Belinda J Poole, Natalie L Phillips, Brittany L Killer, Camilla Gilmore, Suncica Lah
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引用次数: 0
摘要
数学包含广泛的技能,其中包括基本的早期算术技能,如分位和基本计数,以及更高级的二级技能,包括数学计算和推理。本综述旨在详细调查癫痫患者早期算术和中等数学技能的严重程度和模式。检索以《系统综述和荟萃分析的首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)声明为指导。本综述共纳入了 20 项成人研究和 67 项儿童研究。总体而言,荟萃分析表明,成人癫痫患者(g= -0.676)和儿童癫痫患者(g= -0.593)在所有数学结果方面都存在明显的中度障碍。在特定的数学成果方面也观察到了缺陷。成人的数学推理(g= -0.736)有缺陷。然而,有兩項研究發現數學計算沒有受到顯著損害,而且沒有足夠的研究探討成人的早期算術技能。在癫痫儿童中,每种数学结果都观察到明显的障碍:早期运算(g= -0.383)、计算(g= -0.762)和推理(g= -0.572)。根据儿童和成人的癫痫病灶部位不同,受损的严重程度也不同,这表明数学成绩受癫痫病灶部位的影响也不同。
Mathematics Skills in Epilepsy: A Systematic Review and Meta-Analysis.
Mathematics incorporates a broad range of skills, which includes basic early numeracy skills, such as subitizing and basic counting to more advanced secondary skills including mathematics calculation and reasoning. The aim of this review was to undertake a detailed investigation of the severity and pattern of early numeracy and secondary mathematics skills in people with epilepsy. Searches were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Twenty adult studies and 67 child studies were included in this review. Overall, meta-analyses revealed significant moderate impairments across all mathematics outcomes in both adults (g= -0.676), and children (g= -0.593) with epilepsy. Deficits were also observed for specific mathematics outcomes. For adults, impairments were found for mathematics reasoning (g= -0.736). However, two studies found that mathematics calculation was not significantly impaired, and an insufficient number of studies examined early numeracy skills in adults. In children with epilepsy, significant impairments were observed for each mathematics outcome: early numeracy (g= -0.383), calculation (g= -0.762), and reasoning (g= -0.572). The gravity of impairments also differed according to the site of seizure focus for children and adults, suggesting that mathematics outcomes were differentially vulnerable to the location of seizure focus.
期刊介绍:
Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.