The Prevalence of Social Withdrawal in Infants With Cleft Lip and Palate: The Feasibility of the Full and the Modified Versions of the Alarm Distress Baby Scale Article Swipe
YOU?
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· 2022
· Open Access
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· DOI: https://doi.org/10.3389/fped.2022.804802
Background Social withdrawal is a risk indicator for infant development with both organic and non-organic causes. Cleft lip and palate (CLP) impose a higher risk of physical and emotional distress in infants and alters parent-infant relationships. The ADBB scale is a screening tool to identify social withdrawal as a sign of distress in infants. The aim of this study is to evaluate the prevalence of social withdrawal behavior in infants with CLP using the full 8-item ADBB scale and the modified 5-item ADBB scale, and to examine the feasibility of both scales. Methods 145 infants with Cleft Lip and Palate were enrolled and video recorded during a pediatric consultation. All infants were scored by two expert raters trained in ADBB scale, and subsequently scored with the m-ADBB by an independent expert. We measured the interrater agreement for the full ADBB scale and psychometric properties of both scales. Results The full ADBB scale identified 15.9% of infants as having social withdrawal behavior (score above cutoff ≥5). Among the infants evaluated with the m-ADBB scale, 44.9% had a score above the suggested cutoff (≥2). For both scales, the item “vocalization” showed the higher scores. We found a good internal consistency for the full ADBB (Cronbach's alpha = 0.82) and an acceptable internal consistency for the modified ADBB (Cronbach's alpha = 0.71). The interrater agreement for the full ADBB scale was excellent (kappa = 0.837). The Spearman correlation coefficient between the total scores of the two versions was 0.88 ( P < 0.001). Conclusion Our results indicate a relatively high prevalence of social withdrawal in infants with Cleft Lip and Palate, especially evaluated with the modified 5-item ADBB scale. We found that the full ADBB and the modified ADBB scales are feasible to use as screening tools of social withdrawal in this population. Clinical Trial Registration This trial is registered on ClinicalTrials.gov , identifier: NCT00993993. The data is the property of Assistance Publique, Hôpitaux de Paris .
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fped.2022.804802
- https://www.frontiersin.org/articles/10.3389/fped.2022.804802/pdf
- OA Status
- gold
- Cited By
- 10
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4284896284
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4284896284Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fped.2022.804802Digital Object Identifier
- Title
-
The Prevalence of Social Withdrawal in Infants With Cleft Lip and Palate: The Feasibility of the Full and the Modified Versions of the Alarm Distress Baby ScaleWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-07Full publication date if available
- Authors
-
Carla Pérez Martínez, Bruno Grollemund, P Gavelle, Sylvie Viaux‐Savelon, Antoine GuédeneyList of authors in order
- Landing page
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https://doi.org/10.3389/fped.2022.804802Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fped.2022.804802/pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fped.2022.804802/pdfDirect OA link when available
- Concepts
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Cronbach's alpha, Medicine, Inter-rater reliability, Distress, Cutoff, Scale (ratio), Rating scale, Social withdrawal, Pediatrics, Clinical psychology, Psychometrics, Developmental psychology, Psychology, Physics, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 7Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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