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要旨:ベイリー乳幼児発達検査一第2版(以下,BSID-Ⅱ)は乳幼児期の発達状況を評価できる,国際的にも用いられることの多い検査の一つである.しかし,日本では標準化されておらず使用報告が少ない現状にある.本研究では,生後6ヵ月児192名にBSID-Ⅱを実施し,日本版デンバー式発達スクリーニング検査(以下,JDDST)から見たBSID-Ⅱの有用性を検討した.BSID-ⅡのMentalとMotorの平均得点は米国の標準値よりも約10低い値であった.また,BSID-ⅡのMental,MotorはともにJDDSTの関連領域との間で感度・特異度が高く有用性が認められた.しかし,本邦においてはBSID-ⅡのMotorは過剰に遅れと判定する可能性があった.
Bayley Scales of Infant Development Second Edition (BSID-n) is the most widely used tool for assessing infant development. However, it has not been standardized in Japan and there are few reports on its use. In this study, we administered BSID-II to 192 Japanese infants and studied its appropriateness based on results of Japanese Denver Developmental Screening Test (JDDST).
The mean scores of Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI) were about 10 points lower than the standardized score. As for the BSID-II Mental Scale and Motor Scale, appropriateness was confirmed from both sensitivity and specificity being high among relevant areas of JDDST. However, the BSID-II Motor Scale appears to judge the Japanese infant to be excessively delayed.
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