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德国对一项涉及基因分析的早期阅读障碍筛查测试接受度很高。

High acceptance of an early dyslexia screening test involving genetic analyses in Germany.

作者信息

Wilcke Arndt, Müller Bent, Schaadt Gesa, Kirsten Holger, Boltze Johannes

机构信息

Department of Cell Therapy, Fraunhofer Institute for Cell Therapy and Immunology (IZI), Leipzig, Germany.

Translational Centre for Regenerative Medicine (TRM), Universität Leipzig, Leipzig, Germany.

出版信息

Eur J Hum Genet. 2016 Feb;24(2):178-82. doi: 10.1038/ejhg.2015.103. Epub 2015 Jun 3.

Abstract

Dyslexia is a developmental disorder characterized by severe problems in the acquisition of reading and writing skills. It has a strong neurobiological basis. Genetic influence is estimated at 50-70%. One of the central problems with dyslexia is its late diagnosis, normally not before the end of the 2nd grade, resulting in the loss of several years for early therapy. Currently, research is focusing on the development of early tests for dyslexia, which may be based on EEG and genetics. Our aim was to determine the acceptance of such a future test among parents. We conducted a representative survey in Germany with 1000 parents of children aged 3-7 years, with and without experience of dyslexia. 88.7% of the parents supported the introduction of an early test for dyslexia based on EEG and genetics; 82.8% would have their own children tested, and 57.9% were willing to pay for the test if health insurance did not cover the costs. Test acceptance was significantly higher if parents had prior experience with dyslexia. The perceived benefits of such a test were early recognition and remediation and, preventing deficits. Concerns regarded the precision of the test, its potentially stigmatizing effect and its costs. The high overall support for the test leads to the conclusion that parents would accept a test for dyslexia based on EEG and genetics.

摘要

阅读障碍是一种发育障碍,其特征是在获取读写技能方面存在严重问题。它有很强的神经生物学基础。据估计,遗传影响占50%-70%。阅读障碍的核心问题之一是诊断较晚,通常在二年级末之前无法诊断出来,这导致失去了几年的早期治疗时间。目前,研究重点是开发阅读障碍早期测试,这种测试可能基于脑电图和遗传学。我们的目的是确定家长对这种未来测试的接受程度。我们在德国对1000名3-7岁儿童的家长进行了一项代表性调查,这些儿童有或没有阅读障碍经历。88.7%的家长支持引入基于脑电图和遗传学的阅读障碍早期测试;82.8%的家长愿意让自己的孩子接受测试,57.9%的家长表示如果医疗保险不承担费用,他们愿意支付测试费用。如果家长有阅读障碍的既往经历,测试接受度会显著更高。这种测试的预期好处是早期识别和治疗以及预防缺陷。担忧的方面包括测试的准确性、潜在的污名化影响及其成本。对该测试的总体高度支持得出的结论是,家长们会接受基于脑电图和遗传学的阅读障碍测试。

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