在新规范发布后,高风险人群的贝利评估得分修订
Desiree Starzyk1, Jacob B W Holzman1,2, Kelly Wolfe3
1Department of Psychiatry, University of Colorado Anschutz, Aurora, CO.
Journal of developmental and behavioral pediatrics : JDBP
|February 19, 2026
概括
更新的贝利婴儿和幼儿发展尺度,第四版 (贝利-4) 规范导致医疗复杂的儿童的得分转移. 由于未预期的变化,建议重新评估2019-2023年期间收集的得分.
科学领域:
- 发展心理学 发展心理学
- 儿科神经发育 儿童神经发育
- 心理测量 心理测量 心理测量
背景情况:
- 婴幼儿发展的贝利尺度,第四版 (Bayley-4) 是评估早期发展的关键工具.
- 在2023年发布的最新规范性数据引发了对得分与先前评估一致性的担忧.
研究的目的:
- 为了研究医疗复杂儿童的得分差异,使用原始 (2019) 与修订 (2023) 的贝利-4规范.
- 根据最新的规范性数据,确定发展性解释是否发生变化.
主要方法:
- 在2023年标准更新之前评估的61名儿童的贝利-4分数的分析.
- 综合分数 (认知,语言,运动) 的比较,使用配对样本 t 测试和分类变化频率分析.
主要成果:
- 语言分数显示了统计学上显著的增加 (p <0.01) 经过修订的规范.
- 运动和认知评分没有显著差异 (p > 0.05).
- 一个分数重新分类的例子发生在运动领域.
结论:
- 虽然许多分数差异很小,但观察到一些意想不到的变化,包括分数下降和分类转移.
- 使用2019-2023年Bayley-4数据的临床医生和研究人员应考虑规范更新的影响,并重新评估得分.
- 平均语言成绩的显著差异需要注意.
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