سورة البقرة آية (32) Neurobehavioral symptoms among sixth grade primary school students...
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سورة البقرة آية (32) Neurobehavioral symptoms among sixth grade primary school students with low scholastic achievement in Assiut city By Saber.A.Abdelnazer
Neurobehavioral symptoms among sixth grade primary school
students with low scholastic achievement in Assiut city By
Saber.A.Abdelnazer Saber.A.Abdelnazer lecturer of Neurology,
lecturer of Neurology, Faculty of Medicine, Assiut University
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DR.Hamdy.N.El Tallway Professor of Neurology, Faculty of
Medicine, Assiut University. Dr. Abdel Rakeeb.A.Elbehaery Professor
of psychology, Faculty of Education, Assiut university Professor of
psychology, Faculty of Education, Assiut university Dr.
Khaled.A.M.Elbeh Professor of Psychiatry, Faculty of Medicine,
Assiut University. Dr. Noha.M.Aboelfetoh Assistant Professor of
Neurology, Faculty of Medicine, Assiut University. Assistant
Professor of Neurology, Faculty of Medicine, Assiut University.
2014 Under supervision
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Introduction Aim of the workSubjects and
methodsResultsDiscussionConclusion and Recommendations
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Introduction Education is one of the main foundations for the
childs development and national human resource development,
therefore failure at school and grade retention is a serious
concern among children and their parents, as every child should
have the opportunity to achieve his or her academic potential
(Kamal and Bener, 2009).
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Poor school performance should be seen as symptoms reflecting
underlying larger problem in children. This symptoms not only
result in the child having low self esteem but can cause
significant stress to the parents and it is essential to analyze
these symptoms to discover underling disorders (Karande and
Kulkarni, 2005).
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Hypothesis Education is an investment in human capital and it
can have great impact on nations growth and progress. School
failure can lead to serious consequences if untreated; the failing
student losses self-confidence subsequently becomes discouraged and
involved in self-harming behavior.
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Sorry, Egypt was ranked the last in global competitive report
in quality of primary education, although every Egyptian knows the
low level of primary education but he bumped his classification of
the worst compared with rest of developed, developing and under
developed countries (Global Competitive Report,2013).
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Aim of the work This study was designed and aimed to estimate
the prevalence of neurobehavioral symptoms among children with poor
scholastic achievement compared to good achievers in the sixth
grade primary governmental schools in Assiut city.
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This is a cross-sectional study conducted on students of the 6
th grade primary schools in Assiut city during period from
September 25 th, 2011 to May 15 th, 2013. All students in grade 6
of 38 governmental schools in Assiut city were approached to
identify students with poor academic achievement. Poor scholastic
achievement is defined here as "students failing their grades at
least once and had to repeat the year or those who had
At The present study, 1362 students were approached for
screening of neurobehavioral symptoms and were classified into 2
groups as; 1-Low achievers (762 students) who achieve 70% of school
marks in previous year.
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Ethics issues B efore interview, informed written consent was
obtained from authority figures at the Ministry of Education as
well as from each school principle and parents of students
according to the ethics committee of Assiut University.
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Both groups (1362 students) were subjected to the following:
Screening for symptoms of neurological disorders by using a simple
standardized Arabic screening questionnaire which was designed and
validated specifically for screening most common neurological
disorders(El-Tallawy et al., 2010), followed by complete clinical
and neurological assessment for those who screened positive for any
of neurological disorders. Screening of behavioral disorders :by
using child behavior checklist CBCL (Youth self report and profile
for ages ranged from 11 to18 years )(Achenbach, 1997).
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Assessment of intelligence quotient (IQ): by using validated
Arabic Version of Stanford Binet scale,4th edition (Melika, 1998 ).
Assessment of socioeconomic state :by application of Socioeconomic
Scale (Abdel -Twab,2010). Assessment of reading skills: by using
the Arabic validated translated version of
Schonell(1950),(translated by Saad El Din, 1998). Evaluation of
neurological soft signs among those students of both groups: by
using Subscales of the Cambridge Neurological Inventory (Chen et
al., 1995)
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According to the definition adopted here, the prevalence of low
scholastic achievement was 25.7 %( n=1120/4363) among students at
6th grade primary school.,1120 students were identified (25.7%)
with low scholastic achievement, out of them only 762 students
accepted participation in this study,(as 203 students refused
participation and 155 were absentees during interview).
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Figure (1): Sex distribution among studied groups
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Figure(2):Frequency of subject failure among poor academic
achievers
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Poor academic achievers n=762 Good academic achievers n=600
N%N% Low class 200***26.2406.7 Moderate class 270*35.423639.3 High
class 29238.332454.0 Table (1): Socioeconomic status among poor and
good academic achievers
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Table (2): Classification of IQ among poor and good academic
achievers according to Stanford Binet 4 th edition Poor academic
achievers n=762 Good academic achievers n=600 n%n% Normal or
average (90-