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特定语言障碍儿童工作记忆特征中“双重困境”假说的探索。

Exploration of a 'double-jeopardy' hypothesis within working memory profiles for children with specific language impairment.

机构信息

Department of Experimental Psychology, University of Bristol, Bristol, UK.

出版信息

Int J Lang Commun Disord. 2009 Mar-Apr;44(2):236-50. doi: 10.1080/13682820802028760.

Abstract

BACKGROUND

Children with specific language impairment (SLI) often experience difficulties in the recall and repetition of verbal information. Archibald and Gathercole (2006) suggested that children with SLI are vulnerable across two separate components of a tripartite model of working memory (Baddeley and Hitch 1974). However, the hierarchical relationship between the 'slave' systems (temporary storage) and the central executive components places a particular challenge for interpreting working memory profiles within a tripartite model.

AIMS

This study aimed to examine whether a 'double-jeopardy' assumption is compatible with a hierarchical relationship between the phonological loop and central executive components of the working memory model in children with SLI. If a strong double-jeopardy assumption is valid for children with SLI, it was predicted that raw scores of working memory tests thought to tap phonological loop and central executive components of tripartite working memory would be lower than the scores of children matched for chronological age and those of children matched for language level, according to independent sources of constraint. In contrast, a hierarchical relationship would imply that a weakness in a slave component of working memory (the phonological loop) would also constrain performance on tests tapping a super-ordinate component (central executive). This locus of constraint would predict that scores of children with SLI on working memory tests that tap the central executive would be weaker relative to the scores of chronological age-matched controls only.

METHODS & PROCEDURES: Seven subtests of the Working Memory Test Battery for Children (Digit recall, Word recall, Non-word recall, Word matching, Listening recall, Backwards digit recall and Block recall; Pickering and Gathercole 2001) were administered to 14 children with SLI recruited via language resource bases and specialist schools, as well as two control groups matched on chronological age and vocabulary level, respectively. Mean group differences were ascertained by directly comparing raw scores on memory tests linked to different components of the tripartite model using a series of multivariate analyses.

OUTCOMES & RESULTS: The majority of working memory scores of the SLI group were depressed relative to chronological age-matched controls, with the exception of spatial recall (block tapping) and word (order) matching tasks. Marked deficits in serial recall of words and digits were evident, with the SLI group scoring more poorly than the language-ability matched control group on these measures. Impairments of the SLI group on phonological loop tasks were robust, even when covariance with executive working memory scores was accounted for. There was no robust effect of group on complex working memory (central executive) tasks, despite a slight association between listening recall and phonological loop measures.

CONCLUSIONS & IMPLICATIONS: A predominant feature of the working memory profile of SLI was a marked deficit on phonological loop tasks. Although scores on complex working memory tasks were also depressed, there was little evidence for a strong interpretation of double-jeopardy within working memory profiles for these children, rather these findings were consistent with an interpretation of a constraint on phonological loop for children with SLI that operated at all levels of a hierarchical tripartite model of working memory (Baddeley and Hitch 1974). These findings imply that low scores on complex working memory tasks alone do not unequivocally imply an independent deficit in central executive (domain-general) resources of working memory and should therefore be treated cautiously in a clinical context.

摘要

背景

患有特定语言障碍(SLI)的儿童在回忆和重复言语信息方面经常会遇到困难。Archibald 和 Gathercole(2006 年)认为,SLI 儿童在工作记忆的三分模型(Baddeley 和 Hitch 1974)的两个独立组成部分中都很脆弱。然而,“奴隶”系统(临时存储)和中央执行组件之间的层次关系为在三分模型中解释工作记忆配置文件带来了特殊的挑战。

目的

本研究旨在检验在 SLI 儿童中,语音回路和工作记忆模型的中央执行组件之间是否存在“双重危险”假设的分层关系。如果对于 SLI 儿童来说,强烈的双重危险假设是有效的,那么根据独立的约束源,预计工作记忆测试的原始分数(被认为是语音回路和三分工作记忆的中央执行组件)将低于按年龄和语言水平与儿童相匹配的分数。相比之下,分层关系意味着工作记忆的奴隶组件(语音回路)的弱点也会限制对超级上级组件(中央执行)的测试表现。这种约束的位置将预测 SLI 儿童在中央执行测试中的分数相对于仅按年龄匹配的对照组会更弱。

方法和程序

通过语言资源库和特殊学校招募了 14 名 SLI 儿童,并对他们进行了工作记忆测试电池的七个子测试(数字回忆、单词回忆、非单词回忆、单词匹配、听力回忆、倒背数字回忆和积木回忆;Pickering 和 Gathercole 2001),同时还与按年龄和词汇水平分别匹配的两个对照组进行了测试。通过一系列多元分析,直接比较与三分模型不同组件相关的记忆测试的原始分数,确定了各组之间的平均差异。

结果和结论

除了空间回忆(积木)和单词(顺序)匹配任务外,SLI 组的大多数工作记忆得分都低于按年龄匹配的对照组,其中语言匹配的对照组的分数稍高。在单词和数字的系列回忆方面存在明显的缺陷,SLI 组在这些测量上的得分明显低于语言能力匹配的对照组。即使考虑到与执行工作记忆得分的协方差,SLI 组在语音回路任务上的障碍仍然很明显。尽管在听力回忆和语音回路测量之间存在微弱的关联,但在复杂的工作记忆(中央执行)任务上并没有明显的组间效应。

因此,SLI 工作记忆特征的主要特征是在语音回路任务上明显存在缺陷。尽管复杂工作记忆任务的得分也较低,但对于这些儿童的工作记忆配置文件,几乎没有强有力的双危机解释的证据,而是这些发现与在工作记忆的三分层次模型(Baddeley 和 Hitch 1974)的所有层次上对 SLI 儿童语音回路的约束解释一致。这些发现意味着,在临床环境中,复杂工作记忆任务的低分数本身并不一定明确暗示中央执行(领域一般)资源存在独立缺陷,因此应谨慎对待。

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