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儿童中真的存在一种涉及神经发育障碍天赋、非右利手和免疫紊乱同时出现的综合征吗?

Is there really a syndrome involving the co-occurrence of neurodevelopmental disorder talent, non-right handedness and immune disorder among children?

作者信息

Flannery K A, Liederman J

机构信息

Psychology Department, Boston University, MA 02215, USA.

出版信息

Cortex. 1995 Sep;31(3):503-15. doi: 10.1016/s0010-9452(13)80062-7.

Abstract

This paper is the first large-scale attempt to test Geschwind and Galaburda's (1985a, 1985b, 1985c) hypothesis that there should be a four-way association among neurodevelopmental disorders (NDs), special talents, non-right handedness, and immune disorders. In a sample of 11,578 children, several two-way associations were found, but not those most strongly predicted by the theory. For example, non-right handedness was not associated with NDs considered to be secondary to left hemisphere dysfunction (e.g., articulation disorder, reading disability, verbal aptitude deficits). Instead, non-right handedness was associated with NDs that involve generalized brain damage (e.g. cerebral palsy, mental retardation, and seizures). One immune disorder (asthma) was associated with one ND (attention deficit disorder); immune disorder was not associated with non-right handedness. Less than 1% of this sample manifested the co-occurrence of any three or four of these markers. In sum, there was little evidence in support of the syndrome suggested by Geschwind and Galaburda (1985a, 1985b, 1985c).

摘要

本文首次大规模尝试检验盖什温德与加拉布尔达(1985a、1985b、1985c)提出的假说,即神经发育障碍(NDs)、特殊天赋、非右利手和免疫紊乱之间应存在四重关联。在一个由11578名儿童组成的样本中,发现了几种双向关联,但并非该理论所最强烈预测的那些关联。例如,非右利手与被认为继发于左半球功能障碍的神经发育障碍(如言语表达障碍、阅读障碍、语言能力缺陷)并无关联。相反,非右利手与涉及广泛性脑损伤的神经发育障碍(如脑瘫、智力迟钝和癫痫发作)有关联。一种免疫紊乱(哮喘)与一种神经发育障碍(注意力缺陷障碍)有关联;免疫紊乱与非右利手并无关联。该样本中不到1%的个体表现出这些特征中的任意三种或四种同时出现的情况。总之,几乎没有证据支持盖什温德与加拉布尔达(1985a、1985b、1985c)所提出的综合征。

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