Meta-linguistic awareness skills in Chinese-speaking children with hyperlexia: A single-case study.

Purpose: The aim of the study is to examine the meta-linguistic awareness skills contributing to reading aloud in a Chinese-speaking child with hyperlexia. Methods: Case study approach was used with one case of hyperlexia (TYH) and two control groups: typically developing (TD) children matched for chronological age (CA) and TD children matched for mental ability (MA). A battery of phonological, morphological, and orthographic awareness skill tests were administered. Results: Results from the modified t-test found that the hyperlexic child did not demonstrate advanced meta-linguistic awareness skills in comparison with the two control groups. On the contrary, TYH's morphological awareness skills were even lower than the CA control group. Also, in the orthographic awareness test, TYH demonstrated weaker knowledge of character structure and components than the two control groups although his ability in the recognition of real words is intact. In addition, the predictability of orthographic awareness skill was comparable to the CA group with predicted score showed no difference to his obtained score, while TYH achieved a significantly higher reading score than what his morphological awareness skills should predict with reference to TD children of similar age; as well as what his phonological awareness skill predict with reference to the MA group. Conclusion: The findings suggest that TYH can achieve advanced reading ability with comparable phonological and orthographic awareness skill, despite his weakness in morphological awareness. It is concluded that the hyperlexic reading in Chinese might be achieved through the direct mapping between the whole character and the sound.

Hong Kong Chinese character psycholinguistic norms: ratings of 4376 single Chinese characters on semantic radical transparency, age-of-acquisition, familiarity, imageability, and concreteness.

Several norms of psycholinguistic features of Chinese characters exist in Mandarin Chinese, but only a few are available in Cantonese or in the traditional script, and none includes semantic radical transparency ratings. This study presents subjective ratings of age-of-acquisition (AoA), familiarity, imageability, concreteness, and semantic radical transparency in 4376 Chinese characters. The single Chinese characters were rated individually on the five dimensions by 20 native Cantonese speakers in Hong Kong to form the Hong Kong Chinese Character Psycholinguistic Norms (HKCCPN). The split-half reliability and intra-class correlations testified to the high internal reliability of the ratings. Their convergent and discriminant patterns in relations to other psycholinguistic measures echoed previous findings reported on Chinese. There were high correlations for semantic radical transparency, imageability and concreteness, and moderate-to-high correlations for AoA and familiarity among subsets of items that had been collected in previous studies. Concurrent validity analyses showed convergence in predicting behavioral response times in various tasks (lexical decision, naming, and writing-to-dictation) when compared with other Chinese character databases. High predictive validity was shown in writing-to-dictation data from an independent sample of 20 native Cantonese speakers. Several objective psycholinguistic measures (character frequency, stroke number, number of words formed, number of homophones and number of meanings) were included in this database to facilitate its use. These new ratings extend the currently available norms in language and reading research in Cantonese Chinese for researchers, clinicians, and educators, as well as provide them with a wider choice of stimuli.

Cognitive assessment and rehabilitation tools for stroke and dementia: An online survey of Russian speaking clinicians.

Our objective was to survey opinions on cognitive assessment and rehabilitation of Russian-speaking clinicians working with stroke and dementia patients. An online survey was circulated to professional communities soliciting feedback from clinicians about methods used for cognitive assessment and rehabilitation; expected cognitive impairments in dementia and stroke; variables affecting the cognitive abilities of patients; and topics presented during psycho-educational initiatives. Forty-eight physicians, 50 psychologists, and 12 speech-language pathologists completed the survey. 96% of participants reported estimating the cognitive abilities of patients while performing diagnostics and treatment in clinical settings. The most popular tools for cognitive assessment were Russian versions of the MoCA, MMSE, Luria Neuropsychological Battery, and Frontal Assessment Battery (FAB). 60% of participants reported the provision of cognitive rehabilitation, and 61% provided psychoeducation. All groups reported that the cognitive reserve and the idiopathic features of a brain lesion were the main factors influencing patients' cognitive profile. In the case of stroke patients, clinicians observed aphasia, as well as impairments in attention, memory, and reasoning. For patients with dementia, memory deficits were coincident with executive/frontal, praxis, and visuo-perceptual impairments. Psychotherapy-related psychoeducation was delivered by most of the clinicians. The captured patterns of clinical practice followed, in part, Russian national guidelines for cognitive rehabilitation and, in part, international protocols, wherein we found some professional group differences in implementation of practice. The profile in approaches to stroke and dementia assessment and rehabilitation reveal a new benchmark for future studies and for the development of policies for neuropsychological assessment and treatment in Russian language.

Electrophysiological evidence of sublexical phonological access in character processing by L2 Chinese learners of L1 alphabetic scripts.

While Chinese character reading relies more on addressed phonology relative to alphabetic scripts, skilled Chinese readers also access sublexical phonological units during recognition of phonograms. However, sublexical orthography-to-phonology mapping has not been found among beginning second language (L2) Chinese learners. This study investigated character reading in more advanced Chinese learners whose native writing system is alphabetic. Phonological regularity and consistency were examined in behavioral responses and event-related potentials (ERPs) in lexical decision and delayed naming tasks. Participants were 18 native English speakers who acquired written Chinese after age 5 years and reached grade 4 Chinese reading level. Behaviorally, regular characters were named more accurately than irregular characters, but consistency had no effect. Similar to native Chinese readers, regularity effects emerged early with regular characters eliciting a greater N170 than irregular characters. Regular characters also elicited greater frontal P200 and smaller N400 than irregular characters in phonograms of low consistency. Additionally, regular-consistent characters and irregular-inconsistent characters had more negative amplitudes than irregular-consistent characters in the N400 and LPC time windows. The overall pattern of brain activities revealed distinct regularity and consistency effects in both tasks. Although orthographic neighbors are activated in character processing of L2 Chinese readers, the timing of their impact seems delayed compared with native Chinese readers. The time courses of regularity and consistency effects across ERP components suggest both assimilation and accommodation of the reading network in learning to read a typologically distinct second orthographic system.

An ERP study of effects of regularity and consistency in delayed naming and lexicality judgment in a logographic writing system.

Phonological access is an important component in theories and models of word reading. However, phonological regularity and consistency effects are not clearly separable in alphabetic writing systems. We investigated these effects in Chinese, where the two variables are operationally distinct. In this orthographic system, regularity is defined as the congruence between the pronunciation of a complex character (or phonogram), and that of its phonetic radical, while phonological consistency indexes the proportion of orthographic neighbors that share the same pronunciation as the phonogram. In the current investigation, regularity and consistency were contrasted in an event-related potential (ERP) study using a lexical decision (LD) task and a delayed naming (DN) task with native Chinese readers. ERP results showed that effects of regularity occurred early after stimulus onset and were long-lasting. Regular characters elicited larger N170, smaller P200, and larger N400 compared to irregular characters. In contrast, significant effects of consistency were only seen at the P200 and consistent characters showed a greater P200 than inconsistent characters. Thus, both the time course and the direction of the effects indicated that regularity and consistency operated under different mechanisms and were distinct constructs. Additionally, both of these phonological effects were only found in the DN task and absent in LD, suggesting that phonological access was non-obligatory for LD. The study demonstrated cross-language variability in how phonological information was accessed from print and how task demands could influence this process.

Taking a Radical Position: Evidence for Position-Specific Radical Representations in Chinese Character Recognition Using Masked Priming ERP.

In the investigation of orthographic representation of Chinese characters, one question that has stimulated much research is whether radicals (character components) are specified for spatial position in a character (e.g., Ding et al., 2004; Tsang and Chen, 2009). Differing from previous work, component or radical position information in this study is conceived in terms of relative frequency across different positions of characters containing it. A lexical decision task in a masked priming paradigm focusing on radicals with preferred position of occurrence was conducted. A radical position that encompasses more characters than other positions was identified to be the preferred position of a particular radical. The prime that was exposed for 96 ms might share a radical with the target in the same or different positions. Moreover, the shared radical appeared either in its preferred or non-preferred position in the target. While response latencies only revealed the effect of graphical similarity, both effects of graphical similarity and radical position preference were found in the event-related potential (ERP) results. The former effect was reflected in greater positivity in occipital P1 and greater negativity in N400 for radicals in different positions in prime and target characters. The latter effect manifested as greater negativity in occipital N170 and greater positivity in frontal P200 in the same time window elicited by radicals in their non-preferred position. Equally interesting was the reversal of the effect of radical position preference in N400 with greater negativity associated with radicals in preferred position. These findings identify the early ERP components associated with activation of position-specific radical representations in the orthographic lexicon, and reveal the change in the nature of competition from processing at the radical level to the lexical level.

Lexical-semantic variables affecting picture and word naming in Chinese: a mixed logit model study in aphasia.

Lexical-semantic variables (such as word frequency, imageability and age of acquisition) have been studied extensively in neuropsychology to address the structure of the word production system. The evidence available on this issue is still rather controversial, mainly because of the very complex interrelations between lexical-semantic variables. Moreover, it is not clear whether the results obtained in Indo-European languages also hold in languages with a completely different structure and script, such as Chinese. The objective of the present study is to investigate this specific issue by studying the effect of word frequency, imageability, age of acquisition, visual complexity of the stimuli, grammatical class and morphological structure in word and picture naming in Chinese. The effect of these variables on naming and reading accuracy of healthy and brain-damaged individuals is evaluated using mixed-effect models, a statistical technique that allows to model both fixed and random effects; this feature substantially enhances the statistical power of the technique, so that several variables - and their complex interrelations - can be handled effectively in a unique analysis. We found that grammatical class interacts consistently across tasks with morphological structure: all participants, both healthy and brain-damaged, found simple nouns significantly easier to read and name than complex nouns, whereas simple and complex verbs were of comparable difficulty. We also found that imageability was a strong predictor in picture naming, but not in word naming, whereas the contrary held true for age of acquisition. These results are taken to indicate the existence of a morphological level of processing in the Chinese word production system, and that reading aloud may occur along a non-semantic route (either lexical or sub-lexical) in this language.

Indices of language outcome 11 years after intrathecal chemotherapy for acute lymphoblastic leukemia: a sibling case-control study.

Studies are emerging that suggest that major language indices do not differentiate children treated for acute lymphoblastic leukemia (ALL) with risk-adapted intrathecal chemotherapy (ITC) from control children matched on age, gender, and educational level. No study to date has controlled for cognitive environment, an important variable influencing language achievement and outcome. This case-control study applies the deconfounding principle by using a sibling as a control to investigate language outcomes in a male child 11 years after administration of ITC for ALL at the age of 2 years 3 months. A comprehensive behavioral language test battery failed to differentiate the siblings on current language performance when descriptively compared, but neurophysiological assessment revealed that the ITC-treated child required more time and elicited a smaller N400 component compared to his sibling during picture-word matching. The findings suggest that in the absence of pretreatment performance indices, comparison with sibling achievement may supplement what is known on posttreatment language skill development drawn from comparative studies using children matched on age, sex, and educational level drawn from the community. The study's findings offer pilot data of language outcomes following ITC beyond the early stage of survivorship. The benefits and limitations of using siblings in research where the cognitive environment is known to make an important contribution to skill development are discussed.