ERIC Number: ED175191
Record Type: RIE
Publication Date: 1978
Reference Count: 0
Minimal Brain Dysfunction in Childhood: II. Late Outcome in Relation to Initial Presentation. III. Predictive Factors in Relation to Late Outcome.
Milman, Doris H.
Two studies explore the late outcome of minimal brain dysfunction in 73 patients in relation to their initial presentation and predictive factors. Both studies followed the patients for a period of 10 to 20 years. Findings from the first study of initial presentation in relation to adult outcome showed that there was a strong positive correlation between the childhood symptom of social problems and adult inadequate personality, between childhood anti-social behavior and adult personality disorder of the anti-social, passive-aggressive, and impulsive types. Negative correlations were found between childhood hyperactivity and school problem, and a normal psychiatric outcome. In study 2, by a variety of objective and subjective measurements, 20% were judged to have a satisfactory and 80% an unsatisfactory outcome. Findings showed that initail presentation was significantly correlated with a poor outcome in the following respects: multiplicity of behavioral symptoms, multiplicity of neuro-psychological soft signs, low average or borderline intelligence, learning disabilities (especially math and spelling), and special class placement. Initial diagnosis of clearcut organic brain syndrome also carried a poor prognosis, as did schizoid traits in childhood. Treatment, including psychotherapy, medication, remedial tutoring, and special schooling, did not have a differential effect on outcome. (Author/PHR)
Descriptors: Behavior Problems, Clinical Diagnosis, Exceptional Child Research, Followup Studies, Identification, Individual Characteristics, Learning Disabilities, Minimal Brain Dysfunction, Predictive Measurement
Department of Pediatrics, Box 49, Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, New York 11203
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: State Univ. of New York, Brooklyn. Downstate Medical Center.
Note: (Part II was presented at the American Pediatric Society, April, 1978; Part III was presented at the New York Pediatric Society, March, 1978)