A1 Refereed original research article in a scientific journal

Parental Risk Factors among Children with Reactive Attachment Disorder Referred to Specialized Services: A Nationwide Population-Based Study




AuthorsUpadhyaya S, Chudal R, Luntamo T, Sinkkonen J, Hinkka-Yli-Salomäki S, Kaneko H, Sourander A

Publication year2019

JournalChild Psychiatry and Human Development

Journal name in sourceChild psychiatry and human development

Journal acronymChild Psychiatry Hum Dev

Volume50

Issue4

First page 546

Last page556

Number of pages11

ISSN0009-398X

eISSN1573-3327

DOIhttps://doi.org/10.1007/s10578-018-00861-6(external)

Web address https://link.springer.com/article/10.1007/s10578-018-00861-6(external)

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/37419636(external)


Abstract
This nationwide population-based register study examined the family and parental risk factors associated with offspring reactive attachment disorder (RAD). We identified 614 children diagnosed with RAD from the Finnish Care Register for Health Care and each case was matched with four controls. Univariate and multivariate models examined the associations between risk factors and RAD. In the multivariate model, offspring RAD was associated with only mother, only father and both parents having psychiatric diagnoses. Increased odds were observed for maternal smoking during pregnancy, single motherhood and paternal age ≥ 45 years. This study provides information on several parental adversities and offspring RAD that have important implications for public health, when planning early prevention and interventions in infant mental health.

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