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The prevalence of at-risk development in children 30 to 60 months old presenting with disruptive behaviors
Dorota Szczepaniak1, Megan S McHenry, Kavitha Nutakki
11Indiana University School of Medicine, Indianapolis, USA.
Insights
Children with disruptive behaviors are over 4 times more likely to have developmental delays. Early developmental screening is crucial for behavioral referrals, especially for communication and problem-solving skills.
Area of Science:
- Pediatric behavioral health
- Developmental pediatrics
- Child psychology
Background:
- Disruptive behaviors in preschoolers can be linked to underlying developmental issues.
- Early identification of developmental delays is critical for intervention and improved outcomes.
Purpose of the Study:
- To determine the prevalence of failed developmental screens in preschoolers with disruptive behaviors.
- To assess the association between disruptive behaviors and developmental delays.
Main Methods:
- Retrospective chart review of 151 children aged 30-60 months with behavioral complaints.
- Analysis of formal developmental screening results for children referred to a behavioral pediatric clinic.
Main Results:
- 66% of referred children underwent developmental screening.
- 71% of screened children failed one or more developmental domains.
- Communication and problem-solving were the most common areas of concern.
Conclusions:
- Preschoolers with disruptive behaviors are at significantly higher risk for developmental delays.
- Developmental screening should be integrated into the initial evaluation of children presenting with disruptive behaviors.
Objective:
This study assessed the prevalence of failed developmental screens in 30- to 60-month-old children who presented with a behavioral complaint of disruptive behavior to a referral clinic.
Methods:
A retrospective chart review was performed in a specialty behavioral pediatric clinic. Outcome measures were obtained from children referred to the clinic with parental concern of disruptive behavior.
Results:
Out of 151 patients, 66% (99/151) had been screened for developmental delays with a formal screening instrument. Of these, 71% (70/99) failed developmental screening in one or more domains.
Conclusions:
Preschoolers referred to a behavioral clinic for parental concerns of disruptive behaviors were more than 4 times more likely to be at risk for developmental delays than the general population, with a majority of suspected delays in communication and problem-solving domains. This finding suggests that developmental screening should be a part of the initial workup for children with disruptive behaviors.
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