Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.
Dyslexia. 2013 Nov;19(4):191-213. doi: 10.1002/dys.1463.
Converging evidence suggests that developmental dyslexia is a neurobiological disorder, characterized by deficits in the auditory, visual, and linguistic domains. In the longitudinal project of the Dutch Dyslexia Programme, 180 children with a familial risk of dyslexia (FR) and a comparison group of 120 children without FR (noFR) were followed from the age of 2 months up to 9 years. Children were assessed on (1) auditory, speech, and visual event-related potentials every half year between 2 and 41 months; (2) expressive and receptive language, motor development, behaviour problems, and home-literacy environment by questionnaires at the age of 2 and 3; (3) speech-language and cognitive development from 47 months onwards; and (4) preliteracy and subskills of reading, and reading development during kindergarten and Grades 2 and 3. With regard to precursors of reading disability, first analyses showed specific differences between FR and noFR children in neurophysiological, cognitive, and early language measures. Once reading tests administered from age 7 to 9 years were available, the children were divided into three groups: FR children with and without dyslexia, and controls. Analyses of the differences between reading groups yielded distinct profiles and developmental trajectories. On early speech and visual processing, and several cognitive measures, performance of the non-dyslexic FR group differed from the dyslexic FR group and controls, indicating continuity of the influence of familial risk. Parental reading and rapid naming skills appeared to indicate their offspring's degree of familial risk. Furthermore, on rapid naming and nonverbal IQ, the non-dyslexic FR group performed similarly to the controls, suggesting protective factors. There are indications of differences between the FR and control groups, irrespective of reading outcome. These results contribute to the distinction between the deficits correlated to dyslexia as a manifest reading disorder and deficits correlated to familial risk only.
越来越多的证据表明,发育性阅读障碍是一种神经生物学障碍,其特征是在听觉、视觉和语言领域存在缺陷。在荷兰阅读障碍计划的纵向研究中,对 180 名有阅读障碍家族风险的儿童(FR)和 120 名无家族风险的对照组儿童(noFR)进行了跟踪研究,随访时间从 2 个月到 9 岁。儿童在以下方面接受评估:(1)2 至 41 个月之间每半年进行一次听觉、言语和视觉事件相关电位测试;(2)在 2 岁和 3 岁时通过问卷评估表达和接受语言、运动发育、行为问题和家庭读写环境;(3)47 个月后进行言语语言和认知发展评估;(4)幼儿园和 2 年级和 3 年级进行前读写和阅读的子技能以及阅读发展。在阅读障碍的前期研究中,首先分析表明 FR 和 noFR 儿童在神经生理、认知和早期语言测量方面存在特定差异。一旦在 7 至 9 岁之间进行了阅读测试,将儿童分为三组:有和没有阅读障碍的 FR 儿童,以及对照组。对阅读组之间的差异进行分析得出了不同的特征和发展轨迹。在早期言语和视觉处理以及几项认知测量方面,非阅读障碍 FR 组的表现与阅读障碍 FR 组和对照组不同,这表明家族风险的影响具有连续性。父母的阅读和快速命名技能似乎表明了他们子女的家族风险程度。此外,在快速命名和非语言智商方面,非阅读障碍 FR 组的表现与对照组相似,表明存在保护因素。FR 组和对照组之间存在差异,无论阅读结果如何。这些结果有助于区分与阅读障碍作为显性阅读障碍相关的缺陷和仅与家族风险相关的缺陷。