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从婴儿期到幼儿期功能的预测:对儿科心理学的启示。

Prediction of function from infancy to early childhood: implications for pediatric psychology.

作者信息

Aylward Glen P

机构信息

Department of Pediatrics, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9658, USA.

出版信息

J Pediatr Psychol. 2004 Oct;29(7):555-64. doi: 10.1093/jpepsy/jsh057.

DOI:10.1093/jpepsy/jsh057
PMID:15347703
Abstract

OBJECTIVE

To determine whether item groupings derived from the Bayley Infant Neurodevelopmental Screener (BINS) are stable and predictive of 36-month cognitive and motor outcome.

METHODS

BINS was administered at 6, 12, and 24 months, and the Bayley-II or McCarthy scales at 36 months. The BINS was factor analyzed, and factors, biomedical and environmental variables, were related to 36-month outcomes.

RESULTS

Three factors were identified at each age, accounting for 52% to 64% of the variance. Continuity in factors over infancy and predictive utility of similar functions at 36 months were found. Optimal factor scores (> or = 75th percentile) increased the likelihood of later normal cognitive or motor outcome (ORs 2.14-7.94).

CONCLUSIONS

Stability and continuity over time exist in specific subdomains of function on a neurodevelopmental screening test.

摘要

目的

确定源自贝利婴儿神经发育筛查量表(BINS)的项目分组是否稳定,以及是否能预测36个月时的认知和运动结果。

方法

在6个月、12个月和24个月时进行BINS测试,并在36个月时进行贝利-II或麦卡锡量表测试。对BINS进行因素分析,并将因素、生物医学和环境变量与36个月时的结果相关联。

结果

在每个年龄阶段均识别出三个因素,这些因素解释了52%至64%的方差。发现婴儿期各因素具有连续性,且类似功能在36个月时具有预测效用。最佳因素得分(≥第75百分位数)增加了后期认知或运动结果正常的可能性(比值比为2.14 - 7.94)。

结论

神经发育筛查测试中特定功能子领域随时间存在稳定性和连续性。

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