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Journal of Pediatric Psychology 13(2) pp. 281-296, 1988
© 1988 Society of Pediatric Psychology


research-article

Prediction of Intellectual Development in Young Children With Early Histories of Nonorganic Failure-to-Thrive1

Dennis Drotar2 and Lynne Sturm

Case Western Reserve University, School of Medicine

2A11 correspondence should be sent to Dennis Drotar, Department of Psychiatry, Cleveland Metropolitan General Hospital, 3395 Scranton Road, Cleveland, Ohio 44109

The cognitive development (Stanford-Binet IQ) of children (N = 59) originally hospitalized for nonorganic failure-to-thrive (NOFT) at an average age of 4.9 months was assessed at 36 months of age. Cognitive development declined from a Bayley MDI of 99.6 at study intake to 85.4 at age 36 months. Type of early outreach intervention did not effect cognitive development. Using a multivariate predictive model, environmental characteristics (family income and maternal educational level) and characteristics of NOFT (age of onset) accounted for significant amounts of variance (22 and 10%, respectively) in intellectual outcomes. Predictors also successfully identified 74% of individual children with average vs. below average cognitive development. These findings underscore the importance of individual difference variables in the prediction of psychological outcomes in NOFT

Key words: failure-to-thrive; intellectual development.


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