Background: Breast-fed children develop fewer psychological, behavioral and learning problems as they grow older
Aim:     To determine the relationship between the duration of breastfeeding and psychosocial development in children at 6 years of age 

Participants and methods: A cross sectional study conducted over 200 children, who were at 6 years old age and admitted to an educational institution. Children with chronic mental or motor disability, chronic medical diseases, psychic diseases and children suffering from congenital anomalies were excluded from the study. Overall breastfeeding duration and exclusive breastfeeding were reported. Assessment of child personal history and maternal personal and sociodemographic history followed by assessment of intelligence level using Pictorial Intelligence Test (prepared by/Ahmed Zaki Saleh,1987) and Strength and difficulties questionnaire (SDQ) that included 5 scales (Emotional symptoms, conduct problems, hyperactivity, Peer relationship problems, Prosocial behavior)




Results: Caesarean sections and birth order affect exclusivity and duration of breastfeeding. Children with exclusive breastfeeding had a better academic achievement and IQ than artificially fed. Children with exclusive breastfeeding had less emotional symptoms and total difficulties than all other groups. A significant negative correlation between breastfeeding duration and emotional symptoms, conduct symptoms and total difficulties but a significant positive correlation with prosocial behavior.
Conclusion: Breastfeeding improves psychological health of children with a positive effect on children's intelligence and academic achievement.

ASSESSMENT OF PSYCHOSOCIAL DEVELOPMENT IN BREASTFED CHILDREN AT 6 YEARS OF AGE