中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (4): 359-362.DOI: 10.11852/zgetbjzz2025-0200

• 专家笔谈 • 上一篇    下一篇

学习困难的评估、鉴别和干预

金星明1, 池霞2   

  1. 1.上海儿童医学中心,上海 200127;
    2.南京医科大学附属妇产医院(南京市妇幼保健院)
  • 收稿日期:2025-01-20 修回日期:2025-02-21 发布日期:2025-04-10 出版日期:2025-04-10
  • 作者简介:金星明(1946—),女,主任医师,博士生导师,主要从事发育行为儿科工作。

Identification and intervention of learning difficulties

JIN Xingming1, CHI Xia2   

  1. 1. Shanghai Children's Medical Center, Shanghai 200127, China;
    2. Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital
  • Received:2025-01-20 Revised:2025-02-21 Online:2025-04-10 Published:2025-04-10

摘要: 学习困难(learning difficulty)是较为常用的一个临床用语,从广义上来说,它代表着一个症候群,从狭义上则为特定学习障碍。其原因涉及生理、心理和环境因素。临床需要综合评估,识别学习困难的谱系,作出诊断和鉴别诊断,提供干预和治疗。学习困难的临床实践中,儿童保健医师起着至关重要的桥梁作用,除评估和转介外,还需注重医教结合及跨专业的团队协作。

关键词: 学习困难, 学习障碍, 评估, 鉴别, 干预

Abstract: Learning difficulty is a commonly used clinical term that broadly represents a syndrome and narrowly refers to specific learning disabilities. Its etiology encompasses physiological, psychological, and environmental factors. Clinically, a comprehensive assessment is required to identify the spectrum of learning difficulties, make a diagnosis and differential diagnosis, and provide interventions and treatments. The child health care physicians play a crucial bridging role in clinical practice. Beyond assessment and referral, they must also emphasize the integration of medical and educational approaches and interdisciplinary team collaboration.

Key words: learning difficulties, learning disorder, assessment, identification, intervention

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