在发育迟缓的儿童中,在3岁之前的认知能力和至少1年后的认知能力之间的关联
Kwangohk Jun1, Donghwi Park2, Hyoshin Eo1
1Department of Physical Medicine and Rehabilitation, Daegu Fatima Hospital, Daegu, Korea.
Neuropediatrics
|June 19, 2024
概括
早期的认知评估预测了发育迟缓 (DD) 和脑 (CP) 的儿童的后期发展,但不是自闭症谱系障碍 (ASD). 在DD和CP群体中,语言和认知技能有很强的相关性,强调早期干预.
科学领域:
- 发育儿科 发育儿科
- 神经发育障碍 神经发育障碍
- 儿童心理学 儿童心理学
背景情况:
- 早期认知评估对于了解儿童的发育轨迹至关重要.
- 发育迟缓 (DD),脑 (CP) 和自闭症谱系障碍 (ASD) 在认知和语言发展方面存在独特的挑战.
- 在这些不同的神经发育状况中,早期评估的预测有效性需要研究.
研究的目的:
- 确定早期认知评估是否预测DD,CP和ASD儿童的以后认知发展.
- 检查这些诊断群体的认知和语言发展之间的相关性.
- 根据预测性评估结果,为早期干预策略提供信息.
主要方法:
- 在2015-2023年间对95名被诊断患有DD,CP或ASD的儿童进行了回顾性分析.
- 认知评估使用韩国贝利婴幼儿发展尺度第二版 (K-BSID-II) 和韩国Wechsler学前小学智力尺度第四版 (K-WPPSI-IV).
- 通过婴儿语言测序尺度 (SELSI) 和学前感受表达语言尺度 (PRES) 进行语言发展评估;进行了相关性分析.
主要成果:
- 在DD和CP组的早期 (K-BSID-II) 和晚期 (K-WPPSI-IV) 认知得分之间发现了显著的相关性,但不是ASD.
- 在DD和CP组中观察到早期语言评估 (SELSI和PRES) 之间的强烈相关性,但在ASD组中没有.
- 早期的认知评估有效地预测了DD和CP的儿童以后的认知发展.
结论:
- 早期的认知评估是DD和CP儿童以后认知发展的可靠预测指标.
- 在DD和CP的儿童中,语言和认知发展之间存在显著的联系,这强调了综合早期干预的必要性.
- 研究结果表明,自闭症儿童的发展途径不同,因此需要对这一群体的预测标志物进行进一步的研究.
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