在纳瓦霍出生队列研究中的4岁儿童的神经发育概况
Brandon J Rennie1, Somer L Bishop2, Bennett L Leventhal3,4
1University of New Mexico, Center for Development and Disability.
JAACAP open
|January 19, 2024
概括
美国土著儿童,特别是迪内青年,表现出高水平的发育迟缓,特别是在语言方面. 需要进一步的研究来确定有效的干预措施和这些儿童的支持系统.
科学领域:
- 儿童发展 儿童发展
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 美国原住民儿童面临着发展问题的重大风险因素,包括贫困和有限的服务机会.
- 对发育和行为现象型的全面记录对于理解这些风险至关重要.
研究的目的:
- 为了评估年幼的Diné (纳瓦霍) 儿童的神经发育.
- 在这个人群中确定神经发育障碍 (NDD) 和特定发育迟缓的患病率.
主要方法:
- 一项描述性研究,涉及138名在纳瓦霍国家或附近居住的3至5岁的迪内儿童.
- 利用标准化评估工具,家长报告,精神科检查,以及对认知,语言,适应性和社会情感发展的直接评估.
主要成果:
- 49%的参与者符合神经发育障碍 (NDD) 的DSM-5标准.
- 语言和语音声音障碍最为普遍;自闭症谱系障碍 (ASD) 率较高.
- 在所有儿童中都观察到抑郁的语言表现,NDD患者的得分明显较低.
结论:
- 迪内儿童患上临床显著的发育迟缓的患病率很高,特别是在语言方面.
- 调查结果强调了针对迪内儿童进行有针对性的干预和教育策略的必要性.
- 建议进行纵向研究,以建立识别最佳实践,并探索弹性因素.
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