Duff Dawna M, Hendricks Alison E, Fitton Lisa, Adlof Suzanne M
University of Pittsburgh, PA, USA.
University at Buffalo, NY, USA.
J Learn Disabil. 2023 Sep-Oct;56(5):371-391. doi: 10.1177/00222194221105515. Epub 2022 Jun 21.
We examined how children ( = 448) with separate or co-occurring developmental language disorder (DLD) and dyslexia performed on school-based measures of academic functioning between second and fourth grades. Children were recruited from 1 school district in the U.S. state of South Carolina via classroom screenings and met common research criteria for DLD and dyslexia. Growth curve models were used to examine the overall form of growth and differences between groups. Children with DLD and/or dyslexia in second grade showed early and persistent deficits on school-administered measures of reading and math. In second grade, children with typical development (TD) scored significantly higher than children with dyslexia-only and DLD-only, who did not differ from each other. Children with DLD+dyslexia scored significantly lower than all other groups. Only small differences in growth rates were observed, and gaps in second grade did not close. Despite lower academic performance, few children (20%-27%) with dyslexia and/or DLD had received specialized support services. Children with DLD-only received services at less than half the rate of dyslexia-only or DLD+dyslexia despite similar impacts on academic performance. Evidence of significant and persistent functional impacts in the context of low rates of support services in these children-especially those with DLD-only-highlights the need to raise awareness of these disorders.
我们研究了患有单独或并发发育性语言障碍(DLD)和诵读困难症的儿童( = 448名)在二年级至四年级期间基于学校的学业功能测量中的表现。这些儿童是通过课堂筛查从美国南卡罗来纳州的1个学区招募的,符合DLD和诵读困难症的常见研究标准。生长曲线模型用于检验生长的总体形式和组间差异。二年级患有DLD和/或诵读困难症的儿童在学校进行的阅读和数学测量中表现出早期且持续的缺陷。在二年级时,发育正常(TD)的儿童得分显著高于仅患有诵读困难症和仅患有DLD的儿童,而后两者之间没有差异。患有DLD + 诵读困难症的儿童得分显著低于所有其他组。仅观察到增长率的微小差异,二年级时的差距并未缩小。尽管学业成绩较低,但很少有患有诵读困难症和/或DLD的儿童(20% - 27%)接受过专门的支持服务。仅患有DLD的儿童接受服务的比例不到仅患有诵读困难症或患有DLD + 诵读困难症儿童的一半,尽管对学业成绩的影响相似。这些儿童,尤其是仅患有DLD的儿童,在支持服务率较低的情况下存在显著且持续的功能影响,这突出了提高对这些疾病认识的必要性。