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Published on: October 11, 2010
Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale in early cognitive assessment
A H Hoon1, M B Pulsifer, R Gopalan
1Department of Developmental Pediatrics, Kennedy Krieger Institute, Baltimore, MD 21205.
Insights
The Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) strongly correlates with the Bayley Scales of Infant Development (BSID) for assessing developmental delay in young children. This tool effectively identifies cognitive delays, aiding early intervention strategies.
Area of Science:
- Developmental Pediatrics
- Child Psychology
- Neurodevelopmental Disorders
Background:
- Early detection of developmental delay is crucial for timely intervention.
- Standardized assessments are vital for accurate diagnosis in infants and toddlers.
- The Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) offers a potential screening tool.
Purpose of the Study:
- To examine the correlation between the CAT/CLAMS and the Bayley Scales of Infant Development--Mental Scale (BSID).
- To assess the sensitivity and specificity of the CAT/CLAMS in identifying cognitive delay.
Main Methods:
- Correlational analysis was performed on data from 61 infants and toddlers.
- Participants were evaluated using both the CAT/CLAMS and the BSID.
- Statistical significance was determined for the observed correlations.
Main Results:
- Highly significant correlations were found between CAT/CLAMS and BSID scores.
- The CAT/CLAMS demonstrated 88% sensitivity and 67% specificity for detecting mental retardation (BSID < 70).
- Demographic factors like gender, race, and gestational age did not affect the correlation.
Conclusions:
- The CAT/CLAMS is a reliable tool that correlates well with the established BSID.
- The CAT/CLAMS can be effectively utilized as an instrument for screening and detecting cognitive delay in young children.
- Findings support the use of CAT/CLAMS in clinical settings for early identification of developmental issues.
Abstract:
Correlations between the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) and the Bayley Scales of Infant Development--Mental Scale (BSID) were examined in 61 infants and toddlers with suspected developmental delay. Highly significant correlations were found between the two instruments. Gender, race, and gestational age did not influence the relationship between CAT/CLAMS and BSID scores. The CAT/CLAMS was both sensitive (88%) and specific (67%) for mental retardation (BSID < 70). The CAT/CLAMS correlates with the BSID and can be used as an instrument for detecting cognitive delay.

