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多动症儿童的流体推理和阅读困难

Fluid reasoning and reading difficulties among children with ADHD.

作者信息

Mano Quintino R, Jastrowski Mano Kristen E, Guerin Julia M, Gibler Robert C, Becker Stephen P, Denton Carolyn A, Epstein Jeffery N, Tamm Leanne

机构信息

Department of Psychology, University of Cincinnati , Cincinnati , Ohio, USA.

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio, USA.

出版信息

Appl Neuropsychol Child. 2019 Oct-Dec;8(4):307-318. doi: 10.1080/21622965.2018.1466706. Epub 2018 Jun 25.

DOI:10.1080/21622965.2018.1466706
PMID:29939795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6309943/
Abstract

Children with attention-deficit/hyperactivity disorder (ADHD) commonly experience difficulties in reading and in fluid reasoning (G). According to Cattell's Investment Theory (1987), G is a causal factor in the development of crystallized knowledge (G) and academic skills; therefore, the co-occurrence of reading and G difficulties within ADHD may not be coincidental. In the present study with children with both ADHD and reading difficulties ( = 187; 61% male;  = 9.2), we utilized mediation analyses to test direct and indirect (through G, phonemic awareness, and rapid automatized naming [RAN]) effects of G on four basic reading skills: untimed word recognition, untimed phonemic decoding, word reading efficiency, and phonemic decoding efficiency. The direct effect of G on all reading skills was nonsignificant; however, significant indirect effects were observed. Specifically, G exerted an effect indirectly onto all reading skills through a serial and joint mechanism comprised of G and phonemic awareness (i.e., G → G → phonemic awareness → reading achievement). G also exerted an effect indirectly onto untimed word recognition and phonemic decoding through phonemic awareness (i.e., G → phonemic awareness → untimed word recognition/untimed phonemic decoding). Results build upon Cattell's Investment Theory by linking G with reading difficulties among children with ADHD, suggesting that such difficulties may arise from weaknesses in G and insufficient investment of G into reading through G and phonemic awareness.

摘要

患有注意力缺陷多动障碍(ADHD)的儿童通常在阅读和流体推理(G)方面存在困难。根据卡特尔的投资理论(1987年),G是晶体知识(G)和学术技能发展的一个因果因素;因此,ADHD患者中阅读困难和G困难同时出现可能并非巧合。在本研究中,我们对187名患有ADHD和阅读困难的儿童(61%为男性;平均年龄=9.2岁)进行了中介分析,以检验G对四种基本阅读技能的直接和间接(通过G、语音意识和快速自动命名[RAN])影响:非限时单词识别、非限时语音解码、单词阅读效率和语音解码效率。G对所有阅读技能的直接影响不显著;然而,观察到了显著的间接影响。具体而言,G通过由G和语音意识组成的序列和联合机制对所有阅读技能产生间接影响(即,G→G→语音意识→阅读成绩)。G还通过语音意识对非限时单词识别和语音解码产生间接影响(即,G→语音意识→非限时单词识别/非限时语音解码)。本研究结果以卡特尔的投资理论为基础,将G与ADHD儿童的阅读困难联系起来,表明此类困难可能源于G的弱点以及G通过G和语音意识对阅读的投入不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/558a/6309943/2fa637b24c23/nihms-1001349-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/558a/6309943/2fa637b24c23/nihms-1001349-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/558a/6309943/2fa637b24c23/nihms-1001349-f0001.jpg

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本文引用的文献

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Child Neuropsychol. 2018 Nov;24(8):1115-1128. doi: 10.1080/09297049.2017.1391191. Epub 2017 Oct 20.
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The impact of working memory training on near and far transfer measures: Is it all about fluid intelligence?工作记忆训练对近迁移和远迁移测量的影响:这一切都与流体智力有关吗?
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发育性阅读障碍和注意力缺陷多动障碍儿童的神经认知功能:多种缺陷与诊断准确性。
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The Colorado Longitudinal Twin Study of Reading Difficulties and ADHD: Etiologies of Comorbidity and Stability.科罗拉多阅读困难与注意力缺陷多动障碍纵向双胞胎研究:共病与稳定性的病因
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Rapid Naming and Phonemic Awareness in Children With or Without Reading Disabilities and/or ADHD.有或无阅读障碍和/或注意力缺陷多动障碍儿童的快速命名和音素意识
J Learn Disabil. 2017 Mar/Apr;50(2):168-179. doi: 10.1177/0022219415609186. Epub 2016 Aug 4.
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Abstracting Sequences: Reasoning That Is a Key to Academic Achievement.提取序列:推理是学术成就的关键。
J Genet Psychol. 2015 May-Aug;176(3-4):171-93. doi: 10.1080/00221325.2015.1024198. Epub 2015 Jul 2.
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Word-level reading achievement and behavioral inattention: exploring their overlap and relations with naming speed and phonemic awareness in a community sample of children.单词层面的阅读成就与行为注意力不集中:在一个儿童社区样本中探究它们与命名速度及音素意识的重叠情况和关系。
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