Pérez Martínez Carla, Grollemund Bruno, Gavelle Pascale, Viaux-Savelon Sylvie, Guedeney Antoine
Private Practice at Psicología con bebés, Oaxaca, Mexico.
Department of Dental-Facial Orthopedia, Pole of Bucco Dentaries' Medicine and Surgery, Cleft Competence Center, Strasbourg University Hospital, Strasbourg, France.
Front Pediatr. 2022 Jul 7;10:804802. doi: 10.3389/fped.2022.804802. eCollection 2022.
Social withdrawal is a risk indicator for infant development with both organic and non-organic causes. Cleft lip and palate (CLP) impose a higher risk of physical and emotional distress in infants and alters parent-infant relationships. The ADBB scale is a screening tool to identify social withdrawal as a sign of distress in infants. The aim of this study is to evaluate the prevalence of social withdrawal behavior in infants with CLP using the full 8-item ADBB scale and the modified 5-item ADBB scale, and to examine the feasibility of both scales.
145 infants with Cleft Lip and Palate were enrolled and video recorded during a pediatric consultation. All infants were scored by two expert raters trained in ADBB scale, and subsequently scored with the m-ADBB by an independent expert. We measured the interrater agreement for the full ADBB scale and psychometric properties of both scales.
The full ADBB scale identified 15.9% of infants as having social withdrawal behavior (score above cutoff ≥5). Among the infants evaluated with the m-ADBB scale, 44.9% had a score above the suggested cutoff (≥2). For both scales, the item "vocalization" showed the higher scores. We found a good internal consistency for the full ADBB (Cronbach's alpha = 0.82) and an acceptable internal consistency for the modified ADBB (Cronbach's alpha = 0.71). The interrater agreement for the full ADBB scale was excellent (kappa = 0.837). The Spearman correlation coefficient between the total scores of the two versions was 0.88 ( < 0.001).
Our results indicate a relatively high prevalence of social withdrawal in infants with Cleft Lip and Palate, especially evaluated with the modified 5-item ADBB scale. We found that the full ADBB and the modified ADBB scales are feasible to use as screening tools of social withdrawal in this population.
This trial is registered on ClinicalTrials.gov, identifier: NCT00993993. The data is the property of .
社交退缩是婴儿发育的一个风险指标，其原因既有器质性的，也有非器质性的。唇腭裂（CLP）会使婴儿面临更高的身体和情绪困扰风险，并改变亲子关系。ADBB量表是一种用于识别社交退缩这一婴儿困扰迹象的筛查工具。本研究的目的是使用完整的8项ADBB量表和改良的5项ADBB量表评估唇腭裂婴儿社交退缩行为的患病率，并检验这两种量表的可行性。
招募了145名唇腭裂婴儿，并在儿科会诊期间进行录像。所有婴儿均由两名接受过ADBB量表培训的专家评分员进行评分，随后由一名独立专家使用m - ADBB进行评分。我们测量了完整ADBB量表的评分者间一致性以及两种量表的心理测量特性。
完整的ADBB量表将15.9%的婴儿识别为有社交退缩行为（得分高于临界值≥5）。在使用m - ADBB量表评估的婴儿中，44.9%的婴儿得分高于建议的临界值（≥2）。对于这两种量表，“发声”项目得分较高。我们发现完整ADBB量表具有良好的内部一致性（Cronbach's α = 0.82），改良ADBB量表具有可接受的内部一致性（Cronbach's α = 0.71）。完整ADBB量表的评分者间一致性极佳（kappa = 0.837）。两个版本总分之间的Spearman相关系数为0.88（<0.001）。
我们的结果表明唇腭裂婴儿中社交退缩的患病率相对较高，尤其是使用改良的5项ADBB量表评估时。我们发现完整的ADBB量表和改良的ADBB量表可作为该人群社交退缩的筛查工具。
本试验已在ClinicalTrials.gov上注册，标识符：NCT00993993。数据为……的财产。
