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Journal of Pediatric Psychology 2004 29(7):555-564; doi:10.1093/jpepsy/jsh057
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 Presidential Address - Prediction of ...
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Journal of Pediatric Psychology vol. 29 no. 7 © Society of Pediatric Psychology 2004; all rights reserved.

Presidential Address. Prediction of Function From Infancy to Early Childhood: Implications for Pediatric Psychology

Glen P. Aylward, PhD, ABPP

Departments of Pediatrics and Psychiatry, Southern Illinois University School of Medicine Division 54 Presidential Address, presented at the 111th annual convention of the American Psychological Association, Toronto, Canada, August 7–10, 2003.

All correspondence should be sent to Glen P. Aylward, SIU School of Medicine, Pediatrics, P.O. Box 19658, Springfield, Illinois 62794-9658. E-mail: Gaylward{at}siumed.edu

Objective To determine whether item groupings derived from the Bayley Infant Neurodevelopmental Screener (BINS) are stable and predictive of 36-month cognitive and motor outcome. Methods BINS was administered at 6, 12, and 24 months, and the Bayley-II or McCarthy scales at 36 months. The BINS was factor analyzed, and factors, biomedical and environmental variables, were related to 36-month outcomes. Results Three factors were identified at each age, accounting for 52% to 64% of the variance. Continuity in factors over infancy and predictive utility of similar functions at 36 months were found. Optimal factor scores (≥ 75th percentile) increased the likelihood of later normal cognitive or motor outcome (ORs 2.14–7.94). Conclusions Stability and continuity over time exist in specific subdomains of function on a neurodevelopmental screening test.

Key words: high-risk infants; prediction; Bayley Infant Neurodevelopmental Screener; outcomes.


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