Background

Language problems at an early age in very preterm (VP) children can have a detrimental effect on other developmental domains and often persist throughout childhood. The aim of this study was to examine the concurrent and predictive validity of an early language parent-report questionnaire for language disorder in VP children from 2 to 10 years of age.

Materials and methods

In 80 VP children (<32 weeks’ gestation) without major disabilities, a parent-questionnaire and formal language assessment, both normed for the general population, were administered at 2 years corrected age (CA). Of these infants, 62 were seen for follow-up formal language assessment at age 4 and 61 were seen at age 10. Sensitivity and specificity values were calculated.

Results

The Lexi-list showed acceptable concurrent validity for word production scores obtained at age 2 CA. The predictive validity was good for sentence production and acceptable for word production scores obtained at age 4, and low for language production scores obtained at age 10. A Lexi-list cut-off score of <85 (i.e., <-1 SD) was found optimal.

Interpretation

A norm-referenced parent-report questionnaire is a useful, first screening tool in a neonatal follow-up. It not only detected early language disorder at age 2 CA but also proved to be a good predictor for language disorder at age 4. However, it did not predict language disorder at age 10. Formal language assessment at age 4 would therefore be recommended for children with an abnormal parent-report language score at age 2 CA.

中文翻译：

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针对 2 至 10 岁极早产儿语言障碍的早期家长报告问卷的有效性

背景

极早产儿 (VP) 的早期语言问题会对其他发育领域产生不利影响，并且通常会持续整个童年时期。本研究的目的是检查针对 2 至 10 岁 VP 儿童语言障碍的早期语言父母报告问卷的并发和预测有效性。

材料和方法

在 80 名没有严重残疾的 VP 儿童（<32 周妊娠）中，在 2 岁矫正年龄 (CA) 时进行了父母问卷和正式语言评估，两者均适用于一般人群。在这些婴儿中，62 名在 4 岁时接受了后续正式语言评估，61 名在 10 岁时接受了随访。计算了敏感性和特异性值。

结果

Lexi-list 显示出在 CA 2 岁时获得的单词生成分数可接受的并发有效性。预测效度对句子生成良好，4 岁时获得的单词生成分数可以接受，10 岁时获得的语言生成分数较低。 Lexi-list 截止分数 <85（即 <-1 SD）是发现最优。

解释

以规范为参考的父母报告问卷是新生儿随访中有用的第一筛查工具。它不仅在 CA 2 岁时检测到早期语言障碍，而且被证明是 4 岁时语言障碍的良好预测指标。然而，它并没有预测 10 岁时的语言障碍。因此，建议在 4 岁时对儿童进行正式的语言评估在 2 岁 CA 时父母报告语言分数异常。