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- Title
P-345 - Utility of health checkups in 5-year-old children for screening for developmental disorders
- Authors
Tanaka, Y.; Okada, K.; Noujima, Y.; Kojima, S.; Shima, Y.; Hirashima, T.; Amano, M.; Ogura, M.; Hatagaki, C.; Fukumoto, R.; Nomura, K.
- Abstract
Introduction: Public health checkups are conducted on 3-year-old children in Japan. However, it is often difficult to detect or provide ongoing support to children with developmental disorders without MR. Therefore we have conducted health checkups on 5 year olds. Objectives: The objectives are to describe the results and follow-up of health checkups in 5-year-old children and examine the utility of such checkups. Aims: The aims are to make clear the utility of health checkups in 5-year-old children for screening for developmental disorders. Method: The subjects were 303 children of 5-year-old that lived in Kanie-cho and participated in health checkups. In the checkups, a child psychiatrist examined the children, and made a provisional diagnosis of a developmental disorder. Results: Eighty-two children were provisionally diagnosed as having developmental disorders. The follow-up allowed final diagnosis of developmental disorders (suspect diagnosis included) to be made in 39 children (12.9%), and pinpointed 19 children with ADHD, 9 children with PDD, 9 children with mild MR, and 2 children with motor skills disorder. All children with PDD had already been informed about the possible occurrence of developmental disorders at 3 years of age. However, most of ADHD, mild MR, and motor function disorder were diagnosed in these children during the checkups at the age of 5 years. Conclusion: The health checkup in 5-year-old children is useful not only as a tool to detect developmental disorders that are difficult to diagnose at the age of 3 years but also as an approach in patients lost to follow-up.
- Subjects
JAPAN; JUVENILE diseases; PUBLIC health; FOLLOW-up studies (Medicine); CHILD psychiatry; MOTOR ability
- Publication
European Psychiatry, 2012, Vol 27, p1
- ISSN
0924-9338
- Publication type
Abstract
- DOI
10.1016/S0924-9338(12)74512-1