Persistent difficulty in an aspect of reading with functional consequences, assessed in context. Word-level difficulty and poor comprehension despite adequate decoding are distinct possible profiles.
An account in which several probabilistic risks and protective influences combine rather than one deficit being necessary and sufficient for every case. Shared risks can produce overlap while differing profiles retain practical meaning.[ref]
Are Specific Language Impairment and Dyslexia Distinct Disorders? by Hugh W. Catts and others. Journal of Speech, Language, and Hearing Research 48, 1378–1396; 527-child longitudinal sample and separate phonological-profile subsample
Co-occurring word-reading and broader oral language difficulties. Studies selecting nonoverlapping groups are useful contrasts but do not describe the full distribution of mixed profiles.[ref]
Dyslexia and Developmental Language Disorder: comorbid disorders with distinct effects on reading comprehension by Margaret J. Snowling and others. Journal of Child Psychology and Psychiatry 61, 672–680; dyslexia-only, DLD-only and comorbid groups at eight, comprehension at eight/nine
Poor understanding of text despite relatively adequate word-reading accuracy. Assessment should examine oral language, fluency and higher-level processes rather than infer a single cause from the profile.[ref]
Ameliorating children's reading-comprehension difficulties: a randomized controlled trial by Paula J. Clarke and others. Psychological Science 21, 1106–1116; text/oral/combined interventions, untreated comparison and eleven-month follow-up
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