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学习障碍的特异性与特征

Specificity and characteristics of learning disabilities.

作者信息

Eisenmajer Natasha, Ross Nola, Pratt Chris

机构信息

School of Psychological Science, La Trobe University, Bundoora, Victoria, Australia.

出版信息

J Child Psychol Psychiatry. 2005 Oct;46(10):1108-15. doi: 10.1111/j.1469-7610.2004.00394.x.

Abstract

BACKGROUND

The specificity of impairments in specific reading disabilities (SRD) and specific language impairments (SLI) has recently been questioned, with many children recruited for studies of SRD and SLI demonstrating impairments in both reading and oral language development. This has implications for the results of SRD and SLI studies where both reading and oral language skills are not assessed. Thus there is a need to compare the profiles of children with both oral language and reading impairments to groups of children with SRD and SLI.

METHODS

The reading, oral language, short-term auditory memory, phonological processing, spelling, and maths abilities of 151 children (aged between 7 and 12 years) drawn from a Learning Disabilities Clinic were assessed.

RESULTS

Five groups were identified, including children who demonstrated either a specific reading disability or a specific language impairment and children who showed evidence of both reading and oral language impairments. Differences were found between the groups on maths, phonological processing, short-term auditory memory, and spelling measures, with the children displaying both language and reading deficits generally performing at a lower level than the children with specific reading or language deficits.

CONCLUSIONS

It was concluded that more careful screening needs to be conducted in both clinical and research settings to accurately identify the nature of deficits in children with reading and oral language difficulties. Furthermore, a third and separate category of children with a mixed pattern of impairments needs to be considered.

摘要

背景

特定阅读障碍(SRD)和特定语言障碍(SLI)中损伤的特异性最近受到质疑,许多被招募参与SRD和SLI研究的儿童在阅读和口语发展方面均表现出损伤。这对那些未同时评估阅读和口语技能的SRD和SLI研究结果产生影响。因此,有必要将同时存在口语和阅读障碍的儿童的特征与SRD和SLI儿童组进行比较。

方法

对从学习障碍诊所选取的151名儿童(年龄在7至12岁之间)的阅读、口语、短期听觉记忆、语音处理、拼写和数学能力进行了评估。

结果

确定了五组儿童,包括表现出特定阅读障碍或特定语言障碍的儿童,以及显示出阅读和口语障碍证据的儿童。在数学、语音处理、短期听觉记忆和拼写测试中发现了组间差异,同时存在语言和阅读缺陷的儿童总体表现低于有特定阅读或语言缺陷的儿童。

结论

得出的结论是,在临床和研究环境中都需要进行更仔细的筛查,以准确识别有阅读和口语困难儿童的缺陷性质。此外,需要考虑存在混合损伤模式的第三类且独立的儿童群体。

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