Williams Marian E, Zamora Irina, Akinsilo Olawunmi, Chen Alison Hickey, Poulsen Marie Kanne
1 Children's Hospital Los Angeles, Los Angeles, CA, USA.
2 University of Southern California, Los Angeles, CA, USA.
Clin Pediatr (Phila). 2018 Jun;57(7):844-849. doi: 10.1177/0009922817733700. Epub 2017 Sep 27.
Many pediatricians use a broad developmental screening test as part of well-child care, but do not specifically screen for behavioral and emotional disorders. Parents at 2 urban community agencies completed both the Ages and Stages Questionnaire (ASQ-3) and the Ages and Stages Questionnaire: Social Emotional (ASQ:SE) for 608 children, ages 2 to 60 months; 51.8% in Spanish. Less than half of the children with a positive screen on the ASQ:SE would have been identified as needing additional assessment or intervention if only the ASQ-3 had been administered. Younger children with positive ASQ:SE screens were significantly less likely to be referred for mental health services compared with older children. Physicians should consider screening all young children for social-emotional and behavioral needs, and referring those identified for infant and early childhood mental health services.
许多儿科医生将广泛的发育筛查测试作为儿童健康保健的一部分，但并未专门筛查行为和情绪障碍。来自两个城市社区机构的家长为608名年龄在2至60个月的儿童同时完成了年龄与阶段问卷（ASQ - 3）和年龄与阶段问卷：社会情绪（ASQ:SE）；其中51.8%为讲西班牙语的儿童。如果仅进行ASQ - 3测试，那么在ASQ:SE测试中筛查呈阳性的儿童中，只有不到一半会被确定需要进一步评估或干预。与年龄较大的儿童相比，ASQ:SE筛查呈阳性的年幼儿童被转介接受心理健康服务的可能性显著更低。医生应考虑对所有幼儿进行社会情绪和行为需求筛查，并将筛查出有问题的儿童转介至婴幼儿及儿童心理健康服务机构。
