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Age of presentation in developmental disability.

T M Lock, B K Shapiro, A Ross

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |December 1, 1986
    PubMed
    Summary

    The type of developmental disability, not its severity, better predicts when children are evaluated. Behavioral issues can delay presentation for motor or language delays, impacting early identification efforts.

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    Area of Science:

    • Developmental Pediatrics
    • Child Psychology
    • Neurodevelopmental Disorders

    Background:

    • Early identification of developmental disabilities is crucial for timely intervention.
    • Factors influencing the age of presentation for developmental disabilities require further investigation.
    • Understanding predictors of presentation age can optimize early detection programs.

    Purpose of the Study:

    • To examine the relationship between age at presentation and various factors in children referred for developmental evaluation.
    • To determine whether the severity of handicap or associated factors are more critical in predicting presentation age.
    • To identify key predictors for age of presentation in developmental disabilities.

    Main Methods:

    • Retrospective analysis of 738 children referred for developmental evaluation between 1982-1983.

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  • Examined correlations between age of presentation and referral source, presenting complaint, diagnosis, and associated medical, motor, or behavioral factors.
  • Compared the predictive value of handicap nature versus severity on presentation age.

    • Main Results:

    • The nature of the complaint or diagnosis (e.g., motor, language, behavioral) was a stronger predictor of presentation age than disorder severity.
    • The degree of intellectual disability did not influence the age of presentation.
    • Behavioral problems were linked to later presentation for motor delay, language delay, and communication disorders across all IQ levels.

    Conclusions:

    • The topography of a developmental handicap, rather than its severity, is a significant factor in determining presentation age.
    • These findings suggest that early identification strategies should consider the nature of the disability.
    • Evaluating early identification efforts must account for the association between handicap type and presentation age.