European Child & Adolescent Psychiatry

, Volume 21, Issue 4, pp 185–191 | Cite as

Perinatal risk factors and social withdrawal behaviour

  • Antoine Guedeney
  • Laetitia Marchand-Martin
  • Sylvana J. Cote
  • Béatrice Larroque
  • the EDEN Mother-Child Cohort Study Group
Original Contribution


The objectives of the study were (1) to assess prevalence of social withdrawal behaviour in infants aged 12 months included in the French Perinatal Risk Factor Study Eden; (2) To study the correlation between relational withdrawal and several perinatal and parental factors assessed in the EDEN study. A longitudinal study using the ADBB scale was conducted within the Eden Cohort in the year 2008. 1,586 infants were included in the study. Fourteen percent of the children who had an ADBB assessment had a score at 5 and over on the ADBB, a scale designed to assess social withdrawal behaviour at age 0–24 months. Social withdrawal at 12 months was associated with low birth weight, low gestational age and with intra uterine growth retardation. Social withdrawal was independently associated with several maternal and paternal risk factors. The level of social withdrawal behaviour increased with a score of maternal difficulties. This study on a large longitudinally followed volunteer sample demonstrate a clear association of social withdrawal behaviour at age one with low birth weight and preterm birth, possibly mediated by parental vulnerabilities. Social withdrawal behaviour seems to be an important alarm signal to detect early on particularly in premature and small for date babies.


Social withdrawal behaviour Birth weight Preterm birth Parental socio-emotional factors Alarm Distress Baby scale (Alarm Distress BaBy scale) Assessment Community sample Longitudinal study 



Alarm Distress BaBy scale



Thanks to Pascale Isnard, MD, for helping in analysing the data and to Tim Greacen for editing help.

Conflict of interest



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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Antoine Guedeney
    • 1
    • 2
  • Laetitia Marchand-Martin
    • 3
  • Sylvana J. Cote
    • 4
  • Béatrice Larroque
    • 3
    • 5
  • the EDEN Mother-Child Cohort Study Group
  1. 1.Parent Infant Clinic, CMP Binet APHPParisFrance
  2. 2.Hospital Bichat-Claude Bernard APHP, Inserm U 669, Paris et University Denis DiderotParis 7France
  3. 3.Inserm UMRS 953 and UPMC Univ Paris 06ParisFrance
  4. 4.Inserm U669 Paris and International Laboratory for Child and Adolescent Mental Health Development, University of MontrealMontrealCanada
  5. 5.Hospital Beaujon, APHPClichyFrance

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