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Updated: Dec 31, 2025

Assessing Dyslexia at Six Year of Age
Published on: May 1, 2020
Predicting Dyslexia in Children With Developmental Language Disorder.
Crystle N Alonzo1, Autumn L McIlraith2, Hugh W Catts3
1MGH Institute of Health Professions, Boston, MA.
Kindergarten letter identification is a key predictor of dyslexia in children with developmental language disorder (DLD). This finding supports early screening for dyslexia in all children.
Area of Science:
- Developmental Psychology
- Educational Psychology
- Linguistics
Background:
- Early identification of reading difficulties is crucial for intervention.
- Children with developmental language disorder (DLD) are at higher risk for dyslexia.
- Understanding predictive factors for dyslexia in DLD is essential for targeted support.
Purpose of the Study:
- To investigate the predictive power of kindergarten letter identification and phonological awareness on 2nd-grade word reading and dyslexia.
- To compare these predictive relationships in children with DLD versus those with typical language (TL).
Main Methods:
- Logistic regression was used to predict dichotomous dyslexia (good vs. poor word reading).
- Quantile regression analyzed the association between early skills and word reading across a continuum.
- Participants included children with DLD and age/grade-matched peers with TL.
Main Results:
- Letter identification uniquely predicted dyslexia in 2nd-grade children with DLD.
- Both letter identification and phonological awareness predicted dyslexia in children with TL.
- Letter identification was a stronger predictor for lower-achieving word readers in both DLD and TL groups.
Conclusions:
- Letter identification is a more accurate predictor of dyslexia than phonological awareness in kindergarten children with DLD.
- Findings have implications for U.S. legislation mandating early dyslexia identification.
- Early screening focusing on letter identification may benefit children with DLD at risk for reading disorders.
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