Predictive value of the Griffiths assessment in extremely low birthweight infants

J. R. Bowen*, F. L. Gibson, G. I. Leslie, J. D. Arnold, P. J. Ma, D. R. Starte

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    43 Citations (Scopus)

    Abstract

    Objective: To assess the relationship between the Griffiths Mental Development Scales at 1 and 3 years and the Stanford-Binet Intelligence Scale (S-B) and Beery Test of Visual-Motor Integration (VMI) at 5 years in extremely low birthweight (ELBW) children. Methodology: Prospective study of 45 ELBW infants, without severe neurosensory impairment, cared for in a single Level 111 neonatal Intensive care unit. Results: At 5 years, 36 (80%) children were of average intelligence, 8 (18%) had borderline intelligence and one was mentally retarded. The Griffiths general quotient (GQ) at 1 year had a weak correlation with the 5 year IQ (corr. coeff. = 0.47), with only 17% of children with a GQ< -1 s.d. at 1 year receiving an IQ< - 1s.d. at 5 years. in contrast, the Griffiths GQ at 3 years correlated strongly with 5 year IQ (corr. coeff. = 0.78). Among those children with a 3 year GQ<1s.d., 67% had a 5 year IQ<1 s.d. and all had a 5 year IQ<89. The 3 year hearing and speech subscale correlated strongly with the 5 year S-B verbal comprehension factor (corr. coeff = 0.753) and the 3 year combined eye/hand co-ordination/performance quotient had a moderate correlation with the S-B non-verbal reasoning factor (corr coeff = 0.597) and with the Beery VMI (corr coeff = 0.49). Conclusions: The 3 year Griffiths GQ is a good predictor of 5 year S-B IQ in ELBW children and can be used to identify children who may benefit from intervention prior to school entry.

    Original languageEnglish
    Pages (from-to)25-30
    Number of pages6
    JournalJournal of Paediatrics and Child Health
    Volume32
    Issue number1
    Publication statusPublished - 1996

    Keywords

    • Extremely low birthweight
    • Griffiths Mental Development Scales

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