国际收养儿童的发育迟缓和行为挑战
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
概括
早期的逆境会影响儿童的发展,导致语言延迟和行为问题. 解决这些问题需要了解发展挑战和创伤.
科学领域:
- 儿科神经心理学 儿科神经心理学
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 一个6岁的男孩经历了早期的逆境,包括制度化,多个寄养家庭,怀疑忽视和有限的语言输入.
- 所有领域的发展里程碑都被推迟了,特别关注他在主要语言的言语/语言发展.
研究的目的:
- 评估患有全球发育迟缓和行为问题儿童.
- 识别导致言语/语言缺陷和具有挑战性的行为因素.
- 为了告知父母对发展轨迹的担忧.
主要方法:
- 多学科发育诊所评估.
- 神经心理测试评估认知和学术技能.
- 基于DSM-5标准的临床诊断.
主要成果:
- 被诊断为混合受体表达性语言障碍,ADHD,综合表现,以及未指明的创伤/压力相关障碍.
- 表现出低平均水平的认知能力和延迟的学前,接受和表达语言技能.
- 参与社会活动,但表现出个人空间和边界的挑战.
结论:
- 早期的逆境和创伤显著影响言语/语言的发展和行为.
- 综合性评估对于诊断复杂发育障碍至关重要.
- 干预应解决语言,行为和与创伤相关的症状.
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