Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, Netherlands.
Dyslexia. 2020 Nov;26(4):359-376. doi: 10.1002/dys.1652. Epub 2020 Jan 28.
Although a diagnosis of dyslexia is often made during elementary school, severe and persistent literacy difficulties of a considerable group of students are only noticed during secondary school. The question arises whether the literacy(-related) deficits of these late identified students with dyslexia differ from those of early diagnosed students. To address this question, 10th Grade Dutch secondary school students with early (n = 35) and late (n = 19) identified dyslexia and their peers with average to good literacy abilities (n = 24) were compared on literacy skills and underlying cognitive skills. At the group level, both students with an early and late diagnosis performed more poorly than their typical peers, but they did not differ from each other on (pseudo-)word reading, spelling and underlying cognitive correlates (phonemic awareness, rapid automatized naming and visual attention span). The early and late group contained comparable percentages of students performing poorly on most measures. There were, however, more students in the early group who showed deficits in phonemic awareness. Our results indicate that students with early and late diagnosed dyslexia are highly comparable. Suggestions for fitting interventions are discussed.
尽管阅读障碍的诊断通常在小学阶段进行,但相当一部分学生的严重且持续的读写困难仅在中学阶段才被发现。问题是,这些后来被诊断为阅读障碍的学生的读写相关缺陷是否与早期诊断的学生的缺陷不同。为了解决这个问题,我们比较了 10 年级荷兰中学的具有早期(n = 35)和晚期(n = 19)确诊阅读障碍的学生以及具有平均到良好读写能力的同龄人(n = 24)在读写技能和潜在认知技能方面的差异。在群体水平上,早期和晚期诊断的学生都比他们的典型同龄人表现差,但在(伪)单词阅读、拼写和潜在认知相关因素(语音意识、快速自动命名和视觉注意力持续时间)方面,他们之间没有差异。早期组和晚期组在大多数测试中表现不佳的学生比例相当。然而,在早期组中,有更多的学生表现出语音意识缺陷。我们的研究结果表明,早期和晚期诊断的阅读障碍学生高度相似。讨论了适合干预的建议。