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Do Parental Concerns Predict Developmental and Behavioral Diagnoses in a Developmental Clinic?

Doris P Yimgang1, Rebecca A Albury1, Mary L Leppert1,2

  • 11 Kennedy Krieger Institute, Baltimore MD, USA.

Clinical Pediatrics
|May 22, 2016
PubMed

Insights

Parental concerns about child development and behavior do not reliably predict clinical diagnoses in a specialized clinic. This finding suggests a need for further research into effective diagnostic tools for developmental and behavioral issues.

Area of Science:

  • Pediatric developmental and behavioral health
  • Clinical diagnostics
  • Child psychology

Background:

  • Parental concerns are valuable indicators for identifying developmental and behavioral issues in children.
  • Early identification and diagnosis are crucial for effective intervention in pediatric care.

Purpose of the Study:

  • To investigate if specific parental concerns can predict clinical diagnoses in a tertiary developmental clinic setting.
  • To compare parental concerns with actual clinical diagnoses in preschool-aged children.

Main Methods:

  • A survey was administered to parents of 101 preschoolers attending a developmental clinic.
  • Parents reported on their behavioral, developmental, and diagnostic concerns.
  • Clinical diagnoses were obtained for all children and compared against parental concerns.

Main Results:

  • Approximately 50% of parental concerns focused on language development, and 21% on behavior.
  • The most frequent diagnoses were communication disorder (41%) and developmental delay (42%).
  • Only 30% of children with parental concerns about autism spectrum disorder received this diagnosis.

Conclusions:

  • Parental concerns regarding development, behavior, or specific diagnoses did not predict clinical outcomes in this tertiary developmental setting.
  • The study highlights a potential gap between parental perception and clinical diagnosis.
  • Further investigation is needed to refine predictive tools for pediatric developmental and behavioral conditions.

Keywords:
autism spectrum disordercommunication disorderdevelopmental clinicdevelopmental delayparent concerns

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