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关于发育性阅读障碍的误解:历史概述

Misunderstandings about developmental dyslexia: a historical overview.

作者信息

Smirni Pietro, Vetri Luigi, Misuraca Eliana, Cappadonna Marco, Operto Francesca Felicia, Pastorino Grazia Maria Giovanna, Marotta Rosa

机构信息

Department of Educational Sciences, University of Catania, Catania.

Departiment of Health Promotion, Maternal and Child Health, Internal Medicine and Specialist of Excellence "G. D'Alessandro", University of Palermo.

出版信息

Pediatr Rep. 2020 Jun 26;12(2):8505. doi: 10.4081/pr.2020.8505. eCollection 2020 Aug 6.

Abstract

Developmental dyslexia is a reading disorder unrelated to intellectual disability, inadequate teaching systems or poor motivation for schooling. The first attempts to understand such difficulty of learning to read, connected the problem to a primary 'visual defect'. Since then, several models have been developed. In the last decades, autopsy and histopathological studies on the brain of developmental dyslexics provided neuroanatomical evidence of structural and morphological differences between the normal and dyslexic brains. Furthermore, neuroimaging studies allowed to understand the neural systems of reading and dyslexia. According to more recent studies, developmental dyslexia appears as a language-related neurodevelopmental disorder with a deficit in phonological decoding and visuospatial organization of the language code. Therefore, dyslexia is viewed as a multicomponential and complex disorder. Consequently, rehabilitation should be aimed at both the recovery of linguistic decoding processes and the improvement of visuo-spatial and attentional processes. This brief overview should be a valuable tool for a deeper understanding of dyslexic disorder. Literature searches in Medline, PsycINFO, EMBASE, Scopus, PubMed, Web of Science identified one hundred articles focusing attention on how this disorder has been considered over the years.

摘要

发育性阅读障碍是一种与智力残疾、教学体系不完善或上学动力不足无关的阅读障碍。最初尝试理解这种阅读学习困难时,将问题与原发性“视觉缺陷”联系起来。从那时起,已经开发了几种模型。在过去几十年中,对发育性阅读障碍者大脑的尸检和组织病理学研究提供了正常大脑与阅读障碍大脑之间结构和形态差异的神经解剖学证据。此外,神经影像学研究有助于了解阅读和阅读障碍的神经系统。根据最近的研究,发育性阅读障碍表现为一种与语言相关的神经发育障碍,在语音解码和语言代码的视觉空间组织方面存在缺陷。因此,阅读障碍被视为一种多成分的复杂障碍。因此,康复应旨在恢复语言解码过程以及改善视觉空间和注意力过程。这一简要概述对于更深入地理解阅读障碍症应该是一个有价值的工具。在医学数据库(Medline)、心理学文摘数据库(PsycINFO)、荷兰医学文摘数据库(EMBASE)、斯高帕斯数据库(Scopus)、医学期刊数据库(PubMed)、科学引文索引数据库(Web of Science)中进行文献检索,确定了100篇关注多年来如何看待这种疾病的文章。

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