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Updated: Jun 21, 2025

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Assessing Dyslexia at Six Year of Age
Published on: May 1, 2020
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Elevated unanticipated acoustic startle reactivity in dyslexia
Eleanor R Palser1, Christina R Veziris1, Nathaniel A Morris1
1Department of Neurology, University of California San Francisco, San Francisco, California, USA.
Summary
Children with dyslexia show heightened startle responses, indicating increased emotional reactivity. This may explain higher anxiety levels often observed in individuals with dyslexia.
Area of Science:
- Neurodevelopmental disorders
- Psychophysiology
- Emotional reactivity
Background:
- Dyslexia is a neurodevelopmental reading disorder.
- Individuals with dyslexia exhibit heightened emotional and autonomic nervous system reactivity.
- Anxiety symptoms are more prevalent in children with dyslexia.
Purpose of the Study:
- To investigate if the startle response is elevated in children with dyslexia.
- To explore the relationship between startle response, emotional reactivity, and anxiety in dyslexia.
Main Methods:
- Acoustic startle task (100 ms, 105 dB) administered to children with and without dyslexia (aged 7-13).
- Measurement of facial behavior, electrodermal reactivity (sympathetic nervous system activity), and emotional experience.
- Comparison of startle responses between groups matched for age, sex, and nonverbal reasoning.
Main Results:
- Children with dyslexia displayed significantly greater facial behavior and electrodermal reactivity to the acoustic startle task compared to controls.
- Increased electrodermal reactivity during the startle response correlated with higher parent-reported anxiety symptoms.
- Findings suggest heightened sympathetic nervous system reactivity in dyslexia.
Conclusions:
- Children with dyslexia exhibit an elevated startle response, characterized by increased psychophysiological reactivity.
- Accentuated sympathetic nervous system reactivity may underlie the heightened anxiety observed in this population.
- This research contributes to understanding the emotional processing differences in dyslexia.
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