Yale University School of Nursing, New Haven, CT 06536-0740, USA.
J Pediatr Health Care. 2009 Sep-Oct;23(5):303-9. doi: 10.1016/j.pedhc.2008.09.001. Epub 2008 Dec 19.
Descriptive study compared adolescent mothers' subjective perceptions of their children's development with objective developmental assessments.
A volunteer sample of mother/child pairs was recruited from an urban high school. Thirty-three mothers completed the Ages and Stages Questionnaire (A&SQ). The Bayley Scales of Infant Development (BSID) was administered to children.
On the BSID, group mean scores all fell within the normal range. However, almost 20% of individual children had one or more delays. Almost 73% of mothers accurately assessed their children's development on the A&SQ when compared with BSID results. Eighteen percent of mothers suspected delays when no delays were objectively identified. A single mother identified delay in a different domain than that identified on the BSID.
Findings that almost 20% of these children had developmental delays support other research that children of adolescent mothers are at risk for delays. Findings that teen mothers varied in their abilities to assess their children's development reinforce the need for education of teen mothers about child development. Further study is needed to determine the best models of this education in school and community settings.
本研究采用描述性方法比较了青少年母亲对其子女发展的主观感知与客观发展评估之间的差异。
从一所城市高中招募了一组志愿的母婴对。33 位母亲完成了《年龄与阶段问卷》(A&SQ)。对儿童进行了贝利婴幼儿发展量表(BSID)评估。
BSID 组的平均得分均处于正常范围内。然而,几乎 20%的儿童存在一个或多个发育迟缓。与 BSID 结果相比,近 73%的母亲在 A&SQ 上准确评估了自己孩子的发育情况。18%的母亲在没有客观发现迟缓的情况下怀疑孩子有发育迟缓。一位单身母亲在与 BSID 不同的领域发现了发育迟缓。
近 20%的儿童存在发育迟缓的发现支持了其他研究,即青少年母亲的孩子存在发育迟缓的风险。青少年母亲在评估自己孩子的发展方面存在差异的发现,进一步强调了对青少年母亲进行儿童发展教育的必要性。需要进一步研究确定在学校和社区环境中进行这种教育的最佳模式。