Background

Screening guidelines recommend listening closely to parent concerns to aid in the identification of children with disabilities, since parent concerns may be predictive of an eventual child diagnosis.

Methods

We performed a secondary analysis to examine the extent to which specific parent concerns differentiated six diagnostic categories (i.e., ASD, ASD + ADHD, Disruptive Impulse-Control and Conduct Disorder, developmental delays, and speech and language disorders) among 503 children 36−72 months of age. Data was drawn for a large diagnostic center in the Midwest.

Results

We performed multinomial logistic regression with parent concerns differentiating six diagnostic categories. Results indicated that parent concerns preceding a diagnostic evaluation significantly differ among children with various diagnoses.

Conclusion

Parent concerns often aligned with core diagnostic criteria; regardless of a parent’s knowledge of diagnostic criteria, their observations of child behavior are exceptionally insightful.

中文翻译：

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家长关注的问题：区分幼儿的发育诊断。

背景

筛查指南建议仔细听父母的关心，以帮助识别残疾儿童，因为父母的关心可能预示着最终的儿童诊断。

方法

我们进行了二次分析，以检查特定的父母关注程度在503名36-72岁儿童中区分出六个诊断类别（即ASD，ASD + ADHD，破坏性冲动控制和行为障碍，发育迟缓以及言语和语言障碍）的程度月龄。数据是为中西部一个大型诊断中心绘制的。

结果

我们对父母的关注点进行了多项Logistic回归分析，以区分六个诊断类别。结果表明，在进行各种诊断的儿童中，诊断评估之前父母的关注程度显着不同。

结论

家长关注的问题通常与核心诊断标准保持一致；不管父母对诊断标准的了解如何，他们对孩子行为的观察都非常有见地。