Sustained withdrawal at 3-, 6-, and 9-months: A first analysis of a Norwegian validation study of the Alarm Distress Baby Scale
2010 (English)In: Infant Mental Health Journal, Supplement to Volume 32, Issue 3, 2010, 107- p.Conference paper (Other academic)
The Alarm Distress Baby Scale (ADBB) is a clinical instrument developed for detecting non-optimal withdrawal reactions in infantsbelow 2 years of age. An infant's reluctance to partake in social encounters might be an early warning signal indicating an increasedrisk for non-optimal development. The scale has been used with promising results in several countries, although few longitudinalstudies have been presented to date. The current study reports the first findings from a longitudinal study with the aim to validate thescale in a Norwegian setting. Method: The study followed 238 typically developing children (126 boys) at four time points from 3 to12 months of age. Presented here are data from the three first observations. All children were assessed with the ADBB during regularvisits to well-baby clinics in Trondheim, Norway at 3, 6, and 9 months. In addition, the mothers filled out the Edinburg PostnatalDepression Scale (EPDS) at each visit. Results: The ten percent with the highest ADBB scores at 3 months received all a score of 3 orhigher (n= 25; range 3-9), only 4.6 percent (n=11) of the children received a score of 5 or more. The pattern was similar at both 6(10.6 percent scored 3, 2.1 percent 5 or more) and 9 months (9.8 percent scored 3, and 2.9 percent 5 or higher). The EPDS — using 10as a cut-off for depressive symptoms — identified 6 percent of the mothers at 3 months, 5.5 percent at 6 and 6.1 percent at 9 months.A correlational analysis revealed modest but significant correlations between ADBB and EPDS at 6 (r= .17) and 9 (r = .26) but not at3 months (r = .08). Furthermore, ADBB at 3 months correlated significantly with ADBB scores at 9 months (r = .30). Likewise, EPDSat 3 months correlated with EPDS at 9 months (r = .48). EPDS at both 6 and 9 months were modestly related to ADBB scores at 9months (r's = .14 and .20, respectively). Conclusion: Approximately 10 percent of the children were preliminary identified as highscorers on the ADBB using a lower cut-off score than what has been commonly reported in the literature (3 instead of 5). In addition,some interesting longitudinal correlations were observed for both the ADBB and the EPDS. More extensive assessments at 12 monthswill be made to validate the current results.
Place, publisher, year, edition, pages
2010. 107- p.
Infancy, Mental Health, withdrawal
Psychiatry Applied Psychology
IdentifiersURN: urn:nbn:se:liu:diva-62168OAI: oai:DiVA.org:liu-62168DiVA: diva2:371378
World Association for Infant Mental Health 12th World Congress June 30-July 3 Leipzig, Germany