Copying skills in relation to word reading and writing in Chinese children with and without dyslexia

Because Chinese character learning typically relies heavily on rote character copying, we tested independent copying skill in third- and fourth-grade Chinese children with and without dyslexia. In total, 21 Chinese third and fourth graders with dyslexia and 33 without dyslexia (matched on age, nonverbal IQ, and mother’s education level) were given tasks of copying unfamiliar print in Vietnamese, Korean, and Hebrew as well as tests of word reading and writing, morphological awareness, rapid automatized naming (RAN), and orthographic processing. All three copying tasks distinguished dyslexic children from nondyslexic children with moderate effect sizes (.67-.80). Zero-order correlations of the three copying tasks with dictation and reading ranged from .37 to .58. With age, Raven’s, group status, RAN, morphological awareness, and orthographic measures statistically controlled, the copying tasks uniquely explained 6% and 3% variance in word reading and dictation, respectively. Results suggest that copying skill itself may be useful in understanding the development and impairment of literacy skills in Chinese.     

中文读写能力及其相关因素研究

使用5点量表,本研究在北京地区调查了2187名小学一、三、五年级儿童的中文读写能力及其相关因素。因素分析抽取了8个因素：书面语意义理解、基本知觉能力、书写技能、家庭阅读背景、动作技能、口语能力、朗读和听写、书面表达。对上述因素进行多元逐步回归分析发现,各种读写能力内部相关显著。基本知觉能力、口语能力、家庭阅读背景和动作技能分别对中文读写能力的不同成分有显著解释作用。这个结果对于理解阅读能力发展及其与家庭阅读背景、口语、基本知觉一动作能力之间的关系,以及阅读障碍的内在机制具有重要的理论意义。     

Acquired and developmental spelling dyslexia

Two cases of acquired spelling dyslexia and one case of developmental spelling dyslexia are described along with accounts of their performance on various psycholinguistic tasks. It is argued that there is some evidence that spelling dyslexia may exist in developmental form but that parallels are difficult to draw because of the very different histories of child and adult cases. It is also suggested that features of surface dyslexia exist in at least a proportion of spelling dyslexic cases and that this may be influenced by level of premorbid reading skill.     

Dorsal stream deficits suggest hidden dyslexia among deaf poor readers: correlated evidence from reduced perceptual speed and elevated coherent motion detection thresholds

Prelingual deafness and developmental dyslexia have confounding developmental effects on reading acquisition. Therefore, standard reading assessment methods for diagnosing dyslexia in hearing people are ineffective for use with deaf people. Recently, Samar, Parasnis, and Berent (2002) reported visual evoked potential evidence that deaf poor readers, compared to deaf good readers, have dorsal stream visual system deficits like those previously found for hearing dyslexics. Here, we report new psychometric and psychophysical evidence that deficits in dorsal stream function, likely involving extrastriate area MT, are associated with relatively poor reading comprehension in deaf adults. Poorer reading comprehension within a group of 23 prelingually deaf adults was associated with lower scores on the Symbol Digit Modality Test, a perceptual speed test commonly used to help identify dyslexia in hearing people. Furthermore, coherent dot motion detection thresholds, which reflect the functional status of area MT, correlated negatively with reading scores in each visual quadrant. Elevated motion thresholds for deaf poor readers were not due to general cognitive differences in IQ but were specifically correlated with poor perceptual speed. With IQ controlled, a highly reliable right visual field advantage for coherent motion detection was found. Additional analyses suggested that the functional status of dorsal stream motion detection mechanisms in deaf people is related to reading comprehension, but the direction and strength of lateralization of those mechanisms is independent of reading comprehension. Our results generally imply that dyslexia is a hidden contributor to relatively poor reading skill within the deaf population and that assessment of dorsal stream function may provide a diagnostic biological marker for dyslexia in deaf people.     

Deaf poor readers' pattern reversal visual evoked potentials suggest magnocellular system deficits: implications for diagnostic neuroimaging of dyslexia in deaf individuals

Deafness and developmental dyslexia in the same individual may jointly limit the acquisition of reading skills for different underlying reasons. A diagnostic marker for dyslexia in deaf individuals must therefore detect the presence of a neurobiologically based dyslexia but be insensitive to the ordinary developmental influences of deafness on reading skill development. We propose that the functional status of the magnocellular visual system in deaf individuals is potentially such a marker. We present visual evoked potential (VEP) evidence that adult deaf poor readers as a group display magnocellular system deficits not observed in deaf good readers. We recorded pattern-reversal VEPs to high- and low-contrast checkerboard stimuli, which primarily activate the parvocellular and magnocellular pathways, respectively. Principal components analysis of these VEPs produced a time-ordered sequence of three early components that displayed interactions between reading skill and stimulus contrast across multiple scalp recording sites. Deaf poor readers displayed an abnormal absence of contrast-sensitive VEP responses at occipital sites during early visual processing (75 ms poststimulus), whereas deaf good readers showed the expected early contrast-sensitive occipital VEP responses. Over the subsequent 225 ms, the occipital VEP behavior of deaf poor readers closely approximated that of deaf good readers. The VEPs of deaf poor readers were apparently characterized by delayed responses to low-contrast stimuli compared with deaf good readers. Our results provide the first neurobiological evidence that developmental dyslexia exists within the deaf population and is associated with the same underlying magnocellular system deficit that has been observed in hearing dyslexics. Direct neural imaging of the status of the magnocellular visual system in deaf individuals may eventually provide differential diagnosis of developmental dyslexia in the deaf population.     

Phonology, reading acquisition, and dyslexia: insights from connectionist models.

The development of reading skill and bases of developmental dyslexia were explored using connectionist models. Four issues were examined: the acquisition of phonological knowledge prior to reading, how this knowledge facilitates learning to read, phonological and nonphonological bases of dyslexia, and effects of literacy on phonological representation. Compared with simple feedforward networks, representing phonological knowledge in an attractor network yielded improved learning and generalization. Phonological and surface forms of developmental dyslexia, which are usually attributed to impairments in distinct lexical and nonlexical processing "routes," were derived from different types of damage to the network. The results provide a computationally explicit account of many aspects of reading acquisition using connectionist principles.     

The brain basis of the phonological deficit in dyslexia is independent of IQ

Although the role of IQ in developmental dyslexia remains ambiguous, the dominant clinical and research approaches rely on a definition of dyslexia that requires reading skill to be significantly below the level expected given an individual's IQ. In the study reported here, we used functional MRI (fMRI) to examine whether differences in brain activation during phonological processing that are characteristic of dyslexia were similar or dissimilar in children with poor reading ability who had high IQ scores (discrepant readers) and in children with poor reading ability who had low IQ scores (nondiscrepant readers). In two independent samples including a total of 131 children, using univariate and multivariate pattern analyses, we found that discrepant and nondiscrepant poor readers exhibited similar patterns of reduced activation in brain areas such as left parietotemporal and occipitotemporal regions. These results converge with behavioral evidence indicating that, regardless of IQ, poor readers have similar kinds of reading difficulties in relation to phonological processing.     

Spanish developmental dyslexia: Prevalence, cognitive profile, and home literacy experiences

This study was designed to examine the prevalence, cognitive profile, and home literacy experiences in subtypes of Spanish developmental dyslexia. The subtyping procedure used comparison with chronological-age-matched and reading-level controls on reaction times and accuracy responses to high-frequency words and pseudowords. Using regression-based procedures, 8 phonological dyslexics and 16 surface dyslexics were identified from a sample of 35 dyslexic fourth graders by comparing them with chronological-age-matched controls on reaction times to high-frequency word and pseudoword reading. However, when the dyslexic subtypes were defined by reference to reading-level controls, 12 phonological dyslexics were defined but only 5 surface dyslexics were identified. Both dyslexic subtypes showed a deficit in phonological awareness, but children with surface dyslexia also showed a deficit in orthographical processing assessed by a homophone comprehension task. This deficit was associated with poor home literacy experiences, with the group of parents with children matched in reading age, in comparison with the group of parents with children with surface dyslexia, reporting more literacy home experiences.     

汉语阅读障碍的语音加工及正字法加工缺陷的实验研究

本研究对汉语阅读障碍的加工缺陷进行探讨,期望有助于揭示语言加工的普遍性与特殊性,以及阅读障碍的成因,并可为后期的干预提供帮助。研究采用改编的言语认知测验对阅读水平匹配组与阅读障碍组和生理年龄匹配组进行比较后发现,阅读障碍组在语音意识和正字法加工任务上的成绩均明显差于生理年龄控制组和阅读水平匹配组;阅读障碍组在快速命名和语音记忆任务上的成绩不如生理年龄匹配组,仅达到阅读水平匹配组水平。因此,汉语发展性阅读障碍儿童存在语音意识和正字法加工缺陷,这两种缺陷可能是阅读障碍儿童面临的最主要的两大缺陷;阅读障碍儿童在快速命名和语音记忆上的不足可能是发展迟滞所致。同时,大多数的汉语阅读障碍儿童存在不止一种的认知缺陷。阅读障碍儿童在语音意识和正字法加工上存在缺陷的比例最高。     

In search of subtypes of Chinese developmental dyslexia

The dual-route model offers a popular way to classify developmental dyslexia into phonological and surface subtypes. The current study examined whether this dual-route model could provide a framework for understanding the varieties of Chinese developmental dyslexia. Three groups of Chinese children (dyslexics, chronological-age controls, and reading-level controls) were tested on Chinese exception character reading, pseudocharacter reading (analogous to English nonword reading), novel word learning, and some phonological and orthographic skills. It was found that Chinese exception character reading and pseudocharacter reading were highly correlated and that orthographic skills was a better predictor of both Chinese exception character and pseudocharacter reading than was phonological skills. More than half (62%) of the children in the dyslexia sample were classified as belonging to the surface subtype, but no children were classified as belonging to the phonological subtype. These results suggested that the lexical and sublexical routes in Chinese are highly interdependent or that there may be only one route from print to speech as suggested by the connectionist models. Chinese dyslexic children generally are characterized as having delays in various phonological and orthographic skills, but some, such as those identified as surface dyslexics in the current study, are more severely impaired.     

Discrimination of speech sounds by children with dyslexia: comparisons with chronological age and reading level controls

Previous studies have shown that children suffering from developmental dyslexia have a deficit in categorical perception of speech sounds. The aim of the current study was to better understand the nature of this categorical perception deficit. In this study, categorical perception skills of children with dyslexia were compared with those of chronological age and reading level controls. Children identified and discriminated /do-to/ syllables along a voice onset time (VOT) continuum. Results showed that children with dyslexia discriminated among phonemically contrastive pairs less accurately than did chronological age and reading level controls and also showed higher sensitivity in the discrimination of allophonic contrasts. These results suggest that children with dyslexia perceive speech with allophonic units rather than phonemic units. The origin of allophonic perception in the course of perceptual development and its implication for reading acquisition are discussed.     

The role of sensorimotor impairments in dyslexia: a multiple case study of dyslexic children

This study attempts to investigate the role of sensorimotor impairments in the reading disability that characterizes dyslexia. Twenty-three children with dyslexia were compared to 22 control children, matched for age and non-verbal intelligence, on tasks assessing literacy as well as phonological, visual, auditory and motor abilities. The dyslexic group as a whole were significantly impaired on phonological, but not sensorimotor, tasks. Analysis of individual data suggests that the most common impairments were on phonological and visual stress tasks and the vast majority of dyslexics had one of these two impairments. Furthermore, phonological skill was able to account for variation in literacy skill, to the exclusion of all sensorimotor factors, while neither auditory nor motor skill predicted any variance in phonological skill. Visual stress seems to account for a small proportion of dyslexics, independently of the commonly reported phonological deficit. However, there is little evidence for a causal role of auditory, motor or other visual impairments.     

Increased intraindividual variability is a marker of ADHD but also of dyslexia: a study on handwriting

It has been suggested that intraindividual variability (IIV) in neuropsychological tasks may be a specific characteristic of Attention-Deficit Hyperactivity Disorder (ADHD), but previous research has not thoroughly examined whether IIV also concerns academic performance or other types of developmental disabilities. The present study investigates the role of IIV in 15 children with ADHD without reading difficulties, 15 children with dyslexia without associated symptoms of ADHD, and 15 typically developing children (TDC) in a simple response time (SRT) task and in a skill more directly related with school learning—handwriting. Results show that children with ADHD and those with dyslexia have a greater IIV than the TDC in both tasks. However, the pattern of the relationship between IIV in SRT and handwriting was different in children with ADHD and dyslexia: the IIV in the handwriting task was found to depend on IIV in the SRT task only in children with dyslexia. These findings support the crucial role of IIV not only in ADHD but also in other developmental disabilities, but suggest that in children with ADHD it may present specific aspects related with motor control.     

The cognitive profile and multiple-deficit hypothesis in Chinese developmental dyslexia

The present study was conducted to examine the cognitive profile and multiple-deficit hypothesis in Chinese developmental dyslexia. Thirty Chinese dyslexic children in Hong Kong were compared with 30 average readers of the same chronological age (CA controls) and 30 average readers of the same reading level (RL controls) in a number of rapid naming, visual, phonological, and orthographic tasks. Chinese dyslexic children performed significantly worse than the CA controls but similarly to the RL controls on most of the cognitive tasks. The rapid naming deficit was found to be the most dominant type of cognitive deficit in Chinese dyslexic children. Over half of the dyslexic children exhibited deficits in 3 or more cognitive areas, and there was a significant association between the number of cognitive deficits and the degree of reading and spelling impairment. The present findings support the multiple-deficit hypothesis in Chinese developmental dyslexia.     

Writing problems in developmental dyslexia: under-recognized and under-treated

The International Dyslexia Association defines dyslexia as unexpected problems of neurobiological origin in accuracy and rate of oral reading of single real words, single pseudowords, or text or of written spelling. However, prior research has focused more on the reading than the spelling problems of students with dyslexia. A test battery was administered to 122 children who met the inclusion criteria for dyslexia and qualified their families for participation in a family genetics study that has been ongoing for over a decade. Their parents completed the same test battery. Although a past structural equation modeling study of typically developing children identified a significant path from handwriting to composition quality, the current structural equation modeling study identified a significant path from spelling to composition for children and their parents with dyslexia. Grapho-motor planning did not contribute uniquely to their composition, showing that writing is not just a motor skill. Students with dyslexia do have a problem in automatic letter writing and naming, which was related to impaired inhibition and verbal fluency and may explain their spelling problems. Results are discussed in reference to the importance of providing explicit instruction in the phonological, orthographic, and morphological processes of spelling and in composition to students with dyslexia and not only offering accommodation for their writing problems.     

Developmental and acquired dyslexia: A comparison

Jorm (1979a) has drawn attention to similarities between developmental dyslexia and acquired deep dyslexia, an analogy which has been criticized by A. W. Ellis (1979). A series of three experiments compared the two syndromes, using the techniques applied by Patterson and Marcel (1977) to adult deep dyslexics, to study a group of 15 boys suffering from developmental dyslexia. Patterson and Marcel's patients were able to perform a lexical decision task but showed no evidence of phonemic encoding of nonwords; our dyslexic children performed this task very slowly and with reduced accuracy but showed clear evidence of phonemic coding of the nonword items. Patterson and Marcel observed that their patients could not read out orthographically regular nonwords; our dyslexic children were able to do this task, although more slowly and somewhat less accurately than their chronological age or reading age controls. Finally, Patterson and Marcel observed that highly imageable words were more likely to be read correctly than words of equal frequency but low imageability; we observed a similar effect in both our dyslexic group and in their reading age controls. This implies that the imageability effect may not be peculiar to dyslexics but may be characteristic of normal reading under certain conditions. It is concluded that developmental dyslexics differ from the patients studied by Patterson and Marcel in demonstrating a pattern of reading which, though slow, is qualitatively similar to the reading of normal readers of a younger age. As such, our results do not support Jorm's position.     

Imbalanced word-reading profiles in eighth-graders

This current study introduced a new method to investigate the prevalence and correlates of significant imbalances in the relative accuracy with which eighth-graders read nonwords (e.g., prauma) and exception words (e.g., vaccine). Substantial proportions of students showed imbalanced word-reading profiles, but these were not strongly tied to differences in reading and spelling achievement. Of the students without reading difficulties, 19% had imbalanced word-reading profiles favoring exception words and 17% had imbalanced word-reading profiles favoring nonwords. Of the poor readers, 39% met the criterion for phonological dyslexia (with imbalanced word-reading profiles favoring exception words) and 14% met the criterion for surface dyslexia (with imbalanced word-reading profiles favoring nonwords) in relation to the eighth-grade benchmark readers, but the incidence of these types of dyslexia varied with verbal ability. Of the poor readers with normal verbal ability, 60% were classified as phonological dyslexics and none was classified as surface dyslexic. In students low in verbal ability, surface dyslexia was more common. However, when imbalanced word-reading profiles were defined in relation to fourth-grade reading-level controls, only 12 phonological dyslexics and 1 surface dyslexic were identified. Relatively few cases of either type of developmental dyslexia appeared to be "pure."     

Visual temporal processing in dyslexia and the magnocellular deficit theory: the need for speed?

A controversial question in reading research is whether dyslexia is associated with impairments in the magnocellular system and, if so, how these low-level visual impairments might affect reading acquisition. This study used a novel chromatic flicker perception task to specifically explore temporal aspects of magnocellular functioning in 40 children with dyslexia and 42 age-matched controls (aged 7-11). The relationship between magnocellular temporal resolution and higher-level aspects of visual temporal processing including inspection time, single and dual-target (attentional blink) RSVP performance, go/no-go reaction time, and rapid naming was also assessed. The Dyslexia group exhibited significant deficits in magnocellular temporal resolution compared with controls, but the two groups did not differ in parvocellular temporal resolution. Despite the significant group differences, associations between magnocellular temporal resolution and reading ability were relatively weak, and links between low-level temporal resolution and reading ability did not appear specific to the magnocellular system. Factor analyses revealed that a collective Perceptual Speed factor, involving both low-level and higher-level visual temporal processing measures, accounted for unique variance in reading ability independently of phonological processing, rapid naming, and general ability.     

小脑与发展性阅读障碍

发展性阅读障碍是学龄儿童面临的学习问题之一。近年来,许多行为和神经生理学、影像学实验都发现,发展性阅读障碍的儿童有明显的运动功能失调,如平衡性差、身体灵敏度不够以及自动化水平低。Nicolson等人提出的小脑理论认为,阅读障碍者的小脑功能失调影响了书写及发音,导致语音及阅读能力不足,而且小脑与时间控制有关,阅读障碍者的时间估计能力有缺陷与他们的小脑功能失调有关。本文回顾了有关小脑理论的研究,并指出小脑的认知功能还有待进一步的研究。     

Individual prediction of dyslexia by single versus multiple deficit models

The overall goals of this study were to test single versus multiple cognitive deficit models of dyslexia (reading disability) at the level of individual cases and to determine the clinical utility of these models for prediction and diagnosis of dyslexia. To accomplish these goals, we tested five cognitive models of dyslexia--two single-deficit models, two multiple-deficit models, and one hybrid model--in two large population-based samples, one cross-sectional (Colorado Learning Disability Research Center) and one longitudinal (International longitudinal Twin Study). The cognitive deficits included in these cognitive models were in phonological awareness, language skill, and processing speed and/or naming speed. To determine whether an individual case fit one of these models, we used two methods: 1) the presence or absence of the predicted cognitive deficits, and 2) whether the individual's level of reading skill best fit the regression equation with the relevant cognitive predictors (i.e., whether their reading skill was proportional to those cognitive predictors.) We found that roughly equal proportions of cases met both tests of model fit for the multiple deficit models (30-36%) and single deficit models (24-28%); hence, the hybrid model provided the best overall fit to the data. The remaining roughly 40% of cases in each sample lacked the deficit or deficits that corresponded with their best-fitting regression model. We discuss the clinical implications of these results for both diagnosis of school-age children and preschool prediction of children at risk for dyslexia.