Parent Report

父报告
  • 文章类型: Journal Article
    目的:准确评估幼儿的认知发展是发展评估的重要组成部分。直接评估发展技能并不总是可行的,但是关于直接评估和照顾者报告的认知技能之间的一致性的信息有限.与广泛使用的发育测量相比,关于父母报告的发育概况4(DP-4)的准确性的信息有限。贝利婴儿和幼儿发展量表,第四版(Bayley-4)。本研究的目的是评估标准化的父母访谈是否可以有效地识别有认知发育迟缓风险的儿童。
    方法:我们比较了Bayley-4认知和发育概况4(DP-4)在幼儿中的早期发育迟缓进行亲自评估之间的一致性。182名儿童(134名自闭症诊断),年龄6-42个月,完成了两项评估。
    结果:结果显示,Bayley-4认知评分与DP4认知评分具有中等强度的相关性(r=0.70,p<0.001)。DP-4认知上70或69的临界值被确定为基于整体发育延迟或Bayley-4认知的诊断来识别发育延迟的理想选择。
    结论:我们的分析揭示了DP-4和Bayley-4认知评分之间的良好一致性,即使在控制了诸如ASD特征程度之类的混杂变量之后,年龄,和性爱。这些结果表明,照顾者报告措施可以成为评估幼儿的有效和有用的工具,特别是当直接发展评估是不可行的。
    OBJECTIVE: Accurate assessment of cognitive development of young children is a vital component of developmental evaluations. Direct assessment of developmental skills is not always feasible, but there is limited information on the agreement between direct assessment and caregiver-reported cognitive skills. There is limited information regarding the accuracy of the parent-reported Developmental Profile 4 (DP-4) in comparison to the widely-used developmental measure, the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4). The purpose of the current study was to evaluate whether a standardized parent interview can effectively identify children at risk for cognitive developmental delays.
    METHODS: We compared the agreement between the Bayley-4 Cognitive and the Developmental Profile 4 (DP-4) in young children being evaluated in-person for early developmental delays. 182 children (134 with an autism diagnosis), ages 6-42 months, completed both assessments.
    RESULTS: Results showed that Bayley-4 Cognitive scores had a moderately strong correlation with DP4-Cognitive scores (r = 0.70, p < 0.001). A cutoff of 70 or 69 on the DP-4 Cognitive was determined as ideal for identifying developmental delay based on diagnosis of global developmental delay or the Bayley-4 Cognitive.
    CONCLUSIONS: Our analyses revealed good agreement between DP-4 and Bayley-4 Cognitive scores, even after controlling for confounding variables such as degree of ASD characteristics, age, and sex. These results suggest that caregiver-report measures can be a valid and useful tool in the assessment of young children, particularly when direct developmental assessment is not feasible.
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  • 文章类型: Journal Article
    许多儿童接触一种以上的语言。评估单语儿童早期词汇发展的一种行之有效的方法是家长报告;然而,它在双语/多语言环境中的使用不太成熟,并带来独特的挑战。在这篇方法论范围审查中,我们使用双语/多语言儿童的家长报告(1980年1月至2022年3月)回顾了早期词汇发展的研究.共筛选576篇,产生101项研究进行分析。在过去的二十年中,关于双语/多语言词汇的研究数量有所增加;然而,世界语言的代表性仍然很少。大多数研究评估了双语/多语种儿童在每种语言中的词汇,并使用了适应语言和文化特征的工具。然而,该领域可以受益于关于双/多语种定义的标准化报告做法,记者的选择,和工具开发,迫切需要开发的研究,验证,以及专门针对双语/多语言案例的规范家长报告工具。
    A large number of children are exposed to more than one language. One well-established method of assessing early vocabulary development in monolingual children is parent report; however, its use in bilingual/multilingual contexts is less established and brings unique challenges. In this methodological scoping review, we reviewed studies of early vocabulary development using parent report with bilingual/multilingual children (January 1980-March 2022). A total of 576 articles were screened, yielding 101 studies for analysis. The number of studies on bilingual/multilingual vocabulary has grown in the last two decades; yet representation of the world\'s languages remains sparse. The majority of studies assessed bilingual/multilingual children\'s vocabulary in each language and used instruments adapted for linguistic and cultural characteristics. However, the field could benefit from standardized reporting practices regarding definitions of bi/multilingualism, selection of reporters, and tool development and is in critical need of studies that develop, validate, and norm parent report instruments specifically for the bilingual/multilingual case.
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  • 文章类型: Journal Article
    目的:睡眠呼吸障碍(SDB)在儿童少数民族人群中普遍存在且未得到充分认可。对SDB的识别通常是由护理人员报告的打鼾的症状触发的。然而,护理人员报告的有效性和实用性可能因人群而异.我们的目标是评估低收入城市社区中护理人员报告的打鼾与客观记录的打鼾之间的关联,并探索与客观和主观打鼾之间的一致性相关的因素。
    方法:169名6至12岁的参与者使用WatchPAT设备进行了家庭睡眠研究,作为青年睡眠环境评估(EASY)队列研究的一部分。主观打鼾的差异,客观打鼾,并根据社会经济和临床特征评估主观和客观打鼾之间的一致性。
    结果:样本中有很高比例的非白人(78.9%)和低收入(39.6%)儿童。看护者报告20.7%的儿童打鼾,客观地测量了21.9%的打鼾。在那些有客观打鼾的人中,仅29.7%的患者被看护者报告确定为打鼾者(敏感性:0.30;特异性:0.82).主要西班牙语和同睡与护理人员报告的打鼾增加有关,过敏与客观打鼾增加有关。年龄较大的儿童和正常范围的BMI百分位数与照顾者和客观打鼾之间的较高一致性相关。
    结论:在以社区为基础的人群中,主要是少数民族样本,护理人员报告的打鼾导致对客观评估的打鼾的患病率估计不足.在临床实践中,依靠照顾者报告可能很难识别打鼾或SDB儿童。
    OBJECTIVE: Sleep Disordered Breathing (SDB) is both prevalent and under-recognized in pediatric minority populations. Recognition of SDB is often triggered by symptoms of caregiver-reported snoring. However, the validity and utility of caregiver reports likely vary across populations. Our objective is to assess the association between caregiver-reported snoring and objectively recorded snoring in a low-income urban community and explore factors associated with agreement between objective and subjective snoring.
    METHODS: 169 6 to 12 year old participants underwent at-home sleep studies with a WatchPAT device as part of the Environmental Assessment of Sleep in Youth (EASY) cohort study. Differences in subjective snoring, objective snoring, and concordance between subjective and objective snoring based on socioeconomic and clinical characteristics were assessed.
    RESULTS: The sample had a high proportion of non-white (78.9 %) and low income (39.6 %) children. Caregivers reported snoring for 20.7 % of the children and snoring was measured objectively for 21.9 %. Of those with objective snoring, only 29.7 % were identified as snorers by caregiver report (sensitivity: 0.30; specificity: 0.82). Primary Spanish language and co-sleeping were associated with increased caregiver reported snoring, and allergy was associated with increased objective snoring. Older child age and normal range BMI percentile were associated with higher concordance between caregiver and objective snoring.
    CONCLUSIONS: Among a community-based, predominantly minority sample, caregiver-reported snoring resulted in under-estimation of prevalence of objectively assessed snoring. Reliance on caregiver report may poorly identify children with snoring or SDB in clinical practice.
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  • 文章类型: Journal Article
    背景:国际和当地的言语流行率之间存在很大差异,新西兰儿童的语言和交流需求(SLCN)。沟通障碍的报告很可能被低估了。患病率数据可以描述人口特征,并告知服务的范围和性质,以充分满足需求。父母和其他照顾者是早期识别有沟通需求的孩子的核心,但他们可能不认识到孩子的需求或对他们的担忧采取行动。
    方法:在24、54和72个月大的新西兰(GUiNZ)纵向研究队列中提供了横断面数据,76%的whānau(家庭;n=5241)完成了三个数据波。描述性和卡方分析用于解决:(1)儿童在生命的头5年中的沟通能力是什么?(2)新西兰父母对孩子的沟通有什么理解?(3)新西兰父母是否有顾虑?(4)父母对孩子在生命的头6年中的沟通的关注轨迹是什么?
    结果:在24个月大,16%的儿童具有父母关心的沟通技巧。54个月时,12.6%的儿童受到关注。虽然大多数父母能够描述他们孩子的表达能力,当他们的孩子表现出不符合发展期望的沟通技巧时,许多父母仍然不关心。
    结论:父母可以提供关于孩子的宝贵见解,但在许多情况下,他们对SLCN的关注程度并不符合专业观点,这反映了对儿童言语和语言的更细致的理解,以及对未来沟通技巧和需求的影响。通过公共卫生信息特别是关于沟通挑战的终身影响的提高认识将有助于预防,早期发现和干预。
    结论:在这个问题上已经知道的是,父母对儿童言语和语言发展的期望将告知他们对孩子的困难的反应。父母适当的关心是识别有言语的孩子的关键,语言和沟通需要需要推荐给专业人士。本文对现有知识的补充父母意识到孩子获得的表达语言技能,可以准确地识别孩子的技能,但对获得年龄的了解较少。有些家长并不关心,尽管有公认的困难,但不要寻求支持,并对沟通需求未得到满足的儿童的未来后果表现出有限的理解。这项工作的潜在或实际临床意义是什么?公共卫生信息应包括语音和语言习得的技能和年龄范围。此外,教育公众演讲的影响,语言和沟通技巧对儿童的未来是必要的。
    BACKGROUND: There is a substantial discrepancy between international and local prevalence rates for speech, language and communication needs (SLCN) amongst children in New Zealand. Reports of communication impairment are likely to be underestimates. Prevalence data can describe population characteristics and inform the scope and nature of services to adequately meet demand. Parents and other caregivers are central to the early identification of children with communication needs but they may not recognise their child\'s needs or act on their concerns.
    METHODS: Cross-sectional data were available for the Growing Up in New Zealand (GUiNZ) longitudinal study cohort at 24, 54 and 72 months of age, with 76% of whānau (families; n = 5241) completing three data waves. Descriptive and chi-square analyses were used to address: (1) What are the communication abilities of children in the first 5 years of life? (2) What do New Zealand parents understand of their children\'s communication? (3) Do New Zealand parents have concerns? (4) What are the trajectories of parental concern for children\'s communication in the first 6 years of life?
    RESULTS: At 24 months old, 16% of children had communication skills that were of concern to their parents. At 54 months, there were concerns for 12.6% of children. Although most parents were able to describe their child\'s expressive abilities, many parents remained unconcerned when their child demonstrated communication skills that did not met developmental expectations.
    CONCLUSIONS: Parents can offer valuable insights about their children, but in many cases their level of concern about SLCN did not align with a professional view which reflects a more nuanced understanding of children\'s speech and language and the impact on future communication skills and needs. Increased awareness through public health messaging specifically regarding lifelong influences of communication challenges will aid in prevention, early detection and intervention.
    CONCLUSIONS: What is already known on this subject Parent\'s expectations of child speech and language development will inform how responsive they are to difficulties in their child. Appropriate parental concern is key to recognition of children with speech, language and communication needs that warrant referral to a professional. What this paper adds to existing knowledge Parents are aware of expressive language skills that children acquire and can accurately identify their children\'s skills but have less knowledge of the ages of acquisition. Some parents are not concerned, do not seek support despite recognisable difficulties, and demonstrate limited understanding of the future consequences for children with communication needs that are unmet. What are the potential or actual clinical implications of this work? Public health messaging should include both skills and age ranges for speech and language acquisition. Additionally, educating the public of the impact of speech, language and communication skills on children\'s futures is needed.
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  • 文章类型: Journal Article
    Early childhood executive functioning (EF) predicts later adjustment and academic achievement. However, measuring EF consistently and efficiently across settings in early childhood can be challenging. Most researchers use task-based measures of EF, but these methods present practical challenges that impede implementation in some settings. The current study of 380 3-5-year-old children in the United States evaluated the psychometric properties of a new 14-item parent-reported measure of EF in a diverse urban school district. This questionnaire aimed to capture a normative range of EF skills in ecologically valid contexts. There was evidence for two specific subscales - one that measures children\'s EF challenges and another that measures children\'s EF skills. Results suggested that several items demonstrated differential item functioning by age and race. After adjusting for measurement differences across demographic groups and controlling for age at screening, the EF challenges subscale was more strongly related to task-based measures of EF than was the EF skills subscale. EF challenges predicted third-grade math achievement, controlling for demographic variables and a performance-based measure of children\'s early cognitive and academic skills. Results suggest that this parent report of EF could be a useful and effective early childhood screening tool.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fpsyg.2023.1170303。].
    [This corrects the article DOI: 10.3389/fpsyg.2023.1170303.].
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  • 文章类型: Published Erratum
    [这修正了文章DOI:10.3389/fpsyg.2023.1169775。].
    [This corrects the article DOI: 10.3389/fpsyg.2023.1169775.].
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  • 文章类型: Journal Article
    在墨西哥和拉丁美洲的大多数地区,学龄前人口中食物过敏的程度和相关性仍然未知。因此,我们的目的是估计墨西哥学龄前人群中父母报告的食物过敏患病率,并描述其临床诊断和表现.在库利亚肯市进行了横断面调查。使用了经过验证的问卷。共有810名家长对问卷进行了回复(有效回复率,40.7%)。估计的患病率(95%CI)是:“医生诊断的食物过敏(FA),曾经5.30%(3.86-7.08);“立即型FA,曾经2.96%(1.91-4.38);“立即型FA,目前的“1.60%(0.86-2.73);和食物依赖性过敏反应1.11%(0.51-2.01)。主要食物过敏原为牛奶(0.49%),草莓(0.37%),鸡蛋,和大豆(每个0.25%)。特应性疾病和家族过敏史与直接型FA显着相关。在“立即型FA”中,当前的“案例”,76.9%需要急诊室就诊,但仅有一例报道了肾上腺素自动注射器的处方。食物反应发生在家里(92.35%),在亲戚的房子里(38.5),和餐馆(23%)。在研究人群中,需要急诊室就诊的即时FA反应并不少见。应鼓励采取适当的过敏反应管理和防止食品交叉污染等行动。
    The magnitude and relevance of food allergies in the preschool population remain unknown in most regions of Mexico and Latin America. Thus, our aim was to estimate the parent-reported prevalence of food allergies in a Mexican preschool population and to characterize their clinical diagnosis and presentation. A cross-sectional survey was conducted in Culiacán City. A validated questionnaire was utilized. A total of 810 parents responded to the questionnaire (valid response rate, 40.7%). The estimated prevalence rates (95% CI) were: \"physician-diagnosed Food Allergy (FA), ever\" 5.30% (3.86-7.08); \"immediate-type FA, ever\" 2.96% (1.91-4.38); \"immediate-type FA, current\" 1.60% (0.86-2.73); and food-dependent anaphylaxis 1.11% (0.51-2.01). The main food allergens were milk (0.49%), strawberries (0.37%), egg, and soy (0.25% each). Atopic diseases and a family history of allergies were significantly associated with immediate-type FA. Among \"immediate-type FA, current\" cases, 76.9% required emergency room visits, but the prescription of epinephrine autoinjectors was reported in one case only. The food reactions occurred at home (92.35%), in a relative\'s house (38.5), and at restaurants (23%). Immediate-type FA reactions requiring emergency room visits are not uncommon among the studied population. Actions like proper anaphylaxis management and the prevention of cross-contamination of foods should be encouraged.
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  • 文章类型: Journal Article
    历史上,双语被认为是发育性口吃的危险因素。幼儿纵向研究,2010-11幼儿园班级(ECLS-K:2011)表面上包含测试该主张的证据。
    我们分析了ECLS-K:2011年幼儿园至五年级的单语和双语儿童的数据。
    患病率,男性/女性比例,ECLS中报告的口吃的发作和恢复与广泛接受的口吃临床报告不一致。我们认为报告的数字可能具有误导性。我们讨论了一些可能导致报告的患病率上升的因素,包括缺乏对口吃与口吃之间的区别的认识正常的不流畅,以及教师和家长对“口吃”一词的非正式用法来描述典型的不流畅。
    UNASSIGNED: Bilingualism has historically been claimed to be a risk factor for developmental stuttering. The Early Childhood Longitudinal Study, Kindergarten Class of 2010-11 (ECLS-K:2011) ostensibly contains evidence to test that claim.
    UNASSIGNED: We analyze data from monolingual and bilingual children in Kindergarten through fifth grade in the ECLS-K:2011.
    UNASSIGNED: The prevalence, male/female ratio, and onset and recovery of reported stuttering in the ECLS are inconsistent with widely-accepted clinical reports of stuttering. We argue that the reported figures may be misleading. We discuss some factors that may inflate the reported prevalence, including a lack of awareness of the difference between stuttering vs. normal disfluencies, and the informal usage of the word \"stuttering\" on the part of teachers and parents to describe typical disfluencies.
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  • 文章类型: Journal Article
    为了调查ICD-11和DSM-5AMPD的人格障碍(PD)严重程度概念(标准A)是否适用于儿童和青少年,遵循ICD-11对精神障碍的生命周期观点,需要针对特定年龄和信息适应的评估工具。开发了LoPF-Q6-18PR(人格功能水平问卷父母评分),以评估父母报告形式的6-18岁儿童的人格功能受损(IPF)。它基于已建立的自我报告问卷LoPF-Q12-18。在包含599名受试者的德语临床和学校样本中研究了心理测量特性。LoPF-Q6-18PR的最终36项版本显示出良好的量表可靠性,总量表IPF为0.96,领域量表为0.90-0.87。自我指导,移情,和亲密关系/附件以及可接受的模型在CFI=0.936,RMSEA=0.078和SRMR=0.068的分层CFA中拟合。总分在学校人口与(a)青少年PD患者(d=2.7个标准差)和(b)具有内在化和外在化障碍的年轻患者(6-11岁)之间存在显着差异,并且效果较大(d=2.2个标准差)。家长和自我报告之间的告密者协议良好,为0.47。可以假设良好的结构效度与相关的心理病理学指标(CBCL4-18,STiP-5.1,OPD-CA2-SQPR)和适应不良特征(PID5BFMCAIRF)符合理论并匹配在自我报告中的较早样本中获得的结果模式。结果表明,父母报告的IPF和适应不良特征评估相当于标准A和B的自我报告措施。早在六岁时评估IPF可能是促进早期发现PD的有价值的步骤,或者适应不良的人格发展,分别有风险的个人。
    To investigate if the Personality Disorder (PD) severity concept (Criterion A) of the ICD-11 and DSM-5 AMPD is applicable to children and adolescents, following the ICD-11 lifespan perspective of mental disorders, age-specific and informant-adapted assessment tools are needed. The LoPF-Q 6-18 PR (Levels of Personality Functioning Questionnaire Parent Rating) was developed to assess Impaired Personality Functioning (IPF) in children aged 6-18 in parent-reported form. It is based on the established self-report questionnaire LoPF-Q 12-18. Psychometric properties were investigated in a German-speaking clinical and school sample containing 599 subjects. The final 36-item version of LoPF-Q 6-18 PR showed good scale reliabilities with 0.96 for the total scale IPF and 0.90-0.87 for the domain scales Identity, Self-direction, Empathy, and Intimacy/Attachment and an acceptable model fit in a hierarchical CFA with CFI = 0.936, RMSEA = 0.078, and SRMR = 0.068. The total score discriminated significantly and with large effect sizes between the school population and (a) adolescent PD patients (d = 2.7 standard deviations) and (b) the younger patients (6-11-year-olds) with internalizing and externalizing disorders (d = 2.2 standard deviations). Informant agreement between parent and self-report was good at 0.47. Good construct validity can be assumed given sound covariation with related measures of psychopathology (CBCL 4-18, STiP-5.1, OPD-CA2-SQ PR) and maladaptive traits (PID5BF+ M CA IRF) in line with theory and matching the result patterns obtained in older samples in self-report. The results suggest that parent-reported assessments of IPF and maladaptive traits are equivalent to self-reported measures for Criterion A and B. Assessing IPF as early as age six might be a valuable step to foster early detection of PD, or maladaptive personality development, respectively individuals at risk.
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