Marwick and Emma Lidstone and Eva Ko{\v c}ovsk{\'a} and Christine Puckering and Alex McConnachie and Jean Golding and Christopher Gillberg and Philip Wilson",

year = "2013",

month = sep,

day = "24",

doi = "10.1186/1471-2431-13-147",

language = "English",

volume = "13",

pages = "147",

journal = "BMC Pediatrics",

issn = "1471-2431",

publisher = "BioMed Central Ltd.",

}

TY - JOUR

T1 - Prediction of 7-year psychopathology from mother-infant joint attention behaviours

T2 - a nested case-control study

AU - Allely, Clare S

AU - Johnson, Paul C D

AU - Marwick, Helen

AU - Lidstone, Emma

AU - Kočovská, Eva

AU - Puckering, Christine

AU - McConnachie, Alex

AU - Golding, Jean

AU - Gillberg, Christopher

AU - Wilson, Philip

PY - 2013/9/24

Y1 - 2013/9/24

N2 - 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.

AB - 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.

KW - Adult

KW - Attention

KW - Case-Control Studies

KW - Child

KW - Cohort Studies

KW - Depression, Postpartum/diagnosis

KW - Female

KW - Humans

KW - Infant

KW - Longitudinal Studies

KW - Male

KW - Maternal Behavior/psychology

KW - Mental Disorders/diagnosis

KW - Mother-Child Relations/psychology

KW - Odds Ratio

KW - Videotape Recording

U2 - 10.1186/1471-2431-13-147

DO - 10.1186/1471-2431-13-147

M3 - Journal article

C2 - 24063312

SN - 1471-2431

VL - 13

SP - 147

JO - BMC Pediatrics

JF - BMC Pediatrics

ER -

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

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Keywords

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