PubMed Health⌕ Search

Biomedical subjects

E Jedrysek

Publications and source records attributed to E Jedrysek.

8 recordsLinked to original sources

Autistic features in young children with significant cognitive impairment: autism or mental retardation?

This review addresses the issues and challenges related to the differential diagnosis of autism in preschool children with significant cognitive impairment. Issues affecting differential diagnosis include the use of traditional diagnostic guidelines for preschoolers with developmental delays, developmental changes in behavioral characteristics, the involvement of cognitive factors in symptom expression, and the overlap between autism and mental retardation in individuals with significant cognitive impairment. The usefulness of autistic features for differential diagnosis is explored in terms of the core deficits of autism.

Age Factors↗

Adaptive behavior of young urban children with developmental disabilities.

Adaptive behavior was investigated for 497 urban preschool children with developmental disabilities (autism, pervasive developmental disorder, language impairment, mental retardation, attention-deficit hyperactivity disorder, cognitive deficit), ranging in age from 15 to 71 months, 38% of whom were in foster care. Disabilities were identified through comprehensive multidisciplinary evaluation. Adaptive behavior was assessed with the Vineland Adaptive Behavior Scales. Results indicate a strong positive relation between adaptive behavior and intelligence if measured globally. When Vineland domains were assessed separately, this relation varied across domains and disability groups. With intelligence controlled, adaptive behavior patterns differed for disability groups in communication and socialization.

Activities of Daily Living↗

A later look at borderline and mildly retarded preschoolers.

A group of 38 preschool children, first evaluated when 2 to 4 years old, functioning within the borderline or mildly retarded ranges of intelligence, were reevaluated at the ages of 6 or 7 years. It was found that cognitive and linguistic limitations remained fairly stable over time. The most global of the early measures best predicted subsequent attainment, both for children with language skills significantly below performance and for those with more even function. Preschool language deficiencies reflected in a significant discrepancy between verbal and performance abilities in early intelligence testing were not subsequently associated with greater academic difficulties. At the time of reevaluation, receptive understanding of language exceeded expressive competence, and semantic skills were stronger than syntactic abilities.

Achievement↗

Age of walking and mental retardation.

The age of independent walking was noted for 200 retarded children aged 30-60 months living in the community. The onset of walking tended to be later in more severely retarded children, but early walkers were found even among the most retarded. The majority of children with mild, moderate, and severe retardation walked by 17 months. Only in the group which was profoundly retarded did the majority begin to walk after 17 months. Onset of walking before 17 months is usual in retarded children and is compatible with all levels of mental retardation.

Age Factors↗

Intellectually limited parents.

Studies of the child-rearing competency of mentally retarded parents are few and based primarily on deinstitutionalized populations; results have been equivocal. A checklist devised to assess intellectual limitation in parents led to the identification of 45 families with an intellectually limited parent in the course of evaluations of 370 children in a pediatric development clinic. It became evident that the presence of a benefactor was crucial in enabling limited parents to meet community expectations. Identification of parental limitations is seen as a prerequisite to essential modifications in service delivery to both parents and children.

Adult↗