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特定学习障碍中的认知

Cognition in specific learning disability.

作者信息

Karande Sunil, Sawant Sulaxna, Kulkarni Madhuri, Kanchan Sandeep, Sholapurwala Rukhshana

机构信息

Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India.

出版信息

Indian J Pediatr. 2005 Dec;72(12):1029-33. doi: 10.1007/BF02724405.

Abstract

OBJECTIVE

To compare the cognition abilities of children with specific learning disability (SpLD) viz. dyslexia, dysgraphia and dyscalculia with those of non-impaired children.

METHODS

The study group consisted of 95 newly diagnosed SpLD children (aged 9-14 years) and the control group consisted of 125 non-impaired children (aged 9-14 years). An academic achievement of two years below the actual grade placement on educational assessment with a Curriculum-Based test was considered diagnostic of SpLD. A battery of 13 cognition function tests based on Guilford's Structure of Intellect Model was administered individually on each child in four areas of information viz. figural, symbolic, semantic and behavioral. Mean scores +/- SD obtained in these four areas were calculated in both groups and compared using Independent Samples t-test. A P value < 0.05 was considered significant.

RESULTS

Children with SpLD had significantly lower scores (mean +/- SD) in all four areas of information: maximally in the symbolic area (18.66 +/- 4.83 vs. 28.30 +/- 4.29, mean difference 9.64, P < 0.0001, df = 218, 95% CI 8.43-10.86), followed by semantic (18.72 +/- 5.07 vs 27.36 +/- 4.17, mean difference 8.64, P < 0.0001, df = 218, 95% CI 7.40-9.87), figural (17.10 +/- 5.24 vs 25.14 +/- 3.36, mean difference 8.04, P < 0.0001, df = 218, 95% CI 6.89-9.19), and behavioral (5.68 +/- 2.10 vs 7.54 +/- 1.46, mean difference 1.86, P < 0.0001, df = 218, 95% CI 1.39-2.33) areas.

CONCLUSION

Cognition abilities are significantly impaired in children with SpLD.

摘要

目的

比较患有特定学习障碍(SpLD)的儿童,即阅读障碍、书写障碍和计算障碍儿童与未受影响儿童的认知能力。

方法

研究组由95名新诊断出的SpLD儿童(9至14岁)组成,对照组由125名未受影响儿童(9至14岁)组成。在基于课程的测试中,学业成绩低于实际年级水平两年被视为SpLD的诊断标准。基于吉尔福德智力结构模型的一组13项认知功能测试,在信息的四个领域,即图形、符号、语义和行为领域,分别对每个儿童进行单独测试。计算两组在这四个领域获得的平均分数±标准差,并使用独立样本t检验进行比较。P值<0.05被认为具有统计学意义。

结果

SpLD儿童在所有四个信息领域的得分(平均±标准差)均显著较低:在符号领域得分最低(18.66±4.83对28.30±4.29,平均差异9.64,P<0.0001,自由度=218,95%置信区间8.43-10.86),其次是语义领域(18.72±5.07对27.36±4.17,平均差异8.64,P<0.0001,自由度=218,95%置信区间7.40-9.87)、图形领域(17.10±5.24对25.14±3.36,平均差异8.04,P<0.

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