Sutcliffe Alastair G, Soo Audrey, Barnes Jacqueline
General and Adolescent Paediatrics Unit, Institute of Child Health, University College London, UK.
Pediatr Rep. 2010 Sep 6;2(2):e15. doi: 10.4081/pr.2010.e15.
There is mixed evidence about the predictive validity of the Griffiths mental developmental scales. This study aimed to assess the predictive value of developmental assessments of children in their second year using the Griffiths mental development scales for neuro-developmental status at five years using the Wechsler preschool and primary scale of intelligence, revised (WPPSI-R). In a longitudinal study 253 children were assessed in their second year of life using the Griffiths scales and again at five years using the WPPSI-R. The scores were compared and the predictability of the WPPSI-R outcome on the basis of Griffiths scores was assessed. The WPPSI-R full scale IQ and the performance IQ at age five could be predicted moderately by the Griffiths general quotient (GQ) and by the personal/social scale. The Griffiths GQ was not a significant predictor of verbal IQ at age 5. The Griffiths performance scale predicted subsequent WPPSI-R performance IQ, and marginally the Full Scale IQ. For the early identification of children at risk for language delay, the Griffiths scales may not be suitable. However, a shortened form would be useful to predict overall cognitive development from the second year to school entry, focussing on the personal-social and performance scales.
关于格里菲斯心理发展量表的预测效度，证据不一。本研究旨在评估使用格里菲斯心理发展量表对两岁儿童进行发育评估，对于其五岁时使用韦氏学前及初小儿童智力量表修订版（WPPSI-R）所测神经发育状况的预测价值。在一项纵向研究中，253名儿童在两岁时使用格里菲斯量表进行评估，并在五岁时再次使用WPPSI-R进行评估。比较了得分，并评估了基于格里菲斯得分对WPPSI-R结果的可预测性。五岁时的WPPSI-R全量表智商和操作智商可由格里菲斯总商数（GQ）和个人/社会量表适度预测。格里菲斯GQ并非五岁时言语智商的显著预测指标。格里菲斯操作量表可预测后续的WPPSI-R操作智商，对全量表智商的预测作用微弱。对于早期识别有语言发育迟缓风险的儿童，格里菲斯量表可能并不适用。然而，一个简化版对于预测从两岁到入学时的整体认知发展将是有用的，重点关注个人-社会和操作量表。
