儿童发展的通用尺度预测了早期的有限智力功能
P van Dommelen1, E Dusseldorp2, M M Boere-Boonekamp3
1Department of Child Health, The Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands.
Acta paediatrica (Oslo, Norway : 1992)
|September 8, 2025
概括
早期儿童发展得分显著预测有限的智力功能. D-分数,一个普遍的儿童发展分数,是识别需要支持的儿童的强大工具.
科学领域:
- 儿童发展 儿童发展
- 发展心理学是发展心理学.
- 儿科医疗保健服务 儿科医疗保健服务
背景情况:
- 早期识别有限的智力功能对于及时干预和支持至关重要.
- 新生儿和父母因素是知识发育的已知预测因素.
- 一个通用的发育评估工具可以提高早期识别的准确性.
研究的目的:
- 评估12个月,24个月和36个月的D分数 (发育分数) 的预测能力,以确定有限的智力功能.
- 为了确定D-分数是否能改善超越新生儿和父母特征的预测.
- 评估D分数在预测不同程度智力运作的有用性.
主要方法:
- 采用病例控制研究设计,利用发展里程碑和来自荷兰儿童医疗机构的健康记录.
- 从沟通和所有发展里程碑计算D-分数,然后转换为z-分数 (DAZ).
- 用曲线下的面积 (AUC) 来评估不同智商范围的预测准确性.
主要成果:
- 新生儿和父母的特征预测智商为50-69,AUC为0.75.
- 添加DAZ通信分数将AUC提高到0.89;包括所有DAZ里程碑将其提高到0.94.
- 预测智商为70-85,AUC从0.67增加到0.79,包括DAZ得分.
结论:
- 早期儿童发育,特别是D分,显著预测了有限的智力功能.
- 可以从多种仪器获得的D分数是临床实践中强有力的预测工具.
- 整合D分数评估有助于提前识别智力功能限制.
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