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阅读障碍儿童的定向注意双耳分听:对四种适应不良偏侧化模型的检验

Directed attention dichotic listening in reading disabled children: a test of four models of maladaptive lateralization.

作者信息

Kershner J R, Morton L L

机构信息

Ontario Institute for Studies in Education, University of Toronto, Canada.

出版信息

Neuropsychologia. 1990;28(2):181-98. doi: 10.1016/0028-3932(90)90100-3.

DOI:10.1016/0028-3932(90)90100-3
PMID:2314573
Abstract

In two experiments, critical a priori tests compared four competing LD theories of maladaptive language lateralization (Poor Structural Lateralization; Excessive RH Activation; Excessive LH Activation; Excessive LH or RH Activation). In Experiment 1, 32 auditory-linguistic LD children from public schools were compared to 32 high-achieving, age-matched controls. Experiment 2 replicated the main findings of Experiment 1 by comparing 14 LD children to 14 controls attending a private school. The effect of priming or ear order was analyzed in a directed attention, dichotic paradigm with strings of quadruple digit names as stimuli. The order in which the ears were monitored (LE first or RE first) determined (1) in both experiments whether the LD children compared to controls were more weakly or strongly lateralized and (2) in Experiment 2 whether the REA correlated negatively of positively with reading and spelling achievement. The results indicate that the hemispheric processes involved in disengaging and shifting response strategies between dichotic channels may share common neuronal mechanisms with cognitive processes that are important to school achievement. Rather than LD children suffering from a fixed laterality deficit, the results are consistent with the view that a task-dependent attentional dysfunction may interfere with left hemisphere language processes by overengaging either hemisphere. However, pronounced asymmetry in the relative magnitude of the effects at each channel also suggests greater interference in LD children between the systems controlling auditory-linguistic attention and lateral orienting.

摘要

在两项实验中,关键的先验测试比较了四种相互竞争的关于适应不良语言偏侧化的语言发展迟缓(LD)理论(结构偏侧化不良;右半球过度激活;左半球过度激活;左半球或右半球过度激活)。在实验1中,将32名来自公立学校的听觉 - 语言发展迟缓儿童与32名学业成绩优异、年龄匹配的对照组儿童进行了比较。实验2通过将14名发展迟缓儿童与14名就读于私立学校的对照组儿童进行比较,重复了实验1的主要发现。在以四位数名字串作为刺激的定向注意双耳分听范式中,分析了启动或耳朵顺序的影响。监测耳朵的顺序(左耳先或右耳先)决定了:(1)在两个实验中,与对照组相比,发展迟缓儿童的偏侧化是更弱还是更强;(2)在实验2中,右耳优势是否与阅读和拼写成绩呈负相关或正相关。结果表明,在双耳分听通道之间分离和转换反应策略所涉及的半球过程,可能与对学业成绩很重要的认知过程共享共同的神经元机制。结果并非表明发展迟缓儿童存在固定的偏侧化缺陷,而是与这样一种观点一致,即任务依赖的注意力功能障碍可能通过过度激活任一半球来干扰左半球的语言过程。然而,每个通道效应相对大小的明显不对称也表明,在控制听觉 - 语言注意力和侧向定向的系统之间,发展迟缓儿童受到的干扰更大。

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Neuro-Behavioral Correlates of Executive Dysfunctions in Dyslexia Over Development From Childhood to Adulthood.阅读障碍患者从童年到成年期执行功能障碍的神经行为关联
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Progress in the measurement of laterality and implications for dyslexia research.
侧性测量的进展及其对阅读障碍研究的启示。
Ann Dyslexia. 1995 Jan;45(1):247-68. doi: 10.1007/BF02648221.