University of Houston, TX, USA.
Assessment. 2024 Jan;31(1):53-74. doi: 10.1177/10731911231194992. Epub 2023 Sep 6.
We review literature related to the assessment and identification of Specific Learning Disabilities (SLD) and Intellectual Disabilities (ID). SLD and ID are the only two disorders requiring psychometric test performance for identification within the group of neurodevelopmental disorders in . SLD and ID are considered exclusionary of one another, but the processes for assessment and identification of each disorder vary. There is controversy about the identification and assessment methods for SLD, with little consensus. Unlike ID, SLD is weakly related to full-scale IQ, and there is insufficient evidence that the routine assessment of IQ or cognitive skills adds value to SLD identification and treatment. We have proposed a hybrid method based on the assessment of low achievement with norm-referenced tests, instructional response, and other disorders and contextual factors that may be comorbid or contraindicative of SLD. In contrast to SLD, there is strong consensus for a three-prong definition for the identification and assessment of ID: (a) significantly subaverage IQ, (b) adaptive behavior deficits that interfere with independent living in the community, and (c) age of onset in the developmental period. For both SLD and ID, we identify areas of controversy and best practices for identification and assessment.
我们回顾了与特定学习障碍(SLD)和智力障碍(ID)的评估和识别相关的文献。SLD 和 ID 是在精神发育障碍组中唯一需要通过心理测量测试成绩进行识别的两种障碍。SLD 和 ID 被认为彼此排斥,但每种障碍的评估和识别过程有所不同。对于 SLD 的识别和评估方法存在争议,共识很少。与 ID 不同,SLD 与全量表智商的相关性较弱,而且没有足够的证据表明对智商或认知技能的常规评估对 SLD 的识别和治疗有价值。我们提出了一种混合方法,基于对成绩低于标准的测试、教学反应和其他可能与 SLD 共病或禁忌症相关的障碍和背景因素的评估。与 SLD 不同,对于 ID 的识别和评估有一个三管齐下的定义:(a)显著低于平均智商,(b)适应性行为缺陷,干扰在社区中的独立生活,(c)发展期的发病年龄。对于 SLD 和 ID,我们确定了争议和最佳识别和评估实践的领域。