[Research for our special patients center. Relation to the developmental screening table and the first training check list of B-1, B-2 group].

Abstract

We have adopted a behavior-modifying method in the medical care system for children with psychosomatic disorder, using the developmental screening table and the first training check list to make the method effective. Also in order to know the effect of training, patients were classified into 4 groups (A, B-1, B-2, C). We have recently made a comparative examination of both the developmental screening table and the first training check list between B-1 and B-2 groups out of these 4 groups. [Method] Subject for investigation are 32 patients belonging to B-1 and B-2 groups out of those patients who have received medical examination in the Dental Center for the Handicapped Children in our Hospital. Developmental ages and proportions permitting each behavior were determined from the table for the developmental screening table and the first training check list, respectively. On the basis of the about the developmental screening table and the first training check list, behaviors between at the consultation room and at home were compared for 2 items of greeting and gargling and the condition of applying these items was also examined. [Results] 1) The B-1 group had well-matched 5 items compared with the developmental age for the B-2 group and was easier in communication with the operator because of its high cognitive ability. 2) The B-2 group, whose speaking and sociality were low, was more difficult in communication with the operator in the practice of dental treatment, and was evident from the first training check list. 3) Lack of patient's adaptability and communication with the operator often represented patient's capability of greeting and gargling at home but not at the consultation room. 4) Some need for improvement occurred in non-answering the developmental screening table and non-entering some items of the first training check list.