School and neuropsychological performance of evacuated children in Kyiv 11 years after the Chornobyl disaster

School and neuropsychological performance of evacuated children in Kyiv 11 years after the Chornobyl disaster
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DOI:
10.1111/1469-7610.00613
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发表时间:
2000-03-01
影响因子:
7.6
通讯作者:
Gluzman, S
Gluzman, S
中科院分区:
医学1区
文献类型:
--
作者:
Litcher, L;Bromet, EJ;Gluzman, S

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本文探讨了儿童的认知和神经心理功能,这些儿童在切尔诺贝利灾难发生时在子宫内,年龄为15个月,并从核电站周围30公里的区域疏散到基辅。具体来说,我们比较了300名10-12岁的撤离儿童与300名非撤离基辅同学的注意力,记忆力和学校表现的客观和主观指标。撤离儿童在客观测量上与他们的同学没有显著差异(等级;底特律测试的符号关系子测试;视觉搜索和注意力测试的形式1和2;本顿形式Al轨迹A:在单词测试下划线)或大多数主观测量(母亲完成的儿童行为量表的注意分量表,爱荷华州康纳斯教师评定量表的注意项目;母亲和孩子对学校表现的看法)。唯一的例外是,31.3%的撤离母亲和7.4%的同学母亲表示他们的孩子有记忆问题。然而,这种记忆问题的主观测量与神经心理学或学校表现没有显着相关。在爆炸发生时,疏散人员和在子宫内的同学,普里皮亚季的孩子与30公里范围内其他村庄的孩子的比较中没有发现显著差异?儿童表现出更大的广泛性焦虑。对于这两组,儿童与更大的Chornobyl集中的焦虑表现显着不如儿童与较少Chornobyl集中的焦虑的措施,注意力。因此,研究结果未能证实之前的两份报告,即与对照组相比,来自辐射污染地区的儿童有相对更多的认知缺陷。研究结果之间的差异的可能原因进行了讨论。
This paper examines the cognitive and neuropsychological functioning of children who were in utero to age IS months at the time of the Chornobyl disaster and were evacuated to Kyiv from the 30-kilometer zone surrounding the plant. Specifically, we compared 300 evacuee children at ages 10-12 with 300 non-evacuee Kyiv classmates on objective and subjective measures of attention, memory, and school performance. The evacuee children were not significantly different from their classmates on the objective measures (grades; Symbolic Relations subtest of the Detroit Test; forms 1 and 2 of the Visual Search and Attention Test; Benton Form Al Trails A: Underline the Words Test) or on most of the subjective measures (the attention subscale of the Child Behavior Checklist completed by mothers, the attention items of the Iowa Conners Teacher's Rating Scale; mother and child perceptions of school performance). The one exception was that 31.3% of evacuee mothers compared to 7.4% of classmate mothers indicated that their child had a memory problem. However, this subjective measure of memory problems was not significantly related to neuropsychological or school performance. No significant differences were found in comparisons of evacuees and classmates who were in utero at the time of the explosion, children from Pripyat vs. other villages in the 30-kilometer zone? and children manifesting greater generalized anxiety. For both groups, children with greater Chornobyl-focused anxiety performed significantly worse than children with less Chornobyl-focused anxiety on measures of attention. The results thus fail to confirm two previous reports that relatively more children from areas contaminated by radiation had cognitive deficits compared to controls. Possible reasons for the differences in findings among the studies are discussed.