Jun Kwangohk, Park Donghwi, Eo Hyoshin, Woo Seongho, Koo Won Mo, Kim Jong Min, Lee Byung Joo, Chang Min Cheol
Department of Physical Medicine and Rehabilitation, Daegu Fatima Hospital, Daegu, Korea.
Seoul Spine Rehabilitation Clinic, Ulsan-si, Korea.
Neuropediatrics. 2024 Dec;55(6):389-394. doi: 10.1055/a-2349-1256. Epub 2024 Jun 19.
This study investigated whether early cognitive assessment in children with developmental delay (DD) predicts cognitive development. We investigated the correlation between cognitive and language development in children with DD, cerebral palsy (CP), and autism spectrum disorder (ASD).
Data were collected from children diagnosed with DD who visited the hospital between 2015 and 2023. The assessments included the Korean Bayley Scales of Infant and Toddler Development Second Edition (K-BSID-II) and the Korean Wechsler Preschool Primary Scale of Intelligence Fourth Edition (K-WPPSI-IV). Language development was evaluated using the Sequenced Language Scale for Infants (SELSI) and Preschool Receptive-Expressive Language Scale (PRES). The statistical analysis involved a correlation analysis.
Among 95 children in the study, a significant correlation was discovered between early cognitive assessments (the Mental Developmental Index from the K-BSID-II) and later cognitive development (the Full-Scale Intelligence Quotient from the K-WPPSI-IV) in the DD and CP groups, but not in the ASD group. The DD and CP groups exhibited significant correlations in language development between the SELSI and PRES, whereas the ASD group did not.
Early cognitive assessments can predict later cognitive development in children with DD and CP, but not in those with ASD, according to this study. There was a strong correlation between language and cognitive development in the DD and CP groups, highlighting the importance of early intervention and assessment for these children. Further investigation is necessary to address these limitations and refine demographic data.
本研究调查发育迟缓（DD）儿童的早期认知评估是否能预测认知发展。我们研究了DD、脑瘫（CP）和自闭症谱系障碍（ASD）儿童认知与语言发展之间的相关性。
收集2015年至2023年期间到医院就诊的被诊断为DD的儿童的数据。评估包括韩国贝利婴幼儿发展量表第二版（K-BSID-II）和韩国韦氏学前儿童智力量表第四版（K-WPPSI-IV）。使用婴儿顺序语言量表（SELSI）和学前接受-表达性语言量表（PRES）评估语言发展。统计分析采用相关性分析。
在该研究的95名儿童中，发现DD组和CP组的早期认知评估（K-BSID-II的心理发展指数）与后期认知发展（K-WPPSI-IV的全量表智商）之间存在显著相关性，而ASD组不存在。DD组和CP组在SELSI和PRES的语言发展方面表现出显著相关性，而ASD组则没有。
根据本研究，早期认知评估可以预测DD和CP儿童的后期认知发展，但不能预测ASD儿童的后期认知发展。DD组和CP组的语言与认知发展之间存在很强的相关性，凸显了对这些儿童进行早期干预和评估的重要性。有必要进一步研究以解决这些局限性并完善人口统计学数据。
