Mazzocco Michèle M M, Thompson Richard E
Department of Psychiatry and Behavioral Health Sciences, Johns Hopkins School of Medicine; Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health; Math Skills, Development Project, Kennedy Krieger Institute.
Learn Disabil Res Pract. 2005 Aug 1;20(3):142-155. doi: 10.1111/j.1540-5826.2005.00129.x.
The aim of the present study was to address how to effectively predict mathematics learning disability (MLD). Specifically, we addressed whether cognitive data obtained during kindergarten can effectively predict which children will have MLD in third grade, whether an abbreviated test battery could be as effective as a standard psychoeducational assessment at predicting MLD, and whether the abbreviated battery corresponded to the literature on MLD characteristics. Participants were 226 children who enrolled in a 4-year prospective longitudinal study during kindergarten. We administered measures of mathematics achievement, formal and informal mathematics ability, visual-spatial reasoning, and rapid automatized naming and examined which test scores and test items from kindergarten best predicted MLD at grades 2 and 3. Statistical models using standardized scores from the entire test battery correctly classified ~80-83 percent of the participants as having, or not having, MLD. Regression models using scores from only individual test items were less predictive than models containing the standard scores, except for models using a specific subset of test items that dealt with reading numerals, number constancy, magnitude judgments of one-digit numbers, or mental addition of one-digit numbers. These models were as accurate in predicting MLD as was the model including the entire set of standard scores from the battery of tests examined. Our findings indicate that it is possible to effectively predict which kindergartners are at risk for MLD, and thus the findings have implications for early screening of MLD.
本研究的目的是探讨如何有效预测数学学习障碍(MLD)。具体而言,我们研究了幼儿园阶段获得的认知数据能否有效预测哪些儿童在三年级时会出现MLD,一个简化的测试组合在预测MLD方面是否能与标准的心理教育评估一样有效,以及该简化组合是否与MLD特征的文献相符。研究参与者为226名在幼儿园时参加了一项为期4年的前瞻性纵向研究的儿童。我们实施了数学成绩、正式和非正式数学能力、视觉空间推理以及快速自动命名等测量,并考察了幼儿园阶段的哪些测试分数和测试项目能最好地预测二、三年级时的MLD。使用整个测试组合的标准化分数构建的统计模型能够正确地将约80% - 83%的参与者分类为患有或未患有MLD。仅使用单个测试项目分数的回归模型的预测能力不如包含标准分数的模型,不过使用涉及认读数字、数字恒常性、一位数大小判断或一位数心算等特定子集测试项目的模型除外。这些模型在预测MLD方面与包含所考察测试组合的整套标准分数的模型一样准确。我们的研究结果表明,有可能有效预测哪些幼儿园儿童有患MLD的风险,因此这些结果对MLD的早期筛查具有启示意义。