Tervo Raymond C
Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Clin Pediatr (Phila). 2005 Sep;44(7):601-11. doi: 10.1177/000992280504400708.
To document parental reports about their child's delayed development, 180 consecutive parents/guardians of children, ages ranging from 16 to 70 months, were surveyed. Parents reported a mean of 8.28 (SD 4.55) problems. Symptoms most reported were not talking well (79.5%), poor speech (59.8%), immaturity (58.0%), understands poorly (55.4%), bowel/bladder problems (50.9%), seldom plays with others (47.3%), attention (46.4%), eating (43.8%), clumsy-gross motor (40.2%), and clumsy-fine motor (40.2%). There was an association between delayed development and symptoms about eating, bowel-bladder, clumsy fine-motor, not talking well, understands poorly, immature, and seldom plays with others (p<0.05). The presence of language symptoms increased the odds of delayed development by 2.25. Relevant symptoms differed by developmental domains and different groups of items predicted specific delays. Parent reports indicated quantifiable difficulties requiring detailed assessments.
为记录家长关于其孩子发育迟缓的报告,对180名年龄在16至70个月的儿童的家长/监护人进行了连续调查。家长报告的问题平均为8.28个(标准差4.55)。报告最多的症状是说话不好(79.5%)、语言能力差(59.8%)、不成熟(58.0%)、理解能力差(55.4%)、肠道/膀胱问题(50.9%)、很少与他人玩耍(47.3%)、注意力(46.4%)、进食(43.8%)、粗大运动笨拙(40.2%)和精细运动笨拙(40.2%)。发育迟缓与进食、肠道/膀胱、精细运动笨拙、说话不好、理解能力差、不成熟以及很少与他人玩耍等症状之间存在关联(p<0.05)。语言症状的出现使发育迟缓的几率增加了2.25倍。相关症状因发育领域而异,不同的项目组预测了特定的发育迟缓情况。家长报告表明存在需要详细评估的可量化困难。