从学校到扫描:共患数学和阅读障碍的神经教育方法。
From Schools to Scans: A Neuroeducational Approach to Comorbid Math and Reading Disabilities.
机构信息
Department of Neuroscience, Carleton University, Ottawa, ON, Canada.
Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada.
出版信息
Front Public Health. 2020 Oct 22;8:469. doi: 10.3389/fpubh.2020.00469. eCollection 2020.
We bridge two analogous concepts of comorbidity, dyslexia-dyscalculia and reading-mathematical disabilities, in neuroscience and education, respectively. We assessed the cognitive profiles of 360 individuals (mean age 25.79 ± 13.65) with disability in reading alone (RD group), mathematics alone (MD group) and both (comorbidity: MDRD group), with tests widely used in both psychoeducational and neuropsychological batteries. As expected, the MDRD group exhibited reading deficits like those shown by the RD group. The former group also exhibited deficits in quantitative reasoning like those shown by the MD group. However, other deficits related to verbal working memory and semantic memory were exclusive to the MDRD group. These findings were independent of gender, age, or socioeconomic and demographic factors. Through a systematic exhaustive review of clinical neuroimaging literature, we mapped the resulting cognitive profiles to correspondingly plausible neuroanatomical substrates of dyslexia and dyscalculia. In our resulting "probing" model, the complex set of domain-specific and domain-general impairments shown in the comorbidity of reading and mathematical disabilities are hypothesized as being related to atypical development of the left angular gyrus. The present neuroeducational approach bridges a long-standing transdisciplinary divide and contributes a step further toward improved early prediction, teaching and interventions for children and adults with combined reading and math disabilities.
我们在神经科学和教育领域分别桥接了两个类似的共病概念,即阅读障碍和计算障碍以及阅读-数学障碍。我们评估了 360 名个体(平均年龄 25.79 ± 13.65)的认知特征,这些个体分别患有单纯阅读障碍(RD 组)、单纯数学障碍(MD 组)和两者兼有(共病:MDRD 组),使用的测试在心理教育和神经心理学测试组合中都有广泛应用。正如预期的那样,MDRD 组表现出与 RD 组相似的阅读障碍。该组还表现出与 MD 组相似的定量推理缺陷。然而,其他与言语工作记忆和语义记忆相关的缺陷则是 MDRD 组所特有的。这些发现与性别、年龄或社会经济和人口因素无关。通过对临床神经影像学文献的系统详尽回顾,我们将得出的认知特征映射到阅读和计算障碍的相应合理的神经解剖学基础上。在我们的“探查”模型中,假设阅读和数学障碍共病中表现出的复杂的特定领域和非特定领域的损伤与左侧角回的异常发育有关。这种新的神经教育方法弥合了长期存在的跨学科鸿沟,并为儿童和成人的阅读和数学障碍的早期预测、教学和干预提供了进一步的改进。