MISCONCEPTIONS ABOUT THE ASSESSMENT AND DIAGNOSIS OF READING DISABILITY

Even though reading instruction had been historically the most important academic responsibility of schools, recently, it has drawn much greater attention because language processing has become the backbone of the unprecedented advancement in information technology. In light of this background, specific reading disability (RD, hereafter) has become the focus of intense research efforts. As the most commonly encountered variety of Learning Disability, RD is almost always identified on the basis of a discrepancy seen between the IQ score of the at-risk reader and his or her reading achievement score. In general, poor readers who have a “significant” discrepancy between IQ and achievement are classified as having learning disability (LD, hereafter); poor readers whose reading score and IQ are on par with each other are identified as not having a learning disability. This procedure, in essence, classifies children who experience difficulty in learning to read into two categories: poor readers with reading disability and poor readers without reading disability. This approach is based on the assumption that poor readers identified as having reading disability are qualitatively different from poor readers who are not so identified. This paper examines the validity of this form of classification and offers a new approach for dealing with children with reading problems. The proposed approach utilizes a method of diagnosis which is based on the Componential Model of reading which, instead of categorizing poor readers into the two categories, focuses on the cause of the reading difficulty and targets remedial instruction at the source of the reading problem.     

Numerical and arithmetical cognition: patterns of functions and deficits in children at risk for a mathematical disability.

Based on performance on standard achievement tests, first-grade children (mean age = 82 months) with IQ scores in the low-average to high-average range were classified as at risk for a learning disability (LD) in mathematics, reading, or both. These at-risk children (n = 55) and a control group of academically normal peers (n = 35) were administered experimental tasks that assessed number comprehension and production skills, counting knowledge, arithmetic skills, working memory, and ease of retrieving information from long-term memory. Different patterns of intact cognitive functions and deficits were found for children in the different at-risk groups. As a set, performance on the experimental tasks accounted for roughly 50% and 10% of the group differences in mathematics and reading achievement, respectively, above and beyond the influence of IQ. Performance on the experimental tasks thus provides insights into the cognitive deficits underlying different forms of LD, as well as into the sources of individual differences in academic achievement.     

First-grade predictors of mathematical learning disability: A latent class trajectory analysis

Kindergarten to third grade mathematics achievement scores from a prospective study of mathematical development (n = 306) were subjected to latent growth trajectory analyses. The four corresponding classes included children with mathematical learning disability (MLD, 6% of sample), and low (LA, 50%), typically (TA, 39%) and high (HA, 5%) achieving children. The groups were administered a battery of intelligence (IQ), working memory, and mathematical-cognition measures in first grade. The children with MLD had general deficits in working memory and IQ and potentially more specific deficits on measures of number sense. The LA children did not have working memory or IQ deficits but showed moderate deficits on these number sense measures and for addition fact retrieval. The distinguishing features of the HA children were a strong visuospatial working memory, a strong number sense, and frequent use of memory-based processes to solve addition problems. Implications for the early identification of children at risk for poor mathematics achievement are considered.     

Difference Scores in the Identification of Children with Learning Disabilities It's Time to Use a Different Method

In this article, we identify ten reasons why discrepancy scores (based on differences between IQ and reading achievement scores) provide an inadequate means for identifying children with reading disabilities. We recommend instead that children be identified simply on the basis of problems in reading skills, regardless of their IQs.     

Behavioral profiles of children with different levels of achievement

This study examines the relative importance of three behavioral dimensions to reading and mathematics achievement of elementary school children. Previous research on the dimensions which characterize the school behavior of children has shown that these dimensions can be understood as reflecting (a) an adaptation or learning problems dimension, (b) an interpersonal or a social problem dimension, and (c) an intrapersonal or personal adjustment dimension. Scores for each dimension were derived from a cluster analysis of the Pupil Behavior Rating Scale. Based on results of the cluster analysis, subjects were assigned to 12 behavioral typology groups. Analysis of variance showed that behavior typologies were related to both reading and mathematics achievement test scores. Post hoc contrasts revealed that levels of reading achievement are associated primarily with behaviors defined by attributes of the adaptation dimension, and that differences in measures of interpersonal and interpersonal dimensions do not contribute appreciably to group differences in reading and mathematics achievement.     

Cognitive correlates of mathematical achievement in children with cerebral palsy and typically developing children

Background . Remarkably few studies have investigated the nature and origin of learning difficulties in children with cerebral palsy (CP). Aims . To investigate math achievement in terms of word‐problem solving ability in children with CP and controls. Because of the potential importance of reading for word‐problem solving, we investigated reading as well. Sample . Children with CP attending either special (n= 41) or mainstream schools (n= 16) and a control group of typically developing children in mainstream schools (n= 16). Method . Group differences in third grade math and reading, controlled for IQ, were tested with analyses of co‐variance (ANCOVAs). Hierarchical regression was used to investigate cognitive correlates of third grade math and reading. Predictors included verbal and non‐verbal IQ measured in first grade, components of working memory (WM) and executive function (EF) measured in second grade, and arithmetic fact fluency and reading measured in third grade. Results . Children with CP in special schools performed significantly worse than their peers on word‐problem solving and reading. There was a trend towards worse performance in children with CP in mainstream schools compared to typically developing children. Conclusions . Impairments of non‐verbal IQ and WM updating predicted future difficulties in both word‐problem solving and reading. Impairments of visuospatial sketchpad and inhibition predicted future word‐problem, but not reading difficulty. Conversely, deficits of phonological loop predicted reading but not word‐problem difficulty. Concurrent arithmetic fact fluency and reading ability were both important for word‐problem solving ability. These results could potentially help to predict which children are likely to develop specific learning difficulties, facilitating early intervention.     

Cognitive predictors of achievement growth in mathematics: a 5-year longitudinal study

The study's goal was to identify the beginning of 1st grade quantitative competencies that predict mathematics achievement start point and growth through 5th grade. Measures of number, counting, and arithmetic competencies were administered in early 1st grade and used to predict mathematics achievement through 5th (n = 177), while controlling for intelligence, working memory, and processing speed. Multilevel models revealed intelligence and processing speed, and the central executive component of working memory predicted achievement or achievement growth in mathematics and, as a contrast domain, word reading. The phonological loop was uniquely predictive of word reading and the visuospatial sketch pad of mathematics. Early fluency in processing and manipulating numerical set size and Arabic numerals, accurate use of sophisticated counting procedures for solving addition problems, and accuracy in making placements on a mathematical number line were uniquely predictive of mathematics achievement. Use of memory-based processes to solve addition problems predicted mathematics and reading achievement but in different ways. The results identify the early quantitative competencies that uniquely contribute to mathematics learning.     

Defining severe discrepancy in the diagnosis of learning disabilities: A comparison of methods

Given the significant increase in the number of students identified as learning-disabled (LD) and the growing concern about the overidentification of LD cases, attention has been focused on methods for determining a severe discrepancy between ability and achievement. Two such methods (a z-score discrepancy and a regression procedure) were compared by means of two different cutoff procedures on scores for 236 LD referrals. These results were then contrasted with a policy dictating that the lowest-achieving of those referred be considered as LD. Each student was evaluated with an individual intelligence scale and an achievement test. The results indicated that the regression procedure identified fewer students than did the z-score method. When the percentage of identified children is held constant, the methods were similar with respect to the types of errors made (false positives and false negatives). Data indicated that selecting the lowest-achieving students would have yielded about the same percentage of correct decisions, as defined by the multidisciplinary team, as did the two discrepancy methods. The policy implications of these findings are also considered.     

Numerical and arithmetical cognition: a longitudinal study of process and concept deficits in children with learning disability

Based on the stability and level of performance on standard achievement tests in first and second grade (mean age in first grade = 82 months), children with IQ scores in the low-average to high-average range were classified as learning disabled (LD) in mathematics (MD), reading (RD), or both (MD/RD). These children (n = 42), a group of children who showed variable achievement test performance across grades (n = 16), and a control group of academically normal peers (n = 35) were administered a series of experimental and psychometric tasks. The tasks assessed number comprehension and production skills, counting knowledge, arithmetic skills, working memory, the ease of activation of phonetic representations of words and numbers, and spatial abilities. The children with variable achievement test performance did not differ from the academically normal children in any cognitive domain, whereas the children in the LD groups showed specific patterns of cognitive deficit, above and beyond the influence of IQ. Discussion focuses on the similarities and differences across the groups of LD children.     

Academic Underachievement and Attention-Deficit/Hyperactivity Disorder: The Negative Impact of Symptom Severity on School Performance

Many children with Attention-Deficit/Hyperactivity Disorder (ADHD) achieve academically at a lower level than would be predicted given their intellectual abilities. However, the extent to which this is due to behavioral problems versus cognitive deficits associated with the disorder is unclear. In the present study, a group of children with ADHD (with average intellectual abilities) performed significantly below prediction in reading, writing, and mathematics skills and demonstrated a greater discrepancy between actual and predicted achievement than did a group of non-ADHD children. Even when controlling for performance on a measure of executive functioning, severity of ADHD symptoms, based on parent report, significantly predicted academic underachievement in reading, writing, and mathematics. These results indicate that the more severe the behavioral symptomatology of children with ADHD is, the more negatively impacted their school performance may be. Results are discussed in terms of diagnostic and intervention implications.     

An evaluation of differential prediction of WIAT achievement scores from WISC-III FSIQ across ethnic and gender groups

This study examines differential prediction of WIAT achievement scores based on WISC-III FSIQ in white as compared with African American and Hispanic children, and in females as compared with males. A procedure which allows simultaneous comparisons of slopes and intercepts across groups is employed. The results are consistent with previous research findings in supporting the general absence of bias in predicting achievement from IQ.     

The relationship of phonemic awareness to reading acquisition: More consequence than precondition but still important

Three studies examined the presence of phonemic awareness among Austrian children before reading instruction and its relationship to concurrent and later reading. These children were about 6–7 years of age but in the majority of cases unable to read when they entered school. Testing phonemic awareness with a newly developed, rather simple and natural vowel substitution task revealed that many children showed not a single correct response or little success. In contrast, the few readers at the beginning of grade one exhibited high phonemic awareness and after a few months of reading instruction most of the children scored at least close to perfect in the vowel substitution task. Despite this apparent effect of reading on phonemic awareness there was a specific predictive relationship between initial phonemic awareness differences and success in learning to read and to spell. In agreement with other studies it was found that phonemic awareness differences before instruction predicted the accuracy of alphabetic reading and spelling at the end of grade one independent from IQ and initial differences in letter knowledge and reading. However, closer examination of the relationship between phonemic awareness before instruction and later success in learning to read revealed a specific pattern. Children with high phonemic awareness at the beginning of grade one showed uniformly high reading and spelling achievement at the end of grade one.     

An Examination of Lexical and Sublexical Reading Skills in Children with Neurofibromatosis Type 1

Neurofibromatosis type 1 (NF1) is an inherited neurocutaneous disorder associated with a high frequency of cognitive and learning difficulties. Based on discrepancies between IQ and academic achievement, approximately 17% of children with NF1 have been classified as having reading impairments. In this study, the lexical and sublexical reading skills of children with NF1 (n = 30) were examined using the Castles' Word/Non-Word Test (modified version), together with measures of neuropsychological functioning and academic achievement. Twenty children (67%) demonstrated deficits in one or more reading subskills, with 75% of these meeting criteria for phonological dyslexia and 20% classified with mixed dyslexia. These findings indicate that a large proportion of children with NF1 may be characterized by a specific difficulty with the sublexical procedure, suggesting a difficulty employing spelling-to-sound rules to assemble a pronunciation when reading. In line with previous studies, the present findings also suggest that discrepancy-based methods may not be sufficiently sensitive to identify children who experience reading difficulties.     

Rater Agreement on IQ and Achievement Tests: Effect on Evaluations of Learning Disabilities

Protocols from 110 evaluations utilizing the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) and the Woodcock/Johnson Tests of Achievement-Revised (W/J-R) were scored by two different raters to determine (a) whether subtests with more difficult levels of scoring yield lower interrater correlation coefficients, (b) whether scoring errors on subtests affect broad score estimates, (c) the effect of expertise of rater on scoring errors, and (d) whether scoring errors affect a learning disability determination based on IQ/achievement discrepancy. Scoring errors were found on almost 25% of Comprehension and Vocabulary subtests; however, the effect of these scoring errors was minimal. About 42% of Writing Samples subtests had scoring errors, resulting in a mean change of 1.75 points on the Broad Written Language Cluster subtest. On the WISC-III, but not the W/J-R, there were significantly more errors made by inexperienced testers. Scoring errors resulted in two cases in which learning disability determination would be changed. Overall, the study corroborates previous findings of strong interrater reliability on most subtests of common IQ and achievement tests and indicates that novice scorers are not likely to make scoring mistakes that will significantly impact an IQ/achievement discrepancy-based documentation of learning disability.     

Academic achievement of low birthweight children at age 11: the role of cognitive abilities at school entry

We examine the extent to which deficits in academic achievement in low birthweight (LBW) children at age 11 are explained by deficits in cognitive abilities at school entry. Data come from a longitudinal study of a stratified sample of LBW and normal birthweight (NBW) children from an innercity and middle class suburbs in the Detroit area. Woodcock-Johnson Psychoeducational Battery-Revised was used to measure reading and math at age 11. WISC-R and specific neuropsychologic tests were administered at age 6. On reading, the LBW-NBW difference was -3.6 points (SE = 1.2). The difference was explained almost entirely by IQ at age 6. On math, the LBW-NBW difference was -6.1 points (SE = 1.1). The difference on math was trivial and not significant, when IQ and neuropsychological tests at age 6 were controlled. Level of LBW was unrelated to reading, but it had a gradient relationship with math, with birthweight < or = 1,500 g associated with a greater deficit than heavier LBW. The results imply that most of the LBW-NBW gap in academic achievement at age 11 could be eliminated by eliminating differences in cognitive abilities at age 6. Interventions to improve academic performance of LBW children should focus on the preschool years.     

Academic Achievement Over 8 Years Among Children Who Met Modified Criteria for Attention-deficit/Hyperactivity Disorder at 4–6 Years of Age

The predictive validity of symptom criteria for different subtypes of ADHD among children who were impaired in at least one setting in early childhood was examined. Academic achievement was assessed seven times over 8 years in 125 children who met symptom criteria for ADHD at 4–6 years of age and in 130 demographically-matched non-referred comparison children. When intelligence and other confounds were controlled, children who met modified criteria for the predominantly inattentive subtype of ADHD in wave 1 had lower reading, spelling, and mathematics scores over time than both comparison children and children who met modified criteria for the other subtypes of ADHD. In some analyses, children who met modified criteria for the combined type had somewhat lower mathematics scores than comparison children. The robust academic deficits relative to intelligence in the inattentive group in this age range suggest either that inattention results in academic underachievement or that some children in the inattentive group have learning disabilities that cause secondary symptoms of inattention. Unexpectedly, wave 1 internalizing (anxiety and depression) symptoms independently predicted deficits in academic achievement controlling ADHD, intelligence, and other predictors.     

Investigating the links between the subcomponents of executive function and academic achievement: a cross-cultural analysis of Chinese and American preschoolers

Little is known about how components of executive function (EF) jointly and uniquely predict different aspects of academic achievement and how this may vary across cultural contexts. In the current study, 119 Chinese and 139 American preschoolers were tested on a battery of EF tasks (i.e., inhibition, working memory, and attentional control) as well as academic achievement tasks (i.e., reading and mathematics). Results demonstrate that although working memory performance in both cultures was comparable, Chinese children outperformed American children on inhibition and attentional control tasks. In addition, the relation between components of EF and achievement was similar in the two countries. Working memory uniquely predicted academic achievement, with some intriguing patterns in regard to tasks requiring complex processing. Inhibition uniquely predicted counting but did not uniquely predict calculation. Attentional control predicted most aspects of achievement uniformly and was the most robust predictor for reading in both countries. In sum, the data provide insight into both cultural variability and consistency in the development of EF during early childhood.     

Temperamental attention and activity, classroom emotional support, and academic achievement in third grade

The purpose of this study is to examine the interplay of children's temperamental attention and activity (assessed when children were 4-and-a-half years old) and classroom emotional support as they relate to children's academic achievement in third grade. Particular focus is placed on the moderating role of classroom emotional support on the relationship between temperament (attention and activity level) and academic achievement. Regression analyses indicated that children's attention and activity level were associated with children's third grade reading and mathematics achievement, and classroom emotional support was associated with children's third grade reading and mathematics achievement. In addition, classroom emotional support moderated the relation between children's attention and reading and mathematics achievement, such that attention mattered most for reading and mathematics achievement for children in classrooms with lower emotional support. Findings point to the importance of understanding how children's temperament and classroom emotional support may work together to promote or inhibit children's academic achievement.     

数学学习障碍儿童问题解决的表征研究

本研究以小学四年级学生为被试,采用口语报告法探讨论了数学学习障碍儿童问题解决的表征情况。研究发现：数学学习障碍儿童问题解决的表征时间较短;数学学习障碍儿童问题解决的表征类型单一;数学学习障碍儿童问题解决的表征缺乏有效性。