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Conclusions
Implications
Abbreviations
ASQ: Ages & Stages Questionnaires(年龄与发育阶段问卷) CI: Confidence Interval(可信区间) EDEN: Etude des Determinants Pre-et Post-natals du Developpement de l’Enfant(伊甸园队列) IQR: Interquartile Range(四分位数间距) ROC: Receiver Operating Characteristic(受试者/接受者工作特征)
4. Previous evidence from a population of children born preterm showed that the 36-month ASQ predicted school difficulties at age 5.
5.There is a gap in knowledge about the predictive value of early ASQ scores for later cognitive functioning, such as IQ, in the general pediatric population.
PEDIATRICS Volume 139, number 4 , April 2017
IF:6.476
Yao xing,2017-11-07
Contens
Background
Objectives
Methods Results Discussion Strengths and limitations
1.Measures of child development
2.2 IQ With the Wechsler Preschool and Primary Scale of Intelligence–Third Edition at Age 5 to 6 Years When the child was 5 to 6 years old, cognitive assessment was performed by trained psychologists.
任何调查都存在抽样误差在已有数据中选取部分作为研究对象时可以将研究对象和韦纳入研究的对象进行比较为结果的解释提供部分依据
Ages and Stages Questionnaire at 3 Years for Predicting IQ at 5–6 Years
幼儿3岁时的发育情况(年龄和发育阶段问卷结果)能预测其5-6岁时的IQ
EDEN: Etude des Determinants Pre-et Post-natals du Developpement de l’Enfant
The EDEN mother–child cohort study aims to examine prenatal and postnatal determinants of child development, growth, and health. Participants were recruited between 2003 and 2006 among pregnant women followed in Poitiers and Nancy university maternities. Exclusion criteria were multiple pregnancies ( 多 胎妊 娠), a known history of diabetes, non–French speakers or readers, or plans to move out of the study region in the next 3 years.
2. Parental report instruments are designed to be used in primary care for firstline clinical screening of infant and preschool child development. 3. The Ages & Stages Questionnaires (ASQ) are the most commonly used questionnaires to identify young children at risk for developmental delay.
3.Statistical analysis
1. Children included in the current analysis were first compared with the other children in the EDEN cohort who were not included. 2. Results for the 36-month ASQ score and the 5- to 6-year WPPSI-III evaluation were described as means ± SDs and median with interquartile ranges (IQRs).
Methods
1.Measures of child development
2.1 36-Month ASQ Score (French Second Edition) Parents answer 6 questions in each of 5 domains of development: communication ( 沟 通 ) , gross motor (粗大动作) , fine motor (精细动作) , problem-solving skills(解决问题能力), and adaptive skills(适应能力). US norms are available for each domain, domain screened <2 SDs below the considered a positive screening. This study sum or the 5 domain scores, producing between 0 and 300. and any mean is used the a score
Objectives
1. To investigate the predictive value of the 36-month ASQ score for IQ at age 5 to 6 years in a large population-based cohort study. 2. To search for other child, maternal, and familyrelated factors associated with low IQ once the 36month ASQ score is taken into account and to determine whether such factors could interact in the relationship between the 36-month ASQ score and later IQ.
5. Statistical analyses were performed in SAS software version 9.3.
Results
① ASQ scores were determined at a mean age of 37.3 ± 0.8 months.
The mean 36-month ASQ score was 270 ± 30,with a median of 280 (IQR 260–290).
When the children were 3 years old, mothers filled out a questionnaire reporting sociodemographic status for the family and specific data on current maternal health, together with the ASQ.
Background
1. The identification of young children at risk for later suboptimal development is key to the design and implementation of early preventive or interventional strategies.
SDQ: Strengths and Difficulties Questionnaire(长处与困难问卷)
WPPSI-III: Wechsler Preschool and Primary Scale of Intelligence– Third Edition(韦氏学龄前儿童智力量表,第3版)
3. The receiver operating characteristic (ROC) curve linking low IQ (<85) and ASQ score was used to determine the optimal cutoff value for the ASQ score. 4. A 3-step analysis was then conducted with logistic regression.
The WPPSI-III includes 7 subtests used to compute a verbal IQ, a performance IQ, and a full-scale IQ. IQ was considered low if it was <85.
1.Measures of child development
② IQ was measured at a mean age of 67.2 ± 1.8 months. The
Mean IQ was 103 ± 13, and 69 children (7.3%) had an IQ <85.
When the children were 5 to 6 years old, a cognitive assessment was conducted by trained psychologists.
2.Factors included in the analysis
1. Child’s characteristics: gender; whether the child was a firstborn child; behavioral problems at age 3, rated via the Strengths and Difficulties Questionnaire (SDQ), and whether the child had started preschool at age 3. 2. Maternal characteristics: maternal educational level, occupation, and depressive symptoms assessed with the Center for Epidemiologic Studies–Depression scale. 3. Family characteristics: parents’ occupation and financial difficulties reported by the parents when the child was 3.