Do dyslexic and other poor readers differ in reading-related cognitive skills?

The rationale for the study was that if dyslexic and garden-variety poor readers differ in reading-related cognitive skills, there is justification for believing dyslexia to be a distinct entity. Subjects were 110 children aged 6 to 10 years, divided into groups of dyslexic poor readers varying in verbal IQ, garden-variety poor readers, and good readers. Findings suggest that there are valid grounds for believing that dyslexia is a separate entity from garden-variety poor reading, and that it is found among children at all verbal IQ levels. Poor phonological awareness and nonword reading, in relation to normal readers, were shared by dyslexic and garden-variety poor readers. Deficits unique to dyslexic poor readers were problems in both automatic visual recognition and phonological recoding of graphic stimuli. The study supports the phonological-core variable-difference model of Stanovich (1988) in that both dyslexic and garden-variety poor readers showed phonological processing deficits, but they were more extensive in dyslexics.     

Dyslexia and the double deficit hypothesis

The double deficit hypothesis (Bowers and Wolf 1993) maintains that children with both phonological and naming-speed deficits will be poorer readers than children with just one or neither of these deficits. In the present study, we drew on this hypothesis to help understand why some children have a serious reading impairment. In addition, by adding an orthographic factor, we extended it to a triple deficit hypothesis. Participants were 90 children aged 6 to 10 years. Dyslexic children, whose reading was low for age and for expected level, garden-variety poor readers, reading-level matched younger children, and low verbal IQ good readers, were compared. The dyslexic group was significantly lower then the garden-variety poor readers and the low verbal IQ good readers on most measures, and lower than the younger group on phonological measures. Findings support the double deficit hypothesis of Bowers and Wolf, and also the triple deficit hypothesis. Most of the poorest readers, nearly all of whom qualified as dyslexic, had a double or triple deficit in phonological, naming-speed, and orthographic skills. Conclusions were that dyslexia results from an overload of deficits in skills related to reading, for which the child cannot easily compensate.     

Developmental dyslexia: Related to specific or general deficits?

The present study was designed to examine the question of whether developmental dyslexia in 12-year-old students at the beginning of secondary education in the Netherlands is confined to problems in the domain of reading and spelling or also is related to difficulties in other areas. In particular, hypotheses derived from theories on phonological processing, rapid automatized naming, working memory, and automatization of skills were tested. To overcome the definition and selection problems of many previous studies, we included in our study all students in the first year of secondary special education in a Dutch school district. Participants were classified as either dyslexic, garden-variety, or hyperlexic poor readers, according to the degree of discrepancy between their word recognition and listening comprehension scores. In addition, groups of normal readers were formed, matching the poor readers in either reading age or chronological age. A large test battery was administered to each student, including phonological, naming, working memory, speed of processing, and motor tests. The findings indicate that dyslexia is associated with deficits in (1) phonological recoding, word recognition (both in their native Dutch and in English as a second language), and spelling skills; and (2) naming speed for letters and digits. Dyslexia was not associated with deficits in other areas. The results suggest that developmental dyslexia, at the age of 12, might be (or might have become) a difficulty rather isolated from deficiencies in other cognitive and motor skills.     

A comparison of reading strategies in genetic dyslexics and children with right and left brain deficits

The reading levels and reading strategies of 43 children with genetic dyslexia, right-hemisphere lesions/dysfunction, and left-hemisphere lesions/dysfunction were retrospectively compared. Age and IQ were comparable. Only children who had a verbal or performance IQ over 90 were included in the study. Although the genetic dyslexics had a significantly higher Full Scale IQ than the other two groups, their reading level was significantly lower. This suggests that a disturbance of the normal processes of neuronal migration during fetal development may have profound effects on specific cognitive processes, without affecting others. In contrast, 50 percent of the boys with left-hemisphere deficits were disabled readers. One-third of the boys with right-hemisphere deficits were also poor readers. With one exception, the girls, who had comparable deficits, were good readers. A comparison was made between the groups in terms of reading strategies and patterns of errors.     

Differentiating the neural response to intervention in children with developmental dyslexia

Developmental dyslexia is associated with functional abnormalities within reading areas of the brain. For some children diagnosed with dyslexia, phonologically based remediation programs appear to rehabilitate brain function in key reading areas (Shaywitz et al., Biological Psychiatry 55: 101–110, 2004; Simos et al., Neuroscience 58: 1203–1213, 2002). However, a non-trivial number of children diagnosed with dyslexia fail to respond to these interventions (Torgesen, Learning Disabilities Research & Practice 15: 55–64, 2000). A cross-sectional fMRI study investigating post-treatment effects was conducted in an effort to better understand differences in brain function between treatment responders and non-responders. Educational testing and brain activation measured after treatment suggested that the reading intervention used in the present study rehabilitated several basic level reading processes in all participants diagnosed with dyslexia. However, activation in the left inferior parietal lobe differentiated treatment responders and non-responders in comparison to non-impaired readers. Children with persistent deficits in single word decoding (treatment non-responders) demonstrated significantly less activation in the left inferior parietal lobe when compared to non-impaired readers.     

An evaluation of the discrepancy definition of dyslexia.

The purpose of this study was to determine whether children with dyslexia, that is, children whose reading levels were significantly lower than would be predicted by their IQ scores, constituted a distinctive group when compared with poor readers, that is, children whose reading scores were consistent with their IQ scores. The performance of children with dyslexia, poor readers, and normally achieving readers was compared on a variety of reading, spelling, phonological processing, language, and memory tasks. Although the children with dyslexia had significantly higher IQ scores than the poor readers, these two groups did not differ in their performance on reading, spelling, phonological processing, or most of the language and memory tasks. In all cases, the performance of both reading disabled groups was significantly below that of nondisabled readers. The findings were similar whether absolute difference or regression scores were used. Reading disabled children, whether or not their reading is significantly below the level predicted by their IQ scores, experience significant problems in phonological processing, short-term and working memory, and syntactic awareness. On the basis of these data, there does not seem to be a need to differentiate between individuals with dyslexia and poor readers. Both of these groups are reading disabled and have deficits in phonological processing, verbal memory, and syntactic awareness.     

Viewing a phonological deficit within a multifactorial model of dyslexia

Participants were administered multiple measures of phonological awareness, oral language, and rapid automatized naming at the beginning of kindergarten and multiple measures of word reading at the end of second grade. A structural equation model was fit to the data and latent scores were used to identify children with a deficit in phonological awareness alone or in combination with other kindergarten deficits. Children with a deficit in phonological awareness in kindergarten were found to be five times more likely to have dyslexia in second grade than children without such a deficit. This risk ratio substantially increased with the addition of deficits in both oral language and rapid naming. Whereas children with one or more kindergarten deficits were at heighten risk for dyslexia, some of these children were found to be adequate or better readers. These results are discussed within a multifactorial model of dyslexia that includes both risk and protective factors.     

Early identification of dyslexia: Evidence from a follow-up study of speech-language impaired children

A group of speech-language impaired children was administered a battery of standardized language tests and measures of phonological processing in kindergarten. Performance on these language measures was then compared to reading ability in first grade. Results indicated that children with semantic-syntactic language deficits had more difficulties in reading than did children with primarily speech articulation impairments. In addition, phonological processing measures were found to be good predictors of reading achievement. Results are discussed in terms of their implications for the early identification of developmental dyslexia. This research was supported by a grant from the Department of Education (HO24U8001).     

Do the effects of computer-assisted practice differ for children with reading disabilities with and without IQ-achievement discrepancy?

This study was designed to assess whether the effects of computer-assisted practice on visual word recognition differed for children with reading disabilities (RD) with or without aptitude-achievement discrepancy. A sample of 73 Spanish children with low reading performance was selected using the discrepancy method, based on a standard score comparison (i.e., the difference between IQ and achievement standard scores). The sample was classified into three groups: (1) a group of 14 children with dyslexia (age M = 103.85 months; SD = 8.45) who received computer-based reading practice; (2) a group of 31 "garden-variety" (GV) poor readers (age M = 107.06 months; SD = 6.75) who received the same type of instruction; and (3) a group of 28 children with low reading performance (age M = 103.33 months; SD = 9.04) who did not receive computer-assisted practice. Children were pre- and posttested in word recognition, reading comprehension, phonological awareness, and visual and phonological tasks. The results indicated that both computer-assisted intervention groups showed improved word recognition compared to the control group. Nevertheless, children with dyslexia had more difficulties than GV poor readers during computer-based word reading under conditions that required extensive phonological computation, because their performance was more affected by low-frequency words and long words. In conclusion, we did not find empirical evidence in favor of the IQ-achievement discrepancy definition of reading disability, because IQ did not differentially predict treatment outcomes.     

Impaired performance of children with dyslexia on a range of cerebellar tasks

It is now thought that the cerebellum is involved in the acquisition of “language dexterity” in addition to its established role in motor skill acquisition and execution. Mild cerebellar impairment, therefore, provides a possible explanation of a range of problems shown by children with dyslexia. The authors have established suggestive evidence in support of this hypothesis in tests of balance and of time estimation. In a further test of the hypothesis, a battery of clinical tests for cerebellar impairment, including tests of muscle tone and of coordination, was administered to matched groups of children with dyslexia and control children aged 10, 14, and 18 years (55 subjects in all). The children with dyslexia showed highly significant impairments on all the cerebellar tests, and significant impairment compared even with reading age controls on 11 of the 14 tasks. Deficits on the majority of tests were among the largest found in our research program. The findings, therefore, provide further intriguing evidence of cerebellar impairment in dyslexia. We speculate that the well-established phonological deficits in dyslexia may arise initially from inefficient articulatory control attributable to cerebellar impairment.     

Electrophysiological correlates of dyslexic subtypes.

The construct validity of Boder's typology of dyslexia was investigated using quantified EEG. Thirty-nine children, ranging in age from 7-0 to 10-11, were recorded during a contextual reading task and at rest. During reading, children with dyslexia were expected to show increased theta and beta amplitude compared to nondisabled readers. These differences were expected in regions of presumed strength for each subtype as a sign of overengagement in task. Children with phonological deficits (dysphonetic dyslexia) were expected to adopt visuospatial processing strategies (right occipital-parietal activation), those with orthographic deficits (dyseidetic dyslexia) to emphasize phonetic strategies (left temporal-parietal activation). Results supported beta frequency differences in anticipated regions by subtype during the reading task. However, the direction of difference hypothesis was not supported. Decreased amplitudes in both groups with dyslexia compared to normally achieving readers suggest reconceptualization of the theoretical base for the Boder subtyping system.     

Developmental dyslexia: Is it different from other forms of reading disability?

A controversy whether developmental dyslexia is qualitatively different from other forms of reading disability has existed among reading specialists for many years. In the present study, the hypothesis that the etiology of dyslexia is different from that of other forms of reading disability because of differences in the components that malfunction was tested. A number of studies have shown that the two components that contribute to a large proportion of variance in reading are decoding and comprehension. It is, therefore, possible that a breakdown of different components could lead to different forms of disabilities. College students who were poor readers were assigned to two groups on the basis of their IQ. Conforming to the traditional criterion of dyslexia, those who had an IQ of 95 and above were considered as dyslexic. Those who had an IQ of 85 or below were placed in the Nonspecific Reading-Disabled group. These two groups of poor readers and a group of normal readers were administered a large number of reading-related tests. It was found that the two reading-disabled groups differed from each other in six of the seven areas assessed. There was very little overlap of scores between the two groups in these areas. The results were interpreted to suggest that poor decoding skill is the etiology of developmental dyslexia and that it differs from other forms of reading disability which are caused by generalized cognitive deficits.     

Reversing letters and reading transformed text in dyslexia: A reassessment

The visual deficit hypothesis of development dyslexia has largely been abandoned because many of the phenomena that initially motivated it could not be replicated under controlled experimental conditions, while phonological processing deficits were found to provide a better explanation for the replicable phenomena. Nevertheless, many teachers and special educators continue to subscribe to the hypothesis that deficits of visual perception are a major cause of reading failure in dyslexia. As part of a larger family study, we reexamined the questions (1) whether probands and affected relatives in dyslexia families reverse easily confused letters more frequently under experimental conditions than normal readers from the same families, and (2) whether they show unusual facility in reading geometrically transformed text. The findings indicated that young dyslexia students reverse easily confused letters more often than normal readers. Reading group differences of letter reversal were significant in children from 7–10 years but not thereafter; and virtually no subject reversed letters when spelling whole words. Furthermore, dyslexic persons in every age group from 7–60 years actually took longer than normal readers to decode geometrically transformed text; and the time to decode transformed texts increased progressively with age after adolescence in both dyslexic persons and normal readers. Thus, reading group differences in decoding easily confused letters and reading geometrically transformed text do not support the visual deficit hypothesis and probably do not help to clarify the etiology of developmental dyslexia.     

Reading development subtypes and their early characteristics

The present findings are drawn from the Jyv?skyl? Longitudinal Study of Dyslexia (JLD), in which approximately 100 children with familial risk of dyslexia and 100 control children have been followed from birth. In this paper we report data on the reading development of the JLD children and their classmates, a total of 1,750 children from four measurement points during the first two school years. In the total sample, we examined whether heterogeneous developmental paths can be identified based on profiles of word recognition and reading comprehension. Secondly, we studied what kind of early language and literacy skill profiles and reading experiences characterize the children with differing reading development in the follow-up sample. The mixture modeling procedure resulted in five subtypes: (1) poor readers, (2) slow decoders, (3) poor comprehenders, (4) average readers, and (5) good readers. The children with familial risk for dyslexia performed on average at a lower level in all reading tasks than both their classmates and the controls, and they were overrepresented in slow decoders subtype. Differences between the subtypes were found in the early language and literacy skill development, as well as in the reading experiences of the reading subtypes.     

Is there a thing called dyslexia?

A controversy whether developmental dyslexia is qualitatively different from other forms of reading disability has existed among reading specialists for many years because poor readers, regardless of the labels attached to them, resemble each other symptomatically (i.e., in reading achievement). For this reason, it is difficult to establish a priori criteria based on symptoms to identify dyslexia and compare it with other forms of reading disability. One possible solution to this impasse is to see if poor readers differ in the etiology of their reading disability and, if they do, then to see whether one group of poor readers fits the traditional definition of dyslexia. This strategy was adopted in the present study. In this paper, it was hypothesized that the etiology of dyslexia is different from that of other forms of reading disability because there is a difference in the components that malfunction in dyslexia and other forms of reading disability. Studies have shown that the two components that account for a large proportion of variance in reading are decoding and comprehension. Previous studies also indicate that dyslexic children are deficient in decoding skills but not necessarily in comprehension. In this study, reading-disabled children were divided into two groups on the basis of their listening comprehension. Children whose listening comprehension was at or above grade level were placed in one group; poor readers with below-grade-level listening comprehension were placed in the second group. Both groups, however, were matched for reading comprehension. The two groups and a control group of normal readers were administered a number of tasks that were designed to assess the efficiency of the components of reading. It was found that poor readers with normal listening comprehension were deficient in tasks that involved grapheme-phoneme conversion (Component I, decoding). When tested on tasks that minimized decoding requirements, their reading comprehension was comparable to that of normal readers. In contrast, the group with sub-average listening comprehension was poor in measures of reading comprehension, even when decoding requirements were minimal. With the exception of very few children, this group also had adequate decoding skills. Because poor readers with normal listening comprehension had average or above average IQ, they conform to the traditional definition of dyslexia. Poor readers with below average listening comprehension had below average IQ and could be considered as “general reading backward.” It was, therefore, concluded that the etiology of developmental dyslexia is different from that of general reading backwardness. In this paper, the termetiology refers to proximal causal factors such as decoding and comprehension and not to distal causal factors such as genetic and neurological characteristics.     

Cerebellar tests differentiate between groups of poor readers with and without IQ discrepancy

A comprehensive test battery, including phonological, speed, motor and cerebellar tasks, was administered to the entire cohort of two schools for children with learning disabilities. Testing was undertaken blind without accessing the psychometric data on the children. Children were then allocated to a discrepancy group on the basis of their IQ, with the majority (n = 29) classified as nondiscrepant (IQ < 90) and a smaller set (n = 7), with IQ of at least 90, classified as discrepant (with dyslexia). Both groups showed significant deficits relative to age-matched controls on almost all the tests. On phonological, speed, and motor tasks, the nondiscrepant group were at least as severely impaired as the discrepant group. By contrast, on the cerebellar tests of postural stability and muscle tone, the nondiscrepant group performed significantly better than the children with dyslexia and close to the level of the controls. The findings indicate that cerebellar tests may prove a valuable method of differentiating between poor readers with and without IQ discrepancy. The findings are interpreted in terms of the cerebellar deficit hypothesis for dyslexia.     

Cross-national comparisons of developmental dyslexia in Italy and the United States

This study was designed to examine whether the phonetic regularity of a language can significantly influence the prevalence and pattern of developmental dyslexia. Demographically matched samples of fifth-grade children in Italy (N = 448) and the United States (N = 1,278) were evaluated to identify children with specific reading disabilities. Reading disabled children with average intelligence were compared to normal controls on a series of neuropsychological tests to evaluate specific cognitive deficits associated with reading disorders in each country. The findings suggested that (a) dyslexia is more prevalent in the United States than in Italy, (b) reading disabilities are strongly associated with disorders of verbal processing in both countries, although some American dyslexics also show visual-motor deficits, and (c) there is a greater dissociation between reading comprehension and decoding in Italian than in English.     

Visual and language processing deficits in compensated and uncompensated college students with dyslexia

In seven experiments, we investigated whether compensated and uncompensated adults with dyslexia show different patterns of deficits in magnocellular visual processing and in language processing tasks. In four visual tasks, we failed to find evidence of magnocellular deficits in either group. However, both groups of adults with dyslexia showed deficits in component language skills, and the degree of reading impairment predicted the nature and extent of these deficits. Uncompensated readers showed deficits in orthographic and especially phonological coding and awareness and were slower on rapid naming. Compensated readers showed word and nonword performance below controls but better than the uncompensated readers. The compensated group was not significantly less accurate than controls on phonological awareness, nor significantly worse overall on rapid naming.     

Cognitive profiles of poor readers of Kannada

The alphasyllabary of Kannada comprises more than 400 symbols called akshara; each symbol is visuo-spatially complex with a consistent representation at the dual levels of the syllable and the phoneme. We investigated reading difficulties in Kannada among 8–12 year old children by conducting a between-groups followed by a case series analysis. We compared the children with reading difficulties with same age competent readers and younger readers who were similar in language level, matched on measures of vocabulary, syntactic processing, and morphological processing. Reading difficulties were characterized by poor akshara knowledge. Concomitant impairments were in syllable and phoneme level phonological skills, in rapid naming and in oral language skills. The case series analysis highlighted the variability of profiles among poor readers with the most common impairments being in akshara knowledge and phonological processing. Sub-groups of poor readers showed additional deficits in oral language, rapid naming, and visual processing skills. Together our findings indicate that the core deficit associated with reading difficulty in the alphasyllabary of Kannada is in the phonological domain. However, accompanying deficits in related skills, including visual processing, can further inhibit reading attainment. The findings from this study support a multifactorial model of reading development.     

Phonological processing deficits in specific reading disability and specific language impairment: same or different?

The aim of this study was to determine if phonological processing deficits in specific reading disability (SRD) and specific language impairment (SLI) are the same or different. In four separate analyses, a different combination of reading and spoken language measures was used to divide 73 children into three subgroups: poor readers with average spoken language (SRD), poor readers with poor spoken language (SRD + SLI) and average readers with poor spoken language (SLI). These groups were compared on five phonological processing measures. The SRD group had deficits in neural representations of phonemes, phoneme discrimination, phoneme awareness and rapid naming. The SRD + SLI group had more severe deficits than the SRD group on half of these measures, as well as phonological short‐term memory. Children with SLI were free from phonological processing deficits. Thus, phonological processing deficits were the same or different in SRD and SLI, depending on how SRD and SLI were defined, and how phonological processing was measured.