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LDXXXX10.1177/0022219415613080Journal of Learning DisabilitiesPotocki et al.

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Journal of Learning Disabilities

Linguistic and Cognitive Profiles of 8- to


2017, Vol. 50(2) 128142
Hammill Institute on Disabilities 2015
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DOI: 10.1177/0022219415613080

Reading Comprehension Difficulties: journaloflearningdisabilities.sagepub.com

The Role of Executive Functions

Anna Potocki1, Monique Sanchez2, Jean Ecalle3, and Annie Magnan3,4

Abstract
This article presents two studies investigating the role of executive functioning in written text comprehension in children
and adolescents. In a first study, the involvement of executive functions in reading comprehension performance was
examined in normally developing children in fifth grade. Two aspects of text comprehension were differentiated: literal
and inferential processes. The results demonstrated that while three aspects of executive functioning (working memory,
planning, and inhibition processes) were significantly predictive of the performance on the inferential questions of the
comprehension test, these factors did not predict the scores on the literal tasks of the test. In a second experiment, the
linguistic and cognitive profiles of children in third/fifth and seventh/ninth grades with a specific reading comprehension
deficit were examined. This analysis revealed that the deficits experienced by the less skilled comprehenders in both
the linguistic and the executive domains could evolve over time. As a result, linguistic factors do not make it possible to
distinguish between good and poor comprehenders among the group of older children, whereas the difficulties relating
to executive processing remain stable over development. These findings are discussed in the context of the need to take
account of the executive difficulties that characterize less skilled comprehenders of any age, especially for remediation
purposes.

Keywords
text comprehension, less skilled comprehenders, working memory, executive functions

It is now widely accepted that understanding written texts is However, another line of research suggests that reading
one of the most crucial abilities that children have to acquire comprehension deficits can arise for reasons other than
during their school years. Indeed, deficits in reading com- weaknesses in lower level processes such as word decoding
prehension have detrimental consequences not only for (e.g., Cain & Oakhill, 2004; Stothard & Hulme, 1992).
school attainment but also for future social and professional Indeed, researchers have been able to identify children who
integration. Unfortunately, many students, even at the end experience specific reading comprehension deficits
of secondary school, have not fully acquired this ability (see (S-RCDs) despite possessing adequate decoding skills (e.g.,
Organisation for Economic Co-operation and Development, Catts, Hogan, & Fey, 2003). It is estimated that between 3%
2013). During the past few decades, researchers have and possibly 10% of the school-age population exhibits this
mostly assumed that reading comprehension failures are type of profile (Aaron, Joshi, Gooden, & Bentum, 2008;
largely determined by the inability to read single words Leach, Scarborough, & Rescorla, 2003; Torppa etal.,
(e.g., Shankweiler etal., 1999; Stanovich, 2000). Indeed,
slow or inefficient word reading increases the demands
1
placed on attention and working memory resources, which CeRCA (UMR 7295), University of Poitiers, France
2
in turn leads to difficulties in understanding written texts Henry Gabrielle Hospital, Saint-Genis-Laval, France
3
EMC Laboratory (Etude des Mcanismes Cognitifs), Lyon 2 University,
(e.g., Laberge & Samuels, 1974; Perfetti, 1985). As a result, LabEx Cortex ANR-11-LABX-0042 (Universit de Lyon), France
it is widely acknowledged that the difficulties young read- 4
Institut Universitaire de France
ers experience understanding written texts are mainly due
Corresponding Author:
to inadequately automated decoding processes (e.g., Anna Potocki, University of Poitiers, MSHS Bt. A5, 5 rue Thodore
Roberts, Good, & Corcoran, 2005; Vellutino, Tunmer, Lefebvre, Poitiers, 86000, France.
Jaccard, & Chen, 2007). Email: anna.potocki@univ-poitiers.fr
Potocki et al. 129

2007). This suggests that factors other than efficient word childrens comprehension performance (Beck, Perfetti, &
reading are likely to make a substantial contribution to read- McKeown, 1982). Nonetheless, even if knowledge about
ing comprehension. For instance, S-RCD children com- words is necessary to construct a coherent textbase, it is by
monly display a range of impairments in language-related no means sufficient (Stothard & Hulme, 1992). To under-
(e.g., Cain, Oakhill, & Bryant, 2000; Nation & Snowling, stand texts, children must also acquire knowledge about the
2000; Snchal, Ouellette, & Rodney, 2006) or more gen- syntactic structure of their language; that is, they must know
eral cognitive activities (e.g., Cain, 1999; Cain, Oakhill, & how words are typically organized in a sentence. Syntactic
Bryant, 2004; Swanson, Howard, & Saez, 2006). knowledge could indeed serve as a cue for the construction
Even though a large body of literature has been devoted of meaning by enabling the reader to make certain predic-
to poor readers with certain specific decoding deficits, sig- tions about sentence constructions (Cain & Oakhill, 2007).
nificantly less research has focused on the precise profile As a result, syntactic knowledge is also a good predictor of
exhibited by children with S-RCD. More specifically, little comprehension abilities (e.g., Oakhill, Cain, & Bryant,
is known about their failures at the level of capabilities 2003; Tunmer & Bowey, 1984; Willows & Ryan, 1986). In
related to more general executive functions (but see Cutting, a longitudinal study, Demont and Gombert (1996), for
Materek, Cole, Levine, & Mahone, 2009; Locascio, Mahone, example, demonstrated that syntactic awareness skills in
Eason, & Cutting, 2010; Sesma, Mahone, Levine, Eason, & kindergarten predict later reading comprehension perfor-
Cutting, 2009). In addition, no study to date has investigated mance in second grade. More generally, sentence process-
this research question within a developmental framework. ing could be considered an essential mediatory skill between
The main aim of the two studies presented here is to fill this word recognition and text comprehension (Ecalle, Bouchafa,
gap in the literature by examining in much greater detail the Potocki, & Magnan, 2013).
linguistic and cognitive profiles of children and adolescents Nevertheless, other authors have argued that the compre-
with S-RCD between the ages of 8 and 15 years to extend hension deficits experienced by less skilled comprehenders
our knowledge about reading comprehension failures. are not necessarily constrained by impairments in lower
level skills such as word or sentence processing (Oakhill
Linguistic Skills and Reading etal., 2003). The way in which these factors are involved in
text comprehension may also evolve throughout develop-
Comprehension ment (Cain & Oakhill, 2007; Snchal etal., 2006). The
The construction of a coherent mental representation of the role of lower level skills could indeed decrease as children
situation described in a text (i.e., the construction of the grow older, whereas higher level skills, such as executive
situation model) initially involves more basic processing processes, could become predominant and make it possible
steps at the word and sentence level. To extract information to distinguish between good and less skilled comprehenders
from any text, it is very important to be able to access the among older students (Vellutino etal., 2007).
meanings of words and to possess accurate knowledge
about how these words are organized in a sentence (e.g., Executive Functions and Reading
Nation & Snowling, 2000). As a result, linguistic skills such
as knowledge about the lexical and syntactic aspects of lan-
Comprehension
guage have generally been considered to be important pre- Executive functions are a set of higher order cognitive pro-
dictors of reading comprehension performance (Cain & cesses that allow people to adopt contextually adapted
Oakhill, 2007). behaviors (Diamond, 2013; Pennington & Ozonoff, 1996).
As far as vocabulary is concerned, numerous studies These processes are also involved when people have to con-
have demonstrated that the level of lexical knowledge that front new situations for which they do not possess preexist-
children possess partly determines their text comprehension ing schemes or strategies. It is a multidimensional construct
level (e.g., Cain, Oakhill, & Lemmon, 2004; Oakhill & that has been conceptualized to include different processes
Cain, 2012). Indeed, it seems that too many unknown words such as inhibition, planning, shifting, and working memory
in a text hinder its readers comprehension. Vocabulary is (Brookshire Levin, Song, & Zhang, 2004; Friedman etal.,
therefore viewed as an important predictor of comprehen- 2006; Miyake etal., 2000; Willcutt, Sonuga-Barke, Nigg, &
sion skills in children. Less skilled comprehenders also gen- Sergeant, 2008). These different aspects of executive func-
erally present limited vocabulary skills (Cain & Oakhill, tioning are likely to be involved in text comprehension
2006) or lower quality semantic representations of words (Kendeou, van den Broek, Helder, & Karlsson, 2014).
(Nation & Snowling, 1998). Furthermore, the relationship First, numerous studies have investigated the role of
between vocabulary and language comprehension seems to working memory in reading comprehension (e.g., Cain,
be causal in nature. Indeed, this link has been observed in 2006; Vellutino etal., 1996). Working memory is necessary
longitudinal frameworks, and accordingly, it has been found for the understanding of a text since the information read
that vocabulary training generally leads to improvements in has to be temporarily stored before being updated with the
130 Journal of Learning Disabilities 50(2)

incoming information (Baddeley, 2003; Swanson & other types of poor readers (Cutting etal., 2009; Locascio
OConnor, 2009). Working memory capacities therefore etal., 2010; Sesma etal., 2009). More precisely, S-RCD
appear to be an important predictor of text comprehension children appear to be characterized by a specific planning
skills in both children and adults (e.g., Cain, Oakhill, & deficit (Cutting etal., 2009; Locascio etal., 2010). Thus, it
Bryant, 2004; Hannon, 2012), and less skilled compre- seems possible that each dimension of executive function-
henders generally present poorer memory skills than their ing makes a distinct contribution to reading comprehension
skilled peers (Goff, Pratt, & Ong, 2005; Oakhill, 1994; and that each of these specific contributions clearly needs to
Swanson, 1999; Yuill, Oakhill, & Parkin, 1989). More spe- be examined separately. Nonetheless, few studies (except
cifically, update processing in working memory appears to Locascio etal., 2010) have investigated all executive func-
be particularly important for the understanding of a text tions at a time. The relationships between executive func-
(Carretti, Cornoldi, De Beni, & Roman, 2005; Swanson tions and reading comprehension have also generally been
etal., 2006). Indeed, readers have to update the mental rep- examined at one point in time only. The aim of the present
resentation of the text stored in working memory while the article is therefore to investigate this question within a
text is being processed (Gathercole, Alloway, Willis, & developmental framework by examining the unique contri-
Adams, 2006). bution of several executive skills (working memory, shift-
In the same vein, authors have also explored the relation- ing, planning, and inhibition) to reading comprehension
ships between reading comprehension and inhibition skills. performance in typically developing readers in fifth grade
Kieffer, Vukovic, and Berry (2013), for instance, found that as well as in different subgroups of S-RCD children from
inhibitory control demonstrated unique direct associations third to ninth grade.
with reading comprehension in a population of fourth grad- In addition, previous research in the field of comprehen-
ers. Similarly, other authors showed that weaknesses in cog- sion predictors has highlighted that the contribution of dif-
nitive inhibition were characteristic of individuals with ferent predictors could vary depending on the measures
poor reading comprehension. For example, in adult partici- used to assess comprehension (e.g., Cutting & Scarborough,
pants, Gernsbacher and Faust (1991) observed that less 2006). This phenomenon is also likely to occur when exam-
skilled comprehenders exhibited impaired performance in ining the contribution of executive functions in comprehen-
tasks requiring the suppression of inappropriate meanings sion. For instance, Cutting etal. (2009) have shown that
of ambiguous words or homophones. Studies conducted in executive functions are differentially involved in the vari-
children (e.g., Barnes, Faulkner, Wilkinson, & Dennis, ous tests they used to assess reading comprehension. Using
2004; De Beni & Palladino, 2000) confirmed this idea. the fourth edition of the Gray Oral Reading Test (Wiederholt
Using a sentence-completion task, Cain (2006) found that & Bryant, 2000), these authors observed that executive
9- to 10-year-old poor comprehenders were less able than functioning explained a significant 7% of variance in com-
their skilled peers to inhibit words that were no longer rel- prehension, whereas the amount of variance contributed by
evant for the purpose of the task. Pimperton and Nation executive functions was not significant when using the pas-
(2010) reached the same conclusion and additionally sug- sage comprehension subtest of the Woodcock Reading
gested that the observed inhibition deficits were likely to be Mastery Test, revised NU (Woodcock, 1998). This finding
specific to the verbal domain. led these authors to conclude that measures of comprehen-
While the literature on the relationships between work- sion might vary significantly in their executive demands. In
ing memory and comprehensionand, to a lesser extent, the same vein, Eason, Goldberg, Young, Geist, and Cutting
between inhibition and comprehensionis relatively exten- (2012) found a stronger link between planning and organiz-
sive, fewer studies have investigated the connection ing skills and more complex texts (i.e., expository) and
between reading comprehension and other kinds of execu- comprehension questions (i.e., inferential) than between
tive processing such as planning and shifting skills. these skills and simple texts (i.e., narrative) or comprehen-
Nonetheless, all types of executive functions can be consid- sion questions (i.e., literal). Thus, the present study sought
ered to be involved in text comprehension (Kendeou etal., to address this issue by examining the contribution of these
2014). Indeed, understanding a text might, to some extent, four aspects of executive functioning in different types of
require predicting what happens next in a story (e.g., for- tasks and the way they called on either literal or inferential
ward inferencing), a process that could be linked to plan- comprehension processes.
ning skills. As a function of the newly read information, it
might also be necessary to modify the situation model
Aims of the Current Studies
(Fletcher, Lyon, Fuchs, & Barnes, 2007), a process that may
be based on shifting skills. The results of the few studies The main objective of the two studies presented here was to
that have investigated this issue have therefore shown that examine in much greater detail the involvement of execu-
less skilled comprehenders tend to exhibit deficits in these tive functioning in reading comprehension, both in typi-
executive skills compared to both age-matched controls and cally developing readers and in children with S-RCDs. In a
Potocki et al. 131

first study, we investigated the predictive power of execu- the comprehension of the text as a whole but required only
tive functions in written text comprehension performance in literal comprehension processes. On the other hand, two
typical readers at the end of primary school, that is, when tasks (multiple-choice and true/false questions) included
children are supposed to have reached fluency in word questions that required inferential processing (i.e., the inte-
decoding (Verhoeven, van Leeuwe, & Vermeer, 2011), after gration of the readers background knowledge with textual
controlling for classical linguistic predictors of comprehen- information) to be correctly answered. Two composite
sion such as written word identification, vocabulary, and scores had thus been calculated: The first one (comprising
syntactic skills. In this study, we also differentiated between the scores from the title-choice, summary-choice, and state-
two types of processes involved when understanding a text, ment-choice tasks) accounted for childrens literal compre-
namely, literal and inferential comprehension processes. It hension abilities, and the second (comprising the scores
was indeed hypothesized that executive functions would from the multiple-choice and the true/false questions)
make a greater contribution to the comprehension tasks tap- accounted for their inferential competencies. The instruc-
ping inferential processes than those tapping literal pro- tions for the tasks were read by the children and were also
cesses. In a second experiment, we report the results of a explained orally by the experimenter. Reliability for these
cross-sectional study in S-RCD children in third/fifth and two sets of tasks, assessed by calculating Cronbachs alpha
seventh/ninth grades that allowed us to examine the devel- over items, were adequate at = .66 for the literal tasks and
opmental changes in the linguistic and cognitive profiles = .65 for the inferential ones.
exhibited by these children and adolescents. Although we
hypothesize that typical readers will outperform children Word reading.A reading speed standardized test
with S-RCDs on all the administered measures (at both the (Khomsi, Pasquet, Nanty, & Parbeau-Guno, 2005) was
linguistic and the cognitive levels), we expect these differ- used to assess childrens word-reading abilities. This test
ences to evolve over development. Linguistic skills are consists of 150 words divided into six tables of 25 words
indeed likely to explain differences between good and less each. The children had 2 min to read the words to them-
skilled younger comprehenders, whereas other abilities selves line by line as fast as possible and to cross out the
involving more general cognitive measures, such as execu- words that they thought were misspelled. There were three
tive functioning, are likely to make it possible to distinguish types of items: correctly spelled words (e.g., demain [tomor-
between these two groups among older children. row]), pseudo-words (e.g., tantour), and orthographically
incorrect homophones (e.g., demin [tomorow]). A compos-
ite score taking account of both the number of words read
Study 1 and the number of items correctly identified as misspelled
Method was calculated.

Population.A total of 162 fifth graders took part in this Vocabulary. The French version of the Peabody Picture
study. These children were attending different urban and Vocabulary Test (Dunn, Theriault-Whalen, & Dunn, 1993)
suburban schools located in the east of France. The mean was used to measure childrens receptive vocabulary skills.
age of the participants was 131.5 months (SD = 3.68 Ninety-five items adapted for use with 9- to 10-year-old
months). Children who had a previous diagnosis of mental children were administered. In this task, the children had to
retardation, cognitive impairments, behavioral problems, point to a picture representing a word spoken by the experi-
attention disorders, or language difficulties were excluded menter among four possible black-and-white drawings.
from the analyses. In addition, these participants did not One point was awarded for each correct response.
have any known neurological, visual, or hearing impair-
ment; were not receiving treatment for any psychiatric dis- Sentence comprehension.To measure this, we used a
order; and were not attending speech therapy out of school. standardized test of sentence comprehension (preuve de
Finally, all were native speakers of French. Comprhension Syntaxico-Smantique; Lecocq, 1998)
designed for children ages 4 to 12 years. In this task, the
Material children had to choose, from a set of four possible pictures,
Reading comprehension.Reading comprehension skills the one that represented a sentence read aloud once by the
were measured using an experimental task inspired by the experimenter. To give their answer, the children had to cir-
French book La rdac (Reberg, 2003). In this task, children cle the number of the picture corresponding to the sentence
first read a narrative to themselves (522 words) and then they had just heard on their own individual response sheet.
performed a series of five tasks. These tasks could be dif- The sentences were of different syntactic complexity, rang-
ferentiated on the basis of the comprehension processes that ing from simple syntagms to more complex relative clauses.
are required to perform them. As a result, three tasks (title- Fifty-six items were administered. One point was awarded
choice, summary-choice, and statement-choice) needed for each correct response.
132 Journal of Learning Disabilities 50(2)

Nonverbal reasoning.The Raven Coloured Progressive Table 1. Descriptive Statistics for Study 1 Measures.
Matrices (Raven, 1998) were used to assess the childrens
Measure M SD Minimum Maximum
nonverbal reasoning skills. In this task, the children had to
correctly identify a missing element that completes a pat- Vocabulary 129.2 12.6 84 153
tern. The test consisted of 36 items. One point was awarded Nonverbal 32.4 2.5 24 36
for each correctly identified missing part. intelligence
Word reading 110.3 17.3 65 152
Working memory. An experimental n-back task was used Sentence 51.5 2.8 41 56
comprehension
in this experiment to assess childrens working memory
Planning 15.9 1.9 9 20
capabilities. In this task, the children had to decide whether
Shifting 48.0 24.8 5 192
a letter presented on a screen (rate of one letter every 2 s)
Inhibition 24.4 6.7 6 43
was identical to the letter presented two steps previously. Working memory 17.0 2.4 6 20
Two examples were presented first. One point was awarded Literal 7.2 2.3 2 11
per correct response. The maximum was 20. Reliability, comprehension
assessed by calculating Cronbachs alpha over items, was Inferential 14.6 2.6 8 21
adequate at = .68. comprehension

Planning. We used the Tower subtest from the Bilan neu-


ropsychologique de lenfant (NEPSY) neuropsychological Procedure. Several tasks were administered to the children
test battery (Korkman, Kirk, & Kemp, 2003) to measure collectively in their usual classroom or in another room in
childrens planning skills. This test consisted of 20 trials. their school: The reading comprehension tasks, the written
On each trial, the children had to reproduce a given position word identification task, the sentence comprehension task,
by moving three colored disks a specified number of moves and the nonverbal reasoning task. These tests were adminis-
within a limited time. One point was awarded if the children tered during two sessions lasting approximately 30 min
reproduced the correct position in the specified number of each. The other measures (vocabulary, working memory,
moves. The task ended after four consecutive failures. shifting, inhibition, and planning) were administered indi-
vidually in sessions lasting approximately 45 min.
Inhibition.The Stroop test (Albaret & Migliore, 1999)
was used to investigate childrens inhibitory capabilities.
Results
This version of the test was suitable for use with children
ages 7.6 to 15.5 years. This test was composed of four con- Descriptive statistics for all the administered measures are
ditions. In the first condition, the children had to name in a presented in Table 1. Table 2 presents the correlations
limited time (45 s) color names (green, yellow, red, blue) between all the measures. We observed significant correla-
written in black uppercase. In the second condition, they tions between the inferential comprehension measure and
had to name in 45 s color names written in the correspond- all the other tasks. It is worth noting that for this measure,
ing ink color (e.g., red written in red). In the third condition, relatively strong correlations are observed with two specific
the children had a limited time to name the color of small aspects of executive functioning, namely, working memory
rectangles. Finally, in the last condition, they had to name in (r = .45) and planning (r = .40). In comparison, the correla-
45 s the ink color (green, yellow, red, blue) of color names tions between the literal comprehension measure, the word-
written in uppercase. Although the entire test was adminis- reading task, and the measures of executive functioning
tered, our analyses took account of only the last condition. were lower (r = .24 between planning and word reading; r =
.28 between working memory and word reading) or even
Shifting. To assess childrens shifting abilities, we admin- nonsignificant (in the case of shifting and inhibition skills
istered the Trail Making Test (Reitan & Wolfson, 1993). In for word reading; in the case of inhibition skills for literal
the first two control conditions, the children had to connect comprehension). Surprisingly, the correlations between the
numbers from 1 to 25, then letters from A to Y. Although the four executive functions were quite low (and were even
entire test was administered, we used only the third indica- nonsignificant with the inhibition task). This result, how-
tor in the analyses. This indicator referred to the childrens ever, has already been reported in previous studies (see,
ability to switch between connecting numbers and letters in e.g., Kieffer etal., 2013; Miyake etal., 2000). These weak
a sequence (i.e., 1, A, 2, B, 3, C, etc.). The dependent vari- associations across the executive function tasks make it
able was the time taken to perform this third task after con- necessary to examine each executive function individually
sidering the time taken to complete the previous two tasks as a potential predictor of reading comprehension.
in the test (which consisted solely of connecting the num- To investigate the predictive role of the different factors
bers in ascending order or the letters in alphabetical order). evaluated in this study in the two aspects of reading
Potocki et al. 133

Table 2. Correlations Between All Study 1 Measures.

Measure 1 2 3 4 5 6 7 8 9 10
1. Vocabulary
2. Word reading .16
3. Sentence comprehension .35 .10
4. Planning .35 .24 .17
5. Shifting .28 .09 .24 .25
6. Inhibition .19 .05 .04 .03 .15
7. Working memory .34 .28 .28 .45 .24 .03
8. Literal comprehension .38 .39 .30 .35 .18 .06 .40
9. Inferential comprehension .28 .45 .26 .40 .19 .16 .45 .45
10. Nonverbal intelligence .28 .30 .29 .34 .22 .09 .39 .33 .29

Note. Correlations in bold are significant at p < .05.

comprehension performance (namely, literal and inferential Table 3. Results of the Multiple Regression Analyses With
comprehension), we conducted two successive multiple Two Types of Comprehension Tasks as the Dependent
regression analyses with, as the dependent variable, (a) the Variables.
scores for the literal tasks and (b) the scores for the inferen- Independent
tial tasks. All the other measures were considered indepen- variable t(153) p sr2
dent variables. The rationale here was to investigate the
a. Dependent variable: Literal tasks of the
predictive role of executive functioning in these two types
comprehension test
of task (literal vs. inferential) after taking into account the Written word .27 3.76 .000 .14
variance explained by other comprehension-related factors identification
such as written word identification, vocabulary, and sen- Vocabulary .22 2.73 .007 .02
tence comprehension. To examine whether the contribution b. Dependent variable: Inferential tasks of the
of executive functions was specific (or not) to the compre- comprehension test
hension component of reading, we also conducted a third Written word .34 4.90 .000 .09
regression analysis whose dependent variable was the score identification
on the word-reading task. Prior to these analyses, we first Working memory .23 2.99 .003 .04
screened the data for homogeneity of variance, homosce- Planning .17 2.22 .020 .02
dasticity, and linearity using standard approaches Inhibition .15 2.19 .020 .02
(Tabachnick & Fidell, 2001). These preliminary analyses Note. sr2 = squared semipartial correlation.
revealed no significant problems in the data distributions.
For the literal tasks of the comprehension test, the final
model obtained, F(8, 153) = 9.66, p < .0001, was composed calculated (see Table 3, Panel b) to examine the unique vari-
of two significant predictors, namely, word reading and ance predicted by each of them. This analysis revealed that
vocabulary, and accounted for 30% of the total variance (see while word identification accounted for 9% of unique vari-
Table 3, Panel a). Squared semipartial correlations for each of ance, executive functioning tasks also a unique part of vari-
the significant predictors were then calculated (see Table 3, ance, namely, 4% for the working memory measure, and
Panel a) to examine the unique variance predicted by each 2% each for the planning and inhibition tasks.
independent variable after intercorrelations between the other Finally, the third regression analysis, whose dependent
independent variables in the regression had been taken into variable was performance on the word reading task, revealed
account. This analysis revealed that word identification that none of the executive tasks explained a significant part
accounted for 14% of unique variance and vocabulary 2%. of the variance in this task. Only the nonverbal reasoning
For the inferential tasks of the comprehension test, the task provided a significant explanation for 9% of the vari-
final model obtained, F(8, 153) = 11.86, p < .0001, was ance, F(8, 153) = 3.49, p < .01.
composed of four significant predictors and accounted for
35% of the total variance (see Table 3, Panel b). Except for
the word-reading task, these predictors were mainly com-
Discussion
posed of executive functioning tasks (i.e., planning, inhibi- This first experiment confirms that executive functions are
tion, and working memory). Squared semipartial involved in reading comprehension in normally developing
correlations for each of the significant predictors were then children. In line with recent research (e.g., Kieffer etal.,
134 Journal of Learning Disabilities 50(2)

2013; Sesma etal., 2009), the results obtained here revealed texts, especially when it comes to describing deeper com-
that executive factors still explained a unique part of the prehension processes such as inferencing. But it also
variance in narrative comprehension after controlling for appears essential to look at the specific contribution of
well-known linguistic predictors of reading comprehension executive functions to comprehension within a develop-
performance in children such as word reading skills, vocab- mental framework. Indeed, given that executive functions
ulary knowledge, and sentence comprehension abilities. continue to develop throughout childhood and adolescence
However, we also observed that not all types of comprehen- (Asato, Sweeney, & Luna, 2006; Brocki & Bohlin, 2004;
sion tasks or comprehension questions lead to significant Gathercole, Pickering, Ambridge, & Wearing, 2004;
involvement of executive functions. Consistent with the Yurgelun-Todd, 2007), it seems probable that their role will
results obtained by Eason etal. (2012), we indeed observed evolve with age. For example, previous research has dem-
that only the tasks implying higher level comprehension onstrated that the involvement of lower level skills in com-
processes (i.e., inferential questions) recruited executive prehension (e.g., decoding or vocabulary) decreases as
skills. In contrast, the tasks tapping more literal processing children get older, whereas the role of higher level skills
of the text were predicted by linguistic factors only (i.e., (e.g., working memory; see Seigneuric & Ehrlich, 2005)
word decoding and vocabulary). In line with previous becomes increasingly predominant (e.g., Oakhill etal.,
research in the field (e.g., Cain & Oakhill, 2014; Cutting 2003; Snchal etal., 2006; Torgesen, Wagner, Rashotte,
etal., 2009; Cutting & Scarborough, 2006), these results Burgess, & Hecht, 1997; Vellutino etal., 2007). As a result,
highlight the necessity of differentiating between different executive functioning might become increasingly involved
types of processes involved in comprehension when exam- in text comprehension over development and, more specifi-
ining the role of different comprehension predictors. cally, play an ever-greater role in reading activities. The
In addition, the present results seem to suggest that not main objective of our second study, therefore, was to
all executive skills are involved to an equal extent in text address this issue in a specific population, namely, less
comprehension. Whereas working memory, planning, and skilled comprehenders from 8 to 15 years of age.
inhibition skills all explained a fairly similar unique part of
the variance in comprehension (between 2% and 4%), the
multiple regression analyses did not reveal any significant Study 2
involvement of shifting abilities. This result is not consis-
Method
tent with those obtained by Kieffer etal. (2013). Indeed,
these latter researchers have demonstrated that shifting Population. A total of 259 children attending different school
(evaluated by the Wisconsin Card Sorting Test) is directly grades took part in this study. Our initial sample consisted of
and indirectly (via aural language comprehension) related 48 students in Grade 3, 40 students in Grade 5, 104 students in
to reading comprehension in typical fourth graders. It is Grade 7, and 67 students in Grade 9. Thirty-one S-RCD chil-
worth noting, however, that flexibility skills might be par- dren were then selected based on their performance on a read-
ticularly closely associated with working memory capabili- ing comprehension test and a word-decoding measure (see
ties (and more specifically with updating skills as they have below for a description of these two tasks). An analysis of
been evaluated with the n-back task used in the present deviance was used as the basis for this selection with z-scores
study) and that this association might have partly masked less than 1.3 as a cutoff, which corresponds to the 10th per-
the involvement of flexibility in reading comprehension. centile. The children who were selected were those presenting
The role of shifting in comprehension therefore needs to be a deficit in the reading comprehension test (as evidenced by a
further investigated, and it might be preferable for future deficit in their z scores) but who achieved average perfor-
studies to employ a working memory task that does not mance on the word-reading task. These children had no
involve an updating process. This is exactly what we did in known diagnosis of other cognitive disorders such as mental
Study 2. More generally, the question of the assessment of retardation, behavioral problems, or attentional difficulties.
executive functioning is of particular interest. Indeed, it is They also did not present any visual or hearing impairments.
often difficult to find a task that specifically evaluates one For the subsequent analyses, the selected children were then
type of executive processing. It might also be possible for divided into two groups: the younger poor comprehenders
future research to use different tests to assess one specific (Grades 3 and 5 children; n = 13) and the older poor compre-
function and then construct latent variables to establish henders (Grades 7 and 9 children; n = 18).
relationships between them (Brocki & Bohlin, 2004;
Huizinga, Dolan, & van der Molen, 2006). Material. To compare the S-RCD childrens performance with
Taken together, these findings suggest that models of the norm for chronological agematched controls, we used
reading comprehension should attempt to accommodate standardized tests in Study 2, except in the case of reading
more dimensions of executive functioning to account for comprehension, word recognition, and comprehension moni-
the component skills involved when understanding written toring. To assess these skills, we used three experimental tasks
Potocki et al. 135

for which data have been previously collected in a large sam- neither fast nor noisy, The snail is slow but not noisy)
ple of typical readers of the same grade level as each of the or not the same thing at all (e.g., The rabbit eats the rat,
four experimental groups. The rabbit is eaten by the rat). Forty-eight pairs of sen-
tences were administered. A weighted score representing
Reading comprehension. Two narratives were presented to the difference between the correct responses (hits: response
assess the childrens text comprehension skills (see Potocki, expected yes/response obtained yes) and errors (false
Bouchafa, Magnan, & Ecalle, 2014, for the psychometric alarms: response expected no/response obtained yes)
properties of this test). This task was presented on a com- was calculated.
puter screen. After having read the text to themselves, the
children answered a series of 12 multiple-choice questions. Comprehension monitoring. To determine whether the chil-
For each question, three possible responses were presented, dren were able to monitor their own comprehension, we asked
and the children had to click on the response they thought them to judge their own comprehension of the texts they had
was correct. The questions included both literal and inferen- just read on a 5-point Likert-type scale (range from completely
tial processes. We distinguished between two types of infer- understand the text to not understand the text at all).
ences (Cain & Oakhill, 1999; Potocki, Ecalle, & Magnan,
2013): those that make it possible to connect successive Working memory. The Letter-Number Sequencing sub-
textual statements to establish causal or referential relation- test from the fourth edition of the Wechsler Intelligence
ships (text-connecting inferences) and those that require the Scale for Children (Wechsler, 2003) was used to assess
inclusion of general knowledge about the world to construct the childrens working memory capabilities. In this task,
a coherent representation of the text as a whole (knowledge- the children heard randomized sequences of letters and
based inferences). The maximum score was 24. numbers together and were asked to repeat them, first in
numerical order and then in alphabetical order. The number
Decoding. Decoding skills were measured using a com- of items to be recalled in each list grew from trial to trial.
puterized task in which the children had to decide whether One point was awarded for each correct response. The test
a pair of written items (a word and a pseudo-word) could be stopped after three failed attempts on the same item.
pronounced in the same way (e.g., cat, kat) or not (e.g., cat,
dat). The children had only 2 min to perform the task. The Planning. The Clocks subtest from the NEPSY II (Kork-
dependent variable was the number of correct responses man, Kirk, & Kemp, 2007) was used. This subtest is
given in 2 min. Reliability, assessed by calculating Cron- designed to assess childrens planning and organization
bachs alpha over items, was high at = .93. skills. For each item, the children had to draw a picture of a
clock and afterward place the clock hands where the experi-
Vocabulary.Vocabulary knowledge was assessed using menter asked them to place them.
a task extracted from a standardized French test (preuve
verbale daptitudes cognitives [EVAC]; Flessas & Lussier, Shifting. The Animal Sorting subtest from the NEPSY II
2003) in which children had to retrieve a word from its (Korkman etal., 2007) was used to assess childrens abil-
given definition. They were also given the first letter of the ity to generate categories, to transfer those categories to
word as a clue to retrieve the expected word. For example, actions, and to shift from one category to another. In this
the children had to find the word scissors from the defini- timed task, the experimenter first presented a set of eight
tion s___ are a cutting instrument for paper, clothes, etc. drawing cards representing animals in different contexts.
One point was awarded for each correct word. The maxi- The cards could differ on several features such as color and
mum score was 16. number of animals on a card. The children then had to sort
these cards into two groups of four cards each using their
Syntactic knowledge. Syntactic knowledge was assessed own sorting criteria. The experimenter then asked the chil-
using a test taken from the French EVAC battery (Flessas dren to apply a new classification to form two new four-
& Lussier, 2003). In this task, the children had to fill in a card categories. The children had 360 s to form as many
missing word in a sentence, for example, ___ I were rich, I categories as they could. One point was awarded for each
would travel a lot. This word could be a pronoun, a prepo- correct (and unique) category.
sition, a conjunction, or an adverb. Twelve sentences were
administered, and the children were awarded one point for Inhibition.The Inhibition subtest from the NEPSY II
each correct response. The maximum score was 12. (Korkman etal., 2007) was used to assess the childrens
inhibition skills. This timed subtest is designed to assess
Sentence comprehension.In this task (see Ecalle etal., childrens ability to inhibit automatic responses in favor of
2013), the children had to decide whether two orally pre- novel responses. The children looked at a series of black-
sented sentences meant the same thing (e.g., The snail is and-white shapes or arrows and named either the shape or
136 Journal of Learning Disabilities 50(2)

Table 4. Means and Standard Deviations for the Two Groups of S-RCD Children in Study 2 for All Administered Measures.

Measure Young S-RCDa M (SD) Old S-RCDb M (SD)


Vocabulary 4.1** (3.1) 10.7 (2.9)
Syntactic knowledge 3.6** (1.8) 9.4 (1.8)
Sentence comprehension 5.6** (4.1) 14.5 (4.7)
Comprehension monitoring 2.8 (0.7) 3.3 (0.5)
Working memory 3.9** (2.7) 5** (3.4)
Planning 6.8** (3.1) 7.6* (3.3)
Shifting 7.1** (2.8) 8.7* (2.1)
Inhibition 5.5** (3.5) 6.8* (3.6)

Note. Significant differences from the norm as calculated using one-sample t tests are presented in bold. S-RCD = specific reading comprehension
deficit.
a
Grades 3 and 5, n = 13. bGrades 7 and 9, n = 18.
Significant difference: *p < .05. **p < .01.

the direction or an alternative response, depending on the comprehension, t(12) = 4.21, p = .001, d = 1. They also
color of the shape or arrow. In the first task (denomina- achieved lower scores on all the measures of executive func-
tion), the children had to name the shape/direction of the tions: working memory, t(12) = 8.14, p < .001, d = 2.26;
arrow based on what they saw. In the second task (inhi- planning, t(12) = 3.6, p = .003, d = 1; shifting, t(12) = 3.59,
bition), they had to name the shape/direction that was p = .004, d = 1; and inhibition, t(12) = 4.61, p < .001, d =
the opposite of what they saw. Finally, in the third subtest 1.28. Among the group of older students (seventh and ninth
(change), they had to name the correct shape/direction grades), the performance of the S-RCD children did not dif-
when the arrow was black and the opposite shape/direction fer significantly from the norm on any of the linguistic mea-
when it was white. The dependent variable was a composite sures: vocabulary, t(17) = 1.53, ns; syntactic knowledge,
score of the last two tasks. t(17) = .59, ns; and sentence comprehension, t(17) = .94, ns.
However, they were still below the norm on the tasks of
Procedure.As in Study 1, some of the tasks (i.e., reading working memory, t(17) = 5.36, p < .001, d = 1.48; planning,
comprehension, decoding, and comprehension-monitoring t(17) = 2.6, p = .02, d = .72; shifting, t(17) = 2.2, p = .04, d =
tasks) were administered collectively to all 259 children .62; and inhibition, t(17) = 3.12, p = .02, d = .87.
taking part in this second experiment. These tasks required For independent groups t tests were then run to examine
the use of computer equipment, and the testing sessions whether the scores of the S-RCD children were different
therefore took place in the schools computer rooms where from those of their skilled peers on the comprehension
the children were divided into small groups of approxi- monitoring measure. No significant differences compared
mately 12 participants each. These sessions lasted between to the age-matched control children were observed for this
25 and 35 min. Only the children identified as S-RCD (n = measure at any age. This indicates that the S-RCD children
31) were subsequently tested individually on all the other felt that they understood the texts as well as their skilled
measures (lexical and syntactic knowledge, sentence com- peers. The means and standard deviations of the two groups
prehension, working memory, planning, inhibition, and of S-RCD childrens scores for all the measures adminis-
shifting) in two sessions of approximately 35 min each. tered are presented in Table 4. In this table, the significant
differences from the norm as calculated using one-sample t
tests are presented in bold.
Results
One-sample t tests were conducted to assess whether the two
groups of S-RCD childrens performances were signifi- Discussion
cantly different from the norm of age-matched children. This second experiment leads to the conclusion that the
Data were first screened to make sure they meet the criteria comprehension difficulties experienced by children with
for using parametric tests. For each test yielding significant S-RCDs could be due to deficits in various skills in the lin-
results, effect sizes are reported by calculating Cohens d. In guistic (vocabulary, syntax, sentence comprehension) and
the group of younger children (third and fifth grades), the cognitive (working memory, planning, shifting, inhibition)
S-RCD children performed below the norm on the tasks domains. These results therefore confirm the existence of
measuring vocabulary, t(12) = 3.63, p = .003, d = 1; syntactic an executive dysfunction profile in children with S-RCDs.
knowledge, t(12) = 6.88, p < .001, d = 1.9; and sentence Indeed, the performances of the two groups of S-RCD
Potocki et al. 137

children at different ages were significantly poorer than General Discussion


those of age-matched controls on measures assessing differ-
ent aspects of executive functioning: working memory, Taken together, the results of the two studies presented here
planning, shifting, and inhibition. However, we observed confirm the implication of executive functioning in text
developmental changes in the underlying deficits experi- comprehension. Indeed, several aspects of executive func-
enced by these children that could reflect the involvement tions (i.e., working memory, planning, and inhibition) were
of linguistic and executive factors in text comprehension found to be significant predictors of reading comprehension
difficulties. As far as linguistic skills are concerned, only skills in normally developing readers in fifth grade even
the younger S-RCD children in our experimental group after typical linguistic predictors of reading comprehension
(Grades 3 and 5) exhibited impaired performance on the (decoding, vocabulary, and sentence comprehension) had
lexical knowledge, syntactic knowledge, and sentence com- been controlled for. But our results also revealed that exe-
prehension tasks. However, linguistic skills no longer seem cuting functions are not equally involved in all types of
to account for text comprehension difficulties from the end comprehension tasks. Indeed, we observe that while execu-
of primary school. Indeed, in seventh and ninth grades, the tive skills made a significant contribution to the inferential
performances of the S-RCD children did not differ signifi- tasks of the comprehension test administered (e.g., answer-
cantly from the norm on any of the linguistic measures. In ing inferential questions), they did not make any significant
contrast, at the level of executive capabilities, the perfor- contribution in explaining the performance in more literal
mances of the children with S-RCD were significantly tasks (e.g., choosing between different titles or summaries
lower than the norm at each age. This finding persisted over to best represent the text). This result is consistent with the
time for the four measures of executive functioning admin- results obtained by Eason etal. (2012) and highlights the
istered: working memory, inhibition, shifting, and planning necessity in future research to insert tasks tapping different
skills. However, it is worth noting that in the shifting task, aspects of text comprehension processing.
although being significant, the effect size was medium only. In a second study, we observed that the performances of
In line with the results from Study 1, maybe some of the children with an S-RCD were significantly poorer on differ-
dimensions of executive functioning appear to be more ent aspects of executive functioning than those of their
mobilized in reading comprehension, whereas others (i.e., skilled peers. In line with previous research in this field (see
shifting) do not appear to be as highly involved. But this Cutting etal., 2009; Locascio etal., 2010; Sesma etal.,
result still needs to be further explored in future experi- 2009), specific deficits in reading comprehension (not
ments, maybe by contrasting the involvement of different accompanied by any difficulties in word reading) seem to
types of shifting tasks. be attributable to severe difficulties in executive function-
In general, this study confirmed the presence of execu- ing. Furthermore, the executive difficulties of children with
tive difficulties in children and adolescents with S-RCDs. S-RCDs appear to be relatively stable throughout develop-
However, the results presented here do not allow conclu- ment. However, given that some executive functions are
sions to be made as to whether these difficulties are due to a likely to continue to evolve until late adolescence or young
true deficit in executive functioning or, instead, to a delay in adulthood (e.g., Best & Miller, 2010; Jurado & Rosselli
the development of executive processing. Indeed, each 2007), future research should investigate whether the exec-
executive function is likely to present its own particular utive difficulties experiences by S-RCD children and ado-
developmental trajectory (see Best & Miller, 2010; Jurado lescents are due to a true deficit or rather to a developmental
& Rosselli, 2007). Consequently, while some executive delay. Conversely, the difficulties S-RCD individuals might
functions may mature quite early on in the developmental experience at the level of linguistic skills seem to decrease
process (e.g., inhibition skills; see Brocki & Bohlin, 2004; over time. No differences were indeed observed between
Levin, Culhane, Hartmann, Evankovich, & Mattson, 1991; the older poor comprehenders of this study (Grades 7 and 9)
Williams, Ponesse, Schachar, Logan, & Tannock, 1999), and the norm of age-matched peers in any of the linguistics
others continue to develop throughout adolescence (e.g., measures (i.e., vocabulary, sentence comprehension, and
shifting or planning skills; see, e.g., Asato etal., 2006; syntactic knowledge). This finding is consistent with previ-
DeLuca etal., 2003). Still others (e.g., working memory; ous works that have demonstrated that the involvement of
see, e.g., Hale, Bronik, & Fry, 1997; Luciana, Conklin, lower level skills in text comprehension decreases as chil-
Hooper, & Yarger, 2005; Luna, Garver, Urban, Lazar, & dren get older (and the increasing role of higher level skills;
Sweeney, 2004; Siegel, 1994) may continue to develop into e.g., Seigneuric & Ehrlich, 2005; Vellutino etal., 2007).
young adulthood. Further research including broader age These results highlight the need to take account of the
ranges of S-RCD individuals (and especially a comparison particular profile of S-RCD children at the level of execu-
with adult participants) is therefore needed to clarify this tive functioning, especially when designing interventions
issue. Longitudinal follow-up studies could also prove intended to remediate their comprehension difficulties
helpful in examining this research question. (Kieffer et al., 2013). Indeed, the difficulties they
138 Journal of Learning Disabilities 50(2)

experience in the executive domain might constrain the heavily call upon executive functioning (and, in particular,
potential benefits they might gain from such interventions. working memory, planning, and inhibition skills) than more
In a similar vein, Sesma etal. (2009) have also suggested classical reading comprehension situations, such as those
that children with S-RCDs might benefit from interventions requiring the comprehender to read a narrative to answer
designed to promote the mobilization of more executive questions about it. Future research in this area could there-
skills in reading. It would also be interesting to discover fore investigate the differential involvement of executive
whether these children benefit from interventions that functioning in different types of reading situations.
directly foster executive skills and possibly to examine this Finally, certain limitations of the present work should
issue outside of the reading context (i.e., effects of the more nevertheless be considered. First, the conclusions drawn
general training of executive skills; see Dowsett & Livesey, from Study 2 are based on relatively small samples of
2000; Thorell, Lindqvist, Bergman Nutley, Bohlin, & S-RCD children. This is due in particular to the fact that
Klingberg, 2009). Such an approach could be particularly S-RCD children represent only a small proportion of the
valuable when working with older S-RCD students for total population (between 3% and 10%) and that it is dif-
whom interventions focusing on improving linguistic skills ficult to findand even more so among young readers
might not be as beneficial as they could potentially be for pure profiles of children with adequate word decoding
younger S-RCD children (e.g., Bianco etal., 2012; Potocki skills but impaired reading comprehension. To include
etal., 2013). only children with a specific deficit in reading compre-
In addition, the role of executive functions in reading hension (but without any other comorbid disorders), we
seems to be fairly specific to the comprehension component had to apply somewhat strict selection criteria, which led
of the Simple View of Reading model (Gough & Tunmer, us to exclude a certain number of children from our
1986). Indeed, Locascio etal. (2010), for example, have experimental population. Further research should there-
demonstrated that children with a specific deficit in word fore be conducted to complement that presented here and
recognition cease to exhibit deficits in executive functions to replicate the results obtained. Working with larger sam-
once phonological processing has been taken into account. ples of children would also make it possible to establish
In contrast, children with S-RCDs continue to exhibit defi- more precise profiles of less skilled comprehenders whose
cits in planning tasks even after this factor has been con- comprehension difficulties are due to impaired executive
trolled for. Similarly, the regression analyses performed by functioning. Indeed, our results suggest that executive
Sesma etal. (2009) revealed no significant involvement of functions were particularly necessary for inference pro-
executive functions (working memory and planning) in cessing (see also Eason etal., 2012), but one could also
single-word reading. Arrington, Kulesz, Francis, Fletcher, investigate the contribution of executive functions as a
and Barnes (2014) reached the same conclusions. In the function of the types of inference that have to be gener-
present study, we also observed that none of the executive ated (e.g., text-connecting vs. gap-filling inferences; Cain
measures explained a significant part of the variance in & Oakhill, 1999). Hence, the identification of more pre-
word decoding performance. In general, executive func- cise profiles of poor comprehenders based on the type of
tions might therefore be more involved in high level pro- inferencing difficulties they experience (see Potocki,
cessing (such as reading comprehension) than in lower Ecalle, Magnan, 2015) and the examination of their exec-
level and more automatic processing (such as word recogni- utive capabilities could be of particular interest. Such a
tion). This finding may well warrant other investigation in differential analysis could indeed help researchers and
future works. practitioners to gain a more thorough understanding of
It would also be interesting to further examine the role of reading comprehension failure and make it possible to
executive functioning in reading in terms of the actual tasks propose more appropriate remediation.
used to assess reading and comprehension (Kendeou, Another limitation of the present work relates to the lack
Papadopoulos, & Spanoudis, 2012). Previous research of a measure of the childrens attentional abilities. Indeed, it
(Cutting etal., 2009; Eason etal., 2012), along with our has been argued (see, e.g., the description of the population
own results, suggests that not all comprehension tasks call in Sesma etal.s [2009] study) that children with S-RCDs
upon the same amount of executive processing. In that vein, might also exhibit attention-deficit/hyperactivity disorders.
one could also hypothesize that not all reading situations are In addition, attentional capabilities might be involved in
equally dependent on executive functioning (Mossa, both reading comprehension and executive function tasks
Schunn, Schneider, McNamara, & VanLehn, 2013). More (Savage, Cornish, Manly, & Hollis, 2006). As a result,
ecological reading situations, such as those requiring the future research in the field could include such a measure (as
reader to search for specific information in expository texts in Sesma etal.s [2009] study) either to examine the impli-
or in web-based environments (e.g., Hirsh, 2000; Rouet, cation of attentional skills in reading comprehension or to
Ros, Goumi, Macedo-Rouet, & Dinet, 2011; Wallace, investigate in much greater detail the existence of attention
Kupperman, Krajcik, & Soloway, 2000), might more disorders among children with S-RCDs.
Potocki et al. 139

Acknowledgments Cain, K. (2006). Individual differences in childrens memory


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The authors would like to thank the speech therapists Camille
tic and inhibitory deficits. Memory, 14(5), 553569. doi:
Bonneaud, Mlanie Broisin, Marion Fery, and Camille Varrey-
10.1080/09658210600624481
Fusco for their help in collecting the data.
Cain, K., & Oakhill, J. V. (1999). Inference making abil-
ity and its relation to comprehension failure in young
Declaration of Conflicting Interests children. Reading and Writing, 11(5/6), 489503. doi:
The author(s) declared no potential conflicts of interest with 10.1023/A:1008084120205
respect to the research, authorship, and/or publication of this Cain, K., & Oakhill, J. V. (2004). Reading comprehension dif-
article. ficulties. In T. Nunes & P. Bryant (Eds.), Handbook of chil-
drens literacy (pp. 313338). Dordrecht, the Netherlands:
Funding Kluwer Academic.
Cain, K., & Oakhill, J. (2006). Profiles of children with spe-
The author(s) received no financial support for the research,
cific reading comprehension difficulties. British Journal of
authorship, and/or publication of this article.
Educational Psychology, 76(4), 683696.
Cain, K., & Oakhill, J. V. (2007). Childrens comprehension prob-
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