Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome
Thesis (MA)--Stellenbosch University, 2021.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Stellenbosch : Stellenbosch University
2021
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613900517670912 |
|---|---|
| access_status_str | Open Access |
| author | Lambrechts, Tersius Viljoen |
| author2 | Pretorius, Chrisma |
| author_browse | Lambrechts, Tersius Viljoen Pretorius, Chrisma |
| author_facet | Pretorius, Chrisma Lambrechts, Tersius Viljoen |
| author_sort | Lambrechts, Tersius Viljoen |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MA)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/110260 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:43:29.841Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/110260 Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome Lambrechts, Tersius Viljoen Pretorius, Chrisma Stellenbosch University. Faculty of Arts and Social Sciences. Department of Psychology. NEPSY (Neuropsychological test) -- South Africa Fetal alcohol spectrum disorders -- South Africa Alcoholism in pregnancy UCTD Thesis (MA)--Stellenbosch University, 2021. Alcohol use during pregnancy is a regular occurrence that often leads to a multitude of adverse pregnancy outcomes, which include developmental consequences that last a lifetime. Even though there have been studies focusing on the permanent and detrimental effects of prenatal alcohol consumption, limited research has been done on children with Foetal Alcohol Spectrum Disorder (FASD) in South Africa. This study aimed at using secondary data to determine whether the NEPSY-II could be a viable assessment instrument for diagnosing FASD in children and using these results to determine the developmental delays of children with FASD. Sixty-three children from Renosterberg, Northern Cape, South Africa were assessed using the Griffiths Mental Developmental Scales – Extended Revised and the NEPSY-II. Participants were then assigned to categories as follows: Foetal Alcohol Syndrome (FAS), partial FAS (pFAS), severe developmental delay, developmental delay, mild developmental delay and normal. The mothers or caregivers of the children were interviewed to obtain socio-demographic information and ascertain the extent of prenatal alcohol consumption. Fifty-two children were diagnosed with FAS, and another two children were diagnosed with pFAS. Thus, close to 86% out of the sixty-three children were diagnosed with either FAS or pFAS. It was noted that the children had difficulties especially with the Language and Practical Reasoning domains of the GMDS-ER. On the NEPSY-II the children’s poorest performance was in the Executive Function and Language domains. Only low to moderate correlations were found between the GMDS-ER and the NEPSY-II subtests, with the strongest correlations found between Practical Reasoning (GMDS-ER) and Theory of Mind (NEPSY-II), Language (GMDS-ER) and Theory of Mind (NEPSY-II), and Personal Social (GMDS-ER) and Inhibition (NEPSY-II). The results suggest that the NEPSY-II showed promising trends, but the time-consuming administration of the NEPSY-II and the limited research on this assessment tool indicated that the NEPSY-II could not be recommended as a superior psychological instrument in the diagnosis and assessment of children with FASD. While the NEPSY-II has a lot of potential to provide a comprehensive and in-depth assessment of strengths and weaknesses in children with FAS/D, more reliability and validity research needs to be done in South African communities using the NEPSY-II, as well as norm studies. Studies are currently under way to establish norms in South Africa; however, it will take years for these to be comparative to all South Africans. The GMDS-ER is currently the assessment tool that has been used in FASD research since 1999 in the South African context, so continued use of the GMDS-ER is encouraged. AFRIKAANSE OPSOMMING: Alkoholgebruik tydens swangerskap kom gereeld voor en lei dikwels tot talle negatiewe swangerskapsuitkomste, onder meer ontwikkelingsgevolge wat 'n leeftyd lank duur. Alhoewel daar studies is wat op die permanente en nadelige gevolge van voorgeboortelike alkoholgebruik fokus, is min navorsing nog op kinders met Fetale Alkohol Spektrum Afwyking (FASA) in SuidAfrika gedoen. Hierdie studie poog deur die gebruik van sekondêre data om te bepaal of die NEPSY-II 'n werkbare assesseringsinstrument kan wees in die diagnose van FASA in kinders en om hierdie resultate te gebruik om die ontwikkelingsvertragings van kinders met FASA te bepaal. Drie-en-sestig kinders van Renosterberg, Noord-Kaap, Suid-Afrika is geassesseer met behulp van die Griffiths Mental Developmental Scales – Extended Revised en die NEPSY-II. Deelnemers is daarna aan die volgende kategorieë toegewys: Fetale Alkohol Sindroom (FAS), gedeeltelike FAS (pFAS), ernstige ontwikkelingsvertraging, ontwikkelingsvertraging, ligte ontwikkelingsvertraging en normale ontwikkeling. Die moeders of versorgers van die kinders is ondervra om sosiodemografiese inligting in te win en die omvang van voorgeboortelike alkoholgebruik te bepaal. Twee-en-vyftig kinders is met FAS gediagnoseer, terwyl nog twee kinders met pFAS gediagnoseer is. Nagenoeg 86% van die drie-en-sestig kinders is dus met óf FAS of pFAS gediagnoseer. Daar is opgemerk dat die kinders probleme ervaar, veral met die GMDS-ER se domeine Taal en Praktiese Redenasie. Op die NEPSY-II was die kinders se swakste prestasie in die domeine Uitvoerende Funksie en Taal. Slegs lae tot matige korrelasies is tussen die GMDS-ER en die NEPSY-II subtoetse gevind, met die sterkste korrelasie tussen Praktiese Redenasie (GMDS-ER) en Teorie van Denke (NEPSY-II), Taal (GMDS-ER) en Teorie van Denke (NEPSY-II) en Persoonlik Sosiaal (GMDS-ER) en Inhibisie (NEPSY-II). Die resultate wys dat die NEPSY-II belowende tendense toon, maar die tydrowende administrasie van die NEPSY-II en die beperkte navorsing oor hierdie assesseringsinstrument dui daarop dat die NEPSY-II nie as 'n beter sielkundige assesseringsinstrument aanbeveel kan word vir die diagnose en assessering van kinders met FASD nie. Terwyl die NEPSY-II baie potensiaal het om omvattende en diepgaande inligting te voorsien oor die sterkpunte en swakhede van kinders met FAS/D, moet meer betroubaarheid- en geldigheidsnavorsing in Suid-Afrikaanse gemeenskappe met behulp van die NEPSY-II gedoen word, asook normstudies. Studies vind tans plaas om norme in Suid-Afrika te vestig, maar dit sal jare neem om vir alle Suid-Afrikaners te geld. Die GMDS-ER is tans 'n assesseringsinstrument wat sedert 1999 in FASD-navorsing gebruik word in die Suid-Afrikaanse konteks, dus word die voortgesette gebruik van die GMDS-ER aangemoedig. Masters 2021-02-02T15:50:00Z 2021-04-22T10:11:27Z 2021-04-23T03:00:08Z 2021-03 Thesis http://hdl.handle.net/10019.1/110260 en Stellenbosch University viii, 153 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | NEPSY (Neuropsychological test) -- South Africa Fetal alcohol spectrum disorders -- South Africa Alcoholism in pregnancy UCTD Lambrechts, Tersius Viljoen Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title | Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title_full | Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title_fullStr | Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title_full_unstemmed | Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title_short | Preliminary validation of the NEPSY-II for South African children with foetal alcohol syndrome |
| title_sort | preliminary validation of the nepsy ii for south african children with foetal alcohol syndrome |
| topic | NEPSY (Neuropsychological test) -- South Africa Fetal alcohol spectrum disorders -- South Africa Alcoholism in pregnancy UCTD |
| url | http://hdl.handle.net/10019.1/110260 |
| work_keys_str_mv | AT lambrechtstersiusviljoen preliminaryvalidationofthenepsyiiforsouthafricanchildrenwithfoetalalcoholsyndrome |