Childhood emotional and behavior problems and their associations with cesarean delivery
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 Quest...
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Associação Brasileira de Psiquiatria (ABP)
2017-10-01
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doaj-d1b1df28107f4129ae8e3b6432fd09682020-11-25T01:35:44ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2017-10-01010.1590/1516-4446-2016-2152S1516-44462017005017103Childhood emotional and behavior problems and their associations with cesarean deliveryErigene RutayisireXiaoyan WuKun HuangShuman TaoYunxiao ChenFangbiao TaoObjective: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462017005017103&lng=en&tlng=enProblem behaviorcesarean sectiondelivery modepregnancypreschool children |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Erigene Rutayisire Xiaoyan Wu Kun Huang Shuman Tao Yunxiao Chen Fangbiao Tao |
spellingShingle |
Erigene Rutayisire Xiaoyan Wu Kun Huang Shuman Tao Yunxiao Chen Fangbiao Tao Childhood emotional and behavior problems and their associations with cesarean delivery Brazilian Journal of Psychiatry Problem behavior cesarean section delivery mode pregnancy preschool children |
author_facet |
Erigene Rutayisire Xiaoyan Wu Kun Huang Shuman Tao Yunxiao Chen Fangbiao Tao |
author_sort |
Erigene Rutayisire |
title |
Childhood emotional and behavior problems and their associations with cesarean delivery |
title_short |
Childhood emotional and behavior problems and their associations with cesarean delivery |
title_full |
Childhood emotional and behavior problems and their associations with cesarean delivery |
title_fullStr |
Childhood emotional and behavior problems and their associations with cesarean delivery |
title_full_unstemmed |
Childhood emotional and behavior problems and their associations with cesarean delivery |
title_sort |
childhood emotional and behavior problems and their associations with cesarean delivery |
publisher |
Associação Brasileira de Psiquiatria (ABP) |
series |
Brazilian Journal of Psychiatry |
issn |
1809-452X |
publishDate |
2017-10-01 |
description |
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. |
topic |
Problem behavior cesarean section delivery mode pregnancy preschool children |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462017005017103&lng=en&tlng=en |
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