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- Title
High-risk children and social isolation: the importance of family functioning.
- Authors
Vieira, Maria Fernanda; Barbosa Baker Méio, Maria Dalva; Rodrigues Reis, Ana Beatriz; Villela, Letícia Duarte; Cecherelli de Rodrigues, Maura Calixto; Pinho de Almeida Di Maio Ferreira, Fátima Cristiane; Baptista de Paula Barros, Letícia; Costa, Roozeméria Pereira; Menezes, Elaine Rego; Campos, Camila Oliveira; Lopes Moreira, Maria Elisabeth; Gomes-Junior, Saint Clair S.
- Abstract
High-risk newborns are exposed to neonatal conditions such as prematurity, very low birth weight, and congenital malformations that can affect development and behavior. Coronavirus disease 2019 (COVID-19) restraint and control measures have been identified as important stressor events and cumulative risk factors for behavioral changes in these children. This study examined social isolationrelated factors that contribute to internalizing and externalizing behavior problems in children already at risk for neurodevelopmental disorders. This cross-sectional, multicenter study included 113 children (18 months to 9 years) who were followed in reference services for neonatal follow-up in tertiary units of the public health system in the city of Rio de Janeiro, Brazil. Behavior was assessed using the child behavior checklist, and a structured questionnaire was used to assess sociodemographic aspects. In the bivariate analysis, prematurity was associated with externalizing problems and change in eating habits with internalizing problems. The logistic model indicated that both parents having completed high school and both sharing care of the child were protective factors for behavioral problems; however, reports of sleep problems and living with another child were risk factors. In conclusion, the study identified internalizing and externalizing behavior problems related to prematurity and aspects of family structure and routine in children at risk. The findings confirm the importance of family functioning for child health and family-centered interventions.
- Subjects
RIO de Janeiro (Brazil); VERY low birth weight; FAMILY structure; SOCIAL isolation; BEDTIME; CHILD Behavior Checklist; HABIT
- Publication
Frontiers in Psychology, 2023, p1
- ISSN
1664-1078
- Publication type
Article
- DOI
10.3389/fpsyg.2023.1190438