Vestnik of Saint Petersburg University. Psychology
2025. Vol. 15, no. 2, 198–217
ISSN: 2658-3607 / 2658-6010 (online)
Analysis of developmental assessment instruments for diagnosing infants and young children
Abstract
The need for early diagnosis of developmental disorders, providing the child and family with early access to assistance programs, is faced with the lack of standards for their use in children aged from birth to 4 years. The article provides an overview of modern tools for assessing the development of infants and young children (from 0 to 4 years old), discusses the possibilities and limitations of their use in children, including the purposes of early intervention. To generalize the experience of international development diagnostic methods а systematic study was conducted using the NCBI (PubMed), Medline and PsycINFO databases and the keywords: developmental (neurodevelopmental) standardized assessments, test, young children, infant(s). RISC keywords were: developmental diagnostics, infants, young children. As a result, 15 tools for early developmental diagnostics were identified. Currently, there is no single international tool for assessing the development and behaviour of infants and young children. The most used developmental screening tool is the ASQ-3, which is a parent questionnaire. Among the standardized expert tests for the development access, such an instrument is the Bayley-III. Modern diagnostic tools for the child development access, in addition to the areas of cognitive, motor (motor) development, language and speech development, include areas of development related to social-emotional functioning and adaptation. To interpret the results obtained from the use of diagnostic tools that assess the child’s development, an individualized approach is required, involving the study of clinical and anamnestic data and psychosocial aspects of the family environment. In the available literature, the limited use is noted in domestic practice of internationally recognized tools for diagnosing the development of infants and young children.
General Information
Keywords: developmental (neurodevelopmental) standardized assessments, test, screening, milestone attainment, child development, young children, infant(s)
Journal rubric: Empirical and Experimental Research
Article type: scientific article
Published
For citation: Andrushchenko, N.V. (2025). Analysis of developmental assessment instruments for diagnosing infants and young children . Vestnik of Saint Petersburg University. Psychology, 15(2), 198–217. (In Russ.). URL: https://psyjournals.ru/en/journals/vspu_psychology/archive/2025_n2/Andrushchenko (viewed: 05.12.2025)
References
Acar I.H., Frohn S., Prokasky A., Molfese V.J., Bates J.E. (2019). Examining the associations between performance based and ratings of focused attention in toddlers: Are we measuring the same constructs? Infant Child Dev., 28 (1): e2116. https://doi.org/10.1002/icd.2116
Anderson P.J., Burnett A. (2017). Assessing developmental delay in early childhood — concerns with the Bayley-III scales. Clin. Neuropsychol., 31 (2): 371–381. https://doi.org/10.1080/13854046.2016.1216518
Arts J., Gubbels J.S., Verhoeff A.P., Chinapaw M.J.M., Lettink A., Altenburg T.M. (2022). A systematic review of proxy-report questionnaires assessing physical activity, sedentary behavior and/or sleep in young children (aged 0–5 years). Int. J. Behav. Nutr. Phys. Act., 19 (1): 18. https://doi.org/10.1186/s12966-022-01251-x
Attell J.E., Rose C., Bertolli J., Kotzky K., Squires J., Krishna N.K., Satterfield-Nash A., Peacock G., Pereira I.O., Santelli A.C., Smith C. (2020). Adapting the ages and stages questionnaire to identify and quantify development among children with evidence of Zika infection. Infants Young Child, 33 (2): 95–107. https://doi.org/10.1097/iyc.0000000000000161
Bayley N. (2006). Bayley scales of infant and toddler development: administration manual. San Antonio, Harcourt Assessment.
Belova O.S., Solov’ev A.G., Leppiman A. (2020). System of early comprehensive assistance to children at risk of mental development disorders in Russia. Ekologiia cheloveka, 8: 49–54. https://doi.org/10.33396/1728-0869-2020-8-49-54 (In Russian)
Bilu Yo., Amit G., Sudry T., Akiva P., Avgil Tsadok M., Zimmerman D.R., Baruch R., Sadaka Ya. (2023). A developmental surveillance score for quantitative monitoring of early childhood milestone attainment: Algorithm development and validation. JMIR Public. Health Surveill., 9: e47315. https://doi.org/10.2196/47315
Bondar’kova Ju. A. (2016). The role of the Munich diagnostic for assessing dynamic changes in the development of young children. Spetsial’noe obrazovanie, 1 (41): 25–37. (In Russian)
Bulbul L., Elitok G.K., Ayyıldız E., Kabakcı D., Uslu S., Köse G., Tiryaki Demir S., Bulbul A. (2020). Neuromotor development evaluation of preterm babies less than 34 weeks of gestation with Bayley III at 18–24 months. Biomed Res. Int., 2020: 5480450. https://doi.org/10.1155/2020/5480450
Chernego D.I., Vasil’eva M.Ju., Solodunova M.Ju., Nikiforova N.V., Pal’mov O.I., MakKoll R.B., Groark K., Muhamedrahimov R.Zh. (2017). Mental development of preterm infants in institutional environment. Psikhologicheskii zhurnal, 38 (2): 55–65. (In Russian)
Chernego D.I., McCall R.B., Wanless Sh.B., Groark Ch.J., Vasilyeva M.J., Palmov O.I., Nikiforova N.V., Muhamedrahimov R.J. (2018). The effect of a social — emotional intervention on the development of preterm infants in institutions. Infants & Young Children, 31 (1): 37–52. https://doi.org/10.1097/IYC.0000000000000108
Clascoe F.P., Woods S.K., Mills T.D. (2023). PEDS-R: handbook. Nolensville, PEDStest.com.
Diagnostic classification of mental health and developmental disorders of infancy and early childhood (Version 2.0) (2022). St. Petersburg, Skifiia Publ. (In Russian)
Del Rosario C., Slevin M., Molloy E.J., Quigley J., Nixon E. (2021). How to use the Bayley Scales of Infant and Toddler Development. Arch. Dis. Child Educ. Pract. Ed., 106 (2): 108–112. https://doi.org/10.1136/archdischild-2020-319063
Developmental surveillance and screening of infants and young children (2001). Pediatrics, 108 (1): 192–196. https://doi.org/10.1542/peds.108.1.192
Durrant C., Wong H.S., Cole T.J., Hutchon B., Collier L., Wright A., George C., De Haan M., Huertas Ceballos A. (2020). Developmental trajectories of infants born at less than 30 weeks gestation on the Bayley-III Scales. Arch. Dis. Child Fetal Neonatal Ed., 105 (6): 623–627. https://doi.org/10.1136/archdischild-2019-317810
Ertem I.O., Dogan D.G., Gok C.G., Kizilates S.U., Caliskan A., Atay G., Vatandas N., Karaaslan T., Baskan S.G., Cicchetti D.V. (2008). A guide for monitoring child development in low- and middleincome countries. Pediatrics, 121 (3): 581–589. https://doi.org/10.1542/peds.2007-1771
Ertem I.O., Krishnamurthy V., Mulaudzi M.C., Sguassero Ya., Balta H., Gulumser O., Bilik B., Srinivasan R., Johnson B., Gan G., Calvocoressi L., Shabanova V., Forsyth B.W.C. (2018). Similarities and differences in child development from birth to age 3 years by sex and across four countries: a cross-sectional, observational study. Lancet Glob. Health, 6 (3): e279-e291. https://doi.org/10.1016/S2214-109X(18)30003-2
Fauls J.R., Thompson B.L., Johnston L.M. (2020). Validity of the Ages and Stages Questionnaire to identify young children with gross motor difficulties who require physiotherapy assessment. Dev. Med. Child Neurol., 62 (7): 837–844. https://doi.org/10.1111/dmcn.14480
Fuiko R., Oberleitner-Leeb C., Klebermass-Schrehof K., Berger A., Brandstetter S., Giordano V. (2019). The impact of norms on the outcome of children born very-preterm when using the Bayley-III: Differences between US and German norms. Neonatology, 116 (1): 29–36. https://doi.org/10.1159/000497138
Fuschlberger T., Leitz E., Voigt F., Esser G., Schmid R.G., Mall V., Friedmann A. (2024). Stability of developmental milestones: Insights from a 44-year analysis. Infant Behav. Dev., 74: 101898. https://doi.org/10.1016/j.infbeh.2023.101898
Gladstone M., Lancaster G.A., Umar E., Nyirenda M., Kayira E., van den Broek N.R., Smyth R.L. (2010). The Malawi Developmental Assessment Tool (MDAT): the creation, validation, and reliability of a tool to assess child development in rural African settings. PLoS Med., 25, 7 (5): e1000273. https://doi.org/10.1371/journal.pmed.1000273
Goncharova O.V., Nikolenko N., Achkasov E.E., Kuranov G.V. (2014). Role of screening studies using computer and video technologies in diagnostics of abnormalities in children development and rehabilitation organization. Vestnik vosstanovitel’noi meditsiny, 4 (62): 21–26. (In Russian)
Gregory R.G. (2007). Psychological testing: History, Principles, and Applications. London, Pearson Education.
Hasselhorn M., Margraf-Stiksrud J. (2015). TBS-TK Rezension: “Entwicklungstest für Kinder von sechs Monaten bis sechs Jahren — Revision (ET 6–6 R)”. Psychologische Rundschau, 66 (3): 141–143. https://doi.org/10.1026/0033-3042/a000120
Hyun S.E., Kwon J.Yi., Hong B.Yo., Yoon J.A., Choi J.Yo., Hong J., Koh S.E., Ko E.J., Kim S.K., Song M.K., Yi S.H., Cho A., Kwon B.S. (2023). Early neurodevelopmental assessments of neonates discharged from the neonatal intensive care unit: A physiatrist’s perspective. Ann. Rehabil. Med., 47 (3): 147–161. https://doi.org/10.5535/arm.23038
Janning A., Lademann H., Olbertz D. (2023). Predictive value of the Münchener Funktionelle Entwicklungsdiagnostik used to determine risk factors for motor development in German preterm infants. Biomedicines, 11 (10): 2626. https://doi.org/10.3390/biomedicines11102626
Jeong J., Franchett E.E., Ramos de Oliveira C.V., Rehmani K., Yousafzai A.K. (2021). Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis. PLoS Med., 18 (5): e1003602. https://doi.org/10.1371/journal.pmed.1003602
Kagan A.V., Plotnikova E.V., Gorelik Ju.V., Andrushhenko N.V., Simahodskij A.V., Sevost’janova L.D. (2020). Methodological and practical principles for the formation of a multi-level rehabilitation system for children 0–4 years old. Profilakticheskaia i klinicheskaia meditsina, 4 (77): 60–67. (In Russian)
Kiselev S.Ju., L’vova O.A., Gliga T., Bakushkina N.I, Sulejmanova E.V., Grishina K.I., Baranov D.A., Ksenofontova O.L., Martirosjan S.V. (2016). Assessment of neurocognitive functions in premature infants in the first year of life using the Bayley scale. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova, 116, 4 (2): 62–67. (In Russian)
Kolesnikova M.A., Solodunova M.Ju., Zhukova M.A., Anikina V.O. (2017). Cognitive development of young children in insttutions with different social environments. Vestnik of Saint Petersburg University. Psichology and Pedagogics, 7, 4: 365–381. https://doi.org/10.21638/11701/spbu16.2017.405 (In Russian).
Kozlovskaja G.V., Kalinina M.A., Gorjunova A.V. (2012). Determination of deviations in the mental development of young children: Psychodiagnostic test “Gnom”. Мoscow, Moscow State Industrial University Press. (In Russian)
Kustova T.V., Taranushenko T.E., Dem’janova I.M. (2018). Assessing the psychomotor development of a young child: what a pediatrician should know. Meditsinskii sovet, 11: 104–109. https://doi.org/10.21518/2079-701X-2018-11-104-109 (In Russian)
Lancaster G.A., McCray G., Kariger P., Dua T., Titman A., Chandna J., McCoy D., Abubakar A., Hamadani J.D., Fink G., Tofail F., Gladstone M., Janus M. (2018). Creation of the WHO Indicators of Infant and Young Child Development (IYCD): metadata synthesis across 10 countries. BMJ Glob. Health, 3 (5): e000747. https://doi.org/10.1136/bmjgh-2018-000747
Madaschi V., Macedo E.C., Mecca T.P, Paula C.S. (2016). Bayley-III scales of infant and toddler development: transcultural adaptation and psychometric properties. Paidéia (Ribeirão Preto), 26: 189–197.
Makarov I.V., Pashkovskij V.Je., Fesenko Ju.A., Semjonova N.V. (2019). The state of incidence of mental disorders in children and adolescents in the Northwestern Federal District. Rossiiskii psikhiatricheskii zhurnal, 6: 16–24. https://doi.org/10.24411/1560-957X-2019-11950 (In Russian)
Månsson J., Källén K., Eklöf E., Serenius F., Ådén U., Stjernqvist K. (2021). The ability of Bayley-III scores to predict later intelligence in children born extremely preterm. Acta Paediatr., 110 (11): 3030–3039. https://doi.org/10.1111/apa.16037
McManus B.M., Blanchard Yv., Murphy N.J., Nugent J.K. (2020). The effects of the Newborn Behavioral Observations (NBO) system in early intervention: A multisite randomized controlled trial. Infant Ment. Health J., 41 (6): 757–769. https://doi.org/10.1002/imhj.21882
Montgomery C., Setänen S., Kaul Yl.F., Farooqi A., Broström L., Aden U., Källén K., Serenius F. (2023). Predictive value of Bayley-III Motor Index for later motor difficulties in children born extremely preterm. Acta Paediatr., 112 (4): 742–752. https://doi.org/10.1111/apa.16694
Naz S., Hoodbhoy Z., Jaffar A., Kaleem S., Hasan B.S., Chowdhury D., Gladstone M. (2023). Neurodevelopment assessment of small for gestational age children in a community-based cohort from Pakistan. Arch. Dis. Child., 108 (4): 258–263. https://doi.org/10.1136/archdischild-2022-324630
Newborg J. (2005). Battelle developmental inventory, 2nd ed. Itaca, Riverside.
O’Hara L., Smith E.R., Barlow J., Livingstone N., Herath N.I., Wei Yi., Spreckelsen T.F., Macdonald G. (2019). Video feedback for parental sensitivity and attachment security in children under five years. Cochrane Database Syst. Rev., 11 (11): CD012348. https://doi.org/10.1002/14651858
Pal’chik A.B., Ponjatishin A.E., Fedorova L.A. (2021). Neurology of premature infants. Moskow, MEDpressinform Publ. (In Russian)
Pavlova P.A., Bakushkina N.I., Sulejmanova E.V., Pavlova N.V., Lavrova M.A., Tuktareva I.V., Chegodaev D.A., L’vova O.A., Maksimov D.M. (2020). Approbation of the “Bayley Scales of Infant and Toddler Development — Third Edition”. Rossiiskii psikhologicheskii zhurnal, 17 (4): 49–64. https://doi.org/10.21702/rpj.2020.4.4 (In Russian)
Perrin E.C., Sheldrick Ch., Visco Z., Mattern K. (2016). Survey of Well-being of Young Children (SWYC). User’s Manual. Boston, Tufts Medical Center.
Petermann F., Macha Th. (2015). Entwicklungstest für Kinder von 6 Monaten bis 6 Jahren. Boston, Hogrefe.
Pribytkova O.L., Maljarchuk N.N., Oteva N.I. (2020). Development of young children: diagnostic features in Russia and abroad. Uspekhi gumanitarnykh nauk, 5: 122–127. (In Russian)
Raspa M., Levis D.M., Kish-Doto J., Wallace I., Rice C., Barger B., Green K.K., Wolf R.B. (2015). Examining parents’ experiences and information needs regarding early identification of developmental delays: Qualitative research to inform a public health campaign. J. Dev. Behav. Pediatr., 36 (8): 575–585. https://doi.org/10.1097/DBP.0000000000000205
Roid G.H., Miller L.J. (1997). Leiter international performance scale — revised: Examiner’s manual. Wood Dale, Stoelting.
Sánchez-Vincitore L., Schaettle P., Castro A. (2019). Validation of the Malawi Developmental Assessment Tool for children in the Dominican Republic: Preliminary results. PLoS One, 15, 14 (8): e0221162. https://doi.org/10.1371/journal.pone.0221162
Schonhaut L., Armijo I., Schönstedt M., Alvarez J., Cordero M. (2013). Validity of the ages and stages questionnaires in term and preterm infants. Pediatrics, 131 (5): e1468-e1474. https://doi.org/10.1542/peds.2012-3313
Schonhaut L., Maturana A., Cepeda O., Serón P. (2021). Predictive validity of developmental screening questionnaires for identifying children with later cognitive or educational difficulties: A systematic review. Front. Pediatr., 24, 9: 698549. https://doi.org/10.3389/fped.2021.698549
Sheel H., Suárez L., Marsh N.V. (2023). Parents’ evaluation of developmental status and strength and difficulties questionnaire as screening measures for children in India: A scoping review. Pediatr. Rep., 24, 15 (1): 175–196. https://doi.org/10.3390/pediatric15010014
Sheldrick R.C., Schlichting L.E., Berger B., Clyne A., Ni P., Perrin E.C., Vivier P.M. (2019). Establishing new norms for developmental milestones. Pediatrics, 144 (6): e20190374. https://doi.org/10.1542/peds.2019-0374
Sheldrick R.C., Marakovitz S., Garfinkel D., Carter A.S., Perrin E.C. (2020). Comparative accuracy of developmental screening questionnaires. JAMA Pediatr., 1, 174 (4): 366–374. https://doi.org/10.1001/jamapediatrics.2019.6000
Singh A., Yeh C.J., Boone Blanchard S. (2017). Ages and Stages Questionnaire: a global screening scale. Bol. Méd. Hosp. Infant Méx., 74 (1): 5–12. https://doi.org/10.1016/j.bmhimx.2016.07.008
Swineford L.B., Guthrie W., Thurm A. (2015). Convergent and divergent validity of the Mullen Scales of Early Learning in young children with and without autism spectrum disorder. Psychol. Assess., 27 (4): 1364–1378. https://doi.org/10.1037/pas0000116
Tokarskaja L.V., Lavrova M.A. (2018). Early parent — child interaction assessment techniques. Kul’turno-istoricheskaia psikhologiia, 14 (2): 86–92. https://doi.org/10.17759/chp.2018140209 (In Russian)
Trushkina S.V. (2021). Psychological diagnostics of early children: directions, purposes, metods. In: N.V. Zvereva, I.F. Roshhina (eds). Sovremennye napravleniia diagnostiki v klinicheskoi (meditsinskoi) psikhologii (pp. 221–240). Moskow, Sam Poligrafist Publ. (In Russian)
Valitova I.E. (2018). Represenation about early child development in everyday consciousness [Conference presentation abstract]. In: Psikhologicheskie problemy sovremennoi sem’i (pp. 152–159). Ekaterinburg, [s. n.]. (In Russian)
Visser L., Ruiter S.A.J., van der Meulen B.F., Ruijssenaars W.A.J.J.M., Timmerman M.E. (2012). A review of standardized developmental assessment instruments for young children and their applicability for children with special needs. Journal of Cognitive Education and Psychology, 11 (2): 102–127. https://doi.org/10.1891/1945-8959.11.2.102
Wong H.S., Cowan F.M., Modi N. (2018). Medicines for neonates investigator group. Validity of neurodevelopmental outcomes of children born very preterm assessed during routine clinical follow-up in England. Arch. Dis. Child Fetal Neonatal Ed., 103 (5): F479–F484. https://doi.org/10.1136/archdischild-2016-312535
Woolfenden S., Eapen V., Williams K., Hayen A., Spencer N., Kemp L. (2014). A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS) indicating developmental risk. BMC Pediatr., 14: 231. https://doi.org/10.1186/1471-2431-14-231
Zhukova M.A., Ovchinnikova I.V., Grigorenko E.L. (2018). Analysis of the psychometric characteristics of the Mullen Scale of Early Learning method on a Russian-speaking sample. Voprosy psikhologii, 5, 145–156. (In Russian)
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