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Yıl:2023; Cilt: 38; Sayı: 91>> Özet
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Türk Psikoloji Dergisi; 2023;38(91):36-55
Özgül Öğrenme Güçlüğünün Kapsamlı Klinik Değerlendirilmesinin Önemi
C Çelik, G Erden, S Tural Hesapçığlu
Medipol Üniversitesi, Ankara
Özgül Öğrenme Güçlüğü (ÖÖG), okuma, yazma ve matematik gibi akademik alanlarda yaşanan sorunlarla birlikte, sırala ma, organizasyon, bellek ve dikkat gibi yürütücü işlevlere ilişkin bozulmaları da bünyesinde bulundurmaktadır. Birçok alanda ortaya çıkan bu sorunlar, bu bozukluğun heterojen bir yapısı olduğunu ortaya koymaktadır. Bu nedenle, bozukluğun klinik değerlendirilmesinde çok yönlü değerlendirme yaklaşımı kaçınılmaz olmaktadır. Bu çalışmanın amacı, ÖÖG tanılı çocukların klinik değerlendirmesinde çoklu kaynaklardan yararlanarak gerçekleştirilen bütünleşik bir değerlendirmenin önemini vurgula mak ve ülkemizde bu amaçlar doğrultusunda kullanılan ölçeklerin yordayıcı güçlerini test etmektir. Araştırmanın örneklemini, 6-11 yaş aralığında, ÖÖG tanılı 97 çocuk ile herhangi bir klinik tanısı olmayan 85 normal (gelişimsel olarak sağlıklı) çocuğun olduğu iki grup oluşturmuştur. Araştırmada kullanılan ölçekler şunlardır: Özgül Öğrenme Bozukluğu Klinik Gözlem Bataryası (ÖÖB-KG Bataryası), Wechsler Çocuklar için Zekâ Ölçeği-Dördüncü Sürüm (WISC-IV) ve Özgül Öğrenme Güçlüğü Belirti Tarama Listesi (MOYA). İki grubun puanlarını karşılaştırmada bağımsız gruplar için t testi analizi ve değişkenler arasındaki iliş kileri ortaya çıkarmak için Pearson korelasyon katsayısı hesaplamaları kullanılmıştır. Ayrıca, ÖÖB-KG Bataryası ve MOYA’nın özgül öğrenme güçlüğü üzerinde yordama gücünü test etmek amacıyla, lojistik regresyon analizi gerçekleştirilmiştir. Bulgular, ÖÖG tanılı çocukların ÖÖB-KG Bataryası, WISC-IV ve MOYA puanlarının normal gruptaki çocukların benzer puanlarına göre anlamlı düzeyde farklılaştığını ortaya koymuştur. Lojistik regresyon analizi sonucunda, ÖÖB-KG Bataryası okuma, yazma ve matematik alt testlerinin ÖÖG’yi anlamlı bir şekilde yordadığı görülmüştür. Araştırma bulguları, öğrenme güçlüğünün kapsamlı değerlendirmesinde üç ölçeğin bir arada kullanılmasının klinisyenlere yol gösterici bilgiler sunduğunu ortaya koymaktadır.
The Importance of Comprehensive Clinical Evaluation of a Specific Learning Disability
The Specific Learning Disability (SLD) includes disabilities related to executive functions such as ranking, organization, memory and attention as well as problems experienced in academic fields such as reading, writing, and arithmetic. These prob lems that arise in various areas reveal that this disorder has a heterogeneous structure. Therefore, a multi-faceted evaluation approach should be inevitable in the clinical evaluation of SLD. The aim of this study is to emphasize the importance of an integrated assessment by using multiple sources in the clinical assessment of children with SLD, and to reveal the predictive power of these sources. The sample of the study consisted of two groups between the ages of 6 and 11 years. The first group included 97 children with SLD, while the second group had 85 children without any clinical diagnosis. The measures used in this research included the following: Specific Learning Disorder Clinical Observation Battery (SLD-CO Battery), Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) and Specific Learning Disability Symptom Checklist (MOYA). Independent sample t test analysis were used to compare scores of the two groups and Pearson correlation coefficients were calculated to reveal the relationships between the variables. In order to test the predictive power of the SLD-CO Battery and the MOYA on learning disability, logistic regression analyses were performed. Findings revealed that scores of children with SLD on the SLD-CO Battery, the WISC-IV, and the MOYA significantly differentiated from the same scores of children in the normal sample group. As a result of the logistic regression analysis, subtest scores of reading, writing, and mathematics on the SLD-CO Battery significantly predicted the SLD. The findings of the study suggest that using three scales together in the comprehensive assessment of learning disability would provide guiding information for clinicians.

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