Claudio Vio

Imagery Deficits in Nonverbal Learning Disabilities

This study reports the observations gathered from 11 children referred to consulting services because of learning difficulties at school and diagnosed with nonverbal learning disabilities (NVLD). These children had an average verbal IQ, but a WISC-R performance IQ lower than the verbal IQ by at least 15 points and experienced difficulties especially in mathematics and drawing. The children completed a battery of four tasks requiring visuospatial working memory and visual imagery: a memory task composed of pictures and their positions (Pictures task), a task that required them to memorize the positions filled in a matrix (Passive Matrix task), a task that required them to imagine a pathway along a matrix (Active Matrix task) and a task that required them to learn groups made up of three words, using a visual interactive imagery strategy (TV task). In comparison to a control group of 49 children, children with NVLD scored lower in all the tasks, showing deficits in the use of visuospatial working memory and visual imagery. By contrasting subgroups of children of different ages in the control group, it was possible to show that some tasks did not show a clear developmental trend. Thus the deficits shown by the children with NVLD cannot simply be attributed to a developmental delay of these children, but seem to reflect a more severe disability.

Efficacy of an Intervention to Improve Fluency in Children With Developmental Dyslexia in a Regular Orthography

The purpose of this study was to examine the efficacy of a method to improve reading fluency in children with dyslexia. The method, which we named “subsyllabic,” was aimed at automatizing the recognition of syllables within words in connected texts, presented by ad hoc software. Two versions of this method—one self-paced and the other one with automatic syllable identification—were compared to a method based on phonemic awareness, assisted reading, and other psycholinguistic exercises. The efficacy of the two versions of the subsyllabic method was further studied by repeating the first version twice and the second version three times using an AB design, with each phase lasting approximately 3 months. This part of the study provided not only follow-up data but also useful information on if and how fluency may change after repeated treatment. Outcomes obtained by a total of 63 children with dyslexia suggested that the subsyllabic method was superior to the control method and that the use of an automatic presentation of target syllables produced better results. Furthermore, we observed that fluency improved approximately at the same rate after each treatment repetition. Our data support the possibility of improving reading fluency at a significant clinical level, at least for regular orthographies. The crucial component of the subsyllabic method seems to be the facilitation of syllable recognition within words in connected texts and the emphasis on their rapid recognition using an automatized procedure.

The Proposed Changes for DSM-5 for SLD and ADHD: International Perspectives—Australia, Germany, Greece, India, Israel, Italy, Spain, Taiwan, United Kingdom, and United States

This article presents an international perspective of the proposed changes to the DSM-5 for learning disabilities (LD) and attention-deficit/hyperactivity disorders (ADHD) across ten countries: Australia, Germany, Greece, India, Israel, Italy, Spain, Taiwan, the United Kingdom, and the United States. We provide perspectives of the present situation for youth with LD and youth with ADHD and describe the legislation, prevalence rates, and educational systems that serve students with disabilities in the respective countries. We also present a discussion of the expected impact of the proposed changes for the diagnosis of LD and ADHD in each country.

The Submerged Dyslexia Iceberg: How Many School Children Are Not Diagnosed? Results from an Italian Study

Background Although dyslexia is one of the most common neurobehavioral disorders affecting children, prevalence is uncertain and available data are scanty and dated. The objective of this study is to evaluate the prevalence of dyslexia in an unselected school population using clearly defined and rigorous diagnostic criteria and methods. Methods Cross sectional study. We selected a random cluster sample of 94 fourth grade elementary school classes of Friuli Venezia Giulia, a Region of North Eastern Italy. We carried out three consecutive levels of screening: the first two at school and the last at the Neuropsychiatry Unit of a third level Mother and Child Hospital. The main outcome measure was the prevalence of dyslexia, defined as the number of children positive to the third level of screening divided by the total number of children enrolled. Results We recruited 1774 children aged 8–10 years, of which 1528 received parents’ consent to participate. After applying exclusion criteria, 1357 pupils constituted the final working sample. The prevalence of dyslexia in the enrolled population ranged from 3.1% (95% CI 2.2–4.1%) to 3.2% (95% CI 2.4–4.3%) depending on different criteria adopted. In two out of three children with dyslexia the disorder had not been previously diagnosed. Conclusions This study shows that dyslexia is largely underestimated in Italy and underlines the need for reliable information on prevalence, in order to better allocate resources both to Health Services and Schools.

Treatment of Specific Developmental Reading Disorders, Derived from Single- and Dual-Route Models

A group of 21 participants with specific reading disorders was treated with a method derived from dual-route models and another group of 23 with a method derived from single-route models of reading. Both treatments were compared with four control treatments. The reading performance of each participant was compared with that of his or her chronological-age controls on the following variables: speed and accuracy of reading passage, isolated words and nonwords, and accuracy in homophone recognition. The treatment deriving from dual-route models produced significant improvements in the homophone recognition, compared to all other treatments. The treatment deriving from single-route models produced significant improvements, compared to all other treatments, in speed of word reading. Furthermore, these two treatments produced significant improvement with respect to all other treatments but one, in speed of nonword reading. These findings support the hypothesis that treatments derived from specific models of reading development are superior to other treatments. However the benefits obtained on the reading of isolated stimuli (words, homophones) did not significantly improve the reading of a passage. This fact suggests that treatments should include exercises involving passages or sentences.

Confronto di efficacia ed efficienza tra trattamenti per il miglioramento della lettura in soggetti dislessici

In questo studio, per la prima volta in Italia, vengono confrontate 8 diverse ricerche sul trattamento della lettura in soggetti dislessici rispetto ai parametri di efficacia ed efficienza. L’efficacia è stata valutata confrontando i cambiamenti nei parametri di velocità e accuratezza della lettura rispetto a quelli attesi senza trattamento. L’efficienza è stata valutata mettendo in rapporto i risultati dell’efficacia con l’intensità e durata del trattamento, misurate rispettivamente in ore al mese e numero di mesi. I trattamenti che sono risultati più efficaci ed anche più efficienti sono quelli che hanno puntato all’automatizzazione del rapporto tra sillabe e corrispondenze fonologiche mediante l’utilizzo di software creato ad hoc, e il trattamento ispirato al Balance Model che fa riferimento diretto anche alle componenti neurofisiologiche del processo di lettura. Nel lavoro si discutono anche le ragioni della minore efficacia degli altri trattamenti e le prospettive future sul recupero della lettura nei soggetti dislessici italiani.

Effects of Simultaneous Auditory Feedback on Reading Accuracy During Reading Development

Five groups of twelve right-handed male children from the second to the sixth grade with normal reading efficiency were tested under three conditions of simultaneous amplified auditory feedback, binaurally, to the left and to the right ear, on reading aboud two separate classes of words, nouns and nonwords. Lateralized feedback was supposed to shift auditory attention towards the source of input and modify as a consequence, the functionality of the contralateral hemisphere. Right ear feedback improved reading accuracy with respect to the control (binaural) or left ear condition in the first three grades. No effect was observed in the fifth grade whereas in the sixth grade, the condition of left ear feedback improved only the reading of nouns. Changes in reading accuracy are interpreted according to an hypothesis of a decrement of the left hemisphere involvement during the course of reading development. These changes are discussed in relation to Friths (1985) psycholinguistic model of reading acquisition.