Communication Sciences and Disorders, University of Delaware, Newark, DE, 19713, USA.
School of Education, University of Delaware, Newark, DE, 19716, USA.
Ann Dyslexia. 2021 Jul;71(2):282-298. doi: 10.1007/s11881-020-00211-z. Epub 2021 Jan 15.
Specific reading comprehension deficit (S-RCD) and developmental language disorder (DLD) are both commonly occurring developmental disorders of language. The ways in which these disorders do and do not overlap during childhood are a matter of debate (Nation & Norbury, 2005). Moreover, in both populations, the challenges faced by individuals in adulthood are understudied. Here, we combined data across cohorts of college students, and classified individuals with only S-RCD (n = 20), only DLD (n = 55), and co-occurring S-RCD and DLD (n = 13). Individuals with good language and reading skills, who matched those with S-RCD on decoding, comprised our typical language and reading group (TD; n = 20). Beyond the measures used for classification, group-level differences were identified in sentence-level reading fluency, phonological processing, verbal working memory, and rapid automatized naming. We found that skill profiles differed across groups; however, we found no evidence of weaknesses beyond the core deficit in reading comprehension observed in those with only S-RCD. In contrast, when S-RCD co-occurs with DLD, weaknesses are observed in phonological processing, as well as reading fluency and verbal working memory. These findings suggest that some adults with S-RCD have co-occurring DLD as a core weakness. These findings, as well as differences between individuals with S-RCD and DLD, are further discussed.
特定阅读理解障碍(S-RCD)和发育性语言障碍(DLD)都是常见的语言发育障碍。这些障碍在儿童时期存在哪些重叠和不重叠的地方,这是一个有争议的问题(Nation & Norbury,2005)。此外,在这两个群体中,成年人所面临的挑战都研究不足。在这里,我们结合了大学生队列的数据,并将仅有 S-RCD(n=20)、仅有 DLD(n=55)和同时存在 S-RCD 和 DLD(n=13)的个体进行分类。具有良好语言和阅读能力的个体,其解码能力与 S-RCD 个体匹配,构成了我们的典型语言和阅读组(TD;n=20)。除了用于分类的测量方法外,在句子级阅读流畅性、语音处理、言语工作记忆和快速自动命名方面也发现了组间差异。我们发现,不同组之间的技能特征存在差异;但是,我们没有发现除了仅存在 S-RCD 的个体观察到的阅读理解核心缺陷之外的其他弱点。相比之下,当 S-RCD 与 DLD 同时存在时,在语音处理以及阅读流畅性和言语工作记忆方面会观察到弱点。这些发现表明,一些 S-RCD 成年人存在 DLD 作为核心弱点。进一步讨论了这些发现以及 S-RCD 和 DLD 个体之间的差异。