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正念阅读:正念冥想有助于诵读困难和注意力缺陷多动障碍患者在词汇学习轨道上保持专注。

Mindful Reading: Mindfulness Meditation Helps Keep Readers with Dyslexia and ADHD on the Lexical Track.

作者信息

Tarrasch Ricardo, Berman Zohar, Friedmann Naama

机构信息

School of Education and Sagol School of Neuroscience, Tel Aviv University Tel Aviv, Israel.

School of Psychology, Tel Aviv University Tel Aviv, Israel.

出版信息

Front Psychol. 2016 May 10;7:578. doi: 10.3389/fpsyg.2016.00578. eCollection 2016.

Abstract

This study explored the effects of a Mindfulness-Based Stress Reduction (MBSR) intervention on reading, attention, and psychological well-being among people with developmental dyslexia and/or attention deficits. Various types of dyslexia exist, characterized by different error types. We examined a question that has not been tested so far: which types of errors (and dyslexias) are affected by MBSR training. To do so, we tested, using an extensive battery of reading tests, whether each participant had dyslexia, and which errors types s/he makes, and then compared the rate of each error type before and after the MBSR workshop. We used a similar approach to attention disorders: we evaluated the participants' sustained, selective, executive, and orienting of attention to assess whether they had attention-disorders, and if so, which functions were impaired. We then evaluated the effect of MBSR on each of the attention functions. Psychological measures including mindfulness, stress, reflection and rumination, lifesatisfaction, depression, anxiety, and sleep-disturbances were also evaluated. Nineteen Hebrew-readers completed a 2-month mindfulness workshop. The results showed that whereas reading errors of letter-migrations within and between words and vowelletter errors did not decrease following the workshop, most participants made fewer reading errors in general following the workshop, with a significant reduction of 19% from their original number of errors. This decrease mainly resulted from a decrease in errors that occur due to reading via the sublexical rather than the lexical route. It seems, therefore, that mindfulness helped reading by keeping the readers on the lexical route. This improvement in reading probably resulted from improved sustained attention: the reduction in sublexical reading was significant for the dyslexic participants who also had attention deficits, and there were significant correlations between reduced reading errors and decreases in impulsivity. Following the meditation workshop, the rate of commission errors decreased, indicating decreased impulsivity, and the variation in RTs in the CPT task decreased, indicating improved sustained attention. Significant improvements were obtained in participants' mindfulness, perceived-stress, rumination, depression, state-anxiety, and sleep-disturbances. Correlations were also obtained between reading improvement and increased mindfulness following the workshop. Thus, whereas mindfulness training did not affect specific types of errors and did not improve dyslexia, it did affect the reading of adults with developmental dyslexia and ADHD, by helping them to stay on the straight path of the lexical route while reading. Thus, the reading improvement induced by mindfulness sheds light on the intricate relation between attention and reading. Mindfulness reduced impulsivity and improved sustained attention, and this, in turn, improved reading of adults with developmental dyslexia and ADHD, by helping them to read via the straight path of the lexical route.

摘要

本研究探讨了基于正念减压疗法(MBSR)的干预措施对患有发展性阅读障碍和/或注意力缺陷者的阅读、注意力及心理健康的影响。存在多种类型的阅读障碍,其特征表现为不同的错误类型。我们研究了一个迄今尚未得到验证的问题:MBSR训练会影响哪些类型的错误(及阅读障碍)。为此,我们通过一系列广泛的阅读测试,检测每位参与者是否患有阅读障碍以及其所犯的错误类型,然后比较MBSR工作坊前后每种错误类型的发生率。对于注意力障碍,我们采用了类似的方法:评估参与者的持续性、选择性、执行性及定向性注意力,以判断他们是否存在注意力障碍,若存在,哪些功能受到了损害。接着,我们评估了MBSR对每种注意力功能的影响。还评估了包括正念、压力、反思与沉思、生活满意度、抑郁、焦虑及睡眠障碍等心理指标。19名希伯来语阅读者参加了为期2个月的正念工作坊。结果显示,尽管单词内及单词间字母迁移错误和元音字母错误在工作坊后并未减少,但大多数参与者总体上的阅读错误减少了,相较于最初的错误数量显著减少了19%。这种减少主要源于通过次词汇而非词汇途径阅读所产生的错误的减少。因此,正念似乎通过让阅读者保持在词汇途径上而有助于阅读。阅读方面的这种改善可能源于持续性注意力的提高:对于同时患有注意力缺陷的阅读障碍参与者,次词汇阅读的减少是显著的,并且阅读错误的减少与冲动性的降低之间存在显著相关性。在冥想工作坊之后,执行错误的发生率降低,表明冲动性降低,并且连续性能量测试(CPT)任务中反应时间的变化减少,表明持续性注意力得到改善。参与者的正念、感知压力、沉思、抑郁、状态焦虑及睡眠障碍均有显著改善。工作坊后阅读能力的提高与正念的增强之间也存在相关性。因此,尽管正念训练并未影响特定类型的错误,也未改善阅读障碍,但它确实对患有发展性阅读障碍和注意力缺陷多动障碍(ADHD)的成年人的阅读产生了影响,通过帮助他们在阅读时保持在词汇途径的正确道路上。因此,正念引发的阅读改善揭示了注意力与阅读之间的复杂关系。正念降低了冲动性,提高了持续性注意力,进而通过帮助患有发展性阅读障碍和ADHD的成年人沿着词汇途径的正确道路进行阅读,改善了他们的阅读能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4150/4862243/f7fc55089a57/fpsyg-07-00578-g001.jpg

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