The Impact of an Interactive Guidance Intervention on Sustained Social Withdrawal in Preterm Infants in Chile: Randomized Controlled Trial
dc.contributor.author | Bustamante Loyola, J. | |
dc.contributor.author | Pérez Retamal, M. | |
dc.contributor.author | Mendiburo-Seguel, A. | |
dc.contributor.author | Guedeney, A. | |
dc.contributor.author | Salinas González, R. | |
dc.contributor.author | Muñoz, L. | |
dc.contributor.author | Cox Melane, H. | |
dc.contributor.author | González Mas, J. | |
dc.contributor.author | Simó Teufel, S. | |
dc.contributor.author | Morgues Nudman, M. | |
dc.date.accessioned | 2022-05-04T16:28:40Z | |
dc.date.available | 2022-05-04T16:28:40Z | |
dc.date.issued | 2022-04 | |
dc.description | Indexación: Scopus. | es |
dc.description.abstract | Sustained social withdrawal is a key indicator of child emotional distress and a risk factor for psychological development. Preterm infants have a higher probability of developing sustained social withdrawal than infants born full-term during their first year. Objective: To compare the effect of a behavioral guidance intervention to that of routine pediatric care on sustained social withdrawal behavior in preterm infants. Design: Multicenter randomized clinical trial. Participants: Ninety nine moderate and late preterm newborns and their parents were recruited and randomized into two groups, i.e., Intervention (n = 49) and Control (n = 50). Both groups attended medical check-ups at 2, 6 and 12 months and were assessed with the Alarm Distress Baby Scale. The intervention group received a standardized behavioral intervention if the neonatologist detected sustained social withdrawal. Also, parents filled out the Edinburgh Postnatal Depression Scale, the modified-Perinatal Posttraumatic Stress Disorder Questionnaire, and the Impact of Event Scale-revised. Results: At baseline, the prevalence of withdrawal was 4.0% (95% CI: 0.03–14.2) for the control group and 22.4% (95% CI: 13.0–35.9) for the intervention group [OR = 0.22, p = 0.028 (95% CI =0.06–0.84)]. At 6 months, the prevalence was 10.0% (95% CI: 3.9–21.8) for the control group and 6.1% (95% CI: 2.1–16.5) for the intervention group [OR = 2.09, p = 0.318 (95% CI = 0.49–8.88)]. At 12 months, the prevalence was 22.0% (95% CI: 12.8–35.2) for the control group and 4.1% (95% CI: 1.1–13.7) for the intervention group [OR = 6.63, p = 0.018 (95% CI = 1.39–31.71)]. Logistic generalized estimating equation models were performed. The pooled crude OR (considering diagnosis at 6 and 12 months) was 3.54 [p = 0.022 (95% CI = 1.20–10.44); Cohen's d= 0.70]. In the case of pooled adjusted OR, the model considered diagnosis (0 = Withdrawal, 1 = Normal) as the dependent variable, time of evaluation (1= 6 months, 2 = 12 months) and group (0 = Control, 1 = Experimental) as factors. In this case, the pooled adjusted OR was 3.57 [p = 0.022 (95% CI = 1.20–10.65); Cohen's d = 0.70]. Conclusion: Assessment and intervention of sustained social withdrawal in preterm infants via standardized instruments benefits families by reducing its prevalence, and possible associated negative outcomes. | es |
dc.description.uri | https://www.frontiersin.org/articles/10.3389/fped.2022.803932/full#h9 | |
dc.identifier.citation | Frontiers in Pediatrics, Volume 101, April 2022, Article number 803932. | es |
dc.identifier.doi | 10.3389/fped.2022.803932 | |
dc.identifier.issn | 2296-2360 | |
dc.identifier.uri | https://repositorio.unab.cl/xmlui/handle/ria/22457 | |
dc.language.iso | en | es |
dc.publisher | Frontiers Media S.A. | es |
dc.rights.license | Atribución 4.0 Internacional (CC BY 4.0) | |
dc.rights.uri | https://www.frontiersin.org/journals/pediatrics/sections/child-and-adolescent-psychiatry#about | |
dc.subject | early detection | es |
dc.subject | emotional distress | es |
dc.subject | interactive guidance | es |
dc.subject | postnatal depression | es |
dc.subject | posttraumatic stress (PTS) | es |
dc.subject | preterm (birth) | es |
dc.subject | social development | es |
dc.subject | social withdrawal | es |
dc.title | The Impact of an Interactive Guidance Intervention on Sustained Social Withdrawal in Preterm Infants in Chile: Randomized Controlled Trial | es |
dc.type | Artículo | es |
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