OBJECTIVE:To investigate whether attentional difficulties are a "core" feature of developmental Dyslexia. METHODS:Behavioural indices and event related potentials (ERPs) were recorded from 10 dyslexic participants (ages 15.5-17.4) and 10 control participants (ages 14.4-18.3) in the Continuous Performance Task (CPT), an established test of attentional performance. Participants were screened to ensure that none was diagnosable as attention deficit (ADHD). RESULTS:There were no significant differences in mean reaction time, error rate or sustained attention between the groups. By contrast, the P3 amplitude was significantly smaller and its latency significantly longer for the dyslexic group. This component was significantly lateralised in controls, whereas in dyslexics it was symmetrical. CONCLUSIONS:Under the relatively light workload conditions of the CPT, "pure" dyslexic participants showed no behavioural signs of attentional difficulties. The attenuated, delayed and symmetrical ERPs in our dyslexic group may reflect abnormal information processing in the right parietal lobe and abnormal interhemispheric asymmetry in Dyslexia. SIGNIFICANCE:The behavioural data suggest that abnormal attentional performance is not a "core" feature of developmental Dyslexia, and highlight the importance of distinguishing between dyslexic participants with and without ADHD symptoms. The presence of electrophysiological markers of Dyslexia in CPT revealed the atypical brain organisation that characterises "pure" Dyslexia.

译文

目的:探讨注意力障碍是否是发育障碍的“核心”特征。
方法:在持续表现任务(CPT)中记录了来自10个阅读障碍参与者(15.5-17.4岁)和10个对照参与者(14.4-18.3岁)的行为指数和事件相关电位(ERP),这是一项注意力表现的既定测试。筛选参与者以确保没有人可被诊断为注意力不足(ADHD)。
结果:两组之间的平均反应时间,错误率或持续关注没有显着差异。相比之下,阅读障碍者的P3幅度明显较小,潜伏期明显更长。该组件在对照组中明显偏于侧面,而在阅读障碍症中则是对称的。
结论:在CPT工作量相对较小的情况下,“纯粹的”阅读障碍者没有表现出注意困难的行为迹象。阅读障碍组的ERP衰减,延迟和对称可能反映了右顶叶的异常信息处理和阅读困难的半球间不对称。
意义:行为数据表明异常的注意力表现不是发育性阅读障碍的“核心”特征,并强调了区分有和没有ADHD症状的阅读障碍参与者的重要性。 CPT中阅读障碍的电生理标记物的存在揭示了表征“纯”阅读障碍的非典型大脑组织。

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