Ferrari Michael
Department of Individual & Family Studies, University of Delaware, Newark, Delaware 19716, USA.
Appl Neuropsychol. 2007;14(3):147-55. doi: 10.1080/09084280701508309.
In this study, neuropsychological test data and demographic information were collected from 267 adults participating in evaluations as part of their involvement with a Vocational Rehabilitation service. Specifically targeted in this research was an assessment of the comorbidity and character of specific learning disabilities (LD) among individuals with a history of idiopathic seizures. Most participants were found to have reduced general cognitive performance. Persons with seizures performed more like LD adults than a control group of adults with non-seizure-related physical disabilities. This was true for many in the seizure group even when no prior LD had been diagnosed. Specific LDs were found in roughly one-third of adults with seizures. An analysis of diagnostic accuracy was conducted revealing higher than expected rates of Type I and Type II errors for persons who had previously carried an LD diagnosis. Strengths and limitations of the study were discussed along with a particular focus on implications for practicing neuropsychologists in educational and vocational settings, and for other professionals who might be responsible for the care of adults with a history of idiopathic seizure disorders.
在本研究中，从267名参与职业康复服务评估的成年人那里收集了神经心理学测试数据和人口统计学信息。本研究的具体目标是评估有特发性癫痫病史的个体中特定学习障碍（LD）的共病情况和特征。大多数参与者被发现总体认知能力下降。癫痫患者的表现更类似于患有LD的成年人，而不是一组与癫痫无关的身体残疾的成年对照组。即使在癫痫组中许多人之前未被诊断出患有LD的情况下也是如此。在大约三分之一的癫痫成年患者中发现了特定的学习障碍。进行了诊断准确性分析，结果显示之前被诊断为LD的人出现I型和II型错误的概率高于预期。讨论了该研究的优势和局限性，特别关注了对在教育和职业环境中执业的神经心理学家以及可能负责照顾有特发性癫痫病史成年人的其他专业人员的影响。
