学龄前儿童发育年龄的母亲评估。

Maternal estimates of developmental age in preschool children.

作者信息

Pulsifer M B, Hoon A H, Palmer F B, Gopalan R, Capute A J

机构信息

Department of Developmental Pediatrics, Kennedy Krieger Institute, Baltimore, Maryland 21205.

出版信息

J Pediatr. 1994 Jul;125(1):S18-24. doi: 10.1016/s0022-3476(94)70171-7.

DOI:10.1016/s0022-3476(94)70171-7

PMID:7517445

Abstract

OBJECTIVE

To investigate the accuracy of maternal estimates of developmental age in preschool children with suspected developmental delay.

METHODS

In a sample of 139 preschool children, aged 5 to 60 months, mothers were asked before evaluation to estimate the developmental age of their child. Maternal estimates were converted to a developmental quotient (DQ) and compared with results from standardized tests of cognitive functioning, adaptive abilities, expressive and receptive language, and visual-motor skills.

RESULTS

A high correlation was found (r = 0.82; p < 0.0001) between maternal-estimate DQ and actual DQ (mean of test scores). Most mothers estimated within 15% of their child's actual functioning, and 84% of mothers estimated within +/- 5 months of actual functioning. Multiple regression found no factors that would identify mothers who were more or less accurate in estimating developmental age. Maternal-estimate DQ was sensitive (83%) and specific (83%) for mental retardation.

CONCLUSION

Maternal estimates provide an accurate measure of developmental functioning and could be successfully incorporated into routine developmental surveillance of preschool children.

摘要

目的

调查疑似发育迟缓学龄前儿童的母亲对发育年龄估计的准确性。

方法

在139名年龄为5至60个月的学龄前儿童样本中，在评估前让母亲估计其孩子的发育年龄。将母亲的估计值转换为发育商（DQ），并与认知功能、适应能力、表达性和接受性语言以及视动技能的标准化测试结果进行比较。

结果

母亲估计的DQ与实际DQ（测试分数平均值）之间存在高度相关性（r = 0.82；p < 0.0001）。大多数母亲的估计值与孩子的实际功能相差在15%以内，84%的母亲估计值与实际功能相差在±5个月以内。多元回归分析未发现能识别发育年龄估计更准确或不准确的母亲的因素。母亲估计的DQ对智力迟钝的敏感性为83%，特异性为83%。