Academic Achievement in Children With Oral Clefts Versus Unaffected Siblings
Academic Achievement in Children With Oral Clefts Versus Unaffected Siblings
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DOI：
10.1093/jpepsy/jsu049
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发表时间：
2014-08-01
影响因子：
3.6
通讯作者：
Speltz, Matthew L.
中科院分区：
文献类型：
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作者：
Collett, Brent R.;Wehby, George L.;Speltz, Matthew L.
目的比较口面裂（OFC）儿童与其正常同胞的学习成绩。方法从爱荷华州先天性和遗传性疾病登记处确定了256名OFC儿童，并从出生证明中确定了387名未受影响的兄弟姐妹。这些数据与爱荷华州测试项目的成绩数据相关联。我们使用线性回归模型比较了OFC儿童与其未受影响的兄弟姐妹的学习成绩，并对潜在的混杂因素进行了调整。在事后分析中，我们探讨了兄弟姐妹的学业成绩的修饰符。结果OFC儿童与其兄弟姐妹的成绩相似。只有腭裂的儿童比他们未受影响的兄弟姐妹更有可能接受特殊教育。西塞的学习成绩与出生顺序的距离和受影响儿童的年龄呈负相关。结论眶额皮层功能障碍儿童与其兄弟姐妹的成绩相似。尤其是年幼的兄弟姐妹，可能都容易受到学业成绩不佳的影响。
Objective To compare academic achievement in children with oral-facial clefts (OFC) with their unaffected siblings. Methods 256 children with OFC were identified from the Iowa Registry for Congenital and Inherited Disorders, and 387 unaffected siblings were identified from birth certificates. These data were linked to Iowa Testing Programs achievement data. We compared academic achievement in children with OFC with their unaffected siblings using linear regression models, adjusted for potential confounders. In post hoc analyses, we explored modifiers of siblings' academic performance. Results Achievement scores were similar between children with OFC and their siblings. Children with cleft palate only were significantly more likely to use special education than their unaffected siblings. Siblings' academic achievement was inversely related to distance in birth order and age from the affected child. Conclusion Children with OFC and their siblings received similar achievement scores. Younger siblings, in particular, may share a vulnerability to poor academic outcomes.