Abstract
Cognitive flexibility (CF) is an executive function component related to the ability to flexibly shift amongst multiple incompatible perspectives or descriptions of an object task. However, whether CF enhances the narrative discourse comprehension of students with attention-deficit hyperactivity disorder (ADHD) during surface semantic meaning identification remains unclear. This study aimed to examine the impacts of CF on central word (CW) identification amongst primary school students with ADHD and reading comprehension difficulties (i.e. scores in the ≤ 25th percentile of discourse comprehension but with adequate decoding skills and average decoding performance score within one standard deviation). In addition, the association of CF with CW identification performance, when the CW was located in either the first or second half of sentences, was tested with and without the interference of playing music. This study recruited 104 low-CF and 103 high-CF first grade students with ADHD and reading difficulties. Participants received measures of nonverbal intelligence, working memory, Chinese receptive vocabulary, Chinese word reading, CF and a music preference questionnaire. Additionally, participants completed the entire CW identification experiment (about 7 min) individually in a silent classroom located within the school campus. After controlling nonverbal intelligence, working memory, music preference, Chinese receptive vocabulary and Chinese word reading, the results showed that high-CF students had similar poetry discourse comprehension performance with low-CF students when the CWs were at the second half of a sentence. Moreover, high-CF students showed significantly better performance than low-CF students when the CWs were at the first half of the poetry sentences in both conditions with and without music, especially if the poetry sentence structure was more complicated than the typical ‘subject-verb-object’ sequence. All students with ADHD performed significantly worse in poetry discourse comprehension with music interference than without it. The results highlight the importance of CF in poetry discourse comprehension tasks, particularly when a poetry sentence uses a non-typical structure format. The possible effects of CF on poetry discourse comprehension are also discussed.
Similar content being viewed by others
Data availability
All data is available when contacting the corresponding author.
References
Applegate, M. D., Applegate, A. J., & Modla, V. B. (2009). “She’s my best reader; she just can’t comprehend”: Studying the relationship between fluency and comprehension. The Reading Teacher, 62(6), 512–521.
Authors. (2008). Dialogic reading and morphology training in Chinese children: Effects on language and literacy. Developmental Psychology, 44(1), 233–244.
Bai, Y. T. (2013). Exploratory study on receptive content words assessment and reference standards for 3–5 years old children with special needs in Shanghai. (Doctor Dissertation of East China Normal University).
Butterfuss, R., & Kendeou, P. (2018). The role of executive functions in reading comprehension. Educational Psychology Review, 30(3), 801–826.
Cartwright, K. B., Coppage, E. A., Lane, A. B., Singleton, T., Marshall, T. R., & Bentivegna, C. (2017). Cognitive flexibility deficits in children with specific reading comprehension difficulties. Contemporary Educational Psychology, 50, 33–44.
Chow, B. W. Y., McBride-Chang, C., Cheung, H., & Chow, C. S. L. (2008). Dialogic reading and morphology training in Chinese children: effects on language and literacy. Developmental Psychology, 44(1), 233–244.
Dong, Y., Chow, B. W. Y., Wu, S. X. Y., Zhou, J. D., Zhao, Y. M. (2021). Enhancing poor readers’ reading comprehension ability through word semantic knowledge training. Reading & Writing Quarterly, 37(4), 348–364.
Dong, Y., Chow, B. W. Y., Mo, J., Zheng, H. Y. (2022). Dialogic reading with attention-deficit-hyperactivity disorder (ADHD) kindergarteners: Does reading with parents or siblings enhance their language development?. Developmental Psychology.Advance online publication. https://doi.org/10.1037/dev0001466
Duke, N. K., & Pearson, P. D. (2009). Effective practices for developing reading comprehension. Journal of Education, 189(1–2), 107–122.
Gertner, Y., Fisher, C., & Eisengart, J. (2006). Learning words and rules: Abstract knowledge of word order in early sentence comprehension. Psychological Science, 17(8), 684–691.
Goldman, S. R. (2012). Adolescent literacy: Learning and understanding content. The Future of Children, 89–116.
Guajardo, N. R., & Cartwright, K. B. (2016). The contribution of theory of mind, counterfactual reasoning, and executive function to pre-readers’ language comprehension and later reading awareness and comprehension in elementary school. Journal of Experimental Child Psychology, 144, 27–45.
Han, Y. P. (2011). A study on the effect of cognitive style and the pattern-typing of reading-material on digit working memory span. (Master dissertation of Xibei University).
Hevner, K. (1936). Experimental studies of the elements of expression in music. The American Journal of Psychology, 48(2), 246–268.
Hung, C. O. Y., & Loh, E. K. Y. (2021). Examining the contribution of cognitive flexibility to metalinguistic skills and reading comprehension. Educational Psychology, 41(6), 712–729.
Johann, V., Könen, T., & Karbach, J. (2020). The unique contribution of working memory, inhibition, cognitive flexibility, and intelligence to reading comprehension and reading speed. Child Neuropsychology, 26(3), 324–344.
Kamil, M. L., Borman, G. D., Dole, J., Kral, C. C., Salinger, T., & Torgesen, J. (2008). Improving adolescent literacy: Effective classroom and intervention practices. IES Practice Guide. NCEE 2008–4027. National Center for Education Evaluation and Regional Assistance.
Kercood, S., Lineweaver, T. T., Frank, C. C., & Fromm, E. D. (2017). Cognitive flexibility and its relationship to academic achievement and career choice of college students with and without attention deficit hyperactivity disorder. Journal of Postsecondary Education and Disability, 30(4), 329–344.
Kieffer, M. J., Vukovic, R. K., & Berry, D. (2013). Roles of attention shifting and inhibitory control in fourth-grade reading comprehension. Reading Research Quarterly, 48(4), 333–348.
Li, M., Georgiou, G., Kirby, J. R., Frijters, J. C., Zhao, W., & Wang, T. (2022). Reading fluency in Chinese children with reading disabilities and/or ADHD: A key role for morphology. Journal of Learning Disabilities, 00222194221131569.
Locascio, G., Mahone, E. M., Eason, S. H., & Cutting, L. E. (2010). Executive dysfunction among children with reading comprehension deficits. Journal of Learning Disabilities, 43(5), 441–454.
McLeod, A. N., & McDade, H. L. (2011). Preschoolers’ incidental learning of novel words during storybook reading. Communication Disorders Quarterly, 32(4), 256–266.
Monette, S., Bigras, M., & Guay, M. C. (2011). The role of the executive functions in school achievement at the end of Grade 1. Journal of Experimental Child Psychology, 109(2), 158–173.
Moore, B. A. (2013). Propensity for experiencing flow: The roles of cognitive flexibility and mindfulness. The Humanistic Psychologist, 41(4), 319–332.
Nation, K., Clarke, P., & Snowling, M. J. (2002). General cognitive ability in children with reading comprehension difficulties. British Journal of Educational Psychology, 72(4), 549–560.
Niu, W., Cheng, L., Xu, W., Zhang, Q., & Zhang, X. (2021). Improving resilience of a child with ADHD: A context specific intervention program through dialogic and guided reading. International Journal of Disability, Development and Education, 1–18.
Peng, D. H., Liao, Y., & Su, H. (2017). Research on the developmental feature and individual differences of 5 to 6 years old children’s cognitive flexibility. Xueqian Jiaoyu Yanjiu, 268(4), 37–47.
Perfetti, C. A., & Hart, L. (2001). The lexical basis of comprehension skill. On the Consequences of Meaning Selection: Perspectives on Resolving Lexical Ambiguity., 67–86.
Raven, J. C., Court, J. H., & Raven, J. (1995). Raven’s colored progressive matrices. Oxford Psychologists Press.
Rommelse, N. N., Altink, M. E., De Sonneville, L. M., Buschgens, C. J., Buitelaar, J., Oosterlaan, J., & Sergeant, J. A. (2007). Are motor inhibition and cognitive flexibility dead ends in ADHD? Journal of Abnormal Child Psychology, 35(6), 957–967.
Roshani, F., Piri, R., Malek, A., Michel, T. M., & Vafaee, M. S. (2020). Comparison of cognitive flexibility, appropriate risk-taking and reaction time in individuals with and without adult ADHD. Psychiatry Research, 284, 112494.
Samuels, S. J. (2006). Reading fluency: Its past, present, and future, pp. xvii, 302. Fluency Instruction: Research-Based Best Practices (Eds: TV Rasinski, CLZ Blachowicz & K. Lems). The Guilford Press Inc, New York.
Seinfeld, S., Bergstrom, I., Pomes, A., Arroyo-Palacios, J., Vico, F., Slater, M., & Sanchez-Vives, M. V. (2016). Influence of music on anxiety induced by fear of heights in virtual reality. Frontiers in Psychology, 6, 1969.
Sesma, H. W., Mahone, E. M., Levine, T., Eason, S. H., & Cutting, L. E. (2009). The contribution of executive skills to reading comprehension. Child Neuropsychology, 15(3), 232–246.
Snow, C. (2002). Reading for understanding toward an R&D program in reading comprehension. RAND Corporation.
Solis, M., Reutebuch, C. K., Falcomata, T., Steinle, P. K., Miller, V. L., & Vaughn, S. (2021). Vocabulary and main idea reading intervention using text choice to improve content knowledge and reading comprehension of adolescents with autism spectrum disorder. Behavior Modification, 45(1), 66–98.
Spencer, M., Richmond, M. C., & Cutting, L. E. (2020). Considering the role of executive function in reading comprehension: A structural equation modeling approach. Scientific Studies of Reading, 24(3), 179–199.
Stern, P., & Shalev, L. (2013). The role of sustained attention and display medium in reading comprehension among adolescents with ADHD and without it. Research in Developmental Disabilities, 34(1), 431–439.
Stevens, E. A., Vaughn, S., House, L., & Stillman-Spisak, S. (2020). The effects of a paraphrasing and text structure intervention on the main idea generation and reading comprehension of students with reading disabilities in grades 4 and 5. Scientific Studies of Reading, 24(5), 365–379.
Taboada Barber, A., Cartwright, K. B., Stapleton, L. M., Lutz Klauda, S., Archer, C. J., & Smith, P. (2020). Direct and indirect effects of executive functions, Reading engagement, and higher order strategic processes in the reading comprehension of dual language learners and English Monolinguals. Contemporary Educational Psychology, 61, 101848.
Thaler, V., Ebner, E. M., Wimmer, H., & Landerl, K. (2004). Training reading fluency in dysfluent readers with high reading accuracy: Word specific effects but low transfer to untrained words. Annals of Dyslexia, 54(1), 89–113.
Torppa, M., Tolvanen, A., Poikkeus, A. M., Eklund, K., Lerkkanen, M. K., Leskinen, E., & Lyytinen, H. (2007). Reading development subtypes and their early characteristics. Annals of Dyslexia, 57(1), 3–32.
Trabasso, T., & Sperry, L. L. (1985). Causal relatedness and importance of story events. Journal of Memory and Language, 24(5), 595–611.
Vaughn, S., Klingner, J. K., Swanson, E. A., Boardman, A. G., Roberts, G., Mohammed, S. S., & Stillman-Spisak, S. J. (2011). Efficacy of collaborative strategic reading with middle school students. American Educational Research Journal, 48(4), 938–964.
Wang, T. (2005). The preliminary study on music interest of middle school students. (Master Dissertation, Xibei Normal University).
Weyerts, H., Penke, M., Münte, T. F., Heinze, H. J., & Clahsen, H. (2002). Word order in sentence processing: An experimental study of verb placement in German. Journal of Psycholinguistic Research, 31(3), 211–268.
Yang, Y. Y. (2013). A correlational study on Chinese children’s phonological awareness, early reading ability and pinyin level. (Master dissertation of Shandong University).
Yeari, M., & Lev, N. (2021). Processing and memory of central and peripheral ideas in reading comprehension by poor comprehenders. Scientific Studies of Reading, 25(3), 215–233.
Zou, Z., Zhao, W., & Li, M. (2022). The deficit profile of executive function in Chinese children with different types of reading difficulties. Reading and Writing, 35(3), 565–588.
Acknowledgements
We thank the students for their participation in this study.
Funding
The work described in this paper was fully supported by a grant from the Hainan Jiaoyu Planning Office, China (project no. QJY20221002).
Author information
Authors and Affiliations
Contributions
Jianhong Mo, Xuecong Miao and Hao-Yuan Zheng had the same contribution to this paper.
Corresponding author
Ethics declarations
Ethics approval and consent to participate
This project received approval from the ethics committee of Guangzhou University. Consent forms were collected from both participants and their parents.
Consent for publication
All authors agreed to publish this paper without any conflict.
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Dong, Y., Mo, J., Miao, X. et al. Impacts of cognitive flexibility on central word identification: evidence from poor comprehenders’ discourse comprehension of first graders with ADHD. Ann. of Dyslexia 73, 314–335 (2023). https://doi.org/10.1007/s11881-023-00280-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11881-023-00280-w