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阅读障碍成年人的言语感知能力:是否有真正缺陷的证据?

Speech perception abilities of adults with dyslexia: is there any evidence for a true deficit?

机构信息

Department of Speech Hearing and Phonetic Sciences, University College London, Chandler House, 2, Wakefield Street, London WC1N 1PF, UK.

出版信息

J Speech Lang Hear Res. 2009 Dec;52(6):1510-29. doi: 10.1044/1092-4388(2009/08-0220). Epub 2009 Jul 27.

DOI:10.1044/1092-4388(2009/08-0220)
PMID:19635940
Abstract

PURPOSE

This study investigated whether adults with dyslexia show evidence of a consistent speech perception deficit by testing phoneme categorization and word perception in noise.

METHOD

Seventeen adults with dyslexia and 20 average readers underwent a test battery including standardized reading, language and phonological awareness tests, and tests of speech perception. Categorization of a pea/bee voicing contrast was evaluated using adaptive identification and discrimination tasks, presented in quiet and in noise, and a fixed-step discrimination task. Two further tests of word perception in noise were presented.

RESULTS

There were no significant group differences for categorization in quiet or noise, across- and within-category discrimination as measured adaptively, or word perception, but average readers showed better across- and within-category discrimination in the fixed-step discrimination task. Individuals did not show consistent poor performance across related tasks.

CONCLUSIONS

The small number of group differences, and lack of consistent poor individual performance, suggests weak support for a speech perception deficit in dyslexia. It seems likely that at least some poor performances are attributable to nonsensory factors like attention. It may also be that some individuals with dyslexia have speech perceptual acuity that is at the lower end of the normal range and exacerbated by nonsensory factors.

摘要

目的

本研究通过测试语音感知在噪声中的音位分类和单词感知,来探究阅读障碍成人是否存在一致的语音感知缺陷。

方法

17 名阅读障碍成人和 20 名普通阅读者接受了包括标准化阅读、语言和语音意识测试以及语音感知测试的测试组。使用自适应识别和辨别任务评估 pea/bee 发声对比的分类,在安静和噪声中呈现,并进行固定步长辨别任务。还呈现了另外两个噪声中的单词感知测试。

结果

在安静或噪声中,在跨类别和类别内辨别方面,无论是自适应测量还是固定步长辨别任务,都没有显著的组间差异,也没有在单词感知方面存在差异,但普通阅读者在固定步长辨别任务中表现出更好的跨类别和类别内辨别。个体并没有在相关任务中表现出一致的较差表现。

结论

小组差异数量较少,个体表现不佳的情况也不具有一致性,这表明阅读障碍中的语音感知缺陷的证据不足。至少一些较差的表现可能归因于非感觉因素,如注意力。也可能是一些阅读障碍者的语音感知敏锐度处于正常范围的较低端,并且受到非感觉因素的影响。

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