Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveil...Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China.展开更多
Introduction: Constipation is the infrequent emission of hard stools. It is common, most often of functional origin, with a prevalence ranging from 0.7% to 29.6%. The aim of our study was to investigate the prevalence...Introduction: Constipation is the infrequent emission of hard stools. It is common, most often of functional origin, with a prevalence ranging from 0.7% to 29.6%. The aim of our study was to investigate the prevalence of constipation in children undergoing paediatric gastroenterology. Methodology: This was a bi-centric retrospective study carried out at the Albert Royer Children’s Hospital and the Dalal Jamm Hospital Pediatrics Department. Children followed in the pediatric gastroenterology consultation during the period from January 1, 2013 to February 29, 2020 were included. Results: A total of 337 children (205 boys;60.83%) were included, representing a prevalence of 25%. The median age was 3 years 6 months. The 13 - 24 months age group was the most frequent (27.6%). Rare stools were the main reason for consultation (92.8%). Rare stools were noted in 92.88% of cases. Bristol types 1 and 2 accounted for 6.53% and 54.60% respectively. The main associated signs were abdominal pain (29.4%), followed by abdominal bloating (20.96%). Abdominal pain was functional in 73.58% of cases. Under treatment, 90.19% of children had a favorable outcome. Conclusion: Constipation is common in Senegalese children with a prevalence close to that reported in Western countries. In most case, it is functional with good prognostic.展开更多
The Parent Health Locus of Control (PHLOC) Scales measure parents’ beliefs about the factors that affect their children’s health. The aim of our study was to develop a Japanese version of the Parent Health Locus of ...The Parent Health Locus of Control (PHLOC) Scales measure parents’ beliefs about the factors that affect their children’s health. The aim of our study was to develop a Japanese version of the Parent Health Locus of Control (JPHLOC) Scales and to verify its validity and reliability. The JPHLOC scales consist of six scales: Professional Influence, Parental Influence, Child Influence, Media Influence, Fate Influence, and God, Buddha, and the Spirits Influence. Our questionnaire was administered to 231 principal caregivers from Japan whose children were under 6 years of age. The items, related to the “God, Buddha, and the Spirits Influence” scale, showed a floor effect. The exploratory factor analysis indicated that JPHLOC’ six factors functioned similarly to the PHLOC’ factors. The Fate Influence and Child Influence factor structures in JPHLOC scales were different from the corresponding factor structures in the original PHLOC scales in the functioning of only one item. There were statistically significant correlations between JPHLOC scales and Japanese version of the Parenting Stress Index-Short Form (PSI-SF), which add evidence to the criterion-related validity of JPHLOC scales. Furthermore, applying the known-groups method, our study showed that there was a significant difference across the JPHLOC scale scores, owning to differences in the children’s and caregivers’ demographics, which provides an evidence for construct validity. The Cronbach’s alpha coefficients for the six scales were estimated between 0.73 and 0.93. In a test-retest study, the interclass correlation coefficients for the six scales were ranged between 0.80 and 0.90. The results suggested that the JPHLOC scales have sufficient reliability and validity. The JPHLOC scales are applicable to the caregivers of healthy children. We confirm that the PHLOC scales are also applicable to Japanese caregivers.展开更多
基金This study was supported by Emergency Technology Research Project of Huazhong University of Science and Technology(No.2020kfyXGYJ020).
文摘Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China.
文摘Introduction: Constipation is the infrequent emission of hard stools. It is common, most often of functional origin, with a prevalence ranging from 0.7% to 29.6%. The aim of our study was to investigate the prevalence of constipation in children undergoing paediatric gastroenterology. Methodology: This was a bi-centric retrospective study carried out at the Albert Royer Children’s Hospital and the Dalal Jamm Hospital Pediatrics Department. Children followed in the pediatric gastroenterology consultation during the period from January 1, 2013 to February 29, 2020 were included. Results: A total of 337 children (205 boys;60.83%) were included, representing a prevalence of 25%. The median age was 3 years 6 months. The 13 - 24 months age group was the most frequent (27.6%). Rare stools were the main reason for consultation (92.8%). Rare stools were noted in 92.88% of cases. Bristol types 1 and 2 accounted for 6.53% and 54.60% respectively. The main associated signs were abdominal pain (29.4%), followed by abdominal bloating (20.96%). Abdominal pain was functional in 73.58% of cases. Under treatment, 90.19% of children had a favorable outcome. Conclusion: Constipation is common in Senegalese children with a prevalence close to that reported in Western countries. In most case, it is functional with good prognostic.
文摘The Parent Health Locus of Control (PHLOC) Scales measure parents’ beliefs about the factors that affect their children’s health. The aim of our study was to develop a Japanese version of the Parent Health Locus of Control (JPHLOC) Scales and to verify its validity and reliability. The JPHLOC scales consist of six scales: Professional Influence, Parental Influence, Child Influence, Media Influence, Fate Influence, and God, Buddha, and the Spirits Influence. Our questionnaire was administered to 231 principal caregivers from Japan whose children were under 6 years of age. The items, related to the “God, Buddha, and the Spirits Influence” scale, showed a floor effect. The exploratory factor analysis indicated that JPHLOC’ six factors functioned similarly to the PHLOC’ factors. The Fate Influence and Child Influence factor structures in JPHLOC scales were different from the corresponding factor structures in the original PHLOC scales in the functioning of only one item. There were statistically significant correlations between JPHLOC scales and Japanese version of the Parenting Stress Index-Short Form (PSI-SF), which add evidence to the criterion-related validity of JPHLOC scales. Furthermore, applying the known-groups method, our study showed that there was a significant difference across the JPHLOC scale scores, owning to differences in the children’s and caregivers’ demographics, which provides an evidence for construct validity. The Cronbach’s alpha coefficients for the six scales were estimated between 0.73 and 0.93. In a test-retest study, the interclass correlation coefficients for the six scales were ranged between 0.80 and 0.90. The results suggested that the JPHLOC scales have sufficient reliability and validity. The JPHLOC scales are applicable to the caregivers of healthy children. We confirm that the PHLOC scales are also applicable to Japanese caregivers.
