Comparison of toddlers with pervasive developmental disorders and developmental delay based on diagnosis classification: 0-3 Revised Yaygın gelişimsel bozukluk ve gelişim geriliǧi olan küçük çocukların tanı sınışaması: 0-3 Yenilenmiş basım temelinde karşılaştırılması

Bilgiç A., Uslu R., Özalp Kartal O.

Noropsikiyatri Arsivi, cilt.48, sa.3, ss.188-194, 2011 (SCI-Expanded, Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 48 Sayı: 3
  • Basım Tarihi: 2011
  • Doi Numarası: 10.4274/npa.y5922
  • Dergi Adı: Noropsikiyatri Arsivi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.188-194
  • Anahtar Kelimeler: DC:0-3, Developmental delay, Mental retardation, Pervasive developmental disorders, Toddlers
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: The present study aimed to compare children newly diagnosed as having pervasive developmental disorders (PDDs) to those with developmental delay (DD) for the sociodemographic, clinical and parental characteristics. Methods: The sample consisted of 35 PDDs and 29 DD patients aged 17-45 months. The Ankara Developmental Screening Inventory was used to assess the developmental level of the children. Multiaxial diagnostic classifications were made by using the Diagnostic Classification of Mental Health and Development Disorders in Infancy and Early Childhood: Revised Edition (DC:0-3 R). Parent-Infant Relationship Global Assessment Scale (PIR-GAS) and Emotional and Social Functioning (ESF) scores of the children were measured based on the DC:0-3 R. The Family Assessment Device (FAD) and the General Health Questionnaire-12 (GHQ-12) were administered to the parents. Results: The proportion of single parent families in the DD group was higher than in the PDDs group. According to DC:0-3 R, patients with DD had a significantly higher rate of comorbid psychiatric conditions compared to those with PDDs. No significant differences were found in the mean PIR-GAS scores between the two diagnostic groups. The mean ESF scores were significantly lower in the children with DD than in those with PDDs. Worse parent-child relationship and mothers' GHQ-12 scores correlated with negative emotional and social functioning in the DD group. Mothers' and fathers' affective responsiveness and mothers' communication ratings of the FAD scale were poor in the children with DD compared to those with PDDs. The developmental level of the children negatively correlated with mothers' GHQ-12 scores in both patient groups and with fathers' GHQ-12 scores, as well as with mothers' behavior control scores of the FAD scale in the PDDs group. Conclusion: Identication of the clinical characteristics of children with PDDs and DD using multiaxial diagnostic classifications may have important clinical implications. © Archives of Neuropsychiatry, published by Galenos Publishing.