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Remapping the cognitive and neural profiles of children who struggle at school.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Astle, Duncan E 
CALM Team 
Holmes, Joni 

Abstract

Our understanding of learning difficulties largely comes from children with specific diagnoses or individuals selected from community/clinical samples according to strict inclusion criteria. Applying strict exclusionary criteria overemphasizes within group homogeneity and between group differences, and fails to capture comorbidity. Here, we identify cognitive profiles in a large heterogeneous sample of struggling learners, using unsupervised machine learning in the form of an artificial neural network. Children were referred to the Centre for Attention Learning and Memory (CALM) by health and education professionals, irrespective of diagnosis or comorbidity, for problems in attention, memory, language, or poor school progress (n = 530). Children completed a battery of cognitive and learning assessments, underwent a structural MRI scan, and their parents completed behavior questionnaires. Within the network we could identify four groups of children: (a) children with broad cognitive difficulties, and severe reading, spelling and maths problems; (b) children with age-typical cognitive abilities and learning profiles; (c) children with working memory problems; and (d) children with phonological difficulties. Despite their contrasting cognitive profiles, the learning profiles for the latter two groups did not differ: both were around 1 SD below age-expected levels on all learning measures. Importantly a child's cognitive profile was not predicted by diagnosis or referral reason. We also constructed whole-brain structural connectomes for children from these four groupings (n = 184), alongside an additional group of typically developing children (n = 36), and identified distinct patterns of brain organization for each group. This study represents a novel move toward identifying data-driven neurocognitive dimensions underlying learning-related difficulties in a representative sample of poor learners.

Description

Keywords

cognitive development, education, learning difficulties, machine learning, Attention, Brain Mapping, Child, Cognition Disorders, Female, Humans, Language, Language Development Disorders, Learning Disabilities, Linguistics, Male, Mathematics, Memory, Short-Term, Reading

Journal Title

Dev Sci

Conference Name

Journal ISSN

1363-755X
1467-7687

Volume Title

22

Publisher

Wiley
Sponsorship
Medical Research Council (MC_UU_00005/2)