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学习障碍:发育性计算障碍。

Learning disabilities: Developmental dyscalculia.

机构信息

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy; Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy; Cognitive Neuroimaging Unit, CEA DRF/I2BM, INSERM, Université Paris-Sud, Université Paris-Saclay, NeuroSpin Center, Gif-sur-Yvette, France.

Center for Mind/Brain Sciences, University of Trento, Trento, Italy.

出版信息

Handb Clin Neurol. 2020;174:61-75. doi: 10.1016/B978-0-444-64148-9.00005-3.

Abstract

Developmental dyscalculia (DD) is a developmental learning disability that manifests as a persistent difficulty in comprehending even the most basic numeric and arithmetic concepts, despite normal intelligence and schooling opportunities. Given the predominant use of numbers in modern society, this condition can pose major challenges in the sufferer's everyday life, both in personal and professional development. Since, to date, we still lack a universally recognized and psychometrically driven definition of DD, its diagnosis has been applied to a wide variety of cognitive profiles. In this chapter, we review the behavioral and neural characterization of DD as well as the different neurocognitive and etiologic accounts of this neurodevelopmental disorder. We underline the multicomponential nature of this heterogeneous disability: different aspects of mathematical competence can be affected by both the suboptimal recruitment of general cognitive functions supporting mathematical cognition (such as attention, memory, and cognitive control) and specific deficits in mastering numeric concepts and operations. Accordingly, both intervention paradigms focused on core numeric abilities and more comprehensive protocols targeting multiple neurocognitive systems have provided evidence for effective positive outcomes.

摘要

发展性计算障碍(DD)是一种发育性学习障碍,表现为即使在正常智力和受教育机会的情况下,也难以理解最基本的数字和算术概念。鉴于现代社会中数字的主要使用,这种情况可能会在患者的日常生活中,无论是在个人发展还是职业发展方面,都带来重大挑战。由于迄今为止,我们仍然缺乏一个普遍认可的、基于心理测量的 DD 定义,因此该诊断已经应用于各种认知特征。在本章中,我们回顾了 DD 的行为和神经特征,以及这种神经发育障碍的不同神经认知和病因解释。我们强调了这种异质残疾的多成分性质:数学能力的不同方面可能受到支持数学认知的一般认知功能(如注意力、记忆和认知控制)的次优招募以及掌握数字概念和运算的特定缺陷的影响。因此,专注于核心数字能力的干预模式和针对多个神经认知系统的更全面方案都为有效的积极成果提供了证据。

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