Pre-school screening for developmental and emotional health: Comparison with neurodevelopmental assessment.
Pre-school screening for developmental and emotional health: Comparison with neurodevelopmental assessment.
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DOI：
10.1111/jpc.13169
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发表时间：
2016-06
影响因子：
1.7
通讯作者：
Harding JE
中科院分区：
文献类型：
--
作者：
Burakevych N;McKinlay CJ;Alsweiler JM;Wouldes TA;Harding JE
比较检测和转介的发展和情绪问题的入学准备筛查计划（新西兰入学前检查，B4 SC）与全面的神经发育评估。对出生时有新生儿低血糖风险的儿童（n=274）进行的前瞻性队列研究，招募儿童参加4.5岁时神经发育结局的随访研究（CHYLD研究）。在B4 SC和CHYLD研究中比较了被确定为对发展和情感问题有重大关注的儿童，并进行了转介。父母完成的优势和困难问卷（SDQ-P）在两个评估的分数进行了比较。在平均（SD）年龄为53.3（1.8）个月时接受临床神经发育评估的274名儿童中，237名儿童进行了B4 SC发育和情绪健康筛查。其中，44名（19%）儿童符合B4 SC转诊标准，15名（6%）被转诊，但只有21名（9%）儿童符合CHYLD转诊标准，10名（4%）被转诊。12名儿童（5%）同时符合B4 SC和CHYLD转诊标准，2名儿童同时符合B4 SC和CHYLD转诊标准。当评估两次时，39名（17%）儿童改变了SDQ-P类别。未接受B4 SC筛查的儿童平均总困难评分较高（10.5 vs 8.2，P=0.009），并且比接受筛查的儿童更容易出现认知延迟（19% vs 8%，P=0.04）。更多的儿童符合转介标准的B4 SC筛查计划比一个更全面的神经发育评估。没有接受筛查的儿童比接受筛查的儿童有更高的认知和行为问题发生率。
To compare detection of and referral for developmental and emotional problems in a school readiness screening programme (New Zealand Before School Check, B4SC) with that of a comprehensive neurodevelopmental assessment. Prospective cohort study of children (n=274) born at risk of neonatal hypoglycaemia and recruited to a follow-up study of neurodevelopmental outcomes at 4.5 years (CHYLD Study). Children identified as of significant concern for developmental and emotional problems, and referrals made, were compared in the B4SC and CHYLD Study. Scores of the parent-completed Strengths and Difficulties Questionnaire (SDQ-P) used in both assessments were compared. Of 274 children who underwent clinical neurodevelopmental assessment at a mean (SD) age of 53.3 (1.8) months, 237 had the B4SC developmental and emotional health screening. Of these, 44 (19%) children met B4SC referral criteria and 15 (6%) were referred but only 21 (9%) children met CHYLD referral criteria and 10 (4%) were referred. Twelve children (5%) met both the B4SC and CHYLD referral criteria and 2 were referred by both. When assessed twice 39 (17%) children changed SDQ-P category. Children who did not have B4SC screening had higher mean total difficulties score (10.5 vs 8.2, P=0.009) and were more likely to have cognitive delay than those who were screened (19% vs 8%, P=0.04). More children met referral criteria for the B4SC screening programme than for a more comprehensive neurodevelopmental assessment. Children who did not have screening had higher incidence of cognitive and behaviour problems than those who did.