Suppr超能文献

工作记忆影响 ADHD 患者的加工速度和阅读流畅性。

Working memory influences processing speed and reading fluency in ADHD.

机构信息

Department of Neuropsychology , Kennedy Krieger Institute , Baltimore , MD , USA.

出版信息

Child Neuropsychol. 2011;17(3):209-24. doi: 10.1080/09297049.2010.532204.

Abstract

Processing-speed deficits affect reading efficiency, even among individuals who recognize and decode words accurately. Children with ADHD who decode words accurately can still have inefficient reading fluency, leading to a bottleneck in other cognitive processes. This "slowing" in ADHD is associated with deficits in fundamental components of executive function underlying processing speed, including response selection. The purpose of the present study was to deconstruct processing speed in order to determine which components of executive control best explain the "processing" speed deficits related to reading fluency in ADHD. Participants (41 ADHD, 21 controls), ages 9-14 years, screened for language disorders, word reading deficits, and psychiatric disorders, were administered measures of copying speed, processing speed, reading fluency, working memory, reaction time, inhibition, and auditory attention span. Compared to controls, children with ADHD showed reduced oral and silent reading fluency and reduced processing speed-driven primarily by deficits on WISC-IV Coding. In contrast, groups did not differ on copying speed. After controlling for copying speed, sex, severity of ADHD-related symptomatology, and GAI, slowed "processing" speed (i.e., Coding) was significantly associated with verbal span and measures of working memory but not with measures of response control/inhibition, lexical retrieval speed, reaction time, or intrasubject variability. Further, "processing" speed (i.e., Coding, residualized for copying speed) and working memory were significant predictors of oral reading fluency. Abnormalities in working memory and response selection (which are frontally mediated and enter into the output side of processing speed) may play an important role in deficits in reading fluency in ADHD, potentially more than posteriorally mediated problems with orienting of attention or perceiving the stimulus.

摘要

加工速度缺陷会影响阅读效率,即使是那些准确识别和解码单词的个体也是如此。准确解码单词的 ADHD 儿童仍然可能存在阅读流畅性效率低下的问题,从而导致其他认知过程出现瓶颈。ADHD 中的这种“减速”与执行功能基本成分(包括反应选择)的加工速度缺陷有关。本研究的目的是对加工速度进行解构,以确定执行控制的哪些成分能最好地解释与 ADHD 阅读流畅性相关的“加工”速度缺陷。参与者(41 名 ADHD 儿童和 21 名对照组儿童)年龄在 9-14 岁之间,经过语言障碍、单词阅读障碍和精神障碍筛查,接受了复制速度、加工速度、阅读流畅性、工作记忆、反应时间、抑制和听觉注意力跨度的测试。与对照组相比,ADHD 儿童的口头和默读流畅性较低,加工速度较慢,主要原因是 WISC-IV 编码测试中的缺陷。相比之下,两组在复制速度上没有差异。在控制了复制速度、性别、ADHD 相关症状的严重程度和 GAI 后,较慢的“加工”速度(即 WISC-IV 编码)与言语广度和工作记忆测量显著相关,但与反应控制/抑制、词汇检索速度、反应时间或个体内变异性无关。此外,“加工”速度(即 WISC-IV 编码,按复制速度残差化)和工作记忆是口头阅读流畅性的显著预测因素。工作记忆和反应选择(它们是由额叶介导并进入加工速度的输出端)的异常可能在 ADHD 阅读流畅性缺陷中起着重要作用,这可能比注意定向或感知刺激的后部介导问题更为重要。

相似文献

1
Working memory influences processing speed and reading fluency in ADHD.
Child Neuropsychol. 2011;17(3):209-24. doi: 10.1080/09297049.2010.532204.
2
Verbal fluency in children with ADHD: strategy using and temporal properties.
Child Neuropsychol. 2014;20(4):415-29. doi: 10.1080/09297049.2013.799645. Epub 2013 Jun 4.
3
Performance lapses in children with attention-deficit/hyperactivity disorder contribute to poor reading fluency.
Arch Clin Neuropsychol. 2013 Nov;28(7):672-83. doi: 10.1093/arclin/act048. Epub 2013 Jul 9.
4
Working memory and information processing in ADHD: Evidence for directionality of effects.
Neuropsychology. 2020 Feb;34(2):127-143. doi: 10.1037/neu0000598. Epub 2019 Oct 14.
5
Basic and complex cognitive functions in Adult ADHD.
PLoS One. 2021 Sep 2;16(9):e0256228. doi: 10.1371/journal.pone.0256228. eCollection 2021.
6
Do Working Memory Deficits Underlie Reading Problems in Attention-Deficit/Hyperactivity Disorder (ADHD)?
J Abnorm Child Psychol. 2019 Mar;47(3):433-446. doi: 10.1007/s10802-018-0447-1.

引用本文的文献

1
cpCST: A New Continuous Performance Test for High-Precision Assessment of Attention Across the Lifespan.
bioRxiv. 2025 Jun 25:2025.06.22.660941. doi: 10.1101/2025.06.22.660941.
2
3
Contributions of Working Memory, Inhibition, and Processing Speed to Writing Composition in Attention-Deficit/hyperactivity Disorder.
Dev Neuropsychol. 2025 Jan-Feb;50(1):1-23. doi: 10.1080/87565641.2025.2472060. Epub 2025 Mar 3.
5
Cerebellar Neuromodulation Impacts Reading Fluency in Young Adults.
Neurobiol Lang (Camb). 2024 Aug 15;5(3):736-756. doi: 10.1162/nol_a_00124. eCollection 2024.
6
Reduced benefit from long-term item frequency contributes to short-term memory deficits in dyslexia.
Mem Cognit. 2024 Nov;52(8):1928-1940. doi: 10.3758/s13421-024-01601-z. Epub 2024 Jul 2.
8
Evaluating the Simple View of Reading for Children With Attention-Deficit/Hyperactivity Disorder.
J Educ Psychol. 2023 Jul;115(5):700-714. doi: 10.1037/edu0000806. Epub 2023 Jun 1.
10
RAN-related neural-congruency: a machine learning approach toward the study of the neural underpinnings of naming speed.
Front Psychol. 2023 Jun 20;14:1076501. doi: 10.3389/fpsyg.2023.1076501. eCollection 2023.

本文引用的文献

1
Executive dysfunction among children with reading comprehension deficits.
J Learn Disabil. 2010 Sep-Oct;43(5):441-54. doi: 10.1177/0022219409355476. Epub 2010 Apr 7.
3
Cognitive discrepancies in children at the ends of the bell curve: a note of caution for clinical interpretation.
Clin Neuropsychol. 2009 Sep;23(7):1160-72. doi: 10.1080/13854040902794995. Epub 2009 Jul 22.
4
Oculomotor anomalies in attention-deficit/hyperactivity disorder: evidence for deficits in response preparation and inhibition.
J Am Acad Child Adolesc Psychiatry. 2009 Jul;48(7):749-756. doi: 10.1097/CHI.0b013e3181a565f1.
5
Why IQ is not a covariate in cognitive studies of neurodevelopmental disorders.
J Int Neuropsychol Soc. 2009 May;15(3):331-43. doi: 10.1017/S1355617709090481.
6
Effects of fluency, oral language, and executive function on reading comprehension performance.
Ann Dyslexia. 2009 Jun;59(1):34-54. doi: 10.1007/s11881-009-0022-0. Epub 2009 Apr 25.
7
Basal ganglia volume and shape in children with attention deficit hyperactivity disorder.
Am J Psychiatry. 2009 Jan;166(1):74-82. doi: 10.1176/appi.ajp.2008.08030426. Epub 2008 Nov 17.
8
Age-related changes in motor subtle signs among girls and boys with ADHD.
Neurology. 2008 Nov 4;71(19):1514-20. doi: 10.1212/01.wnl.0000334275.57734.5f.
9
Do attention deficits influence IQ assessment in children and adolescents with ADHD?
J Atten Disord. 2009 May;12(6):551-62. doi: 10.1177/1087054708322996. Epub 2008 Sep 24.
10
Psychostimulant treatment and the developing cortex in attention deficit hyperactivity disorder.
Am J Psychiatry. 2009 Jan;166(1):58-63. doi: 10.1176/appi.ajp.2008.08050781. Epub 2008 Sep 15.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验