Reading
Why do children with dyslexia struggle to learn similar-sounding words?
Open access · cc by · source: Europe PMC
Children with reading disability had particular trouble telling apart newly learned words that started the same way, and children who also had a language disorder struggled even with dissimilar words and remembered less the next day.
Study at a glance
- Design
- Case-control — Groups defined by reading and language test scores (TD, RD only, RD plus DLD) all learned the same controlled artificial lexicon of eight pseudowords over two consecutive school days; learning analysed with growth curve models and next-day retention with regressions.
- N
- N=152 · 152 third- and fourth-grade children after 15 of 167 were excluded; the split across the three groups is given only in a table not included in the text. A subset of 34 RD-only children was matched to the RD plus DLD group for age and reading.
- Population
- Third- and fourth-grade US children with typical development, reading disability only, or comorbid reading disability and developmental language disorder, assessed before a reading intervention.
- Outcome
- Accuracy in choosing the correct picture for spoken pseudowords across learning blocks on Day 1 and retention blocks on Day 2, separately for cohort (onset-sharing), rhyme and unrelated item pairs.
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Key findings
Compared with typically developing children, children with reading disability learned onset-sharing pairs such as pibu and pibo more slowly relative to unrelated pairs, while rhyming pairs caused them less extra difficulty than for typical readers, suggesting reduced sensitivity to rhyme. Children with both reading disability and language disorder additionally learned unrelated, dissimilar pairs worse than both other groups, pointing to broader word-learning problems. On Day 2, both impaired groups retained cohort and rhyme pairs less well than typical children even after accounting for Day 1 learning, and only the comorbid group also retained unrelated pairs less well. When 34 reading-disabled children were matched to the comorbid group on age and reading level, the retention differences between the two impaired groups were no longer significant.
Methodology
152 children in third or fourth grade were classified as typically developing, as having reading disability only, or as having reading disability plus developmental language disorder, using standard score cut-offs of 85 on reading and language tests. On Day 1 they completed six blocks of 24 trials learning to link eight made-up spoken words (such as pibu, pibo, dibu) to pictures of unusual animals, choosing between two pictures with feedback. Each trial paired the target with a word sharing its onset (cohort), its ending (rhyme), or an unrelated word. On Day 2 they completed two more blocks of 24 trials to measure retention after a period of offline consolidation.
Limitations
There was no group of children with language disorder alone, so the study cannot say whether the comorbid group's broader problems come from the language disorder itself or from a distinct type of comorbid impairment. Sleep was not measured, testing times varied across the school day, and a few children had gaps of more than one day between sessions, so the Day 2 results cannot be firmly attributed to sleep-based consolidation. Only click accuracy was recorded, without eye tracking or brain measures, so lower Day 2 accuracy could reflect either forgetting or increased competition between words. The matched-subgroup analysis suggests some group differences in retention may reflect severity of reading difficulty rather than comorbidity.
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