非特異性智能不足兒童之智能相關因素分析

Factors Associated with Mental Outcomes of Non-specific Mentally Retarded Children

廖華芳(Hua-Fang Liao) ； 李素菁(Su-Ching Lee) ； 宋維村(Wei-Tsuen Soong) ； 曾嫦嫦(Chang-Chang Tseng) ； 蘇淑貞(Shu-Chen Su)

《中華民國物理治療學會雜誌》 19卷1期 (1994/03) Pp. 29-37

https://doi.org/10.29616/JPTAROC.199403.0004

摘要

The psychomotor development of mentally retarded children has seldom been studied in Taiwan. To find out the associated variables of later mental outcome of non-specific mentally retarded children, 102 neurologically normal, non-Down's psychomotor retarded children, had been recruited and followed from December 1986, till the age of 2-8 years old. The duration of follow-up is 9 to 48 months (mean 30 months). Among them, a total of 47 children, with the final diagnosis of non-specific mental retardation, were analyzed in the results section. Their final intellectual functions, represented by mental developmental index (MDI) or developmental quotient (DQ) of mental scale of Bayley Infant Developmental Scale, were mostly among moderate to severe retardation.
Sixty-four percent of them was severe (DQ＜35), 32% moderate (DQ＞35 and MDI＜50), and 4% mild (MDI 50-70). The variables of initial evaluation, which were able to predict the final intellectual functions, included fine motor DQ of Early Intervention Developmental Profile, existance of stereotyped movements, and DQ of General Development of Chinese Children Developmental Profile. Therefore, DQs of the initial evaluation of mentally retarded children could be used for predicting later mental functions, guiding treatment of these children and counselling their parents. However, clinicians should also look for the adaptive skills of the children to prevent early mislabelling.

關鍵字

智能不足 ； 智能發展

並列摘要

The psychomotor development of mentally retarded children has seldom been studied in Taiwan. To find out the associated variables of later mental outcome of non-specific mentally retarded children, 102 neurologically normal, non-Down's psychomotor retarded children, had been recruited and followed from December 1986, till the age of 2-8 years old. The duration of follow-up is 9 to 48 months (mean 30 months). Among them, a total of 47 children, with the final diagnosis of non-specific mental retardation, were analyzed in the results section. Their final intellectual functions, represented by mental developmental index (MDI) or developmental quotient (DQ) of mental scale of Bayley Infant Developmental Scale, were mostly among moderate to severe retardation.
Sixty-four percent of them was severe (DQ＜35), 32% moderate (DQ＞35 and MDI＜50), and 4% mild (MDI 50-70). The variables of initial evaluation, which were able to predict the final intellectual functions, included fine motor DQ of Early Intervention Developmental Profile, existance of stereotyped movements, and DQ of General Development of Chinese Children Developmental Profile. Therefore, DQs of the initial evaluation of mentally retarded children could be used for predicting later mental functions, guiding treatment of these children and counselling their parents. However, clinicians should also look for the adaptive skills of the children to prevent early mislabelling.

並列關鍵字

Mental retardation ； Mental development