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意大利3至4岁儿童发育障碍筛查:一项初步研究。

Screening for Developmental Disorders in 3- and 4-Year-Old Italian Children: A Preliminary Study.

作者信息

Catino Elena, Di Trani Michela, Giovannone Federica, Manti Filippo, Nunziata Letizia, Piccari Francesca, Sirchia Virginia, Vannucci Lucia, Sogos Carla

机构信息

Department of Child Neurology and Psychiatry, Sapienza Università di Roma, Rome, Italy.

Department of Dynamic and Clinical Psychology, Sapienza Università di Roma, Rome, Italy.

出版信息

Front Pediatr. 2017 Aug 29;5:181. doi: 10.3389/fped.2017.00181. eCollection 2017.

DOI:10.3389/fped.2017.00181
PMID:28900613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5581879/
Abstract

BACKGROUND

The "Osserviamo" project, coordinated by the Municipality of Rome and the Department of Pediatrics and Child Neuropsychiatry of Sapienza University, aimed to validate an Italian version of the Ages and Stages Questionnaire-3 and to collect, for the first time in Italy, data on developmental disorders in a sample of 4,000 children aged 3 and 4 years. The present paper presents the preliminary results of the "Osserviamo" project.

METHODS

600 parents of children between 39 and 50 months of age (divided in two age stages: 42 and 48 months) were contacted from 15 kindergarden schools.

RESULTS

23.35% of the whole sample scored in the risk range of at least one developmental area of the Ages and Stages Questionnaire-3rd Edition (ASQ-3) and 7.78% scored in the clinical range. Specifically, 23.97% of the children in the 42-month age stage scored in the risk range and 5.79% scored in the clinical range. Males scored lower than females in the fine motor skills and personal-social development domains. Moreover, 22.79% of the children in the 48-month age stage scored in the risk range, while 9.55% scored in the clinical range. Males scored lower than females in fine motor skills.

CONCLUSION

Italian validation of the ASQ-3 and recruitment of all 4,000 participants will allow these data on the distribution of developmental disorders to be extended to the general Italian pediatric population. One main limitation of the study is the lack of clinical confirmation of the data yielded by the screening programme, which the authors aim to obtain in later stages of the study.

摘要

背景

由罗马市以及罗马第一大学儿科学与儿童神经精神病学系协调开展的“Osserviamo”项目,旨在验证《年龄与发育阶段调查问卷第3版》(ASQ - 3)的意大利语版本,并在意大利首次收集4000名3岁和4岁儿童样本中发育障碍的数据。本文展示了“Osserviamo”项目的初步结果。

方法

从15所幼儿园联系了600名年龄在39至50个月之间儿童的家长(分为两个年龄阶段:42个月和48个月)。

结果

在整个样本中,23.35%的儿童在《年龄与发育阶段调查问卷第3版》(ASQ - 3)至少一个发育领域的风险范围内得分,7.78%的儿童在临床范围内得分。具体而言,42个月龄阶段的儿童中有23.97%在风险范围内得分,5.79%在临床范围内得分。在精细运动技能和个人 - 社会发展领域,男性得分低于女性。此外,48个月龄阶段的儿童中有22.79%在风险范围内得分,而9.55%在临床范围内得分。在精细运动技能方面,男性得分低于女性。

结论

ASQ - 3的意大利语验证以及所有4000名参与者的招募将使这些发育障碍分布的数据扩展至意大利普通儿科人群。该研究的一个主要局限性是筛查项目得出的数据缺乏临床确认,作者旨在研究的后期阶段获得这一确认。

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