杜申肌力发育不良的儿童和青少年的神经认知功能:系统性审查和元分析
Jayne Gregg1, Colin Wilson2, David Curran3
1Regional Neurosciences, Royal Victoria Hospital.
The Clinical neuropsychologist
|March 21, 2024
概括
患有杜申肌力发育不良症 (DMD) 的儿童表现出神经认知缺陷,在全尺度智商,性能智商,口头智商和工作记忆中表现出大约一个标准偏差低于非临床规范. 受感词汇的分数在正常范围内.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 遗传学 遗传学 是一个
背景情况:
- 杜氏肌肉发育不良 (DMD) 是一种严重的遗传疾病,主要影响肌肉组织.
- 与其生理效应相比,DMD的神经认知方面的理解较少.
- 缺乏对患有DMD儿童神经认知特征的系统审查.
研究的目的:
- 对患有DMD的儿童和青少年的神经认知特征进行系统审查和元分析.
- 综合特定神经认知领域的发现,包括智商和工作记忆.
- 识别有关DMD神经认知的文献上的空白.
主要方法:
- 在五个数据库 (EMBASE,Medline,PsycInfo,Scopus,Web of Science) 和灰色文学中进行系统的文献搜索.
- 包括报告具有可比性神经认知结果的研究,包括全尺度智商 (FSIQ),口头智商 (VIQ),表现智商 (PIQ),工作记忆指数 (WMI) 和感受词汇 (PPVT).
- 来自38项符合条件的研究的数据的元分析.
主要成果:
- 患有DMD的儿童在FSIQ,PIQ,VIQ和WMI的非临床规范下大约1SD的表现.
- 通过皮博迪图片口语测试 (PPVT) 测量的感受性词汇分数处于非临床规范范围内.
- 包括的研究质量中等至高,具有显著的异质性,但没有出版偏差.
结论:
- 患有DMD的儿童在一般智力功能和工作记忆方面表现出显著的神经认知缺陷.
- 神经认知特征表明了特定的弱点,与接受性词汇能力不同.
- 建议对PPVT得分与DMD中更广泛的语言智力构造的可互换性保持谨慎.
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