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Previous issue date: 2016-03-15 / A associa??o entre altera??es cognitivas, d?ficits de linguagem e o diagn?stico de Epilepsia Rol?ndica (ER) vem crescendo paulatinamente. Entretanto, in?meras cr?ticas s?o feitas aos estudos, notadamente pela aus?ncia de controle do n?vel de QI dos participantes. Adicionalmente, identifica-se pol?mica em termos das rela??es existentes entre os d?ficits no dom?nio da linguagem, a atividade epileptiforme e um conjunto de vari?veis cl?nicas intervenientes. Buscando contribuir para a compreens?o de tais rela??es, o objetivo deste estudo foi investigar a mem?ria operacional e a consci?ncia fonol?gica em crian?as diagnosticadas com Epilepsia Rol?ndica (ER). Foram avaliadas 42 crian?as com idades entre 6 e 13 anos. Destas, vinte e uma crian?as diagnosticadas com ER, segundo a classifica??o da Liga Internacional Contra a Epilepsia ? ILAE, constitu?ram o grupo experimental e; 21 crian?as sem ER, recrutadas de base de dados j? existente, pareadas em rela??o ?s do grupo experimental em fun??o do sexo, idade, escolaridade e n?vel socioecon?mico compuseram o grupo controle. O processo avaliativo contemplou anamnese com pais/respons?veis e protocolo composto por instrumentos, a saber, Teste das Matrizes Progressivas Coloridas de Raven, Teste das Matrizes Progressivas Escala Geral de Raven, subteste D?gitos da Escala Wechsler de Intelig?ncia para crian?as (WISC IV), Teste Blocos de Corsi, Teste de Flu?ncia Verbal e Consci?ncia fonol?gica ? instrumento de avalia??o sequencial (CONFIAS). Os resultados evidenciam diferen?as significativas entre os desempenhos de crian?as com ER e crian?as h?gidas nos testes que avaliaram a mem?ria operacional e consci?ncia fonol?gica, sinalizando melhor desempenho em crian?as com desenvolvimento t?pico. Ademais, foram identificadas correla??es significativas positivas e altas entre a mem?ria operacional e a consci?ncia fonol?gica no subgrupo cl?nico da ER. Os achados indicam que n?o h? influ?ncia significativa de vari?veis cl?nicas sobre os desempenhos de crian?as diagnosticadas com ER nos testes de mem?ria operacional e consci?ncia fonol?gica. De maneira geral, sugere-se que o comprometimento em ambas as fun??es cognitivas pode estar associado ao preju?zo no dom?nio da linguagem em crian?as com ER, assim como pontua-se que o desenvolvimento da mem?ria operacional e da consci?ncia fonol?gica se interrelacionam. / Association among cognitive alterations, language deficits and rolandic epilepsy (RE) diagnosis has been increasing in a constant basis. Nevertheless, a consistent criticism related to the absence of a due IQ level control of participants is addressed to these studies. Another source of criticism is related to the debate concerning possible existing relationship among deficits in language domain, epilectiform activity and a set of intervening clinical variables. This study aimed at investigating operational memory and phonological consciousness in children diagnosed as presenting rolandic epilepsy (RE), in order to clarify the relationship among above-mentioned aspects. 42 participants with ages varying from six to thirteen years were evaluated. Twenty-one participants, diagnosed as presenting rolandic epilepsy, according to ILAE ? International League Against Epilepsy diagnosis criteria, constituted the experimental group; the other twenty-one participants had not this RE diagnosis, constituting thereby the control group. Both experimental and control groups were paired concerning sex, age, school level and socio-economic familiar background. Evaluating process was constituted by anamneses inquiry addressed to parents/caretakers, and protocol composed by the following proofs: Raven Color Progressive Matrices Test, Raven General Scale Progressive Matrices Test, Sub-test Digits from Wechsler Intelligence Scale ? children version (WISC-IV), Corsi Blocs Test, Verbal Fluency and Phonological Consciousness Test - Instrument of Sequential Evaluation (CONFIAS). Results showed significant differences between RE and non-RE participants performance in tests evaluating operational memory and phonological consciousness, signaling better performance in children with typical development. On the other hand, highly significant positive correlations were detected between operational memory and phonological consciousness inside clinical subgroup RE. These findings indicate the absence of significant influence of clinical variables over performance in RE children in operational memory and phonological consciousness tests. In general terms, it is suggested here that handicaps in these cognitive functions could be associated to damages in language domain in RE children. Additionally, these findings allow the proposition of interrelation between development of operational memory and phonological consciousness.
Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21556 |
Date | 15 March 2016 |
Creators | Ferreira, Daniele Caroline Le?ncio |
Contributors | 71223010449, http://lattes.cnpq.br/5496201609189471, Azoni, C?ntia Alves Salgado, 03610236698, http://lattes.cnpq.br/4935645902363577, Fumagalli, Jerusa, 71283200082, http://lattes.cnpq.br/0265690889456064, Pires, Izabel Augusta Hazin |
Publisher | PROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | English |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
Rights | info:eu-repo/semantics/openAccess |
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