Dornelas Lílian de Fátima, Duarte Neuza Maria de Castro, Magalhães Lívia de Castro
Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil.
Associação de Assistência à Criança Deficiente de Minas Gerais (AACD-MG), Uberlândia, MG, Brasil.
Rev Paul Pediatr. 2015 Jan-Mar;33(1):88-103. doi: 10.1016/j.rpped.2014.04.009. Epub 2015 Feb 7.
: To retrieve the origin of the term neuropsychomotor developmental delay" (NPMD), its conceptual evolution over time, and to build a conceptual map based on literature review.
: A literature search was performed in the SciELO Brazil, Web of Science, Science Direct, OneFile (GALE), Pubmed (Medline), Whiley Online, and Springer databases, from January of 1940 to January of 2013, using the following keywords: NPMD delay, NPMD retardation, developmental delay, and global developmental delay. A total of 71 articles were selected, which were used to build the conceptual map of the term.
: Of the 71 references, 55 were international and 16 national. The terms developmental delay and global developmental delay were the most frequently used in the international literature and, in Brazil, delayed NPMD was the most often used. The term developmental delay emerged in the mid 1940s, gaining momentum in the 1990s. In Brazil, the term delayed NPMD started to be used in the 1980s, and has been frequently cited and published in the literature. Delayed development was a characteristic of 13 morbidities described in 23 references. Regarding the type of use, 19 references were found, with seven forms of use. Among the references, 34 had definitions of the term, and 16 different concepts were identified.
: Developmental delay is addressed in the international and national literature under different names, various applications, and heterogeneous concepts. Internationally, ways to improve communication between professionals have been indicated, with standardized definition of the term and use in very specific situations up to the fifth year of life, which was not found in Brazilian publications.
探究“神经心理运动发育迟缓”(NPMD)这一术语的起源、其随时间的概念演变,并基于文献综述构建概念图。
于2013年1月至1940年1月期间,在巴西SciELO、科学网、科学Direct、OneFile(GALE)、PubMed(Medline)、Whiley Online和Springer数据库中进行文献检索,使用以下关键词:NPMD延迟、NPMD发育迟缓、发育延迟和全面发育迟缓。共筛选出71篇文章,用于构建该术语的概念图。
71篇参考文献中,55篇为国际文献,16篇为国内文献。国际文献中最常用的术语是发育延迟和全面发育迟缓,在巴西,最常用的是延迟NPMD。发育延迟这一术语出现在20世纪40年代中期,在20世纪90年代得到进一步发展。在巴西,延迟NPMD这一术语于20世纪80年代开始使用,并在文献中频繁被引用和发表。发育延迟是23篇参考文献中描述的13种疾病的特征。关于使用类型,共找到19篇参考文献,有七种使用形式。在这些参考文献中,34篇对该术语有定义,共识别出16种不同的概念。
国际和国内文献中对发育延迟的称呼不同、应用各异且概念多样。在国际上,已指出改善专业人员之间沟通的方法,即对该术语进行标准化定义,并在生命的第五年之前的非常特定的情况下使用,而巴西的出版物中未发现这一点。