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Social, Emotional and Behavioral Problems in Children With Foreign Body Ingestion: A Case Control Study. | LitMetric

AI Article Synopsis

  • The study aimed to compare the social, emotional, and behavioral status of children aged 1-4 years who ingested foreign bodies with those who were healthy.
  • Conducted over 32 months, it included 150 cases of children with foreign body ingestion and 150 matched healthy controls, using specific behavioral assessment scales for evaluation.
  • Results showed that the children who ingested foreign bodies had significantly higher scores for behavioral issues, with hyperactivity being a key predictor for foreign body ingestion.

Article Abstract

Objectives: To compare the social, emotional, and behavioral status between the patients aged 1 to 4 years with foreign body ingestion and healthy individuals.

Methods: A case control study was conducted in a tertiary level hospital over 32 months. Children, aged 1-4 years, admitted to the pediatric emergency department with foreign body ingestion were included as cases. Patients with known autism spectrum disorders, cerebral palsy and incomplete evaluation were excluded. A matched control group constituted healthy individuals. Both groups were evaluated with Aberrant Behavior Checklist (ABC) and Brief Infant-Toddler Social Emotional Assessment (BITSEA) scales. Logistic regression was performed to determine the predictors of foreign body ingestion.

Results: Cases and controls included 150 children each. All ABC subscale scores (mean irritability, hyperactivity/dissonance, lethargy/social withdrawal, stereotypical behavior, and inappropriate speech) and problem area scores of BITSEA were significantly higher in the cases (P < 0.001). Hyperactivity was significantly predictive of foreign body ingestion [OR (95% CI) 1.37 (1.21, 1.55), P < 0.001].

Conclusion: Younger children with foreign body ingestion screened significantly higher for behavioral and emotional problems compared to controls. Hyperactivity was an important predictor factor for foreign body aspiration.

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