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Lateral dominance in children with learning disabilities.

The purpose of the study was to investigate the occurrence of lateral dominance problems in a sample of children with learning disabilities. Ninety-one children (62 boys, 29 girls) who attended a school for children with learning disabilities were selected for the study. The Harris tests of lateral dominance were administered individually, and the children were rated as having right, left, or mixed dominance for hand, eye, and foot. When compared with normative data on dominance in children, the results showed that the occurrence of mixed hand dominance was no more frequent, the occurrence of mixed eye dominance was less frequent, and the occurrence of mixed foot dominance was more frequent in the children with learning disabilities. Results also showed that the occurrence of mixed and crossed eye-hand dominance was significantly different in children with learning disabilities when compared with children without learning disabilities. However, the occurrence of mixed eye-hand dominance was found to be significantly greater in children without learning disabilities than in learning disabled children. Age and sex were not found to affect the occurrence of lateral dominance problems in children with learning disabilities.

Child↗

Learning disability: 10-year follow-up.

A 10-year follow-up of 114 learning-disabled students has been conducted, gathering information on their academic achievement, social success, and job satisfaction. These students have been compared with 144 siblings without learning disabilities. Significantly lower levels of school attainment, academic success, and social success are found for the learning-disabled group. No difference is found in level of job satisfaction. Significant positive factors contributing to school success in the learning-disabled group were high IQ, less severe learning disability, positive personality characteristics in the child, effective family function, strong family support, high occupational level of family breadwinner, and high education level attained by the mother. Negative factors are a more severe degree of learning disability, the presence of hyperactivity, and a concomitant disability in mathematics.

Adolescent↗

A descriptive study of adults with suspected learning disabilities.

This article documents a descriptive study of 80 adults considered to have learning disabilities. The study was initiated by the Language and Learning Disabled Adults Task Force in London, Ontario, for the purpose of developing a profile of the self-perceived characteristics and needs of the adult population with learning disabilities in Southwestern Ontario. The study also served as a vehicle for implementation of the Intake Questionnaire, an instrument with potential as a screening device for service agencies working with adults with learning disabilities. A self-referred and agency-referred sample of 80 adults completed the Intake Questionnaire. Data were collected in the areas of demography, education, employment, health, and psychosocial characteristics, aspirations, and cooperation with further testing. Results describe people with ongoing specific problems in education, employment, and psychosocial functioning who aspire to learn more about themselves and their learning disabilities.

Achievement↗

Primary health care provision for adults with a learning disability.

BACKGROUND: During the last decade, primary care has been designated as the main provider of health care to people with learning disabilities. Practice nurses based in primary care teams are increasingly the first points of contact with health services. They make an important contribution to promoting good health, with health screening and illness prevention work being a significant part of their role. However, little is known about their views or involvement regarding the provision of primary care for people with learning disabilities. There is therefore a need to explore the nursing perspective, from within primary care, on the current provision of care for people with a learning disability. RESEARCH AIM: To inform the learning disability service of the role of primary care in current service provision for people with learning disabilities. RESEARCH METHOD: A survey of all practice nurses currently employed by Grampian Health Board in Aberdeen was conducted in June 2001. An initial pilot study was conducted in primary care and learning disability services. Data collection took place during June and July 2001. All practice nurses working in the geographical region of Grampian were invited to participate. RESULTS: Communication barriers exist, preventing access to health screening and treatment for some people with learning disabilities. Independent living skills, for example dietary management and budgeting, require additional community support. These conditions pose complex problems for practice nurses and other members of the primary care team. CONCLUSION: This study indicates a need for closer support and partnership with the learning disability service. The factors necessary for providing health care to people with learning disabilities extend beyond the domain of primary care teams. The findings of this survey have important implications for education and support to enable carers and professionals to provide a high standard of care.

Adult↗

Social skills in the context of learning disability definitions: a reply to Gresham and Elliott and directions for the future.

In this article we review the evidence on the status of a social skills deficit as a learning disability (LD) by examining social skills deficits in the context of learning disability definitions. For the most part, social skills deficits fall within the terms that are specified in the definitions; that is, when there is evidence of neurological involvement, social skills deficit as a learning disability is consistent with the focus on listening and speaking that is characteristic of most definitions of learning disabilities. We also conclude that the absence of limiting conditions in extant definitions of learning disabilities makes it difficult to exclude any particular skill or type of knowledge from falling within the bounds of the definitions. Furthermore, we argue that the critical issue centers on the reformulation of the definition of learning disabilities. We suggest two directions in future work: First, the term "learning disability" should be limited to intentional learning contexts. Acceptance of this limitation would clarify at least some of the confusion regarding the domain of learning disabilities. Second, learning disability definitions should become more responsive to recent research on the nature of learning.

Brain Damage, Chronic↗

Exploring the concept of alexithymia in the lives of people with learning disabilities.

Alexithymia is a construct that has attracted considerable research for people without learning disabilities. People with alexithymia have difficulties recognizing and describing emotions and have an externally oriented cognitive style. Alexithymia has been closely associated with a variety of mental health and somatic problems. However, the construct of alexithymia has not been considered in respect to people with learning disabilities. This article identifies parallels between the concept of alexithymia and the emotion recognition difficulties and external cognitive styles that have been identified in people with learning disabilities. The article further identifies that many developmental factors considered important in the aetiology of alexithymia are significantly present in the lives of people with learning disabilities and that the association between alexithymia and mental health identified in other populations may also be important for people with learning disabilities. We conclude that there is a strong argument that alexithymia should be a focus of further research for people with learning disabilities.

Affect↗

Methodological issues and learning disabilities diagnosis in clinical populations.

Previous research suggests that the diagnosis of a comorbid learning disability is dependent on the method used for making the LD diagnosis. This study investigated that proposition by studying the effects of using three approaches to the assessment of learning disabilities in a sample of 177 six- to thirteen-year-old boys referred to outpatient mental health clinics for behavior problems. The use of these three procedures to diagnose comorbid learning problems produced significantly different results. All methods identified significant numbers of children in the clinical population as learning disabled; however, each method identified children with differing characteristics. Consistent with predictions from measurement theory, the commonly used simple standard score discrepancy method was more likely to identify children with above-average IQs as learning disabled, whereas a regression approach identified learning disabilities more consistently across the ability range. These results were interpreted as supporting the use of regression approaches to diagnose co-occurring learning disabilities, as that method is less likely to be biased by the child's intelligence test score. The implications of the use of each method in research investigations is also discussed.

Adolescent↗

Involving people with learning disabilities in research: issues and possibilities.

Advances in the social position of people with learning disabilities have led to a situation where research and evaluation studies are increasingly required to include the views and opinions of people with learning disabilities. One key outcome of this shift is that some of the major funding bodies now insist on the inclusion of people with learning disabilities as a condition of research funding. This has produced new possibilities and new challenges for researchers, and it has real consequences for people working in health and social care. The present paper sets out to explore some of the developments and challenges in research with people with learning disabilities. The author provides a selective overview of developments with the aim of demonstrating the richness, ingenuity and potential of research involving people with learning disabilities. The paper is divided into three broad sections that focus on: (1) the ethics and philosophy of participatory research; (2) the methodologies employed at particular points in the research process that are designed to ensure the involvement of participants in research; and (3) building capacity in participatory research as a precondition to the further development of this approach. An investment in capacity would enable this approach to move into the mainstream of research activity involving people with learning disabilities.

Ethics, Research↗

Health care provision for people with a learning disability. Record-linkage study of epidemiology and factors contributing to hospital care uptake.

BACKGROUND: We know little about how people with a learning disability access secondary health care. AIMS: To describe the epidemiology of learning disability, the influence of deprivation on prevalence and the pattern of secondary care uptake, including the effect of institutionalisation. METHOD: A record-linkage study of secondary care contacts of 434,000 people between 1991 and 1997. A population with learning disability was identified; their secondary care contact was calculated and compared with the general population's. RESULTS: The distribution of people with a learning disability (n = 1595) correlated significantly with deprivation. The presence of a learning disability hospital significantly affected care uptake. Place of residence also affected acute admission to the learning disability hospital. Former institution residents generated 212 admissions per 1000 patients; community patients generated 18 per 1000. The admission rate with any psychiatric diagnosis to any setting was 26.3 per 1000 people with a learning disability; 16.5% of such patients had a dual diagnosis. CONCLUSIONS: Health provision for people with a learning disability is affected by institutional provision.

Adolescent↗

Immediate recall fo semantically varied "sentences" by learning-disabled adolescents.

The immediate recall of 20 semantically and syntactically varied sentences was assessed and compared for 30 learning-disabled and 30 academically achieving adolescents. Learning-disabled adolescents repeated significantly fewer of the sentences verbatim than their achieving age peers. They exhibited significant reductions in the recall of sentences which violated semantic (selectional) rules, contained correctly and incorrectly sequenced modifier-strings, contained a random word-setting, or were syntactically complex. Perseveration errors occured more frequently among the learning-disabled adolescents than among the achievers and inter-sentence perseverative errors were exhibited only by those who were learning disabled. The rank order of difficulty for the sentences agreed for the two groups, suggesting primarily quantitative reductions in the immediate recall by the learning-disabled adolescents. The findings suggest that learning-disabled adolescents depend heavily upon semantic aspects for language processing, experience immediate memory and sequencing problems for modifier-strings, and exhibit a prevalence of interfering perseverative responses.

Adolescent↗

Dental students, social policy students and learning disability: do differing attitudes exist?

OBJECTIVES: To examine the attitudes of dental students and social policy students towards learning disabilities in order to identify whether attitudinal differences exist and to suggest recommendations in the dental undergraduate curriculum commensurate with Government legislation in the United Kingdom. DESIGN: A cross-sectional survey of all undergraduate dental students at Queen's University, Belfast and all undergraduate social policy students at University of Ulster. METHOD: A convenience sample of all undergraduate dental and social policy students was obtained. The students completed a questionnaire to assess attitude towards learning disability. The data were analysed using Cronbach's alpha, Student's t-test and analysis of variance (one-way fixed effect model). The level of statistical significance was set at 5%. RESULTS: The response rate was 83% for dental students and 97% for social policy students. Dental students had significantly lower mean scores and hence less favourable attitudes to learning disability compared with social policy students. Female dental students had significantly higher mean scores and hence more favourable attitudes to learning disability compared with male students. CONCLUSIONS: The findings show that dental undergraduates compared with social policy students had less favourable attitudes towards those with learning disability. Dental students should receive training in learning disability and undergraduate programmes should be conceptualised as a spiral curriculum. It is proposed that social policy theory should be introduced into undergraduate dental curricula, that early exposure to learning disability in a community setting should be incorporated into the first undergraduate years and in later undergraduate clinical years students should treat patients with learning disability in order to promote experiential learning and reflective practice.

Analysis of Variance↗

Memory in learning disabled children: digit span and the Rey Auditory Verbal Learning Test.

Scores on the Rey Auditory Verbal Learning Test (RAVLT) were compared to WISC-R digit span results in a sample of 153 learning disabled students. With statistical controls for age and IQ, regression analyses indicated no significant relationships between the RAVLT and longest forward span, longest backward span and total digit span raw score. Factor analysis of the RAVLT variables, forward span, backward span and total digit span raw score yielded three factors that were interpreted to represent a long term memory factor, a short-term memory factor with high coding demands and a short-term memory factor with low coding demands. Conclusions were made regarding the inadequacy of using only digit span when making diagnostic statements about the auditory memory functioning of learning disabled students.

Journal Article↗

Tactile discrimination, response mode, and interhemispheric communication by learning disabled children.

32 right-handed, learning disabled children aged 8-10 yr., 11-13 yr., and 14-16 yr. were presented a tactile discrimination task. Pairs of fabrics of different or the same texture were presented to the same hand (uncrossed condition) or alternating hands (crossed condition). Discrimination errors were compared using a verbal response mode and a nonverbal response mode. Analysis indicated that the number of crossed errors was significantly greater in the verbal response mode than in the nonverbal response mode for only the youngest children. These results suggest selective attention-activation bias and/or hemispheric processing limitations for younger learning disabled children.

Adolescent↗

WAIS-R scores as predictors of employment success and failure among adults with learning disabilities.

The transition of adults with learning disabilities to successful employment is contingent upon numerous factors. Eighty-six adults (55 males and 31 females), 18 to 59 years old (mean age 26.7 years), with learning disabilities were evaluated clinically using the Wechsler Adult Intelligence Scale-Revised (WAIS-R) (Wechsler, 1981) to determine the value of WAIS-R IQs and subtest scores in predicting successful employment. Significant relationships were identified between subjects' WAIS-R IQs and scaled scores and job success. Conclusions and recommendations were reported.

Adolescent↗

Hair element content in learning disabled children.

Hair samples from 31 learning disabled and 22 normal children were analyzed for content of 14 elements. Significant group differences were determined and a discriminant function was completed which separated the groups with 98 per cent accuracy. Elevated lead and cadmium content in the learning disabled group is viewed as being of particular importance.

Cadmium↗

Evidence for the independent familial transmission of attention deficit hyperactivity disorder and learning disabilities: results from a family genetic study.

OBJECTIVE: The purpose of the study was to clarify the relationship between attention deficit hyperactivity disorder and learning disabilities. METHOD: The authors assessed learning disabilities in a sample of 140 children with attention deficit hyperactivity disorder and in 120 normal comparison children. They also assessed a sample of the probands' 822 first-degree relatives. RESULTS: The risk for learning disabilities was highest among relatives of probands with both attention deficit hyperactivity disorder and learning disabilities. The two disorders did not cosegregate in families. There was nonrandom mating between spouses with attention deficit hyperactivity disorder and learning disabilities. CONCLUSIONS: The two disorders are transmitted independently in families, and their co-occurrence may be due to nonrandom mating. Attention deficit hyperactivity disorder is likely to be etiologically independent from learning disabilities.

Adult↗

The influence of affect on the achievement and behavior of students with learning disabilities.

Research indicates that students with learning disabilities are likely to be at greater risk for experiencing negative affect than their higher achieving counterparts. The purpose of this article is to review recent research on the effects of affect on thoughts, cognition, and behavior. This research finds that induced positive affects leads to more accurate performance on math, greater learning of new vocabulary, and better performance on a new learning task. Implications of and suggestions for follow-up studies of negative and positive affect in students with learning disabilities are presented.

Adolescent↗