Kovaniemi Susanna, Alakortes Jaana, Carter Alice S, Yliherva Anneli, Bloigu Risto, Joskitt Leena O, Moilanen Irma K, Ebeling Hanna E
PEDEGO Research Unit, Clinic of Child Psychiatry, University of Oulu and Oulu University Hospital, Finland.
PEDEGO Research Unit, Clinic of Child Psychiatry, University of Oulu and Oulu University Hospital, Finland.
Infant Behav Dev. 2018 May;51:1-14. doi: 10.1016/j.infbeh.2018.02.007. Epub 2018 Mar 1.
Based on limitations in previous research evidence, we concluded that more research is needed for deeper understanding of how social-emotional and behavioral (SEB) outcomes among infant-toddler-aged children in the general population are associated with early motor development. In this study, we investigated associations between early competencies and problems, as measured by the Brief Infant-Toddler Social and Emotional Assessment (BITSEA), and the timing of achievement of the main gross and fine motor milestones usually attained during the first year of life in a general population context. The study sample consisted of 515 infants (mean age 12.9 [SD 0.9] months) and their parents (514 mothers, 434 fathers), who were recruited in child health centers in Northern Finland. The infants were divided into two groups, based on their BITSEA screen status, and motor milestone achievement ages were compared across BITSEA screen status No Concern and Of-Concern infants. An Of-Concern screen status on the maternal and paternal Competence scale and Autism spectrum disorder (ASD) item cluster was associated with later infant achievement ages for gross motor milestones. By contrast, infants who were screened to be in the Of-Concern range on the maternal Problem scale achieved gross motor milestones earlier than infants with the corresponding No Concern screen status. No significant associations were found between the paternal Problem scale screen status and infant motor development. In further analyses, the strongest associations were found between an Of-Concern screen status on the paternal Competence scale and ASD item cluster and infant motor development. The findings indicate that the inclusion of infant motor developmental information may assist early identification and the clinical interpretation of parental reports of early SEB problems. Clinical implications of the current findings are discussed in the paper.
基于先前研究证据的局限性，我们得出结论，需要进行更多研究，以更深入地了解普通人群中婴幼儿的社会情感和行为（SEB）结果与早期运动发育之间的关联。在本研究中，我们调查了通过简短婴幼儿社会和情感评估（BITSEA）衡量的早期能力与问题之间的关联，以及在普通人群背景下，通常在生命的第一年达到的主要大运动和精细运动里程碑的达成时间。研究样本包括515名婴儿（平均年龄12.9[标准差0.9]个月）及其父母（514名母亲，434名父亲），他们是在芬兰北部的儿童健康中心招募的。根据他们的BITSEA筛查状态，将婴儿分为两组，并比较了BITSEA筛查状态为无担忧和有担忧的婴儿之间的运动里程碑达成年龄。母亲和父亲能力量表以及自闭症谱系障碍（ASD）项目集群上的有担忧筛查状态与婴儿大运动里程碑的较晚达成年龄相关。相比之下，在母亲问题量表上被筛查为有担忧范围的婴儿比相应无担忧筛查状态的婴儿更早达到大运动里程碑。在父亲问题量表筛查状态与婴儿运动发育之间未发现显著关联。在进一步分析中，发现父亲能力量表和ASD项目集群上的有担忧筛查状态与婴儿运动发育之间的关联最强。研究结果表明，纳入婴儿运动发育信息可能有助于早期识别以及对父母关于早期SEB问题报告的临床解读。本文讨论了当前研究结果的临床意义。
