Kube D A, Wilson W M, Petersen M C, Palmer F B
Division of Developmental Pediatrics, Department of Pediatrics, University of Tennessee Health Science Center College of Medicine, Memphis, Tennessee, USA.
Pediatr Neurol. 2000 Sep;23(3):208-15. doi: 10.1016/s0887-8994(00)00191-0.
The Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS), a neurodevelopmental tool for the cognitive assessment of infants and toddlers, correlates well with the Bayley Scales of Infant Development. In 1993 the Bayley Scales were revised and the second edition published (BSID-II). This study was designed to determine how well the CAT/CLAMS correlates with the BSID-II and its utility in identifying mild and severe cognitive impairment. Sixty-eight infants and toddlers (age range = 14-48 months), referred for suspected developmental delays, were administered the CAT/CLAMS and BSID-II and the results compared. The correlation between the two instruments was strong (r = 0.89, P<0.0001). The CAT/CLAMS was sensitive (81%) and specific (85%) for detecting overall cognitive impairment (BSID-II less than 70) and was even more sensitive (100%) and specific (96%) in detecting severe cognitive impairment (BSID-II less than 50). The physician using the CAT/CLAMS formulated a clinical impression of cognitive impairment that was sensitive (95%) and specific (84%) compared with formal psychologic testing. The CAT/CLAMS correlates well with the BSID-II. It is useful for detecting and quantifying mild and severe cognitive impairment. It permits the physician to formulate an accurate clinical impression of cognitive impairment consistent with possible mental retardation.
认知适应性测试/临床语言和听觉里程碑量表（CAT/CLAMS）是一种用于婴幼儿认知评估的神经发育工具，与贝利婴儿发育量表相关性良好。1993年，贝利量表进行了修订并出版了第二版（BSID-II）。本研究旨在确定CAT/CLAMS与BSID-II的相关性如何，以及其在识别轻度和重度认知障碍方面的效用。对68名因疑似发育迟缓而转诊的婴幼儿（年龄范围=14-48个月）进行了CAT/CLAMS和BSID-II测试，并比较了结果。两种工具之间的相关性很强（r=0.89，P<0.0001）。CAT/CLAMS在检测总体认知障碍（BSID-II低于70）方面具有敏感性（81%）和特异性（85%），在检测重度认知障碍（BSID-II低于50）方面甚至更具敏感性（100%）和特异性（96%）。使用CAT/CLAMS的医生形成的认知障碍临床印象与正式心理测试相比具有敏感性（95%）和特异性（84%）。CAT/CLAMS与BSID-II相关性良好。它有助于检测和量化轻度和重度认知障碍。它使医生能够形成与可能的智力迟钝一致的准确的认知障碍临床印象。
