发展性阅读障碍视听时间整合缺陷可能的机制：视听时间再校准能力受损

发展性阅读障碍的本质一直是研究者争论的焦点。大量研究发现, 阅读障碍者具有视听时间整合缺陷。然而, 这些研究仅考察了阅读障碍者视听时间整合加工的整体表现, 也就是平均水平的表现, 却对整合加工的变化过程缺乏探讨。视听时间再校准反映了视听时间整合的动态加工过程, 对内部时间表征与感觉输入之间差异的再校准困难则会导致多感觉整合受损, 而阅读障碍者的再校准相关能力存在缺陷。因此, 视听时间再校准能力受损可能是发展性阅读障碍视听时间整合缺陷的根本原因。未来的研究需要进一步考察发展性阅读障碍者视听时间再校准能力的具体表现, 以及这些表现背后的认知神经机制。     

Crossmodal temporal order and processing acuity in developmentally dyslexic young adults

We investigated crossmodal temporal performance in processing rapid sequential nonlinguistic events in developmentally dyslexic young adults (ages 20-36 years) and an age- and IQ-matched control group in audiotactile, visuotactile, and audiovisual combinations. Two methods were used for estimating 84% correct temporal acuity thresholds: temporal order judgment (TOJ) and temporal processing acuity (TPA). TPA requires phase difference detection: the judgment of simultaneity/nonsimultaneity of brief stimuli in two parallel, spatially separate triplets. The dyslexic readers' average temporal performance was somewhat poorer in all six comparisons; in audiovisual comparisons the group differences were not statistically significant, however. A principal component analysis indicated that temporal acuity and phonological awareness are related in dyslexic readers. The impairment of temporal input processing seems to be a general correlative feature of dyslexia in children and adults, but the overlap in performance between dyslexic and normal readers suggests that it is not a sufficient reason for developmental reading difficulties.     

It's about time: revisiting temporal processing deficits in dyslexia

Temporal processing in French children with dyslexia was evaluated in three tasks: a word identification task requiring implicit temporal processing, and two explicit temporal bisection tasks, one in the auditory and one in the visual modality. Normally developing children matched on chronological age and reading level served as a control group. Children with dyslexia exhibited robust deficits in temporal tasks whether they were explicit or implicit and whether they involved the auditory or the visual modality. First, they presented larger perceptual variability when performing temporal tasks, whereas they showed no such difficulties when performing the same task on a non‐temporal dimension (intensity). This dissociation suggests that their difficulties were specific to temporal processing and could not be attributed to lapses of attention, reduced alertness, faulty anchoring, or overall noisy processing. In the framework of cognitive models of time perception, these data point to a dysfunction of the ‘internal clock’ of dyslexic children. These results are broadly compatible with the recent temporal sampling theory of dyslexia.     

Paired associate learning in Chinese children with dyslexia

A total of 82 Chinese 11- and 12-year-olds with and without dyslexia were tested on four paired associate learning (PAL) tasks, phonological awareness, morphological awareness, rapid naming, and verbal short-term memory in three different experiments. Experiment 1 demonstrated that children with dyslexia were significantly poorer in visual-verbal PAL than nondyslexic children but that these groups did not differ in visual-visual PAL performance. In Experiment 2, children with dyslexia had more difficulties in transferring rules to new stimuli in a rule-based visual-verbal PAL task as compared with children without dyslexia. Long-term retention of PAL was not impaired in dyslexic children across either experiment. In Experiment 3, rates of visual-verbal PAL deficits among children with dyslexia were all at or above 39%, the highest among all cognitive deficits tested. Moreover, rule-based visual-verbal PAL, in addition to morphological awareness and rapid naming ability, uniquely distinguished children with and without dyslexia even with other metalinguistic skills statistically controlled. Results underscore the importance of visual-verbal PAL for understanding reading impairment in Chinese children.     

中文阅读障碍儿童的时间加工缺陷:来自知觉学习干预研究的证据

前人研究指出,阅读障碍群体具有听觉通道内的时间加工缺陷,但截止目前为止,该缺陷的非模态性、跨语言一般性、干预前景及具体机制尚不明确。本文通过综述三项在中文阅读障碍儿童中开展的听觉、视觉时间加工知觉训练,以及它们对阅读成绩的迁移效应,对时间加工技能与阅读障碍的关系,及其影响阅读发展的认知机制进行了探讨和分析,并在此基础上,提出了未来的研究构想,以充实该领域的理论建构。     

发展性阅读障碍的听觉时间加工缺陷

发展性阅读障碍是指个体在智力正常并且不缺乏学校教育的情况下, 仍无法获得与年龄相匹配的阅读技能的一种学习障碍, 其缺陷的本质一直是研究者争论的焦点。大量研究显示, 阅读障碍者常表现出听觉时间加工损伤。在行为层面, 阅读障碍者难以辨别快速、连续呈现刺激的顺序以及刺激本身的动态时间特征。在神经层面, 阅读障碍者诱发的失匹配负波更弱且具有异常的神经同步加工。这些损伤同时存在于对言语和非言语刺激的加工中, 表明听觉时间加工缺陷非言语加工所特有。未来的研究还需阐明以下几个问题：1)阅读障碍的听觉时间加工缺陷发生在哪些时间窗口, 随年龄增长如何变化; 2)阅读障碍听觉时间加工缺陷在神经层面的时间进程是怎样的; 3)听觉时间加工缺陷是否为阅读障碍的核心缺陷。     

Audio‐visual speech in noise perception in dyslexia

Individuals with developmental dyslexia (DD) may experience, besides reading problems, other speech‐related processing deficits. Here, we examined the influence of visual articulatory information (lip‐read speech) at various levels of background noise on auditory word recognition in children and adults with DD. We found that children with a documented history of DD have deficits in their ability to gain benefit from lip‐read information that disambiguates noise‐masked speech. We show with another group of adult individuals with DD that these deficits persist into adulthood. These deficits could not be attributed to impairments in unisensory auditory word recognition. Rather, the results indicate a specific deficit in audio‐visual speech processing and suggest that impaired multisensory integration might be an important aspect of DD.     

Categorical speech perception deficits distinguish language and reading impairments in children

We examined categorical speech perception in school‐age children with developmental dyslexia or Specific Language Impairment (SLI), compared to age‐matched and younger controls. Stimuli consisted of synthetic speech tokens in which place of articulation varied from ‘b’ to ‘d’. Children were tested on categorization, categorization in noise, and discrimination. Phonological awareness skills were also assessed to examine whether these correlated with speech perception measures. We observed similarly good baseline categorization rates across all groups; however, when noise was added, the SLI group showed impaired categorization relative to controls, whereas dyslexic children showed an intact profile. The SLI group showed poorer than expected between‐category discrimination rates, whereas this pattern was only marginal in the dyslexic group. Impaired phonological awareness profiles were observed in both the SLI and dyslexic groups; however, correlations between phonological awareness and speech perception scores were not significant. The results of the study suggest that in children with language and reading impairments, there is a significant relationship between receptive language and speech perception, there is at best a weak relationship between reading and speech perception, and indeed the relationship between phonological and speech perception deficits is highly complex.     

Specific conditions for a selective deficit in memory for order in children with dyslexia

Short-term memory (STM) models distinguish between item and order memorization. The present study aims to explore how item and order STM are affected by the nature of the stimuli, the sequential versus simultaneous mode of presentation, the visual versus auditory presentation modality, the possibility of verbal recoding. A total of 20 children with dyslexia were matched one-by-one with 20 typically reading children on sex, age (8–14 years), and grade. Computerized STM tasks were administered while manipulating type (item vs. order), stimuli (letters vs. colors), sequentiality, input and output modality, as well as the presence/absence of articulatory suppression and distractors. General Linear Model analyses were conducted on accuracy scores for item and order STM. Both item and order recall scores were lower for children with dyslexia. Although order STM in the visual input condition turned out to be more impaired than item STM in the dyslexic group, both item and order memory impairments become evident when verbal recoding is prevented through articulatory suppression. Moreover, dyslexic children, unlike typical readers, were not facilitated by the linguistic nature of the stimuli to be remembered. The present findings suggest that the often-reported selective impairment of serial memory in dyslexia is restricted to stimuli that are verbal in nature or can be verbally recoded, whereas both item and order memory impairments become evident when verbal recoding is prevented through articulatory suppression. The presence of distractors is particularly detrimental to STM in the dyslexic group. The sensitivity to distractors, suppression, and stimuli in STM is predictive of reading performance.     

汉语发展性阅读障碍儿童视觉注意广度的发展及其对阅读流畅性的作用

以85名小学2~6年级儿童为研究对象,采用方差分析、分层回归探讨小学高、低年龄阶段发展性阅读障碍儿童视觉注意广度的发展变化,并以同年龄正常阅读者作为对照组;同时在不同年龄阶段探究视觉注意广度对阅读流畅性发展的预测作用。结果显示：（1）发展性阅读障碍儿童存在视觉注意广度缺陷,并呈现出在小学高年龄阶段更严重的趋势;（2）在阅读障碍儿童中,视觉注意广度对汉语流畅阅读的显著预测作用随发展增强;而对于正常阅读者,视觉注意广度仅显著预测低年龄段学生的句子朗读流畅阅读能力。以上结果表明视觉注意广度与汉语流畅阅读能力关系密切,今后汉语阅读障碍的相关干预研究可以尝试从视觉注意广度训练方面切入。     

Detection of sound rise time by adults with dyslexia

Low sensitivity to amplitude modulated (AM) sounds is reported to be associated with dyslexia. An important aspect of amplitude modulation cycles are the rise and fall times within the sound. In this study, simplified stimuli equivalent to just one cycle were used and sensitivity to varying rise times was explored. Adult participants with dyslexia or compensated dyslexia and a control group performed a detection task with sound pairs of different rise times. Results showed that the participants with dyslexia differed from the control group in rise time detection and a correlation was found between rise time detection and reading and phonological skills. A subgroup of participants with lower sensitivity to rise time detection characterized by low accuracy in syllable-level phonological skills was found within the dyslexic group. Short stimuli containing only one rise time produced associations with phonological skills and reading, even in a language where the perception of rise time contrasts are not crucial for the signaling of phonemic contrast.     

Hemispheric, attentional, and processing speed factors in the treatment of developmental dyslexia

Aim of the study is to analyze the contributions of hemispheric, attentional, and processing speed factors to the effects of neuropsychological treatment of developmental dyslexia. Four groups of dyslexic children (M-type dyslexia) were treated over a period of four months. A first group (n = 9) underwent Bakker's Hemisphere-Specific Stimulation, with presentation of words in the right and left visual field. A second group (n = 7) received the same stimuli randomly in either visual hemifield. A third group (n = 8) received the same words presented centrally at fixation point. A fourth group (n = 6) received central stimuli with fixed presentation time (1500 ms). The children were tested before and after treatment on reading and spelling measures. All groups improved significantly after treatment on all variables. However, the group that was treated with centrally presented stimuli improved more than the other groups in spelling measures. A possible explanation is that rapid, simultaneous presentation to both hemispheres enhances interhemispheric exchange, which could produce an advantage in tasks requiring a high degree of integration between left and right hemispheric functions, such as spelling. The absence of significant differences in reading improvement may point to the role of memory functions or strategic factors characterizing all the treatment programs, possibly overweighing the effect of the other factors.     

Reading in callosal agenesis

It has been suggested that deficits in explicit phonological processing are causal in developmental dyslexia. Deficits in such skills have been reported in developmental phonological dyslexia, though not in developmental surface dyslexia. The reading performance of two children with callosal agenesis, who have been previously shown to have impairments on rhyming tasks, are reported. Neither child is dyslexic in the traditional sense, since word reading levels are appropriate for age. However, both children have impaired development of the phonological reading route despite normal lexical skills. The pattern of their reading is therefore comparable to developmental phonological dyslexia. Problems in explicit phonological processing may be causal in the failure to establish an efficient phonological reading route but this is insufficient to create difficulty with word recognition itself. The corpus callosum may be essential for the normal development of a phonological reading route.     

汉语发展性阅读障碍儿童的视知觉学习*

研究采用知觉学习经典范式中的视觉搜索任务探讨汉语发展性阅读障碍儿童的知觉学习过程。研究考察了阅读障碍儿童与正常儿童在简单搜索任务、复杂搜索任务和限制时间的复杂搜索任务上的知觉学习特点。结果发现,阅读障碍儿童在复杂搜索任务中初始搜索时间显著长于正常控制组;在限制时间的复杂搜索任务中更进一步发现阅读障碍儿童的反应正确率显著低于正常控制组儿童;而且两组儿童视觉搜索任务的正确率与汉语阅读的识字量成绩存在显著相关。上述结果表明,汉语发展性阅读障碍儿童存在复杂搜索的知觉学习缺陷,这种缺陷可能在某种程度上与儿童的阅读技能发展有关。     

Developmental dyslexia: the visual attention span deficit hypothesis

The visual attention (VA) span is defined as the amount of distinct visual elements which can be processed in parallel in a multi-element array. Both recent empirical data and theoretical accounts suggest that a VA span deficit might contribute to developmental dyslexia, independently of a phonological disorder. In this study, this hypothesis was assessed in two large samples of French and British dyslexic children whose performance was compared to that of chronological-age matched control children. Results of the French study show that the VA span capacities account for a substantial amount of unique variance in reading, as do phonological skills. The British study replicates this finding and further reveals that the contribution of the VA span to reading performance remains even after controlling IQ, verbal fluency, vocabulary and single letter identification skills, in addition to phoneme awareness. In both studies, most dyslexic children exhibit a selective phonological or VA span disorder. Overall, these findings support a multi-factorial view of developmental dyslexia. In many cases, developmental reading disorders do not seem to be due to phonological disorders. We propose that a VA span deficit is a likely alternative underlying cognitive deficit in dyslexia.     

Rapid processing of letters,digits and symbols: what purely visual‐attentional deficit in developmental dyslexia?

Visual‐attentional theories of dyslexia predict deficits for dyslexic children not only for the perception of letter strings but also for non‐alphanumeric symbol strings. This prediction was tested in a two‐alternative forced‐choice paradigm with letters, digits, and symbols. Children with dyslexia showed significant deficits for letter and digit strings but not for symbol strings. This finding is difficult to explain for visual‐attentional theories of dyslexia which postulate identical deficits for letters, digits and symbols. Moreover, dyslexics showed normal W‐shaped serial position functions for letter and digit strings, which suggests that their deficit is not due to an abnormally small attentional window. Finally, the size of the deficit was identical for letters and digits, which suggests that poor letter perception is not just a consequence of the lack of reading. Together then, our results show that symbols that map onto phonological codes are impaired (i.e. letters and digits), whereas symbols that do not map onto phonological codes are not impaired. This dissociation suggests that impaired symbol‐sound mapping rather than impaired visual‐attentional processing is the key to understanding dyslexia.     

The effects of the constancy of location and order in working memory visual–phonological binding of children with dyslexia

It has been suggested that children with dyslexia have difficulties in visual–phonological working memory (WM) binding, supporting the hypothesis that this ability is crucial in the formation of associations between written forms and phonological codes required by reading. However, research on this topic is currently scarce and has not clarified to what extent binding may be supported by spatial and temporal information. The present study examined visual–phonological WM binding performance in a group of children with dyslexia compared to a control group of typically developing children matched for age, gender, and grade. Children had to memorize ephemeral associations between meaningless shapes and nonwords, with stimuli presented in either fixed or variable spatial locations, and in either fixed or variable temporal order across trials; performance was assessed using a recognition task. Results showed that children with dyslexia have a deficit in visual–phonological WM binding in every presentation condition and that, unlike control children, they are not able to use fixed spatial locations as an aid to bind information. Crucially, however, children with dyslexia still benefit from the presentation of stimuli in a fixed temporal order. These findings support the hypothesis that a WM binding deficit is crucial in children with dyslexia, and have potential implications for treatment strategies.     

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.     

基于PASS模型的汉语阅读障碍认知加工特点的实验研究

研究以智力的PASS认知模型为基础,考察了3-5年级阅读障碍组和正常对照组的PASS认知加工特点,探究汉语阅读障碍儿童的PASS认知缺陷模式,为后期的干预提供理论上的支持和帮助。结果发现,PASS四个认知加工均存在明显的年级差异,低年级儿童的PASS认知加工能力明显不如中高年级儿童。汉语阅读障碍儿童在DN: CAS 12项分任务上的成绩均低于正常对照组儿童。同时,大多数汉语阅读障碍儿童存在不止一种的PASS认知加工缺陷,即汉语发展性阅读障碍内部是一个异质群体;阅读障碍儿童在继时性加工上存在的问题最为严重,存在缺陷的人数也最多。     

A behavioral experimental analysis of dyslexia

A behavioral analysis of specific dyslexia is contrasted with traditional genetic, neurological and developmental theories which hold that the dyslexic's inability to read is based on impaired intellectual functioning and decreased perceptual and attentional skills caused by a biological limitation. Two groups of six children, aged 9 and 10 years and comprised of dyslexic and non-dyslexic subjects, were given either traditional remedial reading treatment or behavior therapy consisting of the Staats Motivated Action Reading Technique. Both dyslexic and non-dyslexic subjects receiving the behavioral intervention significantly improved in reading achievement to approximately the same degree, and the dyslexic subjects improved in several perceptual and attentional measures as well. These results are taken to support the position that the specific dyslexia syndrome is subject to the laws of learning and can be viewed as a function of a deficient learning history.