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学习障碍的神经精神病理学共病。

Neuropsychopathological comorbidities in learning disorders.

机构信息

Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neurosciences and Sense Organs of the "Aldo Moro" University of Bari, Piazza Giulio Cesare 1, Bari, Italy.

出版信息

BMC Neurol. 2013 Dec 13;13:198. doi: 10.1186/1471-2377-13-198.

Abstract

BACKGROUND

Learning Disorders (LD) are complex diseases that affect about 2-10% of the school-age population. We performed neuropsychological and psychopathological evaluation, in order to investigate comorbidity in children with LD.

METHODS

Our sample consisted of 448 patients from 7 to 16 years of age with a diagnosis of LD, divided in two subgroups: Specific Learning Disorders (SLD), including reading, writing, mathematics disorders, and Learning Disorders Not Otherwise Specified (LD NOS).

RESULTS

Comorbidity with neuropsychopathologies was found in 62.2% of the total sample. In the LSD subgroup, ADHD was present in 33%, Anxiety Disorder in 28.8%, Developmental Coordination Disorder in 17.8%, Language Disorder in 11% and Mood Disorder in 9.4% of patients. In LD NOS subgroup, Language Disorder was present in 28.6%, Developmental Coordination Disorder in 27.5%, ADHD in 25.4%, Anxiety Disorder in 16.4%, Mood Disorder in 2.1% of patients. A statistically significant presence was respectively found for Language and Developmental Coordination Disorder comorbidity in LD NOS and for ADHD, mood and anxiety disorder comorbidity in SLD subgroup.

CONCLUSIONS

The different findings emerging in this study suggested to promote further investigations to better define the difference between SLD and LD NOS, in order to improve specific interventions to reduce the long range consequences.

摘要

背景

学习障碍(LD)是一种复杂的疾病,影响着约 2-10%的学龄儿童。我们进行了神经心理学和精神病理学评估,以研究 LD 儿童的共病情况。

方法

我们的样本由 448 名 7 至 16 岁的 LD 诊断患者组成,分为两个亚组:特定学习障碍(SLD),包括阅读、写作、数学障碍和未特指的学习障碍(LD NOS)。

结果

在总样本中,62.2%存在神经精神病理学共病。在 SLD 亚组中,ADHD 存在于 33%的患者中,焦虑症存在于 28.8%的患者中,发育性协调障碍存在于 17.8%的患者中,语言障碍存在于 11%的患者中,心境障碍存在于 9.4%的患者中。在 LD NOS 亚组中,语言障碍存在于 28.6%的患者中,发育性协调障碍存在于 27.5%的患者中,ADHD 存在于 25.4%的患者中,焦虑症存在于 16.4%的患者中,心境障碍存在于 2.1%的患者中。LD NOS 亚组中语言和发育性协调障碍共病以及 SLD 亚组中 ADHD、心境和焦虑障碍共病的存在具有统计学意义。

结论

本研究中的不同发现表明,需要进一步的研究来更好地定义 SLD 和 LD NOS 之间的差异,以便改进特定的干预措施,以减少长期后果。

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