Stark Z, Elalouf K, Soldano V, Franzen L, Johnson A P
Department of Psychology, Concordia University, Montréal, Quebec, Canada.
CISSS de la Montérégie-Centre, INLB/Institut Nazareth et Louis-Braille, Longueuil, Quebec, Canada.
Dyslexia. 2025 Feb;31(1):e1797. doi: 10.1002/dys.1797.
Dyslexia is a language-based neurobiological and developmental learning disability marked by inaccurate and disfluent word recognition, poor decoding, and difficulty spelling. Individuals can be diagnosed with and experience symptoms of dyslexia throughout their lifespan. Screening tools such as the Dyslexia Adult Checklist allow individuals to self-evaluate common risk factors of dyslexia prior to or in lieu of obtaining costly and timely psychoeducational assessments. Although widely available online, the Dyslexia Adult Checklist has yet to be validated. The purpose of this study was to validate this Checklist in a sample of adults with and without dyslexia using both univariate and multivariate statistical approaches. We hypothesised that the Dyslexia Adult Checklist would accurately distinguish between individuals with a self-reported diagnosis of dyslexia (n = 200) and a control group (n = 200), as measured by total scores on the screening tool. Results from our sample found the Dyslexia Adult Checklist to be valid (Cronbach's α = 0.86), and reliable (sensitivity = 76%-91.5%, specificity = 80%-88%). Compared to the originally proposed cut-off score of 45, given the higher sensitivity rate and negative predictive value, we recommend researchers and clinicians use a cut-off score of 40 to indicate possible mild to severe symptoms of dyslexia when using the Dyslexia Adult Checklist.
阅读障碍是一种基于语言的神经生物学和发育性学习障碍,其特征为单词识别不准确、不流畅,解码能力差以及拼写困难。个体在其一生中都可能被诊断为阅读障碍并出现相关症状。诸如《成人阅读障碍检查表》之类的筛查工具,使个体能够在进行昂贵且耗时的心理教育评估之前或代替此类评估,对阅读障碍的常见风险因素进行自我评估。尽管《成人阅读障碍检查表》在网上广泛可得,但尚未经过验证。本研究的目的是使用单变量和多变量统计方法,在有阅读障碍和无阅读障碍的成人样本中验证该检查表。我们假设,通过筛查工具的总分来衡量,《成人阅读障碍检查表》能够准确区分自我报告患有阅读障碍的个体(n = 200)和对照组(n = 200)。我们样本的结果发现,《成人阅读障碍检查表》是有效的(克朗巴哈系数α = 0.86)且可靠的(敏感度 = 76% - 91.5%,特异度 = 80% - 88%)。与最初提议的45分临界值相比,鉴于更高的敏感度和阴性预测值,我们建议研究人员和临床医生在使用《成人阅读障碍检查表》时,采用40分的临界值来表明可能存在的轻度至重度阅读障碍症状。