[Value of a developmental diagnostic procedure with infants at the age of 12 months with prior perinatal disorders].
68 children after "perinatal distress" and 34 healthy children without perinatal risk factors were examined at 12 months corrected age. The developmental status was determined by "Bayley-Mental-Scale", "Bayley-Infant-Behaviour-Record" and a standardized neurological examination, quantified according to Prechtls optimality concept. Reliability and predication of these instruments has been analysed by variation of clinical criteria in the "high-risk" group and comparison with control children: After excluding children with mental and motor retardation the correlation between "Bayley-Mental-Scale" and the results of the neurological examination decreases, but increases within the control group. Considering rating-scores of the "Infant-Behaviour-Record" it could be shown that this correlation is due to a higher impact of social and interactive patterns in healthy control children. The neurological examination differentiated between children with obvious neurological impairment; in the range of more than 85% optimal conditions it is impossible to detect discrete lesions with the help of optimality-scores. Items of the "Bayley-Mental-Scale" can be related to Piagets stages of development; yet their placement according to stages of difficulty is different from that of the standardization sample.
C
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Stork
D002658:Developmental Disabilities / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D009460:Neurologic Examination; D009483:Neuropsychological Tests / Q000379:methods; D011379:Prognosis; D011596:Psychomotor Disorders / Q000175:diagnosis; D012306:Risk
Zur Aussagekraft entwicklungsdiagnostischer Verfahren bei ehemals perinatal beeinträchtigten Kindern im Alter von 12 Monaten.