Reading Disorders: Causes and Neurological Factors
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Questions and Answers

There is a single mode of inheritance for reading disorders.

False

Protein-coding mutations in the FOXP2 transcription factor gene are associated with sequencing sounds.

True

Small-effect size mutations in the CNTNAP1, ATP2C2, and CMIP genes are associated with reading fluency problems.

False

The majority of children with reading disorders show significant structural brain abnormalities.

<p>False</p> Signup and view all the answers

Right prefrontal brain mechanisms are involved in reading improvement.

<p>True</p> Signup and view all the answers

Children with cerebral palsy and epilepsy have increased rates of general learning disability.

<p>False</p> Signup and view all the answers

There is strong evidence to support the effectiveness of phonological interventions for reading disorders.

<p>True</p> Signup and view all the answers

Parental education level and the range of vocabulary used at home do not affect the development of a child's reading skills.

<p>False</p> Signup and view all the answers

Assessment of preschool children's problems is largely obtained from teachers.

<p>False</p> Signup and view all the answers

Specially adapted cognitive approaches can be helpful for emotional and anxiety disorders in preschool children.

<p>True</p> Signup and view all the answers

DSM-5 and ICD-10 both contain categories for specific developmental disorders.

<p>True</p> Signup and view all the answers

Specific reading disorder, specific spelling disorder, and specific arithmetic disorder are subdivisions of motor skill disorder in DSM-5.

<p>False</p> Signup and view all the answers

It is debatable whether specific developmental disorders should be classified as mental disorders.

<p>True</p> Signup and view all the answers

In ICD-10, specific developmental disorders encompass only motor functions.

<p>False</p> Signup and view all the answers

Children with dyslexia typically have a serious delay in learning to read from the early years of schooling.

<p>True</p> Signup and view all the answers

Errors in reading and spelling for dyslexic children include substitutions or reversals of words or letters.

<p>True</p> Signup and view all the answers

Children with dyslexia usually excel in spelling despite challenges with reading.

<p>False</p> Signup and view all the answers

Arranging for a child to spend part of the day in a high quality playgroup or nursery school can be beneficial.

<p>True</p> Signup and view all the answers

Richman et al. (1982) found that 17% of the children in their study experienced bedwetting at least three times a week.

<p>False</p> Signup and view all the answers

Richman et al. (1982) reported that 5% of children had temper tantrums.

<p>True</p> Signup and view all the answers

The prevalence of psychiatric problems in preschool children reported by Egger and Angold (2006) is around 15%.

<p>True</p> Signup and view all the answers

In the study by Richman et al. (1982), attention-seeking was reported in 10% of the children.

<p>True</p> Signup and view all the answers

Wichstrøm et al. (2012) concluded that more emotional and behavioural disorders were seen in children whose parents lived together.

<p>False</p> Signup and view all the answers

Temper tantrums typically last at least 30 minutes three or more times per week among 5-7% of children between 1 and 3 years of age.

<p>False</p> Signup and view all the answers

Richman et al. (1982) found that about 15% of 3-year-olds had mild behaviour problems.

<p>True</p> Signup and view all the answers

About 11% of the children in the study by Richman et al. (1982) were disobedient.

<p>True</p> Signup and view all the answers

Egger and Angold (2006) reported that ADHD is more common in girls than boys.

<p>False</p> Signup and view all the answers

Richman et al. (1982) used common-sense criteria to decide whether behaviour problems were mild, moderate, or severe.

<p>True</p> Signup and view all the answers

The DSM-5 classification includes specific learning disorder under the category of specific developmental disorder of motor function.

<p>False</p> Signup and view all the answers

The ICD-10 classification of mental and behavioural disorders includes specific speech articulation disorder labeled as speech sound disorder.

<p>False</p> Signup and view all the answers

Specific spelling disorder in ICD-10 is called disorder of written expression in DSM-5.

<p>True</p> Signup and view all the answers

Specific developmental disorders of scholastic skills is the term used in DSM-5 for specific learning disorders.

<p>False</p> Signup and view all the answers

Children with reading comprehension impairment are typically unable to read aloud accurately.

<p>False</p> Signup and view all the answers

Estimates suggest that the prevalence of dyslexia in English-speaking countries ranges from 3% to 10% in school-aged children.

<p>True</p> Signup and view all the answers

A predominant cognitive explanation of dyslexia is that it arises from a phonological deficit, which is a problem in processing the speech sounds of spoken words.

<p>True</p> Signup and view all the answers

Tasks involving rapid automatized naming of familiar objects, such as colours, are ineffective markers for predicting reading problems.

<p>False</p> Signup and view all the answers

Children often have temper tantrums to seek parental attention.

<p>True</p> Signup and view all the answers

Temper tantrums are more likely to occur when the child is excited.

<p>False</p> Signup and view all the answers

The DSM-5 classification includes acquired aphasia with epilepsy under the category of communication disorder.

<p>True</p> Signup and view all the answers

It is usually best to try and remain calm during a tantrum.

<p>True</p> Signup and view all the answers

Children with reading comprehension impairment frequently present to services for their condition.

<p>False</p> Signup and view all the answers

Wakefulness at night is reported by around 50-60% of parents.

<p>False</p> Signup and view all the answers

Bedtime struggles and middle of the night wakings can be a source of conflict and negative emotion among family members.

<p>True</p> Signup and view all the answers

For isolated sleep wakefulness that is not distressing, parents should be reassured that it is likely to improve.

<p>True</p> Signup and view all the answers

Feeding problems can result from a minor disruption in one or more areas during early development.

<p>True</p> Signup and view all the answers

Minor food fads and food refusal are uncommon in preschool children.

<p>False</p> Signup and view all the answers

Feeding disorders of infancy and childhood are associated with significant failure to gain weight.

<p>True</p> Signup and view all the answers

A behavioral approach to sleep disturbances is generally helpful.

<p>True</p> Signup and view all the answers

Study Notes

Reading Disorders

  • There is no single mode of inheritance for reading disorders.
  • Protein-coding mutations in the FOXP2 gene cause problems with sequencing sounds.
  • Small-effect size mutations in genes CNTNAP1, ATP2C2, and CMIP are associated with language impairment.

Neurological Causes

  • The majority of children with reading disorders do not show any structural brain abnormalities.
  • Right prefrontal brain mechanisms are involved in reading improvement.
  • Children with cerebral palsy and epilepsy have increased rates of specific reading disorder.
  • There may be a disorder of brain maturation affecting one or more of the skills needed for reading.

Social Factors

  • The environment plays a crucial role in developing reading skills.
  • Parental education level and the range of vocabulary used at home can affect a child's reading development.

Assessment and Treatment

  • Children with reading disorders are rarely referred to a child psychiatrist.
  • It is important to identify the disorder early.
  • Assessment is carried out by an educational or clinical psychologist using a standardized reading accuracy and comprehension test.
  • Treatment is predominantly done through educational methods.
  • Evidence supports the effectiveness of phonological interventions.
  • There is less evidence for interventions to help reading fluency problems, although repeated oral reading programs can help.
  • There is less evidence for interventions to help reading comprehension impairment.
  • Many sessions of individual teaching or small group teaching can help.
  • If there are additional medical or behavioral problems, these will require separate intervention.

Preschool Children and Their Families

  • Preschool children are acquiring social behaviors, learning to control angry feelings, and becoming less dependent.
  • Many psychological problems at this age are brief and can be thought of as variants in normal development.
  • Most are treated in primary care and by pediatricians.

Prevalence

  • 7% of 3-year-olds have behavior problems of marked severity.
  • 15% of 3-year-olds have mild behavior problems.
  • Temper tantrums, attention-seeking, and disobedience are common behavior problems.

Specific Developmental Disorders

  • DSM-5 and ICD-10 contain categories for specific developmental disorders.
  • Developmental learning, communication, and motor problems can affect children throughout development.
  • Some disorders, when detected and treated early, can be remediated successfully, while others are chronic and require compensatory skills.

Dyslexia

  • Dyslexia refers to a difficulty in learning to decode, leading to poor appreciation of spelling patterns and pronunciation.
  • It is usually diagnosed because of a serious delay in learning to read, evident from the early years of schooling.
  • Writing and spelling are impaired, and in older children, these problems may be more obvious than the reading problems.
  • Errors in reading and spelling include omissions, substitutions, or distortions of words, slow reading, long hesitations, and reversals of words or letters.

Reading Comprehension Impairment

  • Children with reading comprehension impairment show a contrasting pattern, where they are able to read aloud accurately but have difficulty understanding what they have read.
  • These children present less frequently to services as they often go unnoticed.
  • They might experience higher-level language difficulties, including problems with inferencing and figurative language use.

Aetiology of Reading Disorders

  • Reading is a complex skill that depends on more than one psychological process and is learned in several stages.
  • The etiology of reading disorders is varied and depends on genetic and environmental factors.
  • No single cause has been identified for reading disorders.

Genetic Causes

  • The frequent occurrence of reading disorder in other family members suggests a genetic association.

Temper Tantrums

  • Only persistent or very severe tantrums are abnormal.
  • Children often have temper tantrums to get something they want, to avoid something they do not want to do, or to seek parental attention.
  • The immediate affect can be an unwitting reinforcement by excessive attention and inconsistent discipline on the part of the parents.

Sleep Problems

  • The most common sleep difficulty is wakefulness at night, which is most frequent between the ages of 1 and 4 years.
  • About 20% of children of this age take at least an hour to get to sleep or are wakeful for long periods during the night.
  • Bedtime struggles and middle of the night wakings are not only a source of sleep disruption for children and their parents but can also be a source of conflict and negative emotion amongst family members.

Feeding Problems

  • Normal feeding and eating depend on the successful integration of a range of physical functions and interpersonal relationships during early development.
  • Minor disruptions in one or more of these areas can result in a feeding problem in infants and early childhood.
  • Feeding problems become 'Feeding disorders of infancy and childhood' when the problems are persistent (over 1 month in duration) and are associated with significant failure to gain weight.

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Explore the various causes of reading disorders, including genetic and neurological factors that contribute to language impairment and reading difficulties.

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