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Learning & Behavioral Disorders In Childhood: An Experience From A Tertiary Referral Center Sanjeev V. Kothare, MD, DCH, FAAP (USA), Smita A. Desai, Ph.D. Referral Center: Drishti, Andheri (W), Mumbai


Learning & Behavioral Disorders In Childhood MR 9%

ED 5%

PDD 12% LD 52% BD 22%

^ PDD includes Speech & Language disorder, Autism, TBI *BD includes primarily ADHD above data from Digest of Education Statistics, US govt., 2000


AIMS To study prevalence and other variables of learning and behavioral disorders in children referred to a tertiary referral center in Mumbai for an initial evaluation over a period of 2 years. Referrals were made by physicians, hospitals, schools, and parents.


METHODOLOGY-I • Population: Urban children with Learning & behavioral disorders • Size of sample: 203 children • Age group: 3-14 years • Sex distribution: – Males: 150 – Females: 53


METHODOLOGY-II Individualized Assessment Plan: • Standardised diagnostic tests for following areas: – Intelligence, Achievement, Information processing skills, Emotional and Behavioral difficulties, Developmental functioning

• Observations • Parental Interviews


RESULTS-I ED 3% MR 22% LD 46%

PDD 21% BD 8%

As per DSM-IV R criteria


Comparing prevalence data 60%

53% 45%

50%

DES, US govt. Sample data

40%

30%

22%

22%

21%

20% 12% 9%

8%

5%

10%

0% LD

BD

PDD

MR

ED

3%


RESULTS-II Excluding primary MR, following groups also showed a below average IQ: 84%

90% 80% 70% 60% 41%

50% 40% 30%

20%

20% 10% 0%

LD

BD

PDD


RESULTS-III Delay in Speech acquisition was seen in 58.6 % of referred sample: 100%

91% 80%

90% 80% 70% 60% 50%

47% 37%

33%

40% 30% 20% 10% 0%

LD

BD

PDD

MR

ED


RESULTS -IV Perinatal encephalopathy seen in 61.1% of the entire sample: 77%

80%

70%

71%

67%

70% 60%

49%

50% 40% 30% 20% 10% 0%

LD

BD

PDD

MR

ED


CONCLUSIONS-I • Most common reason for referral was for academic difficulties • Next important reason for referral was delayed speech secondary to autism • Of interest, more boys were referred for evaluation (75%) • Lesser number of children with primary diagnosis of ADHD seen in our sample (5.9%) • Perinatal encephalopathy was seen in (61.1%) of the population


CONCLUSIONS-II • Awareness for early referral • Correct diagnosis after evaluation • Appropriate management of the problem

Learning & Beh Disorders in childhood - Neurocon, 2001  

LD & BD in childhood. by: Sanjeev V. Kothare, MD, DCH, FAAP (USA), Smita A. Desai, Ph.D. Referral Center: Drishti

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