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Neuropsychological Evaluation of High-Risk Children from Birth to Seven Years of Age

Published online by Cambridge University Press:  10 January 2013

Judith Nogueira Cruz
Affiliation:
Universidad de Granada (Spain)
Carolina Laynez Rubio
Affiliation:
Hospital Universitario San Cecilio (Spain)
Francisco Cruz Quintana*
Affiliation:
Universidad de Granada (Spain)
Miguel Perez Garcia
Affiliation:
Universidad de Granada (Spain)
*
Correspondence concerning this article should be addressed to Francisco Cruz Quintana. Dpto. de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología. 18071 Granada (Spain) Fax: +34-958243749. E-mail: fcruz@ugr.es

Abstract

High Risk Children (HRC) are those with an increased risk of abnormal development due to any factor affecting neurological growth. Those factors have been the focus of most studies in this area. However, little is known about their long-term consequences over the course of child development. Objectives: the goal was to study the cognitive, emotional and academic outcomes of 7-year-old children diagnosed as HRC at birth. Method: We compared 14 HRC and 20 healthy children using the WISC-IV, BASC and Brunet-Lezine tests. Results: HRC showed cognitive, emotional and academic deficits compared with healthy children. However, Brunet-Lezine scores obtained over the course of development (6, 12, 18 and 24 months) were not predictive of the children's' current psychological status. Conclusions: long-term follow-up with HRC should be maintained until 7 years of age, at which point an appropriate treatment should be implemented.

Los niños de alto riesgo (NAR) tienen un mayor riesgo de desarrollo anormal debido a factores relacionados con el crecimiento neurológico. Aunque se han investigado la influencia de muchos de estos factores, se conoce muy poco sobre su efecto a largo plazo en el desarrollo del niño. Objetivo: el objetivo fue investigar el estado cognitivo, emocional y académico de niños de 7 años diagnosticados como NAR en el momento del nacimiento. Metodología: Se compararon 14 niños diagnosticados como NAR con 20 niños sanos en los tests WISC-IV, el BASC y el Brunet-Lezine. Resultados: Los niños NAR mostraron deterioro cognitivo, emocional y académico comparados con los niños sanos. Por otro lado, las puntuaciones del Brunet-Lezine obtenidas a los 6, 12, 18 y 24 meses no fueron predictivas del estado psicológico de los niños a los 7 años. Conclusiones: el seguimiento a niños diagnosticados con NAR debería mantenerse, al menos, hasta los 7 años y deberían recibir un tratamiento adecuado.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

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