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在有阅读障碍风险的新生儿中,存在广泛的非典型神经言语声音辨别模式。

An extensive pattern of atypical neural speech-sound discrimination in newborns at risk of dyslexia.

机构信息

Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, P.O. Box 21, 00014 University of Helsinki, Helsinki, Finland.

Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, P.O. Box 21, 00014 University of Helsinki, Helsinki, Finland.

出版信息

Clin Neurophysiol. 2019 May;130(5):634-646. doi: 10.1016/j.clinph.2019.01.019. Epub 2019 Feb 12.

Abstract

OBJECTIVE

Identifying early signs of developmental dyslexia, associated with deficient speech-sound processing, is paramount to establish early interventions. We aimed to find early speech-sound processing deficiencies in dyslexia, expecting diminished and atypically lateralized event-related potentials (ERP) and mismatch responses (MMR) in newborns at dyslexia risk.

METHODS

ERPs were recorded to a pseudoword and its variants (vowel-duration, vowel-identity, and syllable-frequency changes) from 88 newborns at high or no familial risk. The response significance was tested, and group, laterality, and frontality effects were assessed with repeated-measures ANOVA.

RESULTS

An early positive and right-lateralized ERP component was elicited by standard pseudowords in both groups, the response amplitude not differing between groups. Early negative MMRs were absent in the at-risk group, and MMRs to duration changes diminished compared to controls. MMRs to vowel changes had significant laterality × group interactions resulting from right-lateralized MMRs in controls.

CONCLUSIONS

The MMRs of high-risk infants were absent or diminished, and morphologically atypical, suggesting atypical neural speech-sound discrimination.

SIGNIFICANCE

This atypical neural basis for speech discrimination may contribute to impaired language development, potentially leading to future reading problems.

摘要

目的

识别与语音处理缺陷相关的发育性阅读障碍的早期迹象对于建立早期干预至关重要。我们旨在发现阅读障碍中早期语音处理缺陷,期望在阅读障碍风险的新生儿中,事件相关电位(ERP)和失匹配响应(MMR)减少且表现出异常的侧化。

方法

从 88 名高风险或无家族风险的新生儿中记录到假词及其变体(元音时长、元音身份和音节频率变化)的 ERP。通过重复测量方差分析评估反应的显著性以及组、侧化和额区效应。

结果

标准假词在两组中均引出了一个早期的正性和右侧化的 ERP 成分,两组之间的反应幅度没有差异。高危组中没有早期负性 MMR,与对照组相比,对时长变化的 MMR 减少。MMR 对元音变化的左右侧性存在显著的交互作用,这是由于对照组中存在右侧化的 MMR。

结论

高危婴儿的 MMR 缺失或减少,且形态异常,提示存在异常的神经语音辨别。

意义

这种语音辨别异常的神经基础可能导致语言发育受损,从而导致未来的阅读问题。

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