Tampere University, Medical School, Tampere, Finland.
Infant Behav Dev. 2010 Dec;33(4):579-88. doi: 10.1016/j.infbeh.2010.07.009. Epub 2010 Aug 17.
Distressed infants may withdraw from social interaction, but recognising infants' social withdrawal is difficult. The aims of the study were to see whether an infant observation method can be reliably used by front line workers, and to examine the prevalence of infants' social withdrawal symptoms. A random sample of 363 families with four, eight or 18-month-old infants participated in the study. The infants were examined by general practitioners (GPs) in well-baby clinics with the Alarm Distress BaBy Scale (ADBB), an observation method developed for clinical settings. A score of five or more on the ADBB Scale in two subsequent assessments at a two-week interval was regarded as a sign of clinically significant infant social withdrawal. Kappas were calculated for the GPs' correct rating of withdrawn/not withdrawn against a set of videotapes rated by developer of the method, Professor Guedeney and his research group. The kappas for their ratings ranged from 0.5 to 1. The frequency of infants scoring above the cut off in two subsequent assessments was 3%. The ADBB Scale is a promising method for detecting infant social withdrawal in front line services. Three percents of infants were showing sustained social withdrawal as a sign of distress in this normal population sample.
苦恼的婴儿可能会回避社会互动，但识别婴儿的社会回避行为是困难的。本研究的目的是观察一种婴儿观察方法是否可以被一线工作人员可靠地使用，并检查婴儿社会回避症状的发生率。随机抽取了 363 个有 4 个月、8 个月或 18 个月大婴儿的家庭参与了该研究。婴儿由全科医生（GP）在婴儿健康诊所使用为临床环境开发的 Alarm Distress BaBy Scale（ADBB）进行检查。如果在两周的间隔内两次后续评估中 ADBB 量表的得分达到或超过 5 分，则被认为是婴儿社会回避的临床显著迹象。对于 GPs 对录像带的正确评分（回避/不回避）与方法开发者 Guedeney 教授及其研究小组的评分进行了 Kappa 计算。他们的评分 Kappa 值在 0.5 到 1 之间。在两次后续评估中得分高于截止值的婴儿频率为 3%。ADBB 量表是一种在一线服务中检测婴儿社会回避的有前途的方法。在这个正常人群样本中，有 3%的婴儿表现出持续的社会回避，这是痛苦的迹象。
