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The Zero‐to‐Three diagnostic classification in an infant mental health clinic

Its usefulness and challenges

Bibliographic Data

ID11277211
AuthorsMartín Maldonado‐Durán (Menninger Clinic, corresponding author), Linda Helmig (Menninger Clinic), Chris Moody (Menninger Clinic), P Fonagy (0000-0003-0229-0091, Anna Freud Centre), Jim Fulz (Menninger Clinic), Teresa Lartigue (Instituto Nacional de Perinatología), J Manuel Sauceda‐Garcia, Juan Manuel Sauceda-García (Hospital Psiquiatrico Infantil Juan N Navarro), Velissarios Karacostas (Baylor College of Medicine), Charles Millhuff (Guidance (United Kingdom)), Jill Glinka
Year2003
Volume24
Issue4
Pages378-397
Publication date2003-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.10063
OpenAlexW2108316081
LanguageEN
Citations received7
References cited16

The clinical and practical experiences of a multidisciplinary infant mental health team using the DC: 0–3 Diagnostic Classification system are presented. Using data obtained from clinical in‐depth evaluations of 167 consecutive referred infants, the characteristics and clinical features of this sample of children and parents are examined. The principal issues are children and families' socioeconomic status, number and types of stressors, as well as the symptoms or difficulties exhibited by the infants themselves. A significant proportion of infants come from a deprived socioeconomic background, and many are exposed to violence in the home. The diagnoses given to infants and to the kind of relationship they have with the primary caregiver (Axes I and II) are presented, as well as data as to their physical status (Axis III) and stressors (Axis IV). Many children are diagnosed as having regulatory disturbances, predominantly of the hypersensitive and motorically disorganized type. A significant proportion of mothers exhibited depression. About a third of the babies and primary caregivers had a relationship disorder, the predominant category being the underinvolved type. The implications of these findings are discussed, emphasizing the usefulness and frequency of some categories, while questioning the usefulness of other diagnostic categories. The experience of the group contributes to a dialogue and database regarding the clinical usefulness and applicability of this diagnostic classification system. ©2003 Michigan Association for Infant Mental Health

Developmental psychology · Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood · Environmental health · Infant mental health · Medical diagnosis · Mental health · Multidisciplinary approach · Population · Prevalence of mental disorders · Psychiatry · Socioeconomic status · Stressor · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Infant Health and Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Pediatrics

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Unique citing works7
Citations per year0,32
Citation span2004 - 2023 (20)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 7

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