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Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months.

Artikel i vetenskaplig tidskrift
Författare Carmela Miniscalco
Gudrun Nygren
Bibbi Hagberg
Björn Kadesjö
Christopher Gillberg
Publicerad i Developmental Medicine and Child Neurology
Volym 48
Nummer/häfte 5
Sidor 361-366
ISSN 0012-1622
Publiceringsår 2006
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för arbetsterapi, audiologi och fysioterapi
Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 361-366
Språk en
Länkar dx.doi.org/10.1017/S001216220600078...
Ämnesord Age Factors, Attention Deficit Disorder with Hyperactivity, Diagnosis, Epidemiology, Autistic Disorder, diagnosis, epidemiology, Child, Cognition Disorders, diagnosis, epidemiology, Dyslexia, diagnosis, epidemiology, Feasibility Studies, Female, Follow-Up Studies, Humans, Language Disorders, diagnosis, epidemiology, Language Tests, Learning Disorders, Diagnosis, Epidemiology, Male, Mass Screening, Methods, Motor Skills Disorders, diagnosis, epidemiology, Neuropsychological Tests, Prospective Studies, Severity of Illness Index
Ämneskategorier Barn- och ungdomspsykiatri

Sammanfattning

We present a prospective study at school age of neuropsychiatric and neurodevelopmental outcome of language delay suspected at child health screening around 30 months of age. In a community sample, 25 children (21 males, 4 females) screening positive and 80 children (38 males, 42 females) screening negative for speech and language problems at age 30 months were examined in detail for language disorders at age 6 years. The screen-positive children were then followed for another year and underwent in-depth neuropsychiatric examination by assessors blind to the results of previous testing. Detailed follow-up results at age 7 years were available for 21 children. Thirteen of these 21 children (62%) had a major neuropsychiatric diagnosis (autism, atypical autism, Asperger's syndrome, attention-deficit-hyperactivity disorder [ADHD]), or combinations of these. Two further children (10%) had borderline IQ with no other major diagnosis. We conclude that children in the general population who screen positive for speech and language problems before age 3 years appear to be at very high risk of autism spectrum disorders or ADHD, or both, at 7 years of age. Remaining language problems at age 6 years strongly predict the presence of neuropsychiatric or neurodevelopmental disorders at age 7 years.

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