Stolarska Urszula, Kaciński Marek
Klinika Neurologii Dzieciecej, Uniwersytet Jagielloński Collegium Medicum, Kraków.
Przegl Lek. 2007;64(11):978-85.
Pediatric neuropsychology is currently one of the most expansive fields of psychology, developing between clinical neurology and other neurosciences.
This work presents the main possibilities of a pediatric neuropsychological evaluation in known clinical situations and the status of the neuropsychological profession.
The necessity of evaluating the level of cognitive functioning in children from high risk groups, children with somatic, behavioural, emotional or developmental disorders was reminded. Clinical examples are described, when a neuropsychological evaluation of the child reveals important information, becoming a valuable part of the medical diagnosing process. Diagnostic methods most commonly used for assessing the level of cognitive functioning are presented, baring in mind its division into specific cognitive domains: executive functions, learning and memory, attention, visuo-motor and verbal skills. Most popular of the international and domestic IQ tests are described, including suggestions about testing children with various degrees of intellectual disability. Among the methods are tests for assessing children in age groups from 0-18. The authors described a neuropsychological interpretation of the evaluation results, including tests, behavioural observation, interviews and other diagnostic methods. Some limitations of the neuropsychological assessment methods are also mentioned, such as questionable ecological validity.
the knowledge of possibilities and the necessity of the neuropsychological evaluation in children should become much more common, especially in the medical environment. The status of the neuropsychologist in Poland need a precise legal regulation.
儿科神经心理学目前是心理学中发展最为广泛的领域之一,它在临床神经病学和其他神经科学之间发展。
这项工作展示了在已知临床情况下进行儿科神经心理学评估的主要可能性以及神经心理学专业的现状。
文中提醒了对高危群体儿童、患有躯体、行为、情感或发育障碍儿童的认知功能水平进行评估的必要性。文中描述了临床实例,即对儿童进行神经心理学评估时可揭示重要信息,这成为医学诊断过程中有价值的一部分。介绍了最常用于评估认知功能水平的诊断方法,同时考虑到其分为特定认知领域:执行功能、学习与记忆、注意力、视觉运动和语言技能。描述了最流行的国际和国内智商测试,包括对不同程度智力残疾儿童进行测试的建议。这些方法包括针对0至18岁年龄组儿童的测试。作者描述了对评估结果的神经心理学解读,包括测试、行为观察、访谈和其他诊断方法。还提到了神经心理学评估方法的一些局限性,如生态效度存疑。
儿童神经心理学评估的可能性及必要性的相关知识应更为普及,尤其是在医疗环境中。波兰神经心理学家的地位需要精确的法律规范。