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发展性阅读障碍患者的视觉注意力跨度容量:一项荟萃分析。

Visual attention span capacity in developmental dyslexia: A meta-analysis.

机构信息

Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China.

Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China.

出版信息

Res Dev Disabil. 2023 Apr;135:104465. doi: 10.1016/j.ridd.2023.104465. Epub 2023 Mar 1.

Abstract

The visual attention span (VAS) deficit theory of developmental dyslexia (DD) indicates that impaired VAS may cause reading disabilities. However, whether people with dyslexia have VAS deficit is still controversial. The current review evaluates the literature regarding the relationship between VAS and poor reading, as it also examines the possible moderators in measuring the VAS capacity of individuals with dyslexia. A total of 25 papers, with participants of 859 readers with dyslexia and 1048 typically developing readers were included in the meta-analysis. The sample sizes, means and standard deviations (SDs) of the scores in VAS tasks were extracted separately from the two groups, which were used to calculate the effect sizes of group differences in SDs and means by the robust variance estimation model. Results showed higher SDs and lower averages of the VAS test scores for readers with dyslexia than those for typically developing readers, revealing high individual variability and remarkable deficits in VAS of DD. Further subgroup analyses showed that the characteristics of VAS tasks, background languages, and participants modulated the group differences in VAS capacities. Particularly, the partial report task with symbols of relatively high visual complexity and key pressing may be the optimal measurement of VAS skills. A greater VAS deficit in DD was observed in more opaque languages, with a trend of developmental increase in attention deficit, especially at the primary school level. Moreover, this VAS deficit seemed to be independent of the phonological deficit of dyslexia. These findings to some extent supported the VAS deficit theory of DD and (partially) explained the controversial relationship between VAS impairment and reading disabilities.

摘要

发展性阅读障碍(DD)的视觉注意跨度(VAS)缺陷理论表明,VAS 受损可能导致阅读障碍。然而,阅读障碍者是否存在 VAS 缺陷仍存在争议。本综述评估了 VAS 与阅读障碍之间关系的文献,同时还检查了测量阅读障碍者 VAS 能力的可能调节因素。共有 25 篇论文,其中包括 859 名阅读障碍者和 1048 名正常发育读者的参与者,纳入了荟萃分析。分别从两组中提取 VAS 任务的样本量、均值和标准差(SD),并使用稳健方差估计模型计算 SD 和均值的组间差异的效应量。结果表明,阅读障碍者的 VAS 测试得分的 SD 较高,平均值较低,表明 VAS 个体差异较大,DD 的 VAS 明显缺陷。进一步的亚组分析表明,VAS 任务的特征、背景语言和参与者调节了 VAS 能力的组间差异。特别是,具有相对较高视觉复杂性和按键的符号的部分报告任务可能是 VAS 技能的最佳测量方法。在更不透明的语言中观察到 DD 的 VAS 缺陷更大,注意力缺陷呈发育性增加的趋势,特别是在小学阶段。此外,这种 VAS 缺陷似乎与阅读障碍的语音缺陷无关。这些发现在一定程度上支持了 DD 的 VAS 缺陷理论,并(部分)解释了 VAS 损伤与阅读障碍之间的争议关系。

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