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Updated: Jul 8, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Developmental Delay and Behavior Challenges in an Internationally Adopted Child.

Lianna R Lipton¹, Lisa Prock², Stephen Camarata³

¹Division of Developmental Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Journal of Developmental and Behavioral Pediatrics : JDBP

|December 20, 2023

Summary

This summary is machine-generated.

Early adversity impacts child development, leading to speech delays and behavioral issues. Addressing these requires understanding developmental challenges and trauma

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Published on: October 4, 2015

Area of Science:

Pediatric Neuropsychology
Developmental Psychology
Child Psychiatry

Background:

A 6-year-old boy experienced early adversity including institutionalization, multiple foster homes, suspected neglect, and limited language input.
Developmental milestones were delayed across all domains, with specific concerns in speech/language development in his primary language.

Observation:

The child presents with word-finding difficulties, grammatical errors in English, impulsivity, hyperactivity, and aggression.
Socially, he engages with peers but lacks personal space awareness and exhibits sensitivity to others' emotions and fear of abandonment.

Findings:

Neuropsychological testing revealed low-average cognitive abilities, delayed preacademic and language skills (receptive and expressive).
Diagnoses include mixed receptive-expressive language disorder, attention-deficit/hyperactivity disorder (combined presentation), and unspecified trauma/stress-related disorder.

Implications:

Early adversity significantly impacts neurodevelopment, affecting language, behavior, and social-emotional functioning.
A multidisciplinary approach is crucial for addressing complex developmental and behavioral challenges stemming from early life experiences.