Wyschkon Anne, Schulz Franziska, Gallit Finja Sunnyi, Poltz Nadine, Kohn Juliane, Moraske Svenja, Bondü Rebecca, von Aster Michael, Esser Günter
1 Lehrstuhl für Klinische Psychologie und Psychotherapie, Universität Potsdam, Potsdam.
2 Lehrstuhl für Entwicklungspsychologie, Universität Konstanz, Konstanz.
Z Kinder Jugendpsychiatr Psychother. 2018 Mar;46(2):107-122. doi: 10.1024/1422-4917/a000535. Epub 2017 Jul 27.
The study examines the 5-year course of children with dyslexia with regard to their sex. Furthermore, the study investigates the impact of dyslexia on the performance in reading and spelling skills and school-related success.
A group of 995 6- to 16-year-olds were examined at the initial assessment. Part of the initial sample was then re-examined after 43 and 63 months. The diagnosis of dyslexia was based on the double discrepancy criterion using a standard deviation of 1.5. Though they had no intellectual deficits, the children showed a considerable discrepancy between their reading or writing abilities and (1) their nonverbal intelligence and (2) the mean of their grade norm.
Nearly 70 % of those examined had a persisting diagnosis of dyslexia over a period of 63 months. The 5-year course was not influenced by sex. Despite average intelligence, the performance in writing and spelling of children suffering from dyslexia was one standard deviation below a control group without dyslexia with average intelligence and 0.5 standard deviations below a group of children suffering from intellectual deficits. Furthermore, the school-related success of the dyslexics was significantly lower than those of children with average intelligence. Dyslexics showed similar school-related success rates to children suffering from intellectual deficits.
Dyslexia represents a considerable developmental risk. The adverse impact of dyslexia on school-related success supports the importance of early diagnostics and intervention. It also underlines the need for reliable and general accepted diagnostic criteria. It is important to define such criteria in light of the prevalence rates.
本研究考察了诵读困难儿童5年的病程及其性别差异。此外,该研究还调查了诵读困难对阅读和拼写技能表现以及与学校相关成就的影响。
对995名6至16岁的儿童进行了初次评估。初次样本中的一部分在43个月和63个月后再次接受检查。诵读困难的诊断基于双差异标准,标准差为1.5。尽管这些儿童没有智力缺陷,但他们在阅读或写作能力与(1)非言语智力以及(2)年级平均分之间存在显著差异。
近70%的受检者在63个月的时间里一直被诊断为诵读困难。5年的病程不受性别的影响。尽管智力水平中等,但患有诵读困难的儿童在写作和拼写方面的表现比没有诵读困难且智力中等的对照组低一个标准差,比患有智力缺陷的儿童组低0.5个标准差。此外,诵读困难儿童在学校相关成就方面明显低于智力中等的儿童。诵读困难儿童与患有智力缺陷的儿童在学校相关成就率方面相似。
诵读困难是一个相当大的发展风险。诵读困难对学校相关成就的不利影响支持了早期诊断和干预的重要性。这也强调了需要可靠且被广泛接受的诊断标准。根据患病率来定义这些标准很重要。