Perinatal risk factors and reactive attachment disorder: A nationwide population-based study.
Acta Paediatr
; 109(8): 1603-1611, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-31899934
ABSTRACT
AIM:
To examine the association between several perinatal and obstetric risk factors and reactive attachment disorder in children diagnosed in specialised services.METHODS:
In this nested case-control study, 614 cases with reactive attachment disorder and 2423 controls matched with age and sex were identified from Finnish national registers. Conditional logistic regression was used to examine the association between a number of perinatal risk factors and reactive attachment disorder.RESULTS:
In the adjusted analysis, a low birthweight of <2500 g was associated with an increased odds of reactive attachment disorder, with an odds ratio (OR) of 1.96 and 95% confidence interval (CI) of 1.17, 3.30 and a birthweight of 4000-4499 grams was associated with decreased odds OR 0.49 (95% CI 0.31, 0.75). The odds for being diagnosed with reactive attachment disorder increased with a gestational age of <32 weeks OR 3.72 (95% CI 1.52, 9.10), induced labour OR 1.34 (95% CI 1.03, 1.75) and monitoring in a neonatal intensive care unit (NICU) OR 1.67 (95% CI 1.09, 2.55).CONCLUSION:
We found associations between low birthweight, preterm birth, NICU admission and reactive attachment disorder. The findings add to the current literature on the understanding of the development of reactive attachment disorder in children.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtorno Reativo de Vinculação na Infância
/
Nascimento Prematuro
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Female
/
Humans
/
Infant
/
Newborn
/
Pregnancy
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article