profile of reading, writing and arithmetics in italian learning disabilities

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IACAPAP 2012–20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 S181 disorder of written expression, 12 (0.8%) as mathematics disorder and 26 (1.7%) as learning disorder not otherwise specified (LD NOS). Fifty subjects (76.9%) had at least one comorbid disorder, and attention deficit hyperactivity disorder (ADHD) (69.2%) was the most common co-diagnosis, followed by oppositional defiant disorder (41.5%), anxiety disorder (30.8%), affective disorder (12.3%), and tic disorder (9.2%). Conclusion.– The results of this study suggest that considerable number of elementary school students are diagnosed as LD and have various psychiatric comorbidities. http://dx.doi.org/10.1016/j.neurenf.2012.04.301 Mo-P-1190 Specific learning disability: Psychopathological characteristics and socioenvironmental factors during developmental age S. Del Signore , R. Averna , A. Petrone , S. Rossetti , F. Capozzi Department of Pediatrics and Neuropsychiatry of Child and Adolescent, Sapienza University of Rome, Rome, Italy Corresponding author. Correlations between socioeconomic status (SES), global functioning and psy- chopathological profile were investigated in a group of 90 children, aged between 7.6 and 17. A battery composed by C-GAS and CBCL was administered to assess global functioning and psychological and behavioral problems as reported by parents. SES and global functioning did not significantly correlate. Dif- ferently, a high SES as well as a high global functioning correlated with a reduced proneness to develop psychopathology (r = from –.20 to –.48): a minor tendency to develop disorders such as Externalizing Problems (Conduct pro- blems and Aggressive Behaviors), Internalizing Problems (Withdrawn, Somatic Complaints, Anxiety/Depressed Problems), and Total Problems (Externalizing, Internalizing, Social, Thought, Attention Problems) was observed. In addition, a high SES level and a high global functioning correlate with a better perfor- mance in the Activities subscale (P 0.05) and with a higher level in the General competences subscale (P < 0.05). Results will be discussed. http://dx.doi.org/10.1016/j.neurenf.2012.04.302 Mo-P-1191 Specific learning disability: How the neuropsychological profile changes through development R. Averna , S. Del Signore , A. Petrone , S. Rossetti , M. Vigliante Department of Pediatrics and Neuropsychiatry of Child and Adolescent, Sapienza University of Rome, Rome, Italy Corresponding author. A battery composed by § C-GAS, to assess global functioning, § MT tests, to assess reading and comprehension, § WISC III, to assess cognitive skills, was administered to 90 children, aged between 7.6 and 17.6. Subjects with higher socio-economic status showed higher comprehension abilities (P < 0.04) and fas- ter speed-of-reading (SOR, P = 0.03). A high global functioning correlates with a minor SOR (P = 0.02), a higher verbal (P < 0.01) and total (P 0.01) IQ. Slow- readers showed a greater accuracy (P < 0.01). There was a significant positive correlation between comprehension and verbal QI (P = 0.01) The comparison of reading performances highlighted that primary-school students are slower than pre-adolescents while adolescents are the fastest, supporting the hypothe- sis that SOR grows with age. Differently, there were no significant differences in the accuracy parameter. Adolescents showed the best performances in com- prehension, no significant differences were observed between school children and pre-adolescents. Results will be discussed. http://dx.doi.org/10.1016/j.neurenf.2012.04.303 Mo-P-1192 Profile of reading, writing and arithmetics in Italian learning disabilities C. Mitola , T. Scandale , G. Pietrosanti , R. Penge , C. D’Agostini Costa Pediatrics and Child Neurology and Psychiatry, Sapienza University, Roma, Italy Corresponding author. Italian language is characterized by a high correspondence between sound and sign. According to this peculiarity, we aimed to define a profile of learning abili- ties in 300 Italian children (8–16 years old), with diagnosis of Learning Disorder achieved in our Department from 2006 to 2011. The parameters considered were: quickness and accuracy of reading of words, pseudowords and text; number of errors in writing words, pseudowords, sentences with homophones not homo- graphs words, text; number of errors in arithmetics, quickness of arithmetic fact retrieval and problem solving. The results show: for reading a greater impair- ment in quickness than accuracy, the relationship of which varies considering words, pseudowords and text; for writing a main fall on words and sentences with homophones not homographs, errors and difficulties in morphosyntactic organization of the summary; for arithmetic difficulties of queuing and in the choice of recovery or procedural strategies, errors in the arithmetic fact retrieval. http://dx.doi.org/10.1016/j.neurenf.2012.04.304 Mo-P-1193 Neuropsychological profile in Italian learning-disabled children R. Penge , C. Pesola , C. D’Agostini Costa , P. Rampoldi , I. Salvadore Pediatrics and Child Neurology and Psychiatry, Sapienza University, Roma, Italy Corresponding author. The heterogeneity of Learning Disabilities (LD) led to hypothesize a multi- factorial genesis of the disorder. Besides phonological processing difficulties, other neuropsychological/cognitive skills are involved to define type and seve- rity of difficulties, with a different significance according to the relationship between spoken, written language and the writing modalities. Our purpose was to delineate the neuropsychological profile (language, meta-phonological, visual-spatial, praxis skills and cognitive level) of 300 Italian children with LD evaluated at our Department in the last five years. The results shown lexical poorness, difficulties in narrative organization and in inferential comprehension, fine motor deficits that can be associated with bad writing or dysgraphia. The frequent presence of a discrepancy between Performance and Verbal Intelligence Quotient is confirmed. All these features are individually present in different subgroups of subjects, with some overlaps. The relationship between neuro- psychological/cognitive falls and type of difficulties in learning is not entirely unique and requires further studies. http://dx.doi.org/10.1016/j.neurenf.2012.04.305 Mo-P-1194 Medium-term evolution of learning disorders I. Salvadore , F. Di Santo , L. Ferretti , C. Mitola , R. Penge Pediatrics and Child Neurology and Psychiatry, Sapienza University, Roma, Italy Corresponding author. The skills involved in Learning Disorder (LD) are subject to longitudinal changes in relation to development, interventions and environmental condi- tions that interact with neurobiological factors. The typical neuropsychological (NP) deficits of the disorder persist into adulthood. We aimed to evaluate the medium-term evolution of LD, considering that there are few studies in literature about it. We considered different variables of NP evaluation of 50 adolescents followed-up in our Department who received diagnosis of LD during elementary school. Our results confirm the stability of LD over time, with more falls in speed parameter than accuracy and better perfor- mance in reading comprehension. The difficulties in arithmetic, when present,

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IACAPAP 2012 – 20th World congress / Neuropsychiat

isorder of written expression, 12 (0.8%) as mathematics disorder and 26 (1.7%)s learning disorder not otherwise specified (LD NOS). Fifty subjects (76.9%)ad at least one comorbid disorder, and attention deficit hyperactivity disorderADHD) (69.2%) was the most common co-diagnosis, followed by oppositionalefiant disorder (41.5%), anxiety disorder (30.8%), affective disorder (12.3%),nd tic disorder (9.2%).onclusion.– The results of this study suggest that considerable number oflementary school students are diagnosed as LD and have various psychiatricomorbidities.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.301

o-P-1190

pecific learning disability: Psychopathologicalharacteristics and socioenvironmental factors duringevelopmental age. Del Signore ∗, R. Averna , A. Petrone , S. Rossetti , F. Capozzi

Department of Pediatrics and Neuropsychiatry of Child and Adolescent,apienza University of Rome, Rome, ItalyCorresponding author.

orrelations between socioeconomic status (SES), global functioning and psy-hopathological profile were investigated in a group of 90 children, aged between.6 and 17. A battery composed by C-GAS and CBCL was administered tossess global functioning and psychological and behavioral problems as reportedy parents. SES and global functioning did not significantly correlate. Dif-erently, a high SES as well as a high global functioning correlated with aeduced proneness to develop psychopathology (r = from –.20 to –.48): a minorendency to develop disorders such as Externalizing Problems (Conduct pro-lems and Aggressive Behaviors), Internalizing Problems (Withdrawn, Somaticomplaints, Anxiety/Depressed Problems), and Total Problems (Externalizing,

nternalizing, Social, Thought, Attention Problems) was observed. In addition,high SES level and a high global functioning correlate with a better perfor-ance in the Activities subscale (P ≤ 0.05) and with a higher level in the General

ompetences subscale (P < 0.05). Results will be discussed.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.302

o-P-1191

pecific learning disability: How the neuropsychologicalrofile changes through development. Averna ∗, S. Del Signore , A. Petrone , S. Rossetti , M. Vigliante

Department of Pediatrics and Neuropsychiatry of Child and Adolescent,apienza University of Rome, Rome, ItalyCorresponding author.

battery composed by § C-GAS, to assess global functioning, § MT tests, tossess reading and comprehension, § WISC III, to assess cognitive skills, wasdministered to 90 children, aged between 7.6 and 17.6. Subjects with higherocio-economic status showed higher comprehension abilities (P < 0.04) and fas-er speed-of-reading (SOR, P = 0.03). A high global functioning correlates withminor SOR (P = 0.02), a higher verbal (P < 0.01) and total (P ≤ 0.01) IQ. Slow-

eaders showed a greater accuracy (P < 0.01). There was a significant positiveorrelation between comprehension and verbal QI (P = 0.01) The comparisonf reading performances highlighted that primary-school students are slowerhan pre-adolescents while adolescents are the fastest, supporting the hypothe-is that SOR grows with age. Differently, there were no significant differences

n the accuracy parameter. Adolescents showed the best performances in com-rehension, no significant differences were observed between school childrennd pre-adolescents. Results will be discussed.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.303

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l’enfance et de l’adolescence 60S (2012) S140–S196 S181

o-P-1192

rofile of reading, writing and arithmetics in Italianearning disabilities. Mitola ∗, T. Scandale , G. Pietrosanti , R. Penge , C. D’Agostini Costa

Pediatrics and Child Neurology and Psychiatry, Sapienza University, Roma,talyCorresponding author.

talian language is characterized by a high correspondence between sound andign. According to this peculiarity, we aimed to define a profile of learning abili-ies in 300 Italian children (8–16 years old), with diagnosis of Learning Disorderchieved in our Department from 2006 to 2011. The parameters considered were:uickness and accuracy of reading of words, pseudowords and text; number ofrrors in writing words, pseudowords, sentences with homophones not homo-raphs words, text; number of errors in arithmetics, quickness of arithmetic factetrieval and problem solving. The results show: for reading a greater impair-ent in quickness than accuracy, the relationship of which varies consideringords, pseudowords and text; for writing a main fall on words and sentencesith homophones not homographs, errors and difficulties in morphosyntacticrganization of the summary; for arithmetic difficulties of queuing and in thehoice of recovery or procedural strategies, errors in the arithmetic fact retrieval.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.304

o-P-1193

europsychological profile in Italian learning-disabledhildren. Penge ∗, C. Pesola , C. D’Agostini Costa , P. Rampoldi , I. Salvadore

Pediatrics and Child Neurology and Psychiatry, Sapienza University, Roma,talyCorresponding author.

he heterogeneity of Learning Disabilities (LD) led to hypothesize a multi-actorial genesis of the disorder. Besides phonological processing difficulties,ther neuropsychological/cognitive skills are involved to define type and seve-ity of difficulties, with a different significance according to the relationshipetween spoken, written language and the writing modalities. Our purposeas to delineate the neuropsychological profile (language, meta-phonological,isual-spatial, praxis skills and cognitive level) of 300 Italian children withD evaluated at our Department in the last five years. The results shown lexicaloorness, difficulties in narrative organization and in inferential comprehension,ne motor deficits that can be associated with bad writing or dysgraphia. Therequent presence of a discrepancy between Performance and Verbal Intelligenceuotient is confirmed. All these features are individually present in different

ubgroups of subjects, with some overlaps. The relationship between neuro-sychological/cognitive falls and type of difficulties in learning is not entirelynique and requires further studies.

ttp://dx.doi.org/10.1016/j.neurenf.2012.04.305

o-P-1194

edium-term evolution of learning disorders. Salvadore ∗, F. Di Santo , L. Ferretti , C. Mitola , R. PengePediatrics and Child Neurology and Psychiatry, Sapienza University, Roma,talyCorresponding author.

he skills involved in Learning Disorder (LD) are subject to longitudinalhanges in relation to development, interventions and environmental condi-ions that interact with neurobiological factors. The typical neuropsychologicalNP) deficits of the disorder persist into adulthood. We aimed to evaluatehe medium-term evolution of LD, considering that there are few studiesn literature about it. We considered different variables of NP evaluation of

0 adolescents followed-up in our Department who received diagnosis ofD during elementary school. Our results confirm the stability of LD over

ime, with more falls in speed parameter than accuracy and better perfor-ance in reading comprehension. The difficulties in arithmetic, when present,