Early identification of children with developmental disabilities

被引:34
作者
Sonnander, K [1 ]
机构
[1] Uppsala Univ, Dept Neurosci, Psychiat Ulleraker, Uppsala, Sweden
关键词
child healthcare; developmental disabilities; developmental screening; early identification;
D O I
10.1080/080352500750027358
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This paper provides an overview of research into early identification of children with developmental disabilities in child healthcare, especially those disabilities related to cognitive impairment. The review covers the following related topics: definition of the target group, the predictive value of developmental screening instruments and psychomotor tests, risk indexes, early intervention and evaluation of developmental screening programmes. Empirical research into child development and the predictive value of developmental tests is extensive. However, proportionally few, mostly cohort or case-control, studies focusing on evaluation of developmental screening programmes conducted within a clinical setting were found. Some sensitivity and most specificity rates reported fell within what is considered acceptable for developmental screening performed in the pre-school years, i.e. a sensitivity of more than 70% and a specificity between 70% and 80%. Overall, between 1-6% of the children screened were identified. Typically, most children with severe disabilities were identified prior to the screening or excluded from the studies reviewed. The shortcomings of developmental screening (instruments) and difficulties in early identification are discussed.
引用
收藏
页码:17 / 23
页数:7
相关论文
共 81 条
[1]  
[Anonymous], PRESCHOOL SCREENING
[2]  
[Anonymous], 1987, The effectiveness of early intervention for at-risk and handicapped children
[3]   Conceptual issues in developmental screening and assessment [J].
Aylward, GP .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 1997, 18 (05) :340-349
[4]  
BAIN J, 1989, J ROY COLL GEN PRACT, V39, P133
[5]   PREDICTION OF IQ AND LANGUAGE SKILL FROM PERINATAL STATUS, CHILD PERFORMANCE, FAMILY CHARACTERISTICS, AND MOTHER-INFANT INTERACTION [J].
BEE, HL ;
BARNARD, KE ;
EYRES, SJ ;
GRAY, CA ;
HAMMOND, MA ;
SPIETZ, AL ;
SNYDER, C ;
CLARK, B .
CHILD DEVELOPMENT, 1982, 53 (05) :1134-1156
[6]  
BERGSTROM E, 1988, LAKARTIDNINGEN, V37, P2946
[7]  
BERKELY M, 1984, HLTH B, V62, P297
[8]   POPULATION ESTIMATES - BIRTH-TO-5 CHILDREN WITH DISABILITIES [J].
BOWE, FG .
JOURNAL OF SPECIAL EDUCATION, 1995, 28 (04) :461-471
[9]  
BREITMAYER BJ, 1986, CHILD DEV, V57, P1151, DOI 10.2307/1130439
[10]   EVALUATION OF PUBLIC-HEALTH PRESCHOOL-CHILD DEVELOPMENTAL SCREENING - THE PROCESS AND OUTCOMES OF A COMMUNITY PROGRAM [J].
CADMAN, D ;
CHAMBERS, LW ;
WALTER, SD ;
FERGUSON, R ;
JOHNSTON, N ;
MCNAMEE, J .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1987, 77 (01) :45-51