Bradshaw Abigail R, Woodhead Zoe V J, Thompson Paul A, Bishop Dorothy V M
Department of Experimental Psychology, University of Oxford, Oxford, UK.
Dyslexia. 2021 Feb;27(1):3-28. doi: 10.1002/dys.1672. Epub 2020 Nov 17.
This study investigated the profile of language abilities in a sample of high-achieving English speaking adults with developmental disorders. Ninety-seven adult participants were recruited: 49 with a dyslexia diagnosis (dyslexic group), 16 with a diagnosis of a different developmental disorder including dyspraxia, autism and SpLD (non-dyslexic developmental disorder group) and 32 with no diagnosis (non-disordered group). Dyslexic and non-dyslexic developmental disorder groups demonstrated similar impairments across measures of word reading, working memory, processing speed and oral language. Dyslexic participants showed the usual pattern of impaired phonological skills but spared non-verbal intelligence and vocabulary. There were also some suggestions of impaired structural oral language skills in this group. A data-driven clustering analysis found that diagnosis was not a reliable predictor of similarity between cases, with diagnostic categories split between data-driven clusters. Overall, the findings indicate that high-achieving adults with developmental disorders do demonstrate impairments that are likely to affect success in higher education, but that support needs should be assessed on a case-by-case basis, rather than according to diagnostic label.
本研究调查了一组患有发育障碍的高成就成年英语使用者的语言能力概况。招募了97名成年参与者:49名被诊断为诵读困难(诵读困难组),16名被诊断患有包括发育性协调障碍、自闭症和特定学习障碍在内的其他发育障碍(非诵读困难发育障碍组),32名未被诊断出任何疾病(非障碍组)。诵读困难组和非诵读困难发育障碍组在单词阅读、工作记忆、处理速度和口语能力的各项测量中表现出相似的损伤。诵读困难的参与者表现出语音技能受损但非言语智力和词汇未受影响的常见模式。该组中也有一些结构性口语技能受损的迹象。一项数据驱动的聚类分析发现,诊断并非病例间相似性的可靠预测指标,诊断类别在数据驱动的聚类中有所划分。总体而言,研究结果表明,患有发育障碍的高成就成年人确实存在可能影响其高等教育成功的损伤,但支持需求应根据具体情况进行评估,而非依据诊断标签。