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Neural underpinnings of visuomotor adaptation and retention after a night of sleep in children with DCD DCD儿童一夜睡眠后视觉运动适应和保持的神经基础
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-22 DOI: 10.1016/j.ridd.2025.105170
Griet Warlop , Annabel D. Nijhof , Emiel Cracco , Jan R. Wiersema , Frederik J.A. Deconinck
Developmental Coordination Disorder (DCD) is often considered a motor learning disorder, yet supporting evidence remains limited and inconclusive. This study aimed to refine our understanding of motor learning in DCD by examining its underlying mechanisms and stabilization of learning in later stages, beyond ad hoc learning. Visuomotor adaptation was assessed in a two-session experiment involving prolonged learning phases, separated by a night of sleep, in a centre-out drawing task, in 21 children with (age: 13.7 ± 1.5 years) and 15 without DCD (age: 14.2 ± 1.4 years). Neurophysiological responses to adaptation were evaluated through EEG-measured error-related negativity, indexing sensory prediction error processing. Sleep quality was assessed to explore potential sleep impairments in DCD. Results seem to suggest difficulty in early-stage adaptation in DCD, reflected by greater directional error. However, their performance stabilised after prolonged learning, and they successfully updated their internal model of action, indicated by similar after-effects in both groups. On day two, participants with DCD seem to face more difficulty re-adapting but still achieved stabilised performance. Crucially, despite on-task learning gains, they never reached the performance level of their neurotypical peers, plateauing with higher directional errors, possibly due to a noisier sensorimotor system, that accommodates less reliable motor prediction. Neurophysiological findings suggested reduced sensory prediction error sensitivity in DCD, particularly in participants with persistent motor difficulties. Although sleep disturbances were observed in DCD, no direct link with learning outcomes was found. Overall, this study suggests that motor control limitations, rather than a core learning deficit, constrain motor performance in children with DCD.
发展性协调障碍(DCD)通常被认为是一种运动学习障碍,但支持的证据仍然有限和不确定。本研究旨在通过研究运动学习的潜在机制和后期学习的稳定性来完善我们对DCD运动学习的理解。在一项为期两期的实验中,我们对21名患有DCD的儿童(年龄:13.7 ± 1.5岁)和15名没有DCD的儿童(年龄:14.2 ± 1.4岁)进行了视觉运动适应评估,该实验包括延长学习阶段,间隔一晚睡眠,在一个中心向外的绘画任务中进行。通过脑电图测量误差相关的负性来评估适应的神经生理反应,索引感官预测误差处理。评估睡眠质量以探索DCD患者潜在的睡眠障碍。结果似乎表明DCD的早期适应困难,反映在更大的方向误差上。然而,经过长时间的学习,他们的表现稳定下来,他们成功地更新了他们的内部行动模型,两组的后遗症相似。在第二天,患有DCD的参与者似乎面临更大的重新适应困难,但仍然取得了稳定的表现。至关重要的是,尽管在任务中学习有所收获,但他们的表现从未达到神经正常的同龄人的水平,方向误差较高,这可能是由于嘈杂的感觉运动系统,它适应的运动预测不太可靠。神经生理学研究结果表明,DCD患者感觉预测误差敏感性降低,尤其是持续性运动困难患者。虽然在DCD中观察到睡眠障碍,但没有发现与学习成绩的直接联系。总的来说,这项研究表明运动控制限制,而不是核心的学习缺陷,限制了DCD儿童的运动表现。
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引用次数: 0
Exploring the types of assistive devices and methodological issues in children with developmental coordination disorder: A scoping review 探索儿童发育性协调障碍的辅助装置类型和方法问题:范围综述
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1016/j.ridd.2025.105163
Kengo Fujiwara , Keisuke Irie , Akira Nakashima , Ryohei Okamura , Kazuko Kamijo , Yuto Iwanaga , Nan Liang

Purpose

To comprehensively map the types of assistive devices implemented for children with developmental coordination disorder (DCD), regardless of setting, and clarify the methodologies used in these interventions. Specifically, we sought to answer the following questions: (1) What types of assistive devices are available for children with DCD? (2) What is known about the targeted participants, the purpose of using assistive devices, programs implemented, evaluations and results? (3) What are the current limitations of assistive devices, such as lack of tools for fine motor skills, limited focus on daily activities, and insufficient consideration of DCD pathophysiology?

Methods

This study’s methodology was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. We screened articles, including RCTs, before-and-after comparisons, and single case studies published by May 10, 2024, using PubMed, Web of Science, Medline, and Cochrane Library databases.

Results

We identified 546 English-language articles, of which 51 were included in the final eligibility criteria. We found that active video games, virtual reality, personal computer games, tablets, electronic pens, and robots served as assistive devices that can be used at home. Upon categorizing assistive devices based on their target symptoms (gross motor, fine motor, cognitive, and psychological), we observed that few types of assistive devices related to fine and coordinated movements, and none was designed based on the neurodevelopmental characteristics of DCD, such as impairments in motor planning, internal modeling, or brain function.

Conclusion

We identified assistive devices used in DCD interventions, including several applicable to home settings. However, most devices targeted gross motor skills, with relatively few addressing fine hand motor movements. In the future, it is necessary to develop assistive devices that consider intervention models focusing on DCD pathophysiology and daily life.
目的全面了解发展协调障碍(DCD)儿童在不同环境下使用的辅助器具类型,并阐明这些干预措施中使用的方法。具体来说,我们试图回答以下问题:(1)哪些类型的辅助设备可用于患有DCD的儿童?(2)对目标参与者、使用辅助器具的目的、实施的计划、评估和结果了解多少?(3)目前辅助设备的局限性是什么,例如缺乏精细运动技能的工具,对日常活动的关注有限,以及对DCD病理生理的考虑不足?本研究的方法学基于系统评价的首选报告项目和范围评价的元分析扩展。我们筛选了2024年5月10日之前发表的文章,包括随机对照试验、前后比较和单例研究,使用PubMed、Web of Science、Medline和Cochrane Library数据库。结果共筛选到546篇英文文章,其中51篇纳入最终入选标准。我们发现,活跃的视频游戏、虚拟现实、个人电脑游戏、平板电脑、电子笔和机器人都是可以在家里使用的辅助设备。在根据目标症状(大运动、精细运动、认知和心理)对辅助装置进行分类后,我们观察到与精细和协调运动相关的辅助装置类型很少,而且没有一种辅助装置是根据DCD的神经发育特征设计的,例如运动规划、内部建模或脑功能的损伤。结论:我们确定了用于DCD干预的辅助装置,包括几种适用于家庭环境的辅助装置。然而,大多数设备针对的是大肌肉运动技能,相对较少针对精细的手部运动。在未来,有必要开发考虑DCD病理生理和日常生活干预模型的辅助设备。
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引用次数: 0
Exploring the usefulness of companion pet ownership in the everyday functioning of children with Autism Spectrum Disorder in the United Arab Emirates: A qualitative focus-group study 在阿拉伯联合酋长国探索伴侣宠物在自闭症谱系障碍儿童日常功能中的有用性:一项定性焦点小组研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1016/j.ridd.2025.105154
Shamsa Ali Almarzooqi , Maria Efstratopoulou , Hawraa Habeeb , Maxwell Opoku

Purpose

Despite the global recognition of the benefits of companion pet ownership, there is a lack of research exploring this phenomenon in an Arabic-speaking context such as the United Arab Emirates (UAE). This study fills the knowledge gap by exploring the usefulness of pet ownership on the social skills, communication, emotional and physical well-being of children with Autism Spectrum Disorder (ASD) in the UAE.

Materials and methods

The study employs a phenomenological research design, utilizing focus-group discussions with 12 mothers of children diagnosed with ASD who own pets. The parents participated in the focus group discussions to understand the usefulness of pet ownership to their children with ASD.

Results

Findings are categorized into three primary themes: enhancement of social interaction and communication skills, improvement in emotional well-being, and encouragement of physical activity. For instance, the presence of pets, especially dogs, significantly boosts social engagement and non-verbal communication, reduces anxiety and stress, and increases physical activity among children with ASD.

Conclusion

Companion pet ownership may inform family-centered routines for children with ASD in the UAE. Future work should assess the feasibility of structured animal-assisted interventions (AAI), which are distinct from household pet ownership.
目的:尽管全球都认识到陪伴宠物的好处,但在阿拉伯联合酋长国(UAE)等讲阿拉伯语的国家,却缺乏对这一现象的研究。这项研究通过探索养宠物对阿联酋自闭症谱系障碍(ASD)儿童的社交技能、沟通、情感和身体健康的影响,填补了这一知识空白。材料和方法:本研究采用现象学研究设计,利用焦点小组讨论,与12名被诊断为ASD的孩子的母亲进行讨论,这些母亲拥有宠物。父母参加了焦点小组讨论,以了解养宠物对患有自闭症的孩子的有用性。结果:研究结果分为三个主要主题:增强社会互动和沟通技巧,改善情绪健康,鼓励体育锻炼。例如,宠物,尤其是狗的存在,显著促进了自闭症儿童的社会参与和非语言交流,减少了焦虑和压力,并增加了他们的身体活动。结论:陪伴宠物可能会影响阿联酋ASD儿童以家庭为中心的日常生活。未来的工作应该评估结构化动物辅助干预(AAI)的可行性,这与家庭宠物饲养不同。
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引用次数: 0
Structural validity of the MABC-2 in European and African children: An analysis of age band 2 MABC-2在欧洲和非洲儿童中的结构效度:一项2年龄段的分析
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.ridd.2025.105156
Evi Verbecque , Dané Coetzee , Ludvik Valtr , Emmanuel Bonney , Oluwakemi Ituen , Bouwien Smits-Engelsman

Background

The Movement Assessment Battery for Children, 2nd edition (MABC-2) is a widely used motor assessment tool for identifying Developmental Coordination Disorder (DCD). However, the structural validity of the MABC-2 remains underinvestigated, particularly in children aged 7–10, when DCD is most frequently diagnosed. The primary aim of this study was to examine the structural validity of the MABC-2 in European and African children aged 7–10 years.

Methods

We retrospectively analyzed a dataset (n = 3025) including African and European children. The test-defined three-domain structure was assessed with higher-order confirmatory factor analysis (CFA, Asymptotically Distribution-free estimation). Next, the dataset was randomly divided in two: exploratory factor analysis (EFA) using oblique rotation was conducted in one half of the sample, and these factors were then reassessed with CFA in the other half.

Results

Multiple group comparison yielded the need for separate analyses per continent. The test-defined structure was not confirmed in either European or African children. Instead, EFA identified a four-domain structure in both subsamples. The drawing trail (item 3) did not fit any CFA model and was therefore removed from the final model. In the European sample, the dynamic balance domain had the strongest loadings onto the total score, while “eye-hand/eye-foot coordination” showed the strongest loadings in the African sample.

Conclusion

A four-domain structure appears to underlie the MABC-2 in a large sample of European and African children. Factor loadings shifted slightly depending on the subsample, further underscoring the need for region-specific normative data, which should be considered in future standardization procedures.
儿童运动评估量表第2版(MABC-2)是一种广泛使用的运动评估工具,用于识别发育性协调障碍(DCD)。然而,MABC-2的结构有效性仍未得到充分研究,特别是在7-10岁儿童中,这是DCD最常被诊断的时期。本研究的主要目的是检验欧洲和非洲7-10岁儿童MABC-2的结构效度。方法回顾性分析包括非洲和欧洲儿童的数据集(n = 3025)。用高阶验证性因子分析(CFA,渐近无分布估计)评估测试定义的三域结构。接下来,将数据集随机分为两部分:在一半样本中使用倾斜旋转进行探索性因素分析(EFA),然后在另一半样本中使用CFA重新评估这些因素。结果多组比较表明需要对各大洲进行单独分析。测试定义的结构在欧洲或非洲儿童中都没有得到证实。相反,EFA在两个子样本中发现了一个四域结构。绘图轨迹(项目3)不符合任何CFA模型,因此从最终模型中删除。在欧洲样本中,动态平衡领域对总分的负荷最大,而“眼-手/眼-脚协调”在非洲样本中表现出最强的负荷。结论在欧洲和非洲儿童的大量样本中,四域结构似乎是MABC-2的基础。因子负荷根据子样本略有变化,进一步强调需要特定区域的规范数据,在未来的标准化程序中应考虑到这一点。
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引用次数: 0
A proposed AI application for enhancing the quality of life of people with disabilities in Saudi Arabia 一项拟议的人工智能应用程序,旨在提高沙特阿拉伯残疾人的生活质量
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.ridd.2025.105137
Nahedh S. Aloudah , Manal S. Alshehri , Anwar R. Alhamad

Background

Artificial intelligence (AI) holds significant potential to enhance the quality of life (QoL) for individuals with disabilities by improving access to healthcare, promoting social participation, and supporting independence. In Saudi Arabia, however, there is a gap in inclusive AI models tailored to local needs, particularly in addressing the challenges faced by people with disabilities in accessing essential services.

Aims

This article proposes an AI-supported application tailored to improve key QoL dimensions such as healthcare accessibility, social inclusion, and autonomy for people with disabilities in Saudi Arabia.

Methods

A qualitative design was employed, involving 25 semi-structured interviews: 10 experts from medicine, rehabilitation, sociology, and AI and 15 individuals with visual, motor, or mild cognitive disabilities. Participants were recruited through rehabilitation centers, hospitals, and disability associations in Al-Ahsa using official approvals and direct outreach via email, WhatsApp, and personal meetings. Thematic analysis was conducted using Braun and Clarke’s framework.

Results

The proposed AI application supports three key service areas: (1) social services (personalized chatbots, accessibility tools, and AI-driven job matching); (2) health services (telehealth monitoring and genetic-based treatment planning); (3) collaboration with ministries and AI authorities. Sustainability is addressed through measures such as free access, institutional support, and ongoing government involvement.

Conclusions

This study presents a context-specific, actionable AI framework to inform policy and innovation for disability inclusion in Saudi Arabia. By emphasizing local needs, stakeholder collaboration, and user-centered adaptive design, it contributes to closing the service gap for people with disabilities and offers a scalable model for inclusive digital transformation.
人工智能(AI)通过改善获得医疗保健的机会、促进社会参与和支持独立,在提高残疾人生活质量(QoL)方面具有巨大潜力。然而,在沙特阿拉伯,适合当地需求的包容性人工智能模型存在差距,特别是在解决残疾人在获得基本服务方面面临的挑战方面。本文提出了一个人工智能支持的应用程序,旨在改善沙特阿拉伯残疾人的医疗保健可及性、社会包容和自主性等关键生活质量维度。方法采用质性设计,包括25个半结构化访谈:10名医学、康复、社会学和人工智能专家和15名视觉、运动或轻度认知障碍患者。参与者通过Al-Ahsa的康复中心、医院和残疾人协会招募,通过官方批准和通过电子邮件、WhatsApp和个人会议直接外联。主题分析采用Braun和Clarke的框架进行。结果提出的人工智能应用支持三个关键服务领域:(1)社交服务(个性化聊天机器人、无障碍工具和人工智能驱动的工作匹配);(2)保健服务(远程保健监测和基于基因的治疗计划);(3)与部委和人工智能主管部门合作。可持续发展是通过免费准入、机构支持和政府持续参与等措施来解决的。本研究提出了一个针对具体情况的、可操作的人工智能框架,为沙特阿拉伯的残疾人包容政策和创新提供信息。通过强调地方需求、利益相关方协作和以用户为中心的适应性设计,它有助于缩小残疾人服务差距,并为包容性数字化转型提供可扩展的模式。
{"title":"A proposed AI application for enhancing the quality of life of people with disabilities in Saudi Arabia","authors":"Nahedh S. Aloudah ,&nbsp;Manal S. Alshehri ,&nbsp;Anwar R. Alhamad","doi":"10.1016/j.ridd.2025.105137","DOIUrl":"10.1016/j.ridd.2025.105137","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) holds significant potential to enhance the quality of life (QoL) for individuals with disabilities by improving access to healthcare, promoting social participation, and supporting independence. In Saudi Arabia, however, there is a gap in inclusive AI models tailored to local needs, particularly in addressing the challenges faced by people with disabilities in accessing essential services.</div></div><div><h3>Aims</h3><div>This article proposes an AI-supported application tailored to improve key QoL dimensions such as healthcare accessibility, social inclusion, and autonomy for people with disabilities in Saudi Arabia.</div></div><div><h3>Methods</h3><div>A qualitative design was employed, involving 25 semi-structured interviews: 10 experts from medicine, rehabilitation, sociology, and AI and 15 individuals with visual, motor, or mild cognitive disabilities. Participants were recruited through rehabilitation centers, hospitals, and disability associations in Al-Ahsa using official approvals and direct outreach via email, WhatsApp, and personal meetings. Thematic analysis was conducted using Braun and Clarke’s framework.</div></div><div><h3>Results</h3><div>The proposed AI application supports three key service areas: (1) social services (personalized chatbots, accessibility tools, and AI-driven job matching); (2) health services (telehealth monitoring and genetic-based treatment planning); (3) collaboration with ministries and AI authorities. Sustainability is addressed through measures such as free access, institutional support, and ongoing government involvement.</div></div><div><h3>Conclusions</h3><div>This study presents a context-specific, actionable AI framework to inform policy and innovation for disability inclusion in Saudi Arabia. By emphasizing local needs, stakeholder collaboration, and user-centered adaptive design, it contributes to closing the service gap for people with disabilities and offers a scalable model for inclusive digital transformation.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"167 ","pages":"Article 105137"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating quality of life for people with intellectual disabilities in Saudi Arabia: Guardian perspectives 评估沙特阿拉伯智障人士的生活质量:卫报的观点。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.ridd.2025.105165
Sohil Alqazlan

Background

The concept of quality of life (QoL) is comprehensive and complex, particularly when considering people with intellectual disabilities (ID). Such individuals often face numerous challenges in their lives, which adversely affect their overall QoL.

Objectives

The primary aim of this research was to evaluate the QoL that Saudi children and young people with ID experience in terms of interpersonal relationships, self-determination, social inclusion, personal development, and emotional well-being. Additionally, the research considered several factors that could potentially influence these areas, including gender, family income, parents' education, and geographical location.

Methodology

A cross-sectional study was carried out among 142 children and young people with ID representing various regions of Saudi Arabia.

Results

The study established that Saudi Arabian children and adolescents with ID have, in general, a moderate QoL, with difficulties in social integration and emotional well-being. Self-determination and interpersonal relationships were found to be influenced by demographic characteristics, including the parents' educational background and gender, with girls exhibiting a higher level of self-determination.

Implications

The results of this study have important implications for stakeholders, such as policymakers and parents, particularly regarding the areas where the QoL of individuals with ID may be enhanced. Furthermore, the results draw attention to the need for targeted interventions for boys, who were shown to have lower QoL.
背景:生活质量(QoL)的概念是全面而复杂的,特别是当考虑到智障人士(ID)时。这些人在生活中经常面临许多挑战,这会对他们的整体生活质量产生不利影响。目的:本研究的主要目的是评估沙特儿童和青少年在人际关系、自我决定、社会包容、个人发展和情感幸福感方面的生活质量。此外,该研究还考虑了可能影响这些领域的几个因素,包括性别、家庭收入、父母的教育程度和地理位置。方法:对代表沙特阿拉伯不同地区的142名儿童和青少年进行了横断面研究。结果:本研究确定了沙特阿拉伯患有ID的儿童和青少年的总体生活质量为中等,存在社会融合和情感健康方面的困难。自决和人际关系受到人口特征的影响,包括父母的教育背景和性别,女孩表现出较高的自决水平。启示:本研究的结果对利益相关者(如政策制定者和家长)具有重要意义,特别是关于可能提高ID个体生活质量的领域。此外,研究结果引起了人们对男孩有针对性干预的关注,因为男孩的生活质量较低。
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引用次数: 0
Psychometric validation of the Barkley SCT (sluggish cognitive tempo) scale in Turkish adolescents: Assessing SCT in a clinically referred, culturally distinct population 土耳其青少年Barkley SCT(迟缓认知节奏)量表的心理计量学验证:评估临床参考的SCT,文化差异人群
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ridd.2025.105141
Hesna Gül , Ahmet Gül , Burçin Özlem Ateş , Özlem Hekim , Yasemin Taş Torun

Objective

Sluggish Cognitive Tempo (SCT) is characterized by excessive daydreaming, lethargy, slowed thinking, and mental confusion. This study aimed to examine the factorial structure, reliability, and validity of the Turkish version of the Barkley SCT Scale in a clinically referred adolescent sample, and to explore its distinctiveness from Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms.

Methods

The sample included 252 adolescents (aged 11–18, 71 % female) who completed the Turkish-adapted Barkley SCT Scale and the Conners-Wells Adolescent Self-Report Scale (CASS-S). A subsample of 20 adolescents completed the SCT scale again after one week for test–retest analysis. Data were analyzed using Exploratory Structural Equation Modeling (ESEM), Cronbach’s alpha, and Intraclass Correlation Coefficients (ICCs). Convergent validity and gender differences were also assessed.

Results

ESEM supported a two-factor structure, comprising Daydreaming (items 1–5) and Sluggishness (items 6–9), with excellent model fit (RMSEA =.044; CFI =.974; TLI =.964). Internal consistency was good for the total scale (α =.82) and acceptable for both subscales. Test–retest analyses showed moderate stability for single administrations (ICC =.454) and excellent reliability when repeated scores were aggregated (ICC =.937). Daydreaming was strongly associated with cognitive problems/inattention (r = .652), while Sluggishness showed weaker or nonsignificant correlations with hyperactivity/impulsivity, supporting SCT’s distinction from externalizing ADHD features. Females scored significantly higher than males on both SCT subscales.

Conclusion

The Turkish version of the Barkley SCT Scale demonstrates sound psychometric properties for assessing SCT in adolescents. ESEM findings underscore the multidimensionality of SCT and its partial dissociation from ADHD constructs. While these results support the scale’s clinical utility within the Turkish context, further cross-cultural research is needed to determine whether similar findings would emerge in other populations. This study provides an initial foundation for future diagnostic and intervention research.
目的迟滞认知节奏(SCT)表现为过度白日梦、嗜睡、思维迟缓和精神混乱。本研究旨在检验土耳其版Barkley SCT量表在临床转诊青少年样本中的析因结构、信度和效度,并探讨其在注意缺陷/多动障碍(ADHD)症状中的独特性。方法采用土耳其版Barkley SCT量表和Conners-Wells青少年自我报告量表(CASS-S)对252名青少年(11-18岁,女性71% %)进行问卷调查。20名青少年的子样本在一周后再次完成SCT量表进行重测分析。数据分析采用探索性结构方程模型(ESEM)、Cronbach’s alpha和类内相关系数(ICCs)。趋同效度和性别差异也被评估。结果esem支持白日梦(1-5项)和懒惰(6-9项)的双因子结构,模型拟合良好(RMSEA = 0.044; CFI = 0.974; TLI = 0.964)。总量表的内部一致性良好(α = 0.82),两个分量量表均可接受。测试-重测分析显示,单次给药的稳定性中等(ICC =.454),当重复评分汇总时,可靠性极好(ICC =.937)。白日做梦与认知问题/注意力不集中密切相关(r = )。652),而迟缓与多动/冲动的相关性较弱或不显著,支持SCT与外化ADHD特征的区别。女性在两个SCT分量表上的得分都明显高于男性。结论土耳其版巴克利SCT量表在评估青少年SCT方面表现出良好的心理测量特性。ESEM研究结果强调了SCT的多维性及其与ADHD结构的部分分离。虽然这些结果支持该量表在土耳其背景下的临床应用,但需要进一步的跨文化研究来确定类似的发现是否会在其他人群中出现。本研究为今后的诊断和干预研究提供了初步的基础。
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引用次数: 0
Transition services for secondary students with moderate intellectual disability in Saudi Arabia: What parents and special education teachers say 沙特阿拉伯中等智力残疾中学生的过渡服务:家长和特殊教育教师的意见
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ridd.2025.105139
Mohammed S. Alshuayl
Over the years, policies supporting the provision of services that facilitate a smooth transition to adult life for students with intellectual disability (ID) have increasingly gained attention in the United States of America. However, the same level of importance placed on postschool outcomes for secondary students with ID has not yet been achieved in Saudi Arabia, despite it being a high-income country. The purpose of this study was to investigate the provision of transition services to adult life for secondary students with moderate ID in Saudi Arabia. Over 4 months, the researcher conducted semi-structured interviews with 12 participants, including six parents of students with moderate ID and six male special education teachers who were teaching their sons. Five themes emerged from the participants’ comments, including (a) knowledge about transition services, (b) familiarity with transition-related evidence-based practices, (c) the provision of transition services, (d) support needed to improve the quality of services, and (e) long-term outcomes expected from transition services. When considered collectively, four issues warrant discussion including (a) special education teachers’ lack of pedagogical knowledge related to the transition to adult life, (b) a systemic lack of services that reflect pedagogical knowledge related to the transition to adult life, (c) insufficient infrastructure to establish and maintain services for transition to adult life, and (d) a societal lack of hope for long-term outcomes. The researcher discusses the findings, shares their implications, delineates the limitations of this study, and outlines recommendations for future research.
多年来,支持提供服务以促进智力残疾学生顺利过渡到成人生活的政策在美利坚合众国日益受到关注。然而,尽管沙特阿拉伯是一个高收入国家,但对患有身份证的中学生的毕业后成绩的重视程度尚未达到同样的水平。本研究的目的是调查沙特阿拉伯中等ID中学生向成人生活提供的过渡服务。在四个多月的时间里,研究人员对12名参与者进行了半结构化的访谈,其中包括6名中等ID学生的家长和6名正在教他们儿子的男性特殊教育教师。与会者的意见产生了五个主题,包括(a)关于过渡服务的知识,(b)熟悉与过渡有关的循证实践,(c)提供过渡服务,(d)提高服务质量所需的支持,以及(e)对过渡服务的长期预期成果。综合考虑,有四个问题值得讨论,包括:(a)特殊教育教师缺乏与向成人生活过渡相关的教学知识,(b)系统性缺乏反映与向成人生活过渡相关的教学知识的服务,(c)建立和维持向成人生活过渡服务的基础设施不足,以及(d)社会对长期结果缺乏希望。研究人员讨论了研究结果,分享了它们的含义,描述了本研究的局限性,并概述了对未来研究的建议。
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引用次数: 0
Improving prognostication for individuals with FOXP1 syndrome: Parent-reported practical and social skills in 52 individuals 改善FOXP1综合征患者的预后:52例家长报告的实践和社交技能
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-01 DOI: 10.1016/j.ridd.2025.105135
Saskia Koene , Marieke Rothuizen-Lindenschot , Fabienne G. Ropers , Gijs W.E. Santen , Ruth Braden , Angela Morgan , Jannelien Wieland , Helma B.M. van Gameren-Oosterom
Parents perceive a lack of prognostic information among the most challenging consequences of having a child with a rare disease. Although the medical phenotype of FOXP1 syndrome, including neurodevelopmental delay, speech impairment, psychiatric problems and congenital malformations is becoming clearer, there is little detailed information about the acquisition of activities of daily living. This study aimed to provide a detailed picture of practical and daily social skills development in individuals with FOXP1 syndrome. In this cross-sectional study, parents were invited to complete an online questionnaire about the medical issues, milestones and practical abilities of their child with FOXP1 syndrome (n = 52, age 2–54 years). We found that individuals with FOXP1 syndrome have great difficulties with both basic and instrumental activities of daily living, but continue to develop their skills into adulthood. Although most individuals learn to perform some basic daily living tasks independently, the majority heavily rely on their parents, many needing 24–7 supervision to support many aspects of daily life up to adulthood. The results of this study can be used to counsel parents after a diagnosis of FOXP1. We include a visual representation of the results for parents in the Supplementary file.
父母认为,孩子患有罕见疾病最具挑战性的后果之一是缺乏预后信息。尽管FOXP1综合征的医学表型(包括神经发育迟缓、语言障碍、精神问题和先天性畸形)越来越清晰,但关于日常生活活动获得的详细信息却很少。这项研究旨在提供FOXP1综合征患者实际和日常社交技能发展的详细情况。在这项横断面研究中,父母被邀请完成一份关于FOXP1综合征孩子的医疗问题、里程碑和实践能力的在线问卷(n = 52,年龄2-54岁)。我们发现患有FOXP1综合征的个体在日常生活的基本活动和工具活动方面都有很大的困难,但他们在成年后继续发展他们的技能。虽然大多数人学会独立完成一些基本的日常生活任务,但大多数人严重依赖他们的父母,许多人需要全天候的监督来支持日常生活的许多方面,直到成年。本研究的结果可用于为诊断FOXP1的父母提供建议。我们在补充文件中为家长提供了结果的可视化表示。
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引用次数: 0
Diagnostic accuracy of AI-based models for autism spectrum disorder: A systematic review and meta-analysis with a focus on Arab populations 基于人工智能的自闭症谱系障碍模型的诊断准确性:一项以阿拉伯人群为重点的系统综述和荟萃分析。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.ridd.2025.105166
Ali Fahad Aldakhil , Khalid N. Alasim

Background

Autism Spectrum Disorder (ASD) is a prevalent neurodevelopmental condition globally, including in Arab countries, where stigma, limited awareness, and scarce specialized services often delay diagnosis and care. Artificial intelligence (AI) offers scalable solutions for screening, early diagnosis, and intervention programmes.

Aims

To evaluate the diagnostic accuracy of AI-based models for ASD with a specific focus on Arab cohorts, and to appraise methodological quality and potential cultural influences on model performance.

Methods

We searched PubMed, Scopus, and Web of Science for studies published between January 2019 and September 2025. Eligible studies evaluated supervised AI systems, machine learning (ML), or deep learning (DL) that classify individuals as ASD versus non-ASD against a clinician-confirmed reference standard. Study quality was assessed using QUADAS-2. Diagnostic accuracy metrics (sensitivity, specificity, likelihood ratios, diagnostic odds ratio) were pooled using a bivariate random-effects model.

Results

Fifteen studies were included in the systematic review; ten studies were eligible for meta-analysis (59 model evaluations; 26,569 instances), comparing AI models against clinician-confirmed autism diagnoses. Pooled sensitivity was 91.8 % (95 % CI [89.0, 94.2]) and specificity 90.7 % (95 % CI [87.6, 93.5]), yielding a diagnostic odds ratio (DOR) of 109.0 (95 % CI [59.5, 227.9]), positive likelihood ratio (LR⁺) of 9.8, and negative likelihood ratio (LR⁻) of 0.09. Subgroup analysis revealed hybrid models (deep feature extractors with classical classifiers) achieved the highest accuracy (sensitivity 95.2 %, specificity 96.0 %), followed by conventional ML (sensitivity 91.6 %, specificity 90.3 %), and DL alone (sensitivity 87.3 %, specificity 86.0 %). In Arab-only cohorts, models showed higher sensitivity (94.2 %) but lower specificity (87.6 %), suggesting stronger rule-out potential but more false positives.

Conclusion

To our knowledge, this is the first systematic meta-analysis of AI-based ASD diagnostics confirms high accuracy, with hybrid models excelling compared to both traditional ML and DL alone. In Arab cohorts, models showed higher sensitivity but lower specificity, highlighting the importance of cultural and linguistic tailoring of assessment tools, diagnostic protocols, and datasets, alongside regional challenges such as stigma and limited resources. These findings support AI as a valuable tool for early detection and screening.
背景:自闭症谱系障碍(ASD)是一种全球普遍存在的神经发育疾病,包括在阿拉伯国家,在这些国家,耻辱感、意识有限和缺乏专业服务往往会延误诊断和护理。人工智能(AI)为筛查、早期诊断和干预规划提供了可扩展的解决方案。目的:评估基于人工智能的ASD模型的诊断准确性,特别关注阿拉伯人群,并评估方法质量和对模型性能的潜在文化影响。方法:我们检索了2019年1月至2025年9月期间发表的PubMed、Scopus和Web of Science。符合条件的研究评估了监督人工智能系统、机器学习(ML)或深度学习(DL),这些系统根据临床医生确认的参考标准将个体分类为ASD与非ASD。采用QUADAS-2评估研究质量。诊断准确性指标(敏感性、特异性、似然比、诊断优势比)采用双变量随机效应模型进行汇总。结果:系统评价纳入了15项研究;10项研究有资格进行荟萃分析(59项模型评估;26,569例),将人工智能模型与临床确诊的自闭症诊断进行比较。合并敏感性为91.8 %(95 % CI[89.0, 94.2]),特异性为90.7 %(95 % CI[87.6, 93.5]),诊断优势比(DOR)为109.0(95 % CI[59.5, 227.9]),阳性似然比(LR⁺)为9.8,阴性似然比(LR⁻)为0.09。亚组分析显示,混合模型(深度特征提取器与经典分类器)的准确率最高(灵敏度95.2 %,特异性96.0 %),其次是传统ML(灵敏度91.6 %,特异性90.3 %)和DL单独(灵敏度87.3 %,特异性86.0 %)。在仅阿拉伯人的队列中,模型显示出更高的敏感性(94.2 %)但较低的特异性(87.6% %),这表明更强的排除潜力但更多的假阳性。结论:据我们所知,这是第一个基于人工智能的ASD诊断的系统荟萃分析,证实了较高的准确性,与传统ML和DL单独相比,混合模型优于传统ML和DL。在阿拉伯队列中,模型显示出更高的敏感性,但特异性较低,突出了评估工具、诊断方案和数据集的文化和语言定制的重要性,以及耻辱感和资源有限等区域挑战。这些发现支持人工智能作为早期检测和筛查的宝贵工具。
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引用次数: 0
期刊
Research in Developmental Disabilities
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