Zespół poznawczego nieuwagi i trudności w nauce u dzieci z epilepsją: badanie porównawcze
Cognitive disengagement syndrome and learning difficulty symptoms in children with epilepsy: A case-control study
W skrócie
Badanie wykazało, że dzieci z epilepsją częściej mają objawy zespołu poznawczego nieuwagi, czyli trudności z koncentracją, niepotrzebnymi marzeniami na jawie i zwolnionym tempem myślenia, niż zdrowe dzieci. Objawy te są silnie związane z problemami w nauce i niezależnie od typowych zaburzeń uwagi. Autorzy rekomendują rutynowe badanie tego zespołu u dzieci z epilepsją, które mają kłopoty w szkole.
Oryginalny abstract (angielski)
OBJECTIVE: Cognitive Disengagement Syndrome (CDS) is an attentional construct characterized by excessive daydreaming, mental fogginess, and slowed behavior. This study examined CDS/SCT symptoms and their association with learning difficulties in children with epilepsy. METHODS: In this cross-sectional case-control study, 400 children aged 6-16 years (200 with epilepsy, 200 healthy controls) were assessed using the WISC-R, Turgay DSM-IV Scale, Barkley Child Attention Survey, and Specific Learning Difficulty Symptom Scale. RESULTS: Children with epilepsy demonstrated significantly higher CDS scores than controls (18.28 ± 5.47 vs. 16.36 ± 5.34; < 0.001; g = 0.36) and lower IQ scores (95.0 ± 7.9 vs. 97.0 ± 6.1; = 0.004; g = 0.29). CDS symptoms correlated significantly with learning difficulties (r = 0.65), inattention (r = 0.52), and hyperactivity/impulsivity (r = -0.37). In multiple regression analysis (epilepsy group, = 200), CDS ( = 0.52), inattention ( = 0.42), hyperactivity/impulsivity ( = 0.11), and polytherapy ( = 0.09) independently predicted learning difficulties (R = 0.89); epilepsy duration was not significant ( = 0.055). CONCLUSION: CDS symptoms independently associated with learning difficulties in pediatric epilepsy beyond ADHD-related symptoms. Routine CDS screening should be considered in children with epilepsy presenting with academic concerns.