Rossman M J, Hyman S L, Rorabaugh M L, Berlin L E, Allen M C, Modlin J F
Department of Pediatrics, University of Maryland, Baltimore 21201.
Clin Pediatr (Phila). 1994 Jul;33(7):404-9. doi: 10.1177/000992289403300705.
The Clinical Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS) is a relatively new test of language, problem-solving abilities, and visual-motor skills for children ages 0 to 36 months of age. This instrument was compared to the Bayley Mental Developmental Index (MDI), the generally accepted standard of infant developmental tests. This study evaluates 328 normal children tested in infancy and then at 18 and 30 months of age. Specificity was excellent (95% to 100%) at both 18- and 30-month levels when compared to the Bayley MDI. Sensitivity, however, was 21% at the 18-month level and 67% at the 30-month level. Predictive validity (.65) and within-test validity (.69) are good. The CAT/CLAMS compares favorably with the Bayley MDI assessment of children between 18 and 30 months of age and can be used for clinical assessment of toddlers referred for development assessment prior to admission to early intervention programs.
临床适应性测试/临床语言和听觉里程碑量表（CAT/CLAMS）是一项针对0至36个月大儿童的语言、解决问题能力和视觉运动技能的相对较新的测试。该工具与贝利智力发育指数（MDI）进行了比较，MDI是婴儿发育测试普遍接受的标准。本研究评估了328名在婴儿期接受测试，随后在18个月和30个月时再次接受测试的正常儿童。与贝利MDI相比，在18个月和30个月时的特异性都非常好（95%至100%）。然而，18个月时的敏感性为21%，30个月时为67%。预测效度（0.65）和测试内效度（0.69）良好。在18至30个月大的儿童中，CAT/CLAMS与贝利MDI评估相比具有优势，可用于对转介到早期干预项目之前进行发育评估的幼儿进行临床评估。
