Watson B U, Goldgar D E
Department of Speech and Hearing Sciences, Indiana University, Bloomington 47405.
J Clin Exp Neuropsychol. 1988 Aug;10(4):432-50. doi: 10.1080/01688638808408251.
A typology of reading disability was derived from a cluster analysis of psychological and educational tests administered to 63 moderately to severely reading-disabled children and adolescents. The quality of the cluster solution was evaluated through the use of statistics designed to measure the degree to which the clusters were compact and well separated. The values of the evaluation statistics for the reading clusters were compared to the distribution of these statistics in a sample of 100 cluster solutions from comparable simulated data sets. The results of this comparison suggest that the derived reading-disability clusters represent true subtypes rather than a random partitioning of a homogeneous group of subjects. The commonalities among subjects in the same clusters appear to be such as to permit hypotheses about treatment based on cluster membership. The clusters included a language disorder with associated deficits in auditory memory and sound blending, an auditory processing disorder, a mixed auditory and visual processing disorder, and an auditory memory and visual processing disorder. This study did not find the "normal" and visual-perceptual subtypes reported in some other recent investigations.
阅读障碍类型学源自对63名中度至重度阅读障碍儿童及青少年进行的心理和教育测试的聚类分析。通过使用旨在衡量聚类紧密程度和分离程度的统计方法来评估聚类解决方案的质量。将阅读聚类的评估统计值与来自100个可比模拟数据集的聚类解决方案样本中的这些统计分布进行比较。该比较结果表明,得出的阅读障碍聚类代表真正的亚型,而非对同质受试者群体的随机划分。同一聚类中受试者的共性似乎使得能够基于聚类成员身份对治疗提出假设。这些聚类包括伴有听觉记忆和语音混合相关缺陷的语言障碍、听觉处理障碍、听觉和视觉混合处理障碍以及听觉记忆和视觉处理障碍。本研究未发现其他近期调查中报道的“正常”和视觉感知亚型。