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家长感知的边缘智力学生的健康相关生活质量:印度马哈拉施特拉邦孟买的一项基于横断面问卷调查的研究。

Parental-perceived health-related quality of life of school students with borderline intellectual functioning: A cross-sectional questionnaire-based study in Mumbai, Maharashtra, India.

机构信息

Department of Pediatrics, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India.

Department of Clinical Pharmacology, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India.

出版信息

J Postgrad Med. 2022 Oct-Dec;68(4):213-220. doi: 10.4103/jpgm.jpgm_310_22.

DOI:10.4103/jpgm.jpgm_310_22
PMID:35975344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9841546/
Abstract

BACKGROUND AND OBJECTIVES

Students with borderline intellectual functioning ("slow learners") underperform in all school subjects. The primary objective of this study was to evaluate the parental-perceived health-related quality of life (HRQoL) of these students. Its secondary objective was to analyze the impact of sociodemographic variables on their HRQoL.

SETTINGS AND DESIGN

Cross-sectional single-arm questionnaire-based study was conducted in the learning disability clinic in a public medical college in Mumbai.

SUBJECTS AND METHODS

One hundred parents of slow learners aged 8 to 16 years were recruited by non-probability sampling. Their HRQoL scores were measured using the English DISABKIDS chronic generic module parent (proxy) long-version ("DCGM-37-P") instrument.

STATISTICAL ANALYSIS

Multiple regression analysis was carried out for determining the "independent" impact that sociodemographic variables had on a poor facet and total score outcomes.

RESULTS

Clinically significant deficits were detected in 4 facets, namely: small deficit in "social inclusion"; medium deficits in "independence", "emotion", and "social exclusion"; and large deficit in "total score". Multivariate analysis revealed that: (i) being an only child predicted a poor "emotion" and "social exclusion" facet score outcomes (P = 0.039 and P = 0.024, respectively); (ii) being a female predicted a poor "social inclusion" facet score outcome (P = 0.022); and, (iii) studying in a single-gender school predicted a poor "limitation" facet score outcome (P = 0.020).

CONCLUSIONS

Parents of slow learners perceive their psychosocial and total HRQoL to be significantly compromised. There is a need to evaluate the HRQoL of slow learners so that optimum rehabilitation can be facilitated.

摘要

背景与目的

边缘智力学生(“学习迟缓者”)在所有学科中的表现都不佳。本研究的主要目的是评估这些学生的父母感知到的健康相关生活质量(HRQoL)。次要目的是分析社会人口统计学变量对其 HRQoL 的影响。

设置和设计

这是一项在孟买一所公立医学院学习障碍诊所进行的横断面单臂基于问卷的研究。

受试者和方法

通过非概率抽样招募了 100 名 8 至 16 岁学习迟缓者的父母。使用英语 DISABKIDS 慢性通用模块家长(代理)长版(“DCGM-37-P”)工具测量他们的 HRQoL 评分。

统计分析

进行多元回归分析,以确定社会人口统计学变量对不良方面和总分结果的“独立”影响。

结果

检测到 4 个方面存在临床显著缺陷,即:“社会包容”方面存在小缺陷;“独立性”、“情绪”和“社会排斥”方面存在中度缺陷;以及“总分”方面存在大缺陷。多变量分析显示:(i)独生子预测“情绪”和“社会排斥”方面得分差(P=0.039 和 P=0.024);(ii)女性预测“社会包容”方面得分差(P=0.022);(iii)在单性别学校学习预测“限制”方面得分差(P=0.020)。

结论

学习迟缓者的父母认为他们的心理社会和总体 HRQoL 明显受损。有必要评估学习迟缓者的 HRQoL,以便促进最佳康复。

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Borderline intellectual functioning and psychosis: Adult Psychiatric Morbidity Survey evidence.边缘智力功能与精神病:成人精神健康状况调查证据。
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Borderline intellectual functioning: a systematic literature review.边缘智力功能:一项系统的文献综述。
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