LEARNING DISORDER
Definition
The 11th Edition of the International Classification of Diseases and Related
Health Problems (ICD-11,2018) notes that a developmental learning
disorder is characterized by significant and persistent difficulties in learning
academic skills which may include reading, writing, or arithmetic.
Prevalence
Learning disorders are common in children and adolescents. About 2-10% of the
population and more than 10% of school children have significant academic
difficulties. Learning disorders are reported to be four times more common in
males than females. Reading disorders constitute the greatest proportion of
children identified with learning disabilities, probably 80-90%.
Types of Learning disorder
1. Impairment in reading
It is also called “Dyslexia”. According to DSM-IV-TR, reading disorder is
reading achievement below the expected level of a child’s age, education,
and intelligence with the impairment interfering significantly with academic
success or the daily activities that involve reading. It is characterized by a:
i. Slow acquisition of reading skills
ii. Slow reading speeds
iii. Impaired comprehension
iv. Long hesitation
v. Letter reversals
2. Impairment in written expression (Dysgraphia): It is a significant
impairment in writing skills, such as spelling accuracy, grammar and
punctuation accuracy, organization, and cohesion of ideas in writing in the
absence of a history of specific reading disorder. The ability to spell orally
and to write out words correctly is affected.
3. Specific Arithmetic Disorders (Dyscalculia) involve a deficit in basic
computational skills of addition, subtraction, multiplication, and division. It
is characterized by:
i. Failure to understand simple mathematical concepts
ii. Failure to recognize mathematical signs or numerical symbols
iii. Difficulties in learning mathematical tables.
Causes
Family history
Exposure to alcohol and drugs during antenatal period
Emotional abuse of the child
Head injury, neurological disorders
Exposure to poisonous substances such as exposure to high levels of lead or
other toxins
Symptoms of learning disorder
Not being able to master skills in reading, spelling, writing or math at or
near the expected age and grade levels
Trouble completing homework and assignments on time
Difficulty remembering what was just said or read
Difficulty in writing, drawing and understanding concepts
Children may feel frustrated that they cannot master subject despite trying
hard.
May feel helpless and withdraw
These disorders can also be present with emotional or behavioral disorders
such as ADHD or anxiety and depression
Treatment
Special education services
Individualized education program