Austin J K, Huberty T J, Huster G A, Dunn D W
Indiana University School of Nursing, Indianapolis 46202, USA.
Dev Med Child Neurol. 1998 Apr;40(4):248-55. doi: 10.1111/j.1469-8749.1998.tb15457.x.
The purposes of the study were to compare academic achievement between children with epilepsy and those with asthma and to identify child perception, school adaptive functioning, and condition severity factors related to academic achievement. Subjects were 225 children (117 with epilepsy and 108 with asthma) aged between 8 and 12 years. Academic achievement was measured using school-administered group tests. Self-report questionnaires were used to measure child attitudes and school self-concept. Teachers rated school adaptive functioning. Data were analyzed using ANCOVA and multiple regression. Children with epilepsy had significantly lower achievement scores than children with asthma. Boys with severe epilepsy were most at risk for underachievement. Factors related to poor academic achievement in both samples were: high condition severity, negative attitudes, and lower school adaptive functioning scores. Less variance was accounted for in the model for epilepsy (R2=0.25) than for asthma (R2=0.36). Boys with high seizure severity were most at risk for achievement-related problems. Future research in epilepsy should consider additional factors in the model predicting academic achievement.
该研究的目的是比较癫痫患儿和哮喘患儿的学业成绩，并确定与学业成绩相关的儿童认知、学校适应功能和病情严重程度因素。研究对象为225名年龄在8至12岁之间的儿童（117名癫痫患儿和108名哮喘患儿）。学业成绩通过学校组织的团体测试来衡量。使用自我报告问卷来测量儿童态度和学校自我概念。教师对学校适应功能进行评分。数据采用协方差分析和多元回归进行分析。癫痫患儿的成绩得分显著低于哮喘患儿。患有严重癫痫的男孩学业成绩不佳的风险最高。两个样本中与学业成绩不佳相关的因素包括：病情严重程度高、态度消极以及学校适应功能得分较低。癫痫模型（R2 = 0.25）中所解释的方差比哮喘模型（R2 = 0.36）中的少。癫痫发作严重程度高的男孩出现学业成绩相关问题的风险最高。未来关于癫痫的研究应在预测学业成绩的模型中考虑其他因素。
