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一种类似超阅读的阅读风格与 ADHD 女孩中自闭症特征的增加有关。

A Hyperlexic-Like Reading Style Is Associated With Increased Autistic Features in Girls With ADHD.

机构信息

1 University of Gothenburg, Sweden.

出版信息

J Atten Disord. 2019 Jun;23(8):767-776. doi: 10.1177/1087054716685838. Epub 2017 Jan 7.

DOI:10.1177/1087054716685838
PMID:28064558
Abstract

OBJECTIVE

Hyperlexic-like reading (defined as word decoding much better than comprehension) has been associated with autism spectrum disorder (ASD). Here we study correlates of a hyperlexic-like reading style (HPL) in ADHD, a condition known to co-occur both with reading difficulties and ASD.

METHOD

We compared 10 girls with an ADHD diagnosis plus HPL with 26 with ADHD minus HPL.

RESULTS

Girls with HPL scored marginally lower in reading comprehension but did not differ from non-HPL girls in IQ, vocabulary, or in the severity of ADHD ratings. However, in addition to scoring much better on word decoding, HPL readers also displayed higher levels of social-communication deficits on the ADOS-G and the ADI-R. Moreover, correlation analysis in the full sample revealed an association between increasing autistic features and word reading.

CONCLUSION

The study underscores the heterogeneity of reading skills in ADHD, and shows the relevance of subclinic autistic features for understanding this variability.

摘要

目的

超文字阅读(定义为阅读解码能力远好于阅读理解能力)与自闭症谱系障碍(ASD)有关。在这里,我们研究了 ADHD 中类似超文字阅读风格(HPL)的相关性,这种情况已知与阅读困难和 ASD 同时发生。

方法

我们比较了 10 名 ADHD 诊断伴 HPL 的女孩和 26 名 ADHD 不伴 HPL 的女孩。

结果

HPL 组女孩的阅读理解能力略低,但智商、词汇量或 ADHD 严重程度评定与非 HPL 组女孩无差异。然而,除了在单词解码方面表现出色外,HPL 读者在 ADOS-G 和 ADI-R 上也表现出更高水平的社交沟通缺陷。此外,全样本的相关分析显示,自闭症特征的增加与阅读能力有关。

结论

该研究强调了 ADHD 中阅读技能的异质性,并表明亚临床自闭症特征对于理解这种变异性具有重要意义。

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