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诵读困难症的侧化时间顺序判断。

Lateralized temporal order judgement in dyslexia.

机构信息

Division of Psychiatry, University of Nottingham, UK.

出版信息

Neuropsychologia. 2009 Dec;47(14):3244-54. doi: 10.1016/j.neuropsychologia.2009.08.007. Epub 2009 Aug 12.

Abstract

Temporal and spatial attentional deficits in dyslexia were investigated using a lateralized visual temporal order judgment (TOJ) paradigm that allowed both sensitivity to temporal order and spatial attentional bias to be measured. Findings indicate that adult participants with a positive screen for dyslexia were significantly less sensitive to the temporal order of the stimuli than control participants, but did not show a significantly different lateral bias. However, the data indicated that performance on the TOJ task dissociated into at least three factors. One loaded on trials with long Stimulus Onset Asynchronies (SOA) and was strongly correlated with full-scale IQ (FSIQ), and, while also correlated with both poor reading and with symptoms of attentional deficit disorder, was not specific to these. The second factor loaded on trials with short SOAs in which the left stimulus was presented first. Low scores on this factor were associated with poor non-word reading accuracy, and factor scores accounted for variance in non-word reading accuracy that was not accounted for by either FSIQ or the presence of a phonological deficit. This suggests that a "left mini-neglect" syndrome, also reported in attention deficit and hyperactivity disorder, may directly contribute to poor non-word reading. However, attentional deficit symptoms loaded not only on this factor, but also on a third factor, representing on trials at short SOAs in which the first stimulus was presented in left hemifield. This suggests that attentional deficit symptoms impaired temporal processing at short SOAs, regardless of the hemifield in with the stimuli were presented. We conclude that people with attentional deficits find a visual TOJ task difficult when the stimuli are presented rapidly, regardless of FSIQ, and that where a rightward attentional bias is present, non-word reading accuracy may be directly impaired, even in the absence of a phonological deficit.

摘要

研究使用偏侧化视觉时间顺序判断(TOJ)范式研究阅读障碍中的时间和空间注意缺陷,该范式允许同时测量对时间顺序的敏感性和空间注意偏向。研究结果表明,在阅读障碍筛查中呈阳性的成年参与者对刺激的时间顺序的敏感性明显低于对照组参与者,但没有表现出明显不同的侧偏。然而,数据表明,TOJ 任务的表现至少可以分为三个因素。一个因素加载在长刺激起始异步(SOA)试验上,与全量表智商(FSIQ)高度相关,虽然也与阅读不良和注意力缺陷障碍症状相关,但与这些因素都不特异。第二个因素加载在短 SOA 试验上,其中左刺激首先呈现。这个因素的得分低与非单词阅读准确性差相关,且因子分数解释了非单词阅读准确性的方差,而 FSIQ 或语音缺陷的存在都无法解释该方差。这表明,也在注意力缺陷和多动障碍中报道的“左迷你忽视”综合征可能直接导致非单词阅读能力差。然而,注意力缺陷症状不仅加载在这个因素上,而且还加载在第三个因素上,该因素代表在短 SOA 试验中,第一个刺激呈现在左半视野。这表明,无论刺激呈现的半视野如何,注意力缺陷症状都会损害短 SOA 下的时间处理。我们的结论是,无论 FSIQ 如何,注意力缺陷的人在快速呈现刺激时会发现视觉 TOJ 任务很困难,并且在存在右偏注意力的情况下,即使没有语音缺陷,非单词阅读准确性也可能直接受损。

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