title: The prevalence of at-risk development in children 30 to 60 months old presenting with disruptive behaviors.
abstract: OBJECTIVE
  This study assessed the prevalence of failed developmental screens in 30- to 60-month-old children who presented with a behavioral complaint of disruptive behavior to a referral clinic.
  
  
  METHODS
  A retrospective chart review was performed in a specialty behavioral pediatric clinic. Outcome measures were obtained from children referred to the clinic with parental concern of disruptive behavior.
  
  
  RESULTS
  Out of 151 patients, 66% (99/151) had been screened for developmental delays with a formal screening instrument. Of these, 71% (70/99) failed developmental screening in one or more domains.
  
  
  CONCLUSIONS
  Preschoolers referred to a behavioral clinic for parental concerns of disruptive behaviors were more than 4 times more likely to be at risk for developmental delays than the general population, with a majority of suspected delays in communication and problem-solving domains. This finding suggests that developmental screening should be a part of the initial workup for children with disruptive behaviors.
authors.affiliation: 1Indiana University School of Medicine, Indianapolis, USA.
authors.forename: Dorota
authors.initials: D
authors.lastname: Szczepaniak
authors.forename: Megan S
authors.initials: MS
authors.lastname: McHenry
authors.forename: Kavitha
authors.initials: K
authors.lastname: Nutakki
authors.forename: Nerissa S
authors.initials: NS
authors.lastname: Bauer
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Downs
mesh_terms: D019958:Attention Deficit and Disruptive Behavior Disorders / Q000150:complications*; D002675:Child, Preschool; D003147:Communication Disorders / Q000175:diagnosis; D002658:Developmental Disabilities / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D011340:Problem Solving; D012189:Retrospective Studies
keywords: childhood; developmental delay; disruptive behaviors; screening