超越发育性阅读障碍的全球运动缺陷假说:一项关于影响儿童阅读能力的视觉、认知和社会经济因素的横断面研究。

Beyond the global motion deficit hypothesis of developmental dyslexia: A cross-sectional study of visual, cognitive, and socio-economic factors influencing reading ability in children.

作者信息

Piotrowska Barbara, Willis Alexandra

机构信息

School of Applied Sciences, Edinburgh Napier University, 9 Sighthill Ct, Edinburgh EH11 4BN, UK.

School of Health in Social Science, The University of Edinburgh, Medical School, Teviot Place, Edinburgh EH8 9AG, UK.

出版信息

Vision Res. 2019 Jun;159:48-60. doi: 10.1016/j.visres.2019.03.007. Epub 2019 Apr 10.

Abstract

Although primarily conceptualized as a disorder of phonological awareness, developmental dyslexia is often associated with broader problems perceiving and attending to transient or rapidly-moving visual stimuli. However, the extent to which such visual deficits represent the cause or the consequence of dyslexia remains contentious, and very little research has examined the relative contributions of phonological, visual, and other variables to reading performance more broadly. We measured visual sensitivity to global motion (GM) and global form (GF), performance on various language and other cognitive tasks believed to be compromised in dyslexia (phonological awareness, processing speed, and working memory), together with a range of social and demographic variables often omitted in previous research, such as age, gender, non-verbal intelligence, and socio-economic status in an unselected sample (n = 132) of children aged 6-11.5 yrs from two different primary schools in Edinburgh, UK. We found that: (i) Mean GM sensitivity (but not GF) was significantly lower in poor readers (medium effect size); (ii) GM sensitivity accounted for only 3% of the variance in reading scores; (iii) GM sensitivity deficits were observed in only 16% of poor readers; (iv) the best predictors of reading performance were phonological awareness, non-verbal intelligence, and socio-economic status, suggesting the importance of controlling for these in future studies of vision and reading. These findings suggest that developmental dyslexia is unlikely to represent a single category of neurodevelopmental disorder underpinned by lower-level deficits in visual motion processing.

摘要

尽管发育性阅读障碍主要被概念化为一种语音意识障碍,但它往往与感知和关注短暂或快速移动的视觉刺激方面的更广泛问题相关联。然而,这种视觉缺陷在多大程度上是阅读障碍的原因或结果仍存在争议,而且很少有研究更广泛地考察语音、视觉和其他变量对阅读表现的相对贡献。我们测量了对整体运动(GM)和整体形式(GF)的视觉敏感度、在各种被认为在阅读障碍中受损的语言和其他认知任务(语音意识、处理速度和工作记忆)上的表现,以及一系列在先前研究中经常被忽略的社会和人口统计学变量,如年龄、性别、非言语智力和社会经济地位,样本来自英国爱丁堡两所不同小学的6至11.5岁儿童,未做筛选(n = 132)。我们发现:(i)阅读能力差的儿童平均GM敏感度(而非GF)显著更低(中等效应量);(ii)GM敏感度仅占阅读分数方差的3%;(iii)仅16%的阅读能力差的儿童存在GM敏感度缺陷;(iv)阅读表现的最佳预测因素是语音意识、非言语智力和社会经济地位,这表明在未来关于视觉与阅读的研究中控制这些因素很重要。这些发现表明,发育性阅读障碍不太可能代表一种由视觉运动处理方面较低水平缺陷所支撑的单一类别神经发育障碍。

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