The aim of this study was to create evidence-based criteria for assessing disability in children with socially significant mental disorders. The clinical expert study involved 246 children (B/G=182/64): 69 (B/G=53/16) persons with autism (F84) aged 8.18±4.43 years; 48 (B/G=33/15) persons with specific speech development disorders (F80) aged 4.17±0.95 years; 77 (B/G=54/23) persons with mental retardation (F70-73) aged 12.67±4.49 years; 52 (B/G=42/10) persons with mixed specific developmental disorders (F83) aged 8.85±4.13 years. All children had disabilities of varying degrees.
A comprehensive assessment of their health status was carried out according to the codes of the International Classification of Functioning, Disability and Health (ICF). An analysis of the relationship between the severity of disability and the degree of impairment of mental functions, activity and participation (minor, mild, moderate, severe and pronounced) made it possible to reliably (p<0.01) identify the leading disorders in children with autism, specific disorders of speech development, and mental retardation, mixed specific developmental disorders. According to the results of the regression analysis, the developed criteria reliably (p<0.001) with a probability of 94.0 %, 98.7 %, 98.0 %, 82.7 %, respectively, allow making the correct expert decision (to establish the degree of disability) in children with these mental disorders (disorders of neuropsychic development).
Автор(ы): T. A. Yemelyantsava, V. B. Smychek