A model for pediatric and neuropsychological screening assessment of children with learning disabilities
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Dementia & Neuropsychologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100018 |
Resumo: | ABSTRACT Objectives: The high frequency of learning difficulties, attention disorders or developmental delay in children in the early years of schooling has resulted in a greater demand for pediatric services. Such services generally include assessments covering various specialties, are lengthy and often inaccessible to families due to prohibitively high cost. This paper presents an economically efficient model of interdisciplinary diagnosis. Methods: A group of 109 Brazilian students from public schools aged between 5 and 14 years old, referred by teachers for a history of learning disabilities, behavioral changes or language problems, was evaluated at the NANI (Nucleo de Atendimento Neuropsicologico Infantil). Assessments were performed simultaneously during a single day's attendance and comprised clinical-genetic examination, behavioral assessment and neuropsychological screening, specially developed for the process. The multiaxial system of DSM-IV was adopted for diagnostic description. Results: The results revealed heterogeneity in diagnoses which included specific learning disorders (25.7%), mild intellectual disabilities (17.43%), as well as suspected dysmorphic features (11.93%). Logistic regression showed good sensitivity of neuropsychological screening in the detection of predictive factors for specific developmental disorders, while working memory (p=0.05) and language (p=0.02) problems were found to be higher risk. Conclusions: The model adopted proved to be useful for defining the diagnosis of several conditions in infancy, and can be incorporated into specialized clinics such as psychiatric or developmental pediatric services. |
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A model for pediatric and neuropsychological screening assessment of children with learning disabilitiesneuropsychological screeninginterdisciplinary assessmentchildrenprimary careDSM-IVABSTRACT Objectives: The high frequency of learning difficulties, attention disorders or developmental delay in children in the early years of schooling has resulted in a greater demand for pediatric services. Such services generally include assessments covering various specialties, are lengthy and often inaccessible to families due to prohibitively high cost. This paper presents an economically efficient model of interdisciplinary diagnosis. Methods: A group of 109 Brazilian students from public schools aged between 5 and 14 years old, referred by teachers for a history of learning disabilities, behavioral changes or language problems, was evaluated at the NANI (Nucleo de Atendimento Neuropsicologico Infantil). Assessments were performed simultaneously during a single day's attendance and comprised clinical-genetic examination, behavioral assessment and neuropsychological screening, specially developed for the process. The multiaxial system of DSM-IV was adopted for diagnostic description. Results: The results revealed heterogeneity in diagnoses which included specific learning disorders (25.7%), mild intellectual disabilities (17.43%), as well as suspected dysmorphic features (11.93%). Logistic regression showed good sensitivity of neuropsychological screening in the detection of predictive factors for specific developmental disorders, while working memory (p=0.05) and language (p=0.02) problems were found to be higher risk. Conclusions: The model adopted proved to be useful for defining the diagnosis of several conditions in infancy, and can be incorporated into specialized clinics such as psychiatric or developmental pediatric services.Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2012-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100018Dementia & Neuropsychologia v.6 n.1 2012reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/S1980-57642012DN06010004info:eu-repo/semantics/openAccessMello,Claudia Berlim deBrunoni,Leila Raquel RussowskyPilla,Ana LuizaTaddei,José Augusto Aguiar CarrazedoBarbosa,ThaisSinnes,Elaine GirãoRodrigues,Camila CruzMiranda,Monica CarolinaMuzskat,MauroBueno,Orlando Francisco Amodeoeng2016-07-20T00:00:00Zoai:scielo:S1980-57642012000100018Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2016-07-20T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false |
dc.title.none.fl_str_mv |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
title |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
spellingShingle |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities Mello,Claudia Berlim de neuropsychological screening interdisciplinary assessment children primary care DSM-IV |
title_short |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
title_full |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
title_fullStr |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
title_full_unstemmed |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
title_sort |
A model for pediatric and neuropsychological screening assessment of children with learning disabilities |
author |
Mello,Claudia Berlim de |
author_facet |
Mello,Claudia Berlim de Brunoni,Leila Raquel Russowsky Pilla,Ana Luiza Taddei,José Augusto Aguiar Carrazedo Barbosa,Thais Sinnes,Elaine Girão Rodrigues,Camila Cruz Miranda,Monica Carolina Muzskat,Mauro Bueno,Orlando Francisco Amodeo |
author_role |
author |
author2 |
Brunoni,Leila Raquel Russowsky Pilla,Ana Luiza Taddei,José Augusto Aguiar Carrazedo Barbosa,Thais Sinnes,Elaine Girão Rodrigues,Camila Cruz Miranda,Monica Carolina Muzskat,Mauro Bueno,Orlando Francisco Amodeo |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mello,Claudia Berlim de Brunoni,Leila Raquel Russowsky Pilla,Ana Luiza Taddei,José Augusto Aguiar Carrazedo Barbosa,Thais Sinnes,Elaine Girão Rodrigues,Camila Cruz Miranda,Monica Carolina Muzskat,Mauro Bueno,Orlando Francisco Amodeo |
dc.subject.por.fl_str_mv |
neuropsychological screening interdisciplinary assessment children primary care DSM-IV |
topic |
neuropsychological screening interdisciplinary assessment children primary care DSM-IV |
description |
ABSTRACT Objectives: The high frequency of learning difficulties, attention disorders or developmental delay in children in the early years of schooling has resulted in a greater demand for pediatric services. Such services generally include assessments covering various specialties, are lengthy and often inaccessible to families due to prohibitively high cost. This paper presents an economically efficient model of interdisciplinary diagnosis. Methods: A group of 109 Brazilian students from public schools aged between 5 and 14 years old, referred by teachers for a history of learning disabilities, behavioral changes or language problems, was evaluated at the NANI (Nucleo de Atendimento Neuropsicologico Infantil). Assessments were performed simultaneously during a single day's attendance and comprised clinical-genetic examination, behavioral assessment and neuropsychological screening, specially developed for the process. The multiaxial system of DSM-IV was adopted for diagnostic description. Results: The results revealed heterogeneity in diagnoses which included specific learning disorders (25.7%), mild intellectual disabilities (17.43%), as well as suspected dysmorphic features (11.93%). Logistic regression showed good sensitivity of neuropsychological screening in the detection of predictive factors for specific developmental disorders, while working memory (p=0.05) and language (p=0.02) problems were found to be higher risk. Conclusions: The model adopted proved to be useful for defining the diagnosis of several conditions in infancy, and can be incorporated into specialized clinics such as psychiatric or developmental pediatric services. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100018 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642012000100018 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1980-57642012DN06010004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento |
dc.source.none.fl_str_mv |
Dementia & Neuropsychologia v.6 n.1 2012 reponame:Dementia & Neuropsychologia instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC) instacron:ANCC |
instname_str |
Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
instacron_str |
ANCC |
institution |
ANCC |
reponame_str |
Dementia & Neuropsychologia |
collection |
Dementia & Neuropsychologia |
repository.name.fl_str_mv |
Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC) |
repository.mail.fl_str_mv |
||demneuropsy@uol.com.br |
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1754212930240380928 |