在患有先天性心脏病的儿童中,WISC-V表现的模式
Marsha Vasserman1,2,3, Kimberly Myers4,5, Brian L Brooks6,7,8
1Neurosciences Program, Alberta Children's Hospital, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada. marsha.vasserman@ahs.ca.
Pediatric cardiology
|January 12, 2024
概括
与典型发育的同龄人相比,患有先天性心脏病 (CHD) 的儿童在大多数领域的认知表现较低. 在区块设计和数字跨度中指出了特定的挑战,影响了整体发展.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经发育儿科 神经发育儿科
- 认知心理学 认知心理学
背景情况:
- 先天性心脏病 (CHD) 是一种普遍存在的出生缺陷,由于医学进步,存活率有所改善.
- 患有心血管疾病的儿童的长期生活质量和神经发育结果是越来越重要的研究领域.
- 了解心血管疾病的认知影响对于全面的患者护理和支持至关重要.
研究的目的:
- 评估患有心脏病的儿童的认知和智力表现,使用最新的儿童韦克斯勒智力表 (WISC-V).
- 为了比较患有心脏病的儿童的WISC-V表现与规范性对照组.
- 确定心血管疾病儿童认知优缺点的特定模式,并探索与疾病变量之间的相关性.
主要方法:
- 对一组被诊断患有先天性心脏病的儿童进行了Wechsler智商量表儿童第五版 (WISC-V).
- 将CHD组的WISC-V分数 (在所有指数和子测试中) 与年龄匹配的规范数据进行比较.
- 分析了损伤模式,并研究了特定先天性心脏病特征与WISC-V结果之间的关系.
主要成果:
- 患有心血管疾病的儿童在所有主要WISC-V指数和大多数子测试中表现明显差,效果大小较大.
- 显示CHD组中损伤率最高的特定子测试包括区块设计,数字跨度和相似性.
- 在患有心血管疾病的儿童中,受影响最小的子测试是符号搜索,图片跨度,图形重量和词汇.
结论:
- 先天性心脏病与儿童广泛的认知缺陷有关,影响多个智力领域.
- 这些发现突出了患有心脏病的儿童认知脆弱性的特定领域,如视觉空间处理和工作记忆.
- 需要进一步的研究来阐明这些认知差异背后的机制,并为受影响的儿童开发有针对性的干预措施.
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