Behavioral adjustment in children of diabetic mothers

The aim of this study was to evaluate whether maternal diabetes in pregnancy may adversely affect the children's behavioral adjustment, in a sample of 201 mothers (68 with pre‐gestational diabetes, 50 with gestational diabetes, and 83 with non‐diabetic pregnancies) and their singleton offspring...

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Bibliographic Details
Published in:Acta Paediatrica 1997-09, Vol.86 (9), p.969-974
Main Authors: Rizzo, TA, Silverman, BL, Metzger, BE, Cho, NH
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Biological and medical sciences
Body Height
Body Weight
Child
Child Behavior Disorders - diagnosis
Child Behavior Disorders - psychology
Child, Preschool
Diseases of mother, fetus and pregnancy
Female
Fetal Macrosomia - psychology
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Infant
Infant, Newborn
Internal-External Control
Longitudinal Studies
Male
Medical sciences
Obesity - psychology
Patient Care Team
Personality Assessment
Personality Development
Pregnancy
Pregnancy in Diabetics - psychology
Pregnancy. Fetus. Placenta
Prenatal Exposure Delayed Effects
Prospective Studies
Risk Factors
Somatoform Disorders - diagnosis
Somatoform Disorders - psychology
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Summary:The aim of this study was to evaluate whether maternal diabetes in pregnancy may adversely affect the children's behavioral adjustment, in a sample of 201 mothers (68 with pre‐gestational diabetes, 50 with gestational diabetes, and 83 with non‐diabetic pregnancies) and their singleton offspring. After accounting for socioeconomic status, ethnicity and maternal attitudes, none of the Child Behavior Checklist ratings correlated significantly with maternal patient group or several indices of antepartum maternal metabolism. Child obesity, a common sequela of diabetic pregnancies, correlated positively with Internalizing Behavior problems and three narrow‐band sub‐scales: Somatic Complaints, Anxious/Depressed, and Social Problems. Results suggest that children of diabetic mothers are at increased risk for a variety of developmental disturbances. Screening for learning and behavioral difficulties should be made at regular pediatric visits, with follow‐up evaluations warranted by positive indications, excessive weight gain, or other evolving medical concerns.
ISSN:0803-5253
1651-2227
DOI:10.1111/j.1651-2227.1997.tb15181.x