执行功能障碍 患有额頭和部的儿童
Amanda Guerra1, Rafika Fliss2, Mélodie Campiglia3
1Univ Angers, Nantes Université, LPPL, SFR CONFLUENCES, Angers, France; Santos Dumont Institute (ISD), Macaíba, Brasil.
Epilepsy & behavior : E&B
|November 15, 2024
概括
患有焦点的儿童经常经历执行功能 (EFs) 缺陷,影响日常生活. 这项研究强调了额叶 (FLE) 和叶 (TLE) 患者的显著EFS损伤,强调了针对性干预的必要性.
科学领域:
- 儿科神经学 儿科神经学
- 神经心理学 神经心理学
背景情况:
- 患有焦点的儿童经常表现出执行功能 (EFs) 缺陷,这可能导致适应性挑战,并对学业表现产生负面影响.
- 执行功能是关键的认知过程,可以实现目标导向的行为,包括规划,工作记忆和抑制.
研究的目的:
- 研究被诊断为额叶 (FLE) 或叶 (TLE) 的儿童的执行功能概况.
- 检查医疗和社会人口学因素对这些儿童执行功能的影响.
- 通过基于绩效的测试与评级表格来衡量执行职能.
主要方法:
- 执行功能使用儿童执行功能电池 (CEF-B) 基于绩效的测试进行评估.
- 父母和教师对执行功能的评级是使用执行功能的行为评级清单 (BRIEF) 收集的.
- 五十名患有FLE (n=28) 或TLE (n=22) 的儿童 (年龄在6-16岁) 参与了这项研究.
主要成果:
- 与规范数据相比,大约30%的患有FLE和TLE的儿童表现出显著的EFs缺陷.
- 在抑制,工作记忆,灵活性和计划领域观察到缺陷,大多数患者在一个或两个领域受到影响.
- 较差的行政表现与年龄较大,持续时间较长,发作频率较高,发病时间较早和更多的抗药物相关. 在基于绩效和评级措施之间发现了显著的差异.
结论:
- 患有FLE和TLE的儿童表现出显著的执行缺陷,验证了CEF-B的临床实用性.
- 绩效测试和日常生活问卷之间的低一致性表明它们在评估执行功能中的互补作用.
- 建议对患有焦点的儿童进行全面评估和量身定制的干预措施,以解决执行功能障碍.
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