91

, 23, 2

Denver II

. , . , . , . , . , . , . , . , . , . , . , .
, . -.
' - . , ""

The Developmental Screening Test DENVER II in Greek Children

Doulianaki E, Tsikoulas I, Pediaditaki O, Vargiami E, Drossou G, Argyropoulou V, Tzovaras F, Papazoloudi E, Trifonas D,
Chittopoylos A, Sachinoglou Ch, Kontopoulos E, Athanasiou-Metaxa M.
1st Pediatric Clinic of Aristoteles University of Thessaloniki - Centre of Developmental Pediatrics "A. Fokas", Hippokration
Hospital
:
Denver
.
125
Denver II, : ,
,

,
,
90%
-.
Denver II
2090 15 6 . ,

.
Denver 25
Denver II
, : 86% ,
, .

Abstract: The worldwide utilization of the Denver

Developmental Screening Test raised concerns through the
years by test users about specific items and features and
led to a major revision and restandardization of the test
with a final selection of the 125 Denver II items, based on
the following criteria: ease of administration and scoring,
item appeal to child and examiner, item test-retest and
inter-rater reliability, minimal refusal scores, minimal no
opportunity scores and a smooth step-like progression
of ages at which 90% of children could perform the
tasks. In this study, we administered the revised Denver II
Developmental Screening Test in 2090 Greek children aged
15 days till 6 years. Using regression analysis we determined
the Greek age norms for the total sample. The major
differences between the Denver Developmental Screening
Test, which was standardized in Greek children 25 years
ago and Denver II are: an 86% increase in language items,
two articulation items, a new age scale, a new category of
item interpretation to identify milder delays, a behaviour
rating scale and new training materials.

92

, 23, 2

(, ,
) . ,
.


,
,
.
, ,
,
.

. : 8 , 8,
12, 18 2, 3,4 5

1.

(developmental screening tests)
Denver Test (DDST). DDST 40

.
1986
. . 2 ,

,

.

,
-,

,
( , ,
, ).
W.K. Frankenburg -

Denver Developmental Screening Test

(DDST II),

, 3. ,

4.

Denver II (DDSTII)

( ) 2090
.
-
DDSTII 2090
15 6 27
.

,
.
: ,
, ( >50.000
, <50.000 >2500
2500 ).

,
. , ,
,
.


... ,
, .
DDSTII
,

 , 23, 2

, ( 1
24, , 24
6 ).

25% ,
90% .
50% , 75%,
DDST 2 ( 1).

.1 %

126 .

. :
- ( ),
(
), ( , ,
), ( ).
O , 3
, 3 ,
,
3 , 3
. 126


. . R (report)

93

.
10

.
2090 Denver ( 2), :
, P
(pass). pass , .
fail ,

.
,
, , ,

,
,
.


25%, 50%, 75% 90%
,

(logistic regression analysis).

25% 50%, 75% 90% ,
: 0-2 , 2-4 ,
4-7 , 7-10 , 10-13 , 13-18 ,
18-24 , 24-40 , 40-57 , 57-78 ,

.

:
1, 2,
3 4, d=, m= y=:

94

, 23, 2

1. . : -

25%

50%

75%

90%

1d

1d

1d

1m8d

18d

24d

1m3d

1m23d

7d

21d

1m9d

1m28d

1m10d

2m1d

3m4d

4m8d

3m26d

4m15d

5m5d

5m22d

4m20d

5m11d

5m27d

6m18d

6m18d

8m24d

10m5d

11m6d

7m2d

8m29d

10m22d

12m21d

7m7d

8m4d

9m2d

13m18d

9m9d

10m13d

11m16d

15m9d

9m13d

10m25d

11m27d

14m29d

10m1d

12m18d

15m5d

17m8d

12m7d

13m26d

15m14d

17m10d

13m6d

15m11d

17m21d

20m27d

13m14d

16m29d

20m1d

2y0m11d

14m10d

16m13d

18m3d

23m1d

20m3d

23m28d

2y2m1d

2y7m11d

16m14d

21m7d

2y2m17d

2y8m19d

18m17d

21m9d

2y1m1d

2y10m29d

2y3m15d

2y5m11d

2y7m23d

2y11m13d

2y1m27d

2y7m18d

2y11m24d

3y5m18d

2y11m26d

3y4m11d

3y10m20d

4y6m20d

2y8m27d

3y2m24d

3y10m20d

4y9m17d

2y6m23d

3y3m3d

4y1m14d

4y10m25d

2y11m16d

3y7m7d

4y3m1d

5y0m27d

95

, 23, 2

2. . :

25%

50%

75%

90%

1d

1d

15d

1m7d

24d

1m2d

1m21d

2m19d

2m18d

3m7d

3m20d

4m2d

2m3d

2m14d

2m23d

3m29d

180

2m5d

2m27d

3m17d

4m13d

2m20d

3m14d

4m8d

5m5d

4m7d

4m20d

4m29d

5m18d

4m23d

5m18d

6m9d

7m4d

5m13d

5m26d

6m13d

7m11d

4m6d

6m1d

6m25d

7m21d

5m19d

6m4d

7m7d

9m11d

7m8d

8m14d

9m6d

10m12d

6m16d

7m13d

9m27d

11m10d

10m5d

10m28d

11m22d

13m7d

11m20d

13m2d

14m16d

16m8d

12m29d

14m8d

15m14d

19m13d

- 2

13m20d

14m28d

16m20d

20m24d

- 4

16m13d

19m14d

21m25d

2y0m7d

- 6

19m18d

21m26d

2y1m16d

2y6m29d

2y1m24d

2y5m26d

2y10m27d

3y2m29d

- 8

23m14d

2y2m5d

2y8m5d

3y4m4d

2y7m22d

3y0m5d

3y3m25d

3y9m10d

3y0m2d

3y3m29d

3y7m2d

3y11m27d

- 3

3y5m2d

3y8m3d

4y0m1d

4y8m7d

3y3m28d

3y6m16d

3y11m4d

4y8m22d

2y10m19d

3y2m26d

3y11m27d

5y2m8d

3y8m4d

4y0m5d

4y6m12d

5y2m17d

- 6

3y10m8d

4y3m5d

4y8m12d

5y3m9d

4y4m27d

4y10m25d

5y2m23d

5y10m21d

96

, 23, 2

3. . : -

25%

50%

75%

90%

1d

1d

1d

13d

1d

1d

1d

20d

23d

1m9d

1m15d

2m16d

1m12d

1m25d

2m16d

3m7d

1m6d

1m18d

2m21d

4m5d

2m29d

3m22d

4m18d

5m19d

4m1d

4m14d

5m17d

6m24d

4m21d

5m12d

6m16d

7m20d

3m3d

4m6d

5m19d

8m21d

5m17d

6m11d

7m18d

9m13d

5m22d

6m16d

7m29d

10m9d

5m24d

7m4d

8m1d

11m27d

9m4d

10m10d

11m6d

13m26d

10m13d

11m23d

13m2d

15m11d

12m7d

13m25d

15m14d

17m3d

13m8d

16m1d

17m20d

19m19d

15m15d

17m6d

18m27d

22m24d

17m15d

19m9d

20m22d

23m16d

17m25d

20m3d

23m10d

2y3m3d

18m19d

20m13d

22m18d

2y4m2d

- 6

18m25d

21m2d

23m25d

2y5m20d

20m16d

21m24d

23m9d

2y7m6d

1y5m29d

1y8m4d

2y0m10d

2y11m16d

2y0m29d

2y3m24d

2y5m29d

3y1m3d

2y0m8d

2y3m26d

2y8m14d

3y2m21d

2 (/)

2y4m21d

2y7m17d

2y11m28d

3y6m8d

2y2m11d

2y8m4d

3y1m9d

3y6m25d

2y7m4d

2y11m24d

3y2m22d

3y9m3d

2y9m5d

3y0m26d

3y5m23d

3y11m27d

2y7m26d

3y0m1d

3y4m4d

4y0m8d

2y6m26d

2y9m25d

3y2m5d

4y1m18d

2y0m3d

2y7m17d

3y2m11d

4y4m25d

2y9m17d

3y2m21d

3y7m25d

4y8m18d

2y9m15d

3y4m25d

4y0m25d

4y8m29d

3y2m3d

3y8m1d

4y5m19d

5y2m7d

3 (/)

2y9m10d

3y1m11d

3y8m25d

5y9m1d

4y0m24d

4y5m22d

4y10m20d

5y5m18d

- 2

3y6m4d

4y2m26d

4y9m3d

5y7m17d

3y11m6d

4y4m26d

5y1m16d

5y10m11d

97

, 23, 2

4. . :

25%

50%

75%

90%

1d

1d

1d

13d

1d

1d

1d

15d

45

4d

20d

1m18d

2m19d

90

1m15d

2m10d

2m29d

3m18d

1m17d

2m8d

3m4d

3m22d

1m20d

2m18d

3m16d

4m13d

2m19d

3m6d

4m4d

4m21d

()

3m16d

4m7d

4m19d

6m1d

3m12d

3m25d

4m13d

6m9d

5m11d

5m20d

6m8d

7m7d

6m22d

7m13d

8m2d

8m22d

7m19d

8m16d

9m6d

9m24d

7m13d

8m11d

9m1d

10m4d

2sec

9m9d

9m28d

10m23d

11m22d

10m5d

11m10d

12m15d

13m18d

10m27d

12m2d

13m3d

14m26d

11m12d

12m8d

13m13d

15m5d

12m12d

13m19d

15m3d

16m14d

13m18d

15m20d

17m2d

19m25d

14m11d

16m17d

19m2d

21m29d

15m15d

17m5d

20m1d

22m24d

20m7d

23m6d

2y1m22d

2y5m3d

17m13d

20m4d

2y1m1d

2y10m26d

2y3m21d

2y6m3d

2y9m5d

3y2m4d

1 sec

2y2m17d

2y4m27d

2y8m3d

3y3m9d

2 sec

2y6m23d

2y9m8d

3y1m28d

3y10m9d

3y2m28d

3y6m27d

3y10m15d

4y4m1d

3 sec

2y8m28d

3y2m29d

3y8m27d

4y7m2d

4 sec

3y2m6d

3y8m19d

4y5m10d

4y11m11d

5 sec

3y6m9d

3y10m7d

4y8m2d

5y4m13d

4y0m6d

4y7m9d

5y0m17d

5y9m2d

6 sec

3y10m29d

4y6m21d

4y11m5d

5y10m18d

98

, 23, 2

2. DENVER II

 , 23, 2

99

DENVERII
1.
2.
3.
4.
5.
6.

, , .
.
.
.
, , 180.
, .
7. .
, , .
8. , .
9. .
10. 30
11. .
, .

12. 13. ; 14. - 15.

.
( )
.
. ,
.
().
. :
3/3 5/6.
12, 13, 14, 15, . 12 14 .
16. - -, , (=2 , =2 )
17. , . ,
. .

18. . ,
. ( , )
19. , : , , , , , , , . : 6
8 .
20. : ;, ,;, ;, ;, ;
21. : ; ; ; 2/3 3/3.
22. : ; ; ;
.
23. (1,5) (1,5).
24. : , , , . 4/4.
25*. : , , , , , , , ;..
, , ( ,
). 5/8, 7/8.
* , , .

26. : , .; , ; , .;
2/3 3/3.
27. . .
28. , 90.
29. (..4 ) - 20.
30. - -: . 4
.

100

, 23, 2

,

(at risk).
,
.
4
. ,
,
(..
, ,
, ..). ,
, , ..


,
. Denver II
Developmental Screening Test (DDSTII)
.
3,4.
DDSTII ) , )

)
.
screening .

. ,
DDSTII
,
Denver II Prescreening Developmental
Questionnaire 6.
DDSTII
. ( ) .

(IQ). , ,

, .



, ,

(Pass) (Fail)
.
DDSTII screening
,
,
7.





. DDSTII


.
, ,

.
,
,
8. screening,
,

: 8 , 8,
12, 18 2, 3,4 5 1.
75-90% ,

.
(Caution),


. -

 , 23, 2

, 75-90%
,

.
DDSTII3
:

1 ,
(1 Delay) 2
75-90%
(2 Caution)

2
2
(2 Delay).
DDST
,
DDSTII,
9
.
5.
DDST
DDSTII : 1) DDSTII 86%
DDST 2)
DDSTII 20% (Report) 3)
DDSTII
,
DDST 4) DDSTII

, DDST.

(screening)

,
.
Denver II
,
,
.

101

1. , , . 2
University Press, : . - , . , 2005:45-65.
2. .

Denver Developmental Screening Test
(DDST). DDST . , 1983: .
3. William K Frankenburg, Josiah Dodds, Philip Archer,
Howard Shapiro and Beverly Bresnick. The Denver
II: A Major Revision and Restandardization of the
Denver Developmental Screening Test. Pediatrics
1992;89;91-97
4. Glascoe FP, Byrne KE, Ashford LG, Johnson KL, Chang
B, Strickland B. Accuracy of the Denver-II in
developmental screening. Pediatrics. 1992. Jun;89(6
Pt 2):1221-5
5. The Harriet Lane Handbook The Johns Hopkins Hospital.
16th,17th edition, pp 208-209
6. Burgess DB, Asher KN, Doucet HJ 3rd, Reardon K, Daste
ML. Parent report as a means of administering
the prescreening developmental questionnaire:
an evaluation study. J Dev Behav Pediatr. 1984
Aug;5(4):195-200.
7. Brachlow A, Jordan AE, Tervo R. Developmental
screenings in rural settings: a comparison of the
child development review and the Denver II
Developmental Screening Test. J Rural Health. 2001
Summer;17(3):156-9
8. Santos RS, Arajo AP, Porto MA. Early diagnosis of
abnormal development of preterm newborns:
assessment instruments. J Pediatr (Rio J). 2008 JulAug;84(4):289-99.
9. Keith J Goulden, MD, FAAP. American Academy of
Pediatrics, SODBP News Autumn 2004, p.16

Vila Ritz B2 - 64
555 35 ,
.: 6939 530000
e-mail: elenidoulianaki@gmail.com
Corresponding author
Eleni Doulianaki
Vila Ritz B2 - 64 Kennedy Str
555 35 Pilea, Thessaloniki, Greece
Tel: +30 6939 530000
e-mail: elenidoulianaki@gmail.com