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首页> 外文期刊>Journal of child neurology >Developmental and functional outcomes at school age of preschool children with global developmental delay.
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Developmental and functional outcomes at school age of preschool children with global developmental delay.

机译：具有全球发育延迟的学龄前儿童在学龄期的发育和功能结局。

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The later developmental trajectory of young children diagnosed early with global developmental delay was determined. Using a prospective study, preschool children diagnosed with global developmental delay were systematically reassessed during the early school years with standardized developmental and functional outcome measures (Battelle Developmental Inventory and Vineland Adaptive Behavior Scale). Of an original cohort of 99 children assessed and diagnosed at a mean age of 3.4 +/- 1.1 years, 48 were reassessed at a mean age of 7.3 +/- 0.9 years. Group performance on the Battelle Developmental Inventory overall was 66.4 +/- 4.3 (mean 100 +/- 15). Between 75% and 100% of the cohort performed at least 1.5 SD below the normative mean on the individual domains of the Battelle Developmental Inventory. Similarly, the group mean on the Vineland Adaptive Behavior Scale overall was 63.5 +/- 20.8 (mean 100 +/- 15), with between 61% and 76% of the cohort scoring more than 1.5 SD below the mean on each of the domains. Univariate and multivariate analyses on potential predictor variables identified a lack of an underlying etiology as predictive of poorer performance on the Battelle Developmental Inventory fine motor and motor domains and increasing severity of initial delay as predictive of poorer performance on the Vineland Adaptive Behavior Scale communication domain and overall score. Similarly, maternal employment and paternal postsecondary education improved Vineland Adaptive Behavior Scale communication scores, whereas paternal postsecondary education alone predicted better socialization and total scores on the Vineland Adaptive Behavior Scale. Children with early global developmental delay demonstrate persistent and consistently poor performance across all developmental and functional domains. Few variables are apparent at intake to predict later performance.
机译：确定了早期被诊断为整体发育迟缓的幼儿的后期发育轨迹。通过一项前瞻性研究，被诊断为具有全球性发育迟缓的学龄前儿童在学年初期将通过标准化的发育和功能结局指标（Battelle发育量表和Vineland适应行为量表）进行系统评估。在最初评估的99名平均年龄为3.4 +/- 1.1岁的儿童中，有48名儿童的平均年龄为7.3 +/- 0.9岁。在Battelle发展清单上的集体表现为66.4 +/- 4.3（平均100 +/- 15）。在Battelle发育量表的各个域中，有75％到100％的队列比标准平均值低至少1.5 SD。同样，Vineland适应行为量表的总体平均水平为63.5 +/- 20.8（平均100 +/- 15），其中61％至76％的队列得分低于每个域的均值1.5 SD 。对潜在预测变量的单变量和多变量分析表明，缺乏根本的病因学可预测Battelle发展库存精细运动和运动领域的较差表现，而初始延迟的严重性增加可预测Vineland Adaptive Behavior Scale交流领域的较差表现。总体得分。同样，孕产妇就业和父亲的专上教育改善了Vineland适应行为量表的沟通得分，而单独的父亲的专上教育则预示了Vineland适应行为量表的社会化程度和总得分更高。具有早期全球发育迟缓的儿童表现出在所有发育和功能领域的持续且持续的不良表现。摄入时几乎没有变量可以预测以后的表现。

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