{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:04:46Z","timestamp":1784023486185,"version":"3.55.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>The early identification of developmental delay in adolescents by health professionals is relevant for a good prognosis. However, the clinical indicators of development delay are unclear in nursing science.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>To analyze the clinical indicators of delayed development in school adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A diagnostic accuracy study that investigated delayed development among 385 adolescents in public schools between July and September of 2017. The accuracy measures were analyzed using a latent class analysis based on sensitivity and specificity values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>FINDINGS<\/jats:title>\n                    <jats:p>The delayed development is present in 18.26% of school adolescents. The best accuracy values were as follows: low self-esteem (0.9838), dissatisfaction with own image (0.8400), impaired daily activities (0.9815), internalization behavior (0.8304), outsourcing behavior (0.6367), eating disorders (1.0000), emotional insecurity (0.7093), dependent behavior (0.9836), and altered sexual maturation (0.6085).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Thus, this set of nine clinical indicators can be used by nurse practitioners to confirm delayed development in school adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>IMPLICATIONS FOR NURSING PRACTICE<\/jats:title>\n                    <jats:p>This research contributes by providing accurate clinical indicators of delayed development in adolescents. Thus, nurses should recognize delayed development in adolescents through accurate clinical indicators and propose nursing interventions that have positive health results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/2047-3095.12304","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T10:14:34Z","timestamp":1599041674000},"page":"150-156","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Diagnostic Accuracy of Delayed Development in Adolescents"],"prefix":"10.1177","volume":"32","author":[{"given":"Isadora Lorenna Alves","family":"Nogueira","sequence":"first","affiliation":[{"name":"Isadora Lorenna Alves Nogueira, PhD, is a nurse; Isabel Neves Duarte Lisboa, MD, is a nursing profressor; Isabel Neves Duarte Lisboa, PhD, is a nurse at Department of Nursing, Federal University of Rio Grande of Norte, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1111-0390","authenticated-orcid":false,"given":"J\u00e9ssica Dantas de S\u00e1","family":"Tin\u00f4co","sequence":"additional","affiliation":[{"name":"J\u00e9ssica Dantas de S\u00e1 Tin\u00f4co and Maria Isabel da Concei\u00e7\u00e3o Dias Fernandes, PhD, are a nursing profressor, are from Nursing Department, State University of Rio Grande of Norte, Caic\u00f3, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0569-5027","authenticated-orcid":false,"given":"Maria Isabel da Concei\u00e7\u00e3o Dias","family":"Fernandes","sequence":"additional","affiliation":[{"name":"J\u00e9ssica Dantas de S\u00e1 Tin\u00f4co and Maria Isabel da Concei\u00e7\u00e3o Dias Fernandes, PhD, are a nursing profressor, are from Nursing Department, State University of Rio Grande of Norte, Caic\u00f3, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena Freire","family":"Delgado","sequence":"additional","affiliation":[{"name":"Isadora Lorenna Alves Nogueira, PhD, is a nurse; Isabel Neves Duarte Lisboa, MD, is a nursing profressor; Isabel Neves Duarte Lisboa, PhD, is a nurse at Department of Nursing, Federal University of Rio Grande of Norte, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel Neves Duarte","family":"Lisboa","sequence":"additional","affiliation":[{"name":"Isadora Lorenna Alves Nogueira, PhD, is a nurse; Isabel Neves Duarte Lisboa, MD, is a nursing profressor; Isabel Neves Duarte Lisboa, PhD, is a nurse at Department of Nursing, Federal University of Rio Grande of Norte, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcius de Oliveira","family":"Lopes","sequence":"additional","affiliation":[{"name":"Marcos Ven\u00edcius de Oliveira Lopes, PhD, nursing profressor is from Nursing Department, Federal University of Cear\u00e1, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Luisa Brand\u00e3o de Carvalho","family":"Lira","sequence":"additional","affiliation":[{"name":"Isadora Lorenna Alves Nogueira, PhD, is a nurse; Isabel Neves Duarte Lisboa, MD, is a nursing profressor; Isabel Neves Duarte Lisboa, PhD, is a nurse at Department of Nursing, Federal University of Rio Grande of Norte, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2016.07.012"},{"key":"e_1_3_2_3_1","first-page":"1","article-title":"Adolescence and family life: Autonomy, detachment and rebellion","volume":"18","author":"Ayala S. 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