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发育性阅读障碍中的行为问题和抑郁症状:巴西学生的风险评估

Behavior Problems and Depressive Symptoms in Developmental Dyslexia: Risk Assessment in Brazilian Students.

作者信息

de Lima Ricardo Franco, Salgado-Azoni Cíntia Alves, Dell'Agli Betânia Alves Veiga, Baptista Makilim Nunes, Ciasca Sylvia Maria

机构信息

Laboratório de Pesquisa em Dificuldades, Distúrbios de Aprendizagem e Transtornos da Atenção (DISAPRE), Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

Universidade São Francisco (USF), Bragança Paulista, SP, Brazil.

出版信息

Clin Neuropsychiatry. 2020 Jun;17(3):141-148. doi: 10.36131/cnfioritieditore20200301.

Abstract

OBJECTIVE

To investigate if students with developmental dyslexia (DD) have more behavior problems and depressive symptoms than students without learning difficulties.

METHOD

Participants were 61 students, aged 7-14 years, including 31 with interdisciplinary DD diagnosis and 30 without learning disabilities. We collected data from parents, using the children's behavior checklist (CBCL), and from students, using the children's depression inventory (CDI).

RESULTS

The DD group had higher CBCL averages for anxiety, depression, withdrawal, rule-breaking behaviors, aggressiveness, and social, attentional and thought problems. They also showed higher results for the internalizing and externalizing categories, others and total. In the CDI, DD students had higher averages for total score and for the following symptoms: negative self-evaluation, guilt, suicidal thoughts, feeling concern, performance comparison, sleeping difficulties, fatigue, and problems in interacting with peers at school.

CONCLUSIONS

We discuss the results in terms of implications for DD diagnosis and intervention. Parent reports indicate a higher frequency of behavior problems in students with DD diagnosis. Those students also demonstrate more symptoms of depression than students without learning difficulties.

摘要

目的

调查患有发育性阅读障碍(DD)的学生是否比没有学习困难的学生有更多的行为问题和抑郁症状。

方法

参与者为61名7至14岁的学生,其中31名被诊断为患有跨学科DD,30名没有学习障碍。我们通过儿童行为清单(CBCL)从家长那里收集数据,并通过儿童抑郁量表(CDI)从学生那里收集数据。

结果

DD组在焦虑、抑郁、退缩、违规行为、攻击性以及社交、注意力和思维问题方面的CBCL平均分更高。他们在内化和外化类别、其他方面以及总分上也有更高的得分。在CDI中,DD学生在总分以及以下症状方面的平均分更高:负面自我评价、内疚、自杀念头、感到担忧、成绩比较、睡眠困难、疲劳以及在学校与同伴互动方面的问题。

结论

我们从DD诊断和干预的意义方面讨论了结果。家长报告表明,被诊断为DD的学生中行为问题的发生率更高。那些学生也比没有学习困难的学生表现出更多的抑郁症状。

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