What Lies Behind Diagnostic Labels? High Intra-Individual Variability Is the True Cognitive Signature of University Students with Specific Learning Disorders

诊断标签背后隐藏着什么?个体内部差异性高才是特定学习障碍大学生的真实认知特征。

阅读:1

Abstract

Background/Objectives: Specific Learning Disorders are lifelong neurodevelopmental conditions that persist in adulthood, yet research has traditionally focused on children. In adults, there is significant heterogeneity in cognitive profiles and a lack of consensus on how to operationalize these disorders. This study aims to map the variability in cognitive functioning in university students with Specific Learning Disorders and investigate whether cognitive profiles differ across diagnostic categories and comorbidities. Methods: A retrospective analysis was conducted on the clinical documentation of 166 university students with a diagnosis of Specific Learning Disorders. Participants were categorized into three subgroups: predominant reading disorder, predominant arithmetic disorder, and mixed learning disorder. Cognitive functioning was assessed using Wechsler scales indices. Data were analyzed using linear mixed-effects models and Latent Profile Analysis. Results: Across the sample, reasoning abilities were significantly higher than cognitive efficiency, with working memory consistently emerging as a core weakness. The mixed-disorder group exhibited the lowest cognitive scores and the greatest working memory deficits. Latent Profile Analysis identified two distinct latent subgroups: a "Low Profile" characterized by weaker working memory and a "High Profile" characterized by stronger reasoning and balanced efficiency. Diagnostic labels were only partially aligned with these profiles; while the mixed-disorder group was overrepresented in the "Low Profile," substantial intra-individual variability existed across all diagnostic categories. Conclusions: The findings suggest that traditional categorical labels for Specific Learning Disorders have limited explanatory power in adulthood, given the high heterogeneity of cognitive functioning. Cognitive weaknesses, particularly in working memory, persist even in high-achieving university students. Clinical and educational support should shift from a label-based approach toward a dimensional, profile-based model to better address the unique strengths and vulnerabilities of adults with Specific Learning Disorders.

特别声明

1、本页面内容包含部分的内容是基于公开信息的合理引用;引用内容仅为补充信息,不代表本站立场。

2、若认为本页面引用内容涉及侵权,请及时与本站联系,我们将第一时间处理。

3、其他媒体/个人如需使用本页面原创内容,需注明“来源:[生知库]”并获得授权;使用引用内容的,需自行联系原作者获得许可。

4、投稿及合作请联系:info@biocloudy.com。