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中国阅读障碍儿童的通用和特定预测因素——探索认知缺陷与亚型

Universal and Specific Predictors of Chinese Children With Dyslexia - Exploring the Cognitive Deficits and Subtypes.

作者信息

Song Shuang, Zhang Yuping, Shu Hua, Su Mengmeng, McBride Catherine

机构信息

State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.

College of Teacher Education, Capital Normal University, Beijing, China.

出版信息

Front Psychol. 2020 Jan 8;10:2904. doi: 10.3389/fpsyg.2019.02904. eCollection 2019.

Abstract

While previous studies have shown that the impact of phonological awareness (PA) and rapid automatized naming (RAN) on dyslexia depends on orthographic complexity in alphabetic languages, it remains unclear whether this relationship generalizes to the more complex orthography of Chinese. We investigated the predictive power of PA, RAN, and morphological awareness (MA) in dyslexia diagnosis status in a sample of 241 typically developing and 223 dyslexic Chinese-speaking children. Compared with the control group, children with dyslexia performed notably worse on character reading and all three cognitive measures. A logistic regression analysis showed that PA and RAN were both significant predictors, while MA also played a relatively important role for predicting dyslexia status in Chinese children. In the next step, we used multigroup analyses to test if these three cognitive predictors were of the same importance in predicting reading variance in different reading proficiency groups. And the results showed that the regression coefficient of MP is stronger for the control group than the dyslexia group, while the regression coefficient of PD tends to be stronger for the dyslexic group. Further cluster analysis identified four subtypes of dyslexia in this sample: a global deficit group, a phonological deficit group, a RAN deficit group, and a mild morphological deficit group. Our findings are largely consistent with previous studies of predictors of dyslexia, while uniquely demonstrating the differences in predictive power of these three cognitive variables on reading, as well as the unique contribution of MA in Chinese reading.

摘要

虽然先前的研究表明,语音意识(PA)和快速自动命名(RAN)对阅读障碍的影响取决于字母语言中的正字法复杂性,但这种关系是否适用于更复杂的中文正字法仍不清楚。我们调查了241名发育正常和223名患有阅读障碍的华语儿童样本中,PA、RAN和形态意识(MA)对阅读障碍诊断状况的预测能力。与对照组相比,患有阅读障碍的儿童在汉字阅读和所有三项认知测试中的表现明显更差。逻辑回归分析表明,PA和RAN都是显著的预测因素,而MA在预测中国儿童的阅读障碍状况方面也发挥了相对重要的作用。在下一步中,我们使用多组分析来测试这三个认知预测因素在预测不同阅读能力组的阅读差异时是否具有相同的重要性。结果表明,MP的回归系数在对照组中比在阅读障碍组中更强,而PD的回归系数在阅读障碍组中往往更强。进一步的聚类分析在该样本中确定了阅读障碍的四种亚型:整体缺陷组、语音缺陷组、RAN缺陷组和轻度形态缺陷组。我们的研究结果在很大程度上与先前关于阅读障碍预测因素的研究一致,同时独特地证明了这三个认知变量对阅读的预测能力差异,以及MA在中文阅读中的独特贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fe7/6960230/39d9278c23fc/fpsyg-10-02904-g001.jpg

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