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阅读障碍儿童从童年到青年期的教育。

The education of dyslexic children from childhood to young adulthood.

作者信息

Shaywitz Sally E, Morris Robin, Shaywitz Bennett A

机构信息

Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06510, USA.

出版信息

Annu Rev Psychol. 2008;59:451-75. doi: 10.1146/annurev.psych.59.103006.093633.

Abstract

The past two decades have witnessed an explosion in our understanding of dyslexia (or specific reading disability), the most common and most carefully studied of the learning disabilities. We first review the core concepts of dyslexia: its definition, prevalence, and developmental course. Next we examine the cognitive model of dyslexia, especially the phonological theory, and review empiric data suggesting genetic and neurobiological influences on the development of dyslexia. With the scientific underpinnings of dyslexia serving as a foundation, we turn our attention to evidence-based approaches to diagnosis and treatment, including interventions and accommodations. Teaching reading represents a major focus. We first review those reading interventions effective in early grades, and then review interventions for older students. To date the preponderance of intervention studies have focused on word-level reading; newer studies are beginning to examine reading interventions that have gone beyond word reading to affect reading fluency and reading comprehension. The article concludes with a discussion of the critical role of accommodations for dyslexic students and the recent neurobiological evidence supporting the need for such accommodations.

摘要

在过去二十年里,我们对诵读困难症(或特定阅读障碍)的理解有了极大的飞跃,诵读困难症是学习障碍中最常见且研究最深入的一种。我们首先回顾诵读困难症的核心概念:其定义、患病率和发展过程。接下来,我们研究诵读困难症的认知模型,尤其是语音理论,并回顾实证数据,这些数据表明了基因和神经生物学对诵读困难症发展的影响。以诵读困难症的科学基础为依托,我们将注意力转向基于证据的诊断和治疗方法,包括干预措施和合理便利。阅读教学是一个主要重点。我们首先回顾那些在低年级有效的阅读干预措施,然后回顾针对年龄较大学生的干预措施。迄今为止,大多数干预研究都集中在单词层面的阅读;新的研究开始考察那些超越单词阅读、影响阅读流畅性和阅读理解的阅读干预措施。本文最后讨论了为诵读困难症学生提供合理便利的关键作用,以及最近支持这种合理便利必要性的神经生物学证据。

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