title: Can a general health surveillance between birth and 10 months identify children with mental disorder at 1(1/2) year? A case-control study nested in cohort CCC 2000.
abstract: Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) year as the outcome.
  
  
  METHODS
  Children considered of concern by community health nurses were cases in a case control study nested in the Copenhagen Child Cohort (CCC 2000). Outcome was mental health status at 1(1/2) year assessed by clinical and standardised strategies, including videotape recordings, parent interviews and the instruments: CBCL 1(1/2)-5, ITSCL, CHAT, Bayley Scales of Infant Development II, PC ERA and PIR-GAS.
  
  
  RESULTS
  The positive predictive value of concern in the first 10 months of living was 24% (CI 17.0-31.9), the negative predictive value was 85% (CI 77.9-89.6) and the sensitivity was 56% (CI 42.4-69.0). Concern about development was significantly associated with the child having a neuro-developmental disorder at 1(1/2) year, and concern about mother-child relationship was associated with emotional, behavioural, eating, and sleeping disturbances.
  
  
  CONCLUSIONS
  A general health surveillance program seems to have potentials to identify infants at risk for mental health problems provided standardised measures and specific training of the involved health professionals.
authors.affiliation: Child and Adolescent Psychiatric Centre, University Hospital of Copenhagen, Glostrup 2600, Denmark. ames@glo.regionH.dk
authors.forename: Anne Mette
authors.initials: AM
authors.lastname: Skovgaard
authors.forename: Tine
authors.initials: T
authors.lastname: Houmann
authors.forename: Eva
authors.initials: E
authors.lastname: Christiansen
authors.forename: Else Marie
authors.initials: EM
authors.lastname: Olsen
authors.forename: Susanne Lassen
authors.initials: SL
authors.lastname: Landorph
authors.forename: Anne
authors.initials: A
authors.lastname: Lichtenberg
authors.forename: Torben
authors.initials: T
authors.lastname: Jørgensen
mesh_terms: D000342:Affective Symptoms / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D016022:Case-Control Studies; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D015331:Cohort Studies; D003152:Community Health Nursing; D003718:Denmark; D002658:Developmental Disabilities / Q000175:diagnosis / Q000453:epidemiology / Q000451:nursing; D018479:Early Intervention, Educational; D019959:Feeding and Eating Disorders of Childhood / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000451:nursing; D009034:Mother-Child Relations; D010552:Personality Assessment; D011159:Population Surveillance; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology