发展性阅读障碍亚类型研究进展

发展性阅读障碍是一种特殊的学习障碍,伴有多种认知缺陷并且存在不同的亚类型。依据相关的阅读模型理论,阅读障碍可划分为语音型和表层型。从认知缺陷角度出发,语音加工缺陷是主要的缺陷表现,以此为特征形成一种主要的阅读障碍的亚类型,同时还有以正字法加工缺陷和快速命名缺陷为主的其他亚类型。而以基本感知觉缺陷为标准,主要有以视觉加工缺陷和以听觉加工缺陷为主的两种亚类型。在汉语条件下,依据同样的阅读模型理论,语音型阅读障碍亚类型比例明显低于拼音文字条件下的。汉语阅读障碍也具有分别以语音加工缺陷、快速命名缺陷和正字法加工缺陷为主要认知缺陷的亚类型。未来有必要从神经机制角度进一步明确不同亚类型的神经基础。     

汉语发展性阅读障碍亚类型的初步探讨

以阅读水平匹配组为参照对29名汉语发展性阅读障碍儿童的认知缺陷模式进行了分析,并考察了不同亚类型阅读障碍儿童的汉字识别模式。结果表明汉语发展性阅读障碍存在不同的亚类型,以语音缺陷型、快速命名缺陷型及两者结合的双重缺陷型为主,与英语国家研究中的双重缺陷假设一致。语音缺陷型儿童汉字识别时有更多的语义错误,对声旁中的部分语音线索不敏感;快速命名缺陷型儿童汉字识别时依赖声旁语音线索,表现出阅读发展的一般延迟;双重或多重认知缺陷型是阅读损伤最严重的亚类型     

汉语发展性阅读障碍儿童的主要亚类型分析*

采用语音意识测验、语素意识测验、正字法意识测验和快速命名测验对发展性阅读障碍儿童和阅读水平匹配组儿童进行测验。采用标准差切分法对阅读障碍的主要亚类型进行分析。结果发现,具有语音意识缺陷的人数比例最大,其次是正字法意识缺陷。结论:汉语发展性阅读障碍的主要亚类型为语音意识缺陷和正字法意识缺陷,快速命名缺陷和语素意识缺陷在汉语阅读障碍儿童中存在,但只是次要缺陷。     

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.     

Cerebellar tasks do not distinguish between children with developmental dyslexia and children with intellectual disability.

This paper explored the claim that only children with developmental dyslexia, whose reading ability is discrepant from their average general reasoning ability show specific deficits in motor tasks assessing cerebellar functioning (Fawcett et al., 2001, Cerebellar tests differentiate between groups of poor readers with and without IQ discrepancy. J. Learning Disabilities, 34, 119) and rapid serial naming (RAN, Wolf & Bowers, 1999, The double deficit hypothesis for the developmental dyslexias. J. Educ. Psychol., 91, 1). All available children between the ages of 11 and 14 were recruited from two special schools for children with either (a) formally-diagnosed intellectual disabilities (N = 18); or (b) formal diagnoses of developmental dyslexia (N = 25). These two groups of children did not differ on gender, age, pseudoword decoding abilities, or on 7 of 8 literacy measures, but did differ significantly, as expected on verbal and non-verbal reasoning tasks. Importantly, there were no deficits in bead threading ability or postural stability in the children with developmental dyslexia compared to the children with intellectual disabilities. There were also no between-group differences in rapid naming measures. The present results therefore provide no support for the claim that cerebellar deficits or RAN distinguish between children with dyslexia and children with intellectual disabilities that include reading.     

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。     

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.     

Separating global and specific factors in developmental dyslexia

The general goal of the study was to identify global and specific components in developmental dyslexia using various manipulations based on the rapid automatization paradigm (RAN). In two experiments, we used both factor analysis and the Rate-and-Amount Model to verify if one (or more) global factor(s) and a variety of specific effects contribute to the naming (and visual search) deficits in children with dyslexia. Results of Experiment 1 indicated the presence of three global components: pictorial naming, detailed orthographic analysis, and visual search. Pictorial naming is predicated by typical RAN tasks (such as naming colors or objects), independent of set size, but also from a variety of other tasks including Stroop interference conditions. The detailed orthographic analysis factor accounts for naming of orthographic stimuli at high set size. Visual search marked tasks requiring the scanning of visual targets. Results of Experiment 2 confirmed the separation between the pictorial naming and detailed orthographic analysis factors both in the original sample and in a new group of children. Furthermore, specific effects of frequency, lexicality, and length were shown to contribute to the reading deficit. Overall, it is proposed that focusing on the profile of both global and specific effects provides a more effective and, at the same time, simpler account of the dyslexics' impairment.     

Separating global and specific factors in developmental dyslexia

The general goal of the study was to identify global and specific components in developmental dyslexia using various manipulations based on the rapid automatization paradigm (RAN). In two experiments, we used both factor analysis and the Rate-and-Amount Model to verify if one (or more) global factor(s) and a variety of specific effects contribute to the naming (and visual search) deficits in children with dyslexia.

Results of Experiment 1 indicated the presence of three global components: pictorial naming, detailed orthographic analysis, and visual search. Pictorial naming is predicated by typical RAN tasks (such as naming colors or objects), independent of set size, but also from a variety of other tasks including Stroop interference conditions. The detailed orthographic analysis factor accounts for naming of orthographic stimuli at high set size. Visual search marked tasks requiring the scanning of visual targets.

Results of Experiment 2 confirmed the separation between the pictorial naming and detailed orthographic analysis factors both in the original sample and in a new group of children. Furthermore, specific effects of frequency, lexicality, and length were shown to contribute to the reading deficit.

Overall, it is proposed that focusing on the profile of both global and specific effects provides a more effective and, at the same time, simpler account of the dyslexics' impairment.     

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。     

Visual rapid naming and phonological abilities: different subtypes in dyslexic children

One implication of the double-deficit hypothesis for dyslexia is that there should be subtypes of dyslexic readers that exhibit rapid naming deficits with or without concomitant phonological processing problems. In the current study, we investigated the validity of this hypothesis for Portuguese orthography, which is more consistent than English orthography, by exploring different cognitive profiles in a sample of dyslexic children. In particular, we were interested in identifying readers characterized by a pure rapid automatized naming deficit. We also examined whether rapid naming and phonological awareness independently account for individual differences in reading performance. We characterized the performance of dyslexic readers and a control group of normal readers matched for age on reading, visual rapid naming and phonological processing tasks. Our results suggest that there is a subgroup of dyslexic readers with intact phonological processing capacity (in terms of both accuracy and speed measures) but poor rapid naming skills. We also provide evidence for an independent association between rapid naming and reading competence in the dyslexic sample, when the effect of phonological skills was controlled. Altogether, the results are more consistent with the view that rapid naming problems in dyslexia represent a second core deficit rather than an exclusive phonological explanation for the rapid naming deficits. Furthermore, additional non-phonological processes, which subserve rapid naming performance, contribute independently to reading development.     

The Stability of Literacy-Related Cognitive Contributions to Chinese Character Naming and Reading Fluency

The present study examined the developmental issue of cognitive factors that explain Chinese literacy. Phonological awareness, rapid automatized naming, short-term memory, orthographic awareness and morphological awareness and two literacy tasks (character naming and reading fluency) were administered to 408 second-graders, 428 fourth-graders and 496 six-graders. Results from linear regression analysis and path analysis model showed that the five reading-related cognitive constructs explained unique variances in character naming. Second, character naming is primary for reading fluency after controlling other cognitive constructs; third, the relation between the cognitive factors and literacy changes significantly as a function of reading skills. Results give a clear direction to understanding Chinese reading development.     

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.     

语素意识在儿童汉语阅读中的作用

文章考察了语音意识、语素意识和命名速度在儿童汉语阅读中的作用。结果发现：语素意识和命名速度对汉字命名组词具有显著的预测作用;而语素意识和语音意识对同音字识别具有显著的预测作用。语素意识是唯一显著预测两种不同阅读任务的认知变量。对阅读障碍儿童所存在的缺陷进行分析,结果发现：76%的阅读障碍存在语素缺陷;相比之下,分别有43%和41%的阅读障碍存在语音缺陷和命名速度缺陷。结果表明汉语的语素意识在儿童阅读中具有重要作用,语素缺陷有可能成为儿童汉语阅读困难的主要原因。     

The Effect of Parents’ Literacy Skills and Children’s Preliteracy Skills on the Risk of Dyslexia

The combination of investigating child and family characteristics sheds light on the constellation of risk factors that can ultimately lead to dyslexia. This family-risk study examines plausible preschool risk factors and their specificity. Participants (N?=?196, 42 % girls) included familial risk (FR) children with and without dyslexia in Grade 3 and controls. First, we found impairments in phonological awareness, rapid naming, and letter knowledge in FR kindergartners with later dyslexia, and mild phonological-awareness deficits in FR kindergartners without subsequent dyslexia. These skills were better predictors of reading than arithmetic, except for rapid naming. Second, the literacy environment at home was comparable among groups. Third, having a dyslexic parent and literacy abilities of the non-dyslexic parent related to offspring risk of dyslexia. Parental literacy abilities might be viewed as indicators of offspring’s liability for literacy difficulties, since parents provide offspring with genetic and environmental endowment. We propose an intergenerational multiple deficit model in which both parents confer cognitive risks.     

Picture naming deficits in developmental dyslexia in German

Recent research with English developmental dyslexics comparing the picture naming performance of these children to the picture naming performance of non-dyslexic (‘garden variety’) poor readers, reading age matched controls and chronological age matched controls has suggested that a selective difficulty in retrieving the phonological codes of known names on demand underlies the picture naming deficit found in developmental dyslexia (Swan & Goswami, Picture naming deficits in developmental dyslexia: the phonological representations hypothesis, Brain and Language, 56 (1997), 334–353). If the underlying causal factors in dyslexia are independent of the orthography that the child is learning to read, then a difficulty in retrieving the phonological codes of known names on demand should also be found in developmental dyslexics who are learning to read other languages. We therefore set out to replicate Swan and Goswami’s study with a group of German developmental dyslexics. We were interested to see whether a phonological deficit is characteristic of dyslexia in all orthographies, even those, such as German, in which high orthographic transparency means that dyslexic children read with considerable accuracy.     

Rapid naming deficits in dyslexia: a stumbling block for the perceptual anchor theory of dyslexia

According to a recent theory of dyslexia, the perceptual anchor theory, children with dyslexia show deficits in classic auditory and phonological tasks not because they have auditory or phonological impairments but because they are unable to form a ‘perceptual anchor’ in tasks that rely on a small set of repeated stimuli. The theory makes the strong prediction that rapid naming deficits should only be present in small sets of repeated items, not in large sets of unrepeated items. The present research tested this prediction by comparing rapid naming performance of a small set of repeated items with that of a large set of unrepeated items. The results were unequivocal. Deficits were found both for small and large sets of objects and numbers. The deficit was actually bigger for large sets than for small sets, which is the opposite of the prediction made by the anchor theory. In conclusion, the perceptual anchor theory does not provide a satisfactory account of some of the major hallmark effects of developmental dyslexia.     

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.     

Unilateral implicit motor learning deficit in developmental dyslexia

It has been suggested that developmental dyslexia involves various literacy, sensory, motor skill, and processing speed deficits. Some recent studies have shown that individuals with developmental dyslexia exhibit implicit motor learning deficits, which may be related to cerebellar functioning. However, previous studies on implicit motor learning in developmental dyslexics have produced conflicting results. Findings from cerebellar lesion patients have shown that patients' implicit motor learning performance varied when different hands were used to complete tasks. This suggests that dyslexia may have different effects on implicit motor learning between the two hands if cerebellar dysfunction is involved. To specify this question, we used a one-handed version of a serial reaction time task to compare the performance of 27 Chinese children with developmental dyslexics with another 27 age-matched children without reading difficulties. All the subjects were students from two primary schools, Grades 4 to 6. The results showed that children with developmental dyslexic responded more slowly than nondyslexic children, and exhibited no implicit motor learning in the condition of left-hand response. In contrast, there was no significant difference in reaction time between two groups of children when they used the right hand to respond. This finding indicates that children with developmental dyslexia exhibited normal motor skill and implicit motor learning ability provided the right hand was used. Taken together, these results suggested that Chinese children with developmental dyslexia exhibit unilateral deficits in motor skill and implicit motor learning in the left hand. Our findings lend partial support to the cerebellar deficit theory of developmental dyslexia.     

动态视觉加工与儿童汉字阅读

使用视觉阈限测验、图片命名、字形相似性判断实验和语音意识等测验 ,考察了小学五年级儿童视觉加工技能与汉字阅读之间的关系。结果发现 :动态视觉加工与图片命名错误率、字形判断反应时和错误率、语音意识均有显著相关 ,静态视觉加工只与图片命名错误率相关显著 ;控制识字量后的偏相关分析显示 ,动态视觉加工与其他变量的相关关系不变 ,静态视觉加工与图片命名错误率的相关不再显著 ;回归分析发现动态视觉加工在识字量和语音意识的影响控制后 ,能够分别解释阅读流畅性、字形判断反应时和图片命名错误率 7%、2 5 %和 5 6 %的变化 ;语音意识能够解释识字量和阅读流畅性 9%和 10 %的变化 ;对差读者的动态视觉加工和语音意识分析发现 ,儿童在这两种测验上的个体差异很大。上述结果表明 ,阅读过程受基本知觉技能影响 ,动态视觉加工作用于汉字阅读的特定过程。