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Journal of Tropical Pediatrics Advance Access published online on November 28, 2008

Journal of Tropical Pediatrics, doi:10.1093/tropej/fmn099
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Health-related Quality of Life of Children with Newly Diagnosed Specific Learning Disability

Sunil Karande, Kirankumar Bhosrekar, Madhuri Kulkarni and Arpita Thakker

Learning Disability Clinic, Division of Paediatric Neurology, Department of Paediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai (Bombay) 400 022, Maharashtra, India

Correspondence: Dr Sunil Karande, Department of Pediatrics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai (Bombay) 400 022, India. Tel.: +91 22 2407 6381; Fax: +91 22 2408 6150. E-mail <karandesunil{at}yahoo.com>.


   Abstract

The objective of this study was to measure health-related quality of life (HRQL) of children with newly diagnosed specific learning disability (SpLD) using the Child Health Questionnaire-Parent Form 50®. We detected clinically significant deficits (effect size ≥ –0.5) in 9 out of 12 domains: limitations in family activities, emotional impact on parents, social limitations as a result of emotional–behavioral problems, time impact on parents, general behavior, physical functioning, social limitations as a result of physical health, general health perceptions and mental health; and in both summary scores (psychosocial > physical). Multivariate analysis revealed having ≥ 1 non-academic problem(s) (p < 0.0001), attention-deficit hyperactivity disorder (p = 0.005) or first-born status (p = 0.009) predicted a poor psychosocial summary score; and having ≥1 non-academic problem(s) (p = 0.006) or first-born status (p = 0.035) predicted a poor physical summary score. HRQL is significantly compromised in children having newly diagnosed SpLD.

Key Words: dyslexia • quality of life • socioeconomic factors • students


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