Subtypes of reading disability: Variability around a phonological core.

Abstract

Eight measures of cognitive and language functions in 232 children were subjected to multiple methods of cluster analysis in an effort to identify subtypes of reading disability. Clustering yielded 9 reliable subtypes representing 90% of the sample, including 2 nondisabled subtypes, and 7 reading-disabled subtypes. Of the reading-disabled subtypes, 2 were globally deficient in language skills, whereas 4 of the 5 specific reading-disabled subtypes displayed a relative weakness in phonological awareness and variations in rapid serial naming and verbal short-term memory. The remaining disabled subtype was impaired on verbal and nonverbal measures associated with rate of processing, including rate and accuracy of oral reading. Studies showed evidence for discriminative validity among the 7 reading-disabled subtypes. Results support the view that children with reading disability usually display impairments on phonological awareness measures, with discriminative variability on other measures involving phonological processing, language, and cognitive skills.