【Objective】 To study the difference of neuropsychological development between pervasive developmental disorder (PDD) and mental retardation (MR) children. 【Methods】 All patients first diagnosed as PDD or MR in psychological counseling clinic of Children's Hospital of Fudan University during Jan 2003 to Jan 2009 without any intervention before were enrolled. The Psycho-educational Profile (PEP) test was administered to all the children. According to the developmental age of PEP result, all the children were divided into three groups: 0~12 months, 13~36 months, 37~72 months. 【Results】 There were 341 PDD children and 209 MR children in the research. In the 0~12 months group, MR children got higher scores in imitation and cognitive (verbal) than PDD children. In the 13~36 months group, MR children got higher scores in all the fields than PDD children, including imitation, perception, gross motor, fine motor, eye-hand integration, cognitive (performance) and cognitive (verbal). In the 37~72 months group, MR children got higher scores than PDD children only in imitation. 【Conclusion】 1)Without any treatment, the PDD children show totally delay in all the fields than the MR children in the 13~36 months developmental age. 2) The ability of imitation is always lower in PDD child than MR children in the developmental age 0~72 months without any intervention.
Key words
pervasive developmental disorder /
mental retardation /
development
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Charman T,Baird G.Practitioner Review:diagnosis of autism spectrum disorder in 2- and 3-year-old children [J].Journal of Child Psychology and Psychiatry,2002,43(3):289-305.
[2] Leonard H,Wen X.The epidemiology of mental retardation:challenges and opportunities in the new millennium [J].Ment Retard Dev Disabil Res Rev,2002,8:117-134.
[3] Shek DT,Tsang SK,Lam LL,et al.Psychometric properties of the Chinese version of the Psycho-educational Profile-Revised (CPEP-R) [J].J Autism Dev Disord,2005,35(1):37-44. [4] Moss J,Howlin P.Autism spectrum disorders in genetic syndromes: implications for diagnosis,intervention and understanding the wider autism spectrum disorder population [J].J Intellect Disabil Res,2009,53:852-873.
[5] 中华人民共和国卫生部.儿童孤独症诊疗康复指南(卫办医政发〔2010〕123号)[J].中国儿童保健杂志,2011,3(19):289-294.
[6] Zwaigenbaum L,Bryson S,Lord C,et al.Clinical assessment and management of toddlers with suspected autism spectrum disorder:insights from studies of high-risk infants [J].Pediatrics,2009,123:1383-1391.
[7] American Psychiatric Association.Diagnostic and statistical manual of mental disorders DSM-IV-TR Fourth Edition [M].American Psychiatric Publishing,2000.
[8] Maniezzo V,Roffilli M. A psychogenetic algorithm for behavioral sequence learning [J].Int J Artif Intell T,2007,16 (2):195-217.
[9] Warren RS.A cognitive development framework [J].Current Psychology,1993,12 (1):1046-1310.
[10] Rao TS.Consciousness and human development:a dynamic systems perspective [J].Psychology Journal,2008,5(1):11-24.
[11] Psaltisa C,Duveenb G,Perret-Clermont AN.The social and the psychological: structure and context in intellectual development [J].Human Development,2009,52:291-312.
[12] 周家秀.孤独症谱系障碍特殊教育训练的主流技术 [J].中国儿童保健杂志,2010,18(10):821-823.