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• W2318598411 abstract "Koch R, Share J, Webb A, Graliker B. J Pediatr 1963;62:93-7Seventy-six children with Mongolism were serially tested with the Gesell developmental scales between 2 and 48 months of age to assess the predictability of early (18 months) cognitive assessments and to investigate the phenomenon of apparent developmental regression. All the children's maturational levels (developmental ages) continued to improve throughout the duration of the study, but their developmental quotients tended to decrease with age. This decline was found to be an artifact of test scoring; none of the children actually lost skills but rather continued to acquire new skills, albeit at a decreasing rate. There was an approximately 10% deceleration in the rate of developmental progress over each preschool year (1.4 months per year). Even within the narrow range of IQ scores expected in a sample of children with Down syndrome, the developmental testing results at 18 months exhibited good predictability (correlation coefficient of 0.78) with the Stanford-Binet IQ at 5 years of age. The developmental quotients obtained within the first year of life were the only ones to correlate poorly with later outcomes; they tended to be too high.Yes, the authors use terms such as “Mongolism,” “Mongoloid,” and “mental retardation.” There was no intention to demean children but simply to classify their disorder correctly. Judging the past by current prejudices places one under the shadow of even more critical judgments in the future. It is not stated whether the children were diagnosed with Mongolism by clinical criteria or had received genetic confirmation of their diagnosis. Only 3 children dropped out of the study because of institutionalization; this represents a significant improvement over previous decades and signaled a major change in public and parental perceptions of trisomy 21. Continued developmental progress despite declining developmental quotients further reinforced the concept that developmental delays almost never involve a plateauing of functional abilities: all children, even those with Down syndrome and even those with declining developmental quotients, continue to progress. Koch R, Share J, Webb A, Graliker B. J Pediatr 1963;62:93-7 Seventy-six children with Mongolism were serially tested with the Gesell developmental scales between 2 and 48 months of age to assess the predictability of early (18 months) cognitive assessments and to investigate the phenomenon of apparent developmental regression. All the children's maturational levels (developmental ages) continued to improve throughout the duration of the study, but their developmental quotients tended to decrease with age. This decline was found to be an artifact of test scoring; none of the children actually lost skills but rather continued to acquire new skills, albeit at a decreasing rate. There was an approximately 10% deceleration in the rate of developmental progress over each preschool year (1.4 months per year). Even within the narrow range of IQ scores expected in a sample of children with Down syndrome, the developmental testing results at 18 months exhibited good predictability (correlation coefficient of 0.78) with the Stanford-Binet IQ at 5 years of age. The developmental quotients obtained within the first year of life were the only ones to correlate poorly with later outcomes; they tended to be too high. Yes, the authors use terms such as “Mongolism,” “Mongoloid,” and “mental retardation.” There was no intention to demean children but simply to classify their disorder correctly. Judging the past by current prejudices places one under the shadow of even more critical judgments in the future. It is not stated whether the children were diagnosed with Mongolism by clinical criteria or had received genetic confirmation of their diagnosis. Only 3 children dropped out of the study because of institutionalization; this represents a significant improvement over previous decades and signaled a major change in public and parental perceptions of trisomy 21. Continued developmental progress despite declining developmental quotients further reinforced the concept that developmental delays almost never involve a plateauing of functional abilities: all children, even those with Down syndrome and even those with declining developmental quotients, continue to progress." @default.
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• W2318598411 date "2013-01-01" @default.
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• W2318598411 title "50 Years Ago in The Journal of Pediatrics" @default.
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• W2318598411 doi "https://doi.org/10.1016/j.jpeds.2012.07.060" @default.
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