Reading Disabilities
(11-7-13)
Specific reading disability (dyslexia)
Much interest has focused on reading difficulties in children with at least average intelligence and without "extraneous factors" accounting for their learning problems (sensory acuity deficits, socioeconomic disadvantage, severe emotional-behavioral disorders)--"exclusionary criteria"
They tend to have difficulties in learning basic reading subskills
word identification
phonological (letter-sound) decoding
Vellutino, Fletcher, Snowling, & Scanion (2004) estimate that 10% to 15% of school age children have such problems
Reading: "extracting and constructing meaning from written text for some purpose" (Vellutino et al., p. 5)
word identification: learning to decode print
phonological awareness: recognition that spoken words are built of individual speech sounds (phonemes) and combinations of these sounds (syllables)
phonological coding: using speech codes to represent information in the form of words and parts of words
problem with phonological memoryphonological analysis and alphabetic mapping
orthographic awareness: how letters in written words are organized
poor readers are usually (not always) poor spellers
deficits in general learning abilities have not been supported in terms of explaining dyslexia
Intelligence and reading
deficits in visual perception and visual memory have not been supported in terms of explaining dyslexia
continuing issues and questions
These results primarily pertain to languages such as English
English is described as having an opaque (deep) orthography: many inconsistencies and exceptions in the relationships between letters and sounds
other languages (e.g., German or Italian) show transparent (shallow) orthographies: more consistent mapping between letters and sounds
rhyming skills predicts reading achievement in English but not German or Dutch (where rapid naming accounts for more variance in reading ability)
reading in non-alphabetic languages (Chinese, Japanese) may be associated with multiple deficits, rather than a core phonological deficit
Etiological variables
Neurobiological factors: possible constitutional factors intrinsic to the child
brain structure: left hemisphere
brain function: left hemisphere
genetics
parental history of reading difficulties increases risk of dyslexia approximately 8 times
various reports find 25%-60% of parents of children showing dyslexia having reading problems
concordance rates for identical twins typically greater than 80% for monozygotic twins and below 50% for dizygotic twins
approximately 50-60% of the variance in reading achievement can be accounted for by genetic factors
chromosome 6, 15, 1, 2
genes:
DCDC2 on chromosome 6 has been found to be highly expressed in brain regions used during times of reading, affects neuron migration during development in fetal rats, and about 17% of dyslexics are missing a short stretch of DNA within DCDC2--everyone with this deleltion had dyslexia (Science, 2005, v. 310, p. 759); but, Monaco & Williams failed to find association between DCDC2 and dyslexia in their British population samples.
ROBO1 on chromosome 3 has been linked to dyslexia: reduced ROBO1 activity in 21 dyslexic individuals from large Finnish family, fruit fly version helps shape neural connections between two hemispheres of brain (Science, 2005, v. 310, p. 759)
KIAA0319, a third candidate dyslexia gene, may play role in brain development (Science, 2005, v. 310, p. 759)
environmental interaction
risk for dyslexia appears to be best conceptualized as "continuous", rather an "all or none"
Environmental factors
pre-reading experience
inadequate instruction
Most consistently demonstrated remedial factor has been the amount of instruction in skill area
The method of identification of "dyslexic children", "poor readers", "children with specific reading disabilities" strongly influences the obtained sample and characteristics thereof
Skill discrepancy
Ability discrepancy
Statistical discrepancy
Response to experimental curriculum
Population
Prevalence: Reading problems are the most commonly identified learning disabilities in school age children
Sex Ration: More males than females are identified in most reports
Course: Varies most clearly with severity
milder cases may "disappear" for formal identification
severe cases appear to be more stable
Correlates:
Family histories of academic difficulties
Histories of early speech problems
Histories of early ear infections
Phonological processing difficultiesComorbidity: often associated with other problems
ADD/ADHD
At least part of the comorbidity of Reading Disorder and ADHD appears related to pleiotropic effects of a quantitative trait locus (QTL) on chromosome 6p
pleiotropic: the same genes affect more than one phenotype
: producing more than one genetic effect; specifically : having multiple phenotypic expressions
behavior problems (ODD/Conduct Disorder)
substance use/abuse
Subtyping: highly controversal