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[患有行为障碍的入学儿童的认知、语言、运动和社交缺陷]

[Cognitive, linguistic, motoric, and social deficits in schoolstarters with behavioral disorders].

作者信息

Korsch Franziska, Petermann Ulrike, Schmidt Sören, Petermann Franz

机构信息

Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen, Bremen.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2013;62(6):405-19. doi: 10.13109/prkk.2013.62.6.405.

Abstract

Studies show that ADHD, conduct disorders, and anxiety disorders are clinical disorders mostly diagnosed in schoolstarters. The preschool medical examination in Bremen was therefore extended by behavioral screenings. Based on their screening results from the SEU (health examination for school entry) 2011 in Bremen, 67 preschoolers were tested for behavioral disorders. Subsequently, children with behavioral or emotional symptoms (N = 56) were compared to symptomfree controls (N = 52) for their cognitive, motoric, linguistic, and social-emotional development. Psychosocial health was obtained through external assessment by the parents and kindergarten teachers. Results of the WPPSI-III, M-ABC-2, and ET 6-6 were included in the analysis. 32 children met the criteria for behavioral disorders. Children with behavioral or emotional symptoms showed significant lower scores on tests measuring cognitive, motoric, linguistic and emotional development compared to controls. Results suggest that there is necessity to screen all preschoolers for behavioral disorders before entering school. Because children with clinical or subclinical behavioral disorders showed major developmental deficits compared to children without behavioral symptoms, it is essential to conduct a multiple assessment on children with suspected behavioral disorders to ensure early developmental support and adequate interventional programs.

摘要

研究表明,注意力缺陷多动障碍、品行障碍和焦虑症是大多在刚入学儿童中被诊断出的临床病症。因此,不来梅的学前体检通过行为筛查得以扩展。根据2011年不来梅SEU(入学健康检查)的筛查结果,对67名学龄前儿童进行了行为障碍测试。随后,将有行为或情绪症状的儿童(N = 56)与无症状对照组(N = 52)在认知、运动、语言和社会情感发展方面进行比较。通过家长和幼儿园教师的外部评估获取心理社会健康状况。分析中纳入了韦氏幼儿智力量表第三版(WPPSI-III)、运动技能评估量表第二版(M-ABC-2)和儿童情绪及社会性发展量表(ET 6-6)的结果。32名儿童符合行为障碍标准。与对照组相比,有行为或情绪症状的儿童在测量认知、运动、语言和情绪发展的测试中得分显著更低。结果表明,有必要在所有学龄前儿童入学前对其进行行为障碍筛查。由于与没有行为症状的儿童相比,有临床或亚临床行为障碍的儿童表现出主要的发育缺陷,因此对疑似有行为障碍的儿童进行多重评估以确保早期发育支持和适当的干预项目至关重要。

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