1 University of Jyväskylä, Jyväskylä, Finland.
2 Niilo Mäki Institute, Jyväskylä, Finland.
J Learn Disabil. 2019 Jan/Feb;52(1):71-83. doi: 10.1177/0022219418775118. Epub 2018 May 18.
We studied the impact of diverse subtypes of learning disabilities (LD) on adult-age mental health, education, and employment by comparing the LD group ( n = 430) with a matched control group without a known history of LD ( n = 2,149). The clinical archived data were merged with lifelong register data on sickness allowances/disability pensions granted on the basis of psychiatric illnesses, reimbursements for psychoactive medication, having a degree after compulsory education, and having received unemployment allowances. Differences emerged between the LD and control groups in all outcomes, suggesting that a higher proportion of individuals with LD had mental health problems compared to the control group, and a notable share of them had not attained a degree after compulsory education and had been unemployed for an extended period. Subgroup comparisons indicated that math disability (MD) was associated with antidepressant use and unemployment, whereas the reading disability (RD) group showed the least problems with employment. Interactions between subgroup and gender suggested that MD (with/without RD) may pose a higher risk than RD for females, whereas RD seemed to pose a risk for males. The findings suggest the need for researchers, clinicians, and those involved with adult education to consider mental health and educational problems among individuals with LD.
我们通过将 LD 组(n=430)与无已知 LD 病史的匹配对照组(n=2149)进行比较,研究了不同亚型的学习障碍(LD)对成年心理健康、教育和就业的影响。临床存档数据与基于精神疾病发放的病假津贴/残疾抚恤金、精神药物报销、完成义务教育后的学位以及领取失业津贴的终身登记数据合并。LD 组和对照组在所有结果上均存在差异,表明与对照组相比,LD 患者心理健康问题的比例更高,相当一部分人没有完成义务教育,并且长期失业。亚组比较表明,数学障碍(MD)与抗抑郁药的使用和失业有关,而阅读障碍(RD)组在就业方面的问题最少。亚组与性别之间的交互作用表明,MD(伴有/不伴有 RD)可能比 RD 对女性的风险更高,而 RD 似乎对男性有风险。研究结果表明,研究人员、临床医生和从事成人教育的人员有必要考虑 LD 患者的心理健康和教育问题。