Neurodevelopmental assessment of behaviorally disordered inner city boys

G B Landman1, R O Carpenter

  • 1Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland.

Clinical Pediatrics
|December 1, 1988
PubMed

Insights

The Pediatric Early Education Exam (PEEX) shows promise for assessing neurodevelopmental factors in hyperactive inner-city boys. Specific tasks, like following directions, effectively predicted educational and intellectual functioning.

Area of Science:

  • Neurodevelopmental assessment
  • Child psychology
  • Educational psychology

Background:

  • Inner-city boys are often perceived as hyperactive by teachers.
  • A new neurodevelopmental instrument, the Pediatric Early Education Exam (PEEX), has been developed.
  • Evaluating the utility of PEEX for this specific population is warranted.

Purpose of the Study:

  • To assess the usefulness of the Pediatric Early Education Exam (PEEX).
  • To evaluate inner-city boys identified as "hyperactive" by teachers.
  • To determine the relationship between neurodevelopmental assessment and academic/intellectual functioning.

Main Methods:

  • Thirty-nine boys (mean age 102.5 months, mean IQ 98) were evaluated using PEEX.
  • The study examined relationships between neurodevelopmental subtests, overflow movements, laterality, and academic performance.
  • Specific tasks included sentence copying, answering questions about complex sentences, and following verbal directions.

Main Results:

  • No significant relationship was found between overflow movements and neurodevelopmental performance, intelligence, or educational functioning.
  • Laterality development positively correlated with reading success (p < 0.05).
  • Sentence copying correlated with reading success (r = .38, p < 0.01).
  • Answering questions about complex sentences correlated with mathematical success (r = .32, p < 0.05).
  • The ability to follow verbal directions was the most sensitive indicator of educational, intellectual, and social functioning.

Conclusions:

  • The Pediatric Early Education Exam (PEEX) shows potential for evaluating neurodevelopmental aspects in at-risk children.
  • Specific PEEX subtests, particularly following verbal directions, demonstrate strong predictive validity for academic and cognitive abilities.
  • Laterality and sentence-copying skills are important indicators for reading success in this population.

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