Childhood emotional and behavior problems and their associations with cesarean delivery
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
40(2): 145-153, Apr.-June 2018. tab, graf
Article
in English
| LILACS
| ID: biblio-959216
ABSTRACT
Objective:
To determine the prevalence of childhood emotional and behavioral problems and examine their associations with cesarean delivery.Methods:
Our sample consisted of 8,900 preschoolers from 35 kindergartens in four cities in East China. Parents completed the Strengths and Difficulties Questionnaire (SDQ) and provided other information. Children's emotional and behavioral problems were assessed using five subscales of the SDQ. Mode of delivery was classified as vaginal or cesarean section (CS); in sub-analyses, we divided CS into elective or emergency delivery. Logistic regression was used to examine associations.Results:
A total of 1,209 (13.6%) children had a total SDQ score within abnormal range; 25.5% had peer problems within abnormal range, 9.0% had abnormal emotional symptoms, 13.9% had abnormal conduct problems, 18.9% had abnormal hyperactivity problems, and 16.2% were rated abnormal in pro-social behavior. Overall, 67.3% of the children who participated were delivered by CS. In fully adjusted analysis, CS was significantly associated with abnormal total SDQ score (OR = 1.27; 95%CI 1.10-1.46; p < 0.05) and pro-social behavior (OR = 1.27; 95%CI 1.12-1.45; p < 0.0001). No significant association was found between CS and risk of having conduct problems (OR 1.13; 95%CI 0.98-1.29), peer problems (OR 1.11; 95%CI 0.99-1.24), hyperactivity (OR 1.02; 95%CI 0.91-1.15), or emotional problems (OR 1.06; 95%CI 0.90-1.24).Conclusion:
In this sample, CS was associated with risk of behavioral problems, but not with emotional problems. Further research is needed to better understand these associations.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cesarean Section
/
Child Behavior Disorders
/
Problem Behavior
Type of study:
Etiology study
/
Prevalence study
/
Risk factors
Limits:
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Pregnancy
Country/Region as subject:
Asia
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2018
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Anhui University/CN
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