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Can the Child Behavior Checklist be used to screen for motor impairment ?

PIEK JP; BARRETT NC; DYCK MJ; REIERSEN AM
DEV MED CHILD NEUROL , 2010, vol. 52, n° 2, p. 200-204
Doc n°: 145254
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/j.1469-8749.2009.03326.x
Descripteurs : AJ23 - PARALYSIE CEREBRALE, AD3 - MOTRICITE

It has been suggested that one approach to identifying motor impairment in
children is to use the Child Behavior Checklist (CBCL) as a screening tool. The
current study examined the validity of the CBCL in identifying motor impairment.
METHOD: A total of 398 children, 206 females and 192 males, aged from 3 years 9
months to 14 years 10 months were assessed on the McCarron Assessment of
Neuromuscular Development to determine their motor ability. Parents completed the
CBCL. RESULTS: The 'Clumsy' item on the CBCL was found to predict motor ability
independent of the child's age, sex, and scores on other items of the CBCL.
However, the sensitivity of the 'Clumsy' item in terms of identifying motor
impairment was found to be a low 16.7% compared with specificity of 93.2%. The
item 'Not liked' was also found to be a significant predictor of motor
impairment. INTERPRETATION: Although the 'Clumsy' and 'Not liked' items were
found to have a relationship with motor ability, they should not be relied upon
to categorize children as motor impaired versus not impaired. It is possible that
these items may be better indicators of motor impairment in children with
developmental disorders such as attention-deficit-hyperactivity disorder, but
clinical samples are needed to address this.

Langue : ANGLAIS

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