不同性别2~5岁孤独症谱系障碍与发育性语言障碍儿童发育水平的比较

沈世慧; 马晨欢; 李孟凡; 董传菲; 王瑜; 陈津津

doi:10.11852/zgetbjzz2022-1169

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中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (11) : 1191-1195. DOI: 10.11852/zgetbjzz2022-1169

科研论著

不同性别2~5岁孤独症谱系障碍与发育性语言障碍儿童发育水平的比较

沈世慧, 马晨欢, 李孟凡, 董传菲, 王瑜, 陈津津

作者信息 +

Comparative study on the development level of children with autism spectrum disorder and developmental language disorder in different genders aged 2 - 5 years

SHEN Shihui, MA Chenhuan, LI Mengfan, DONG Chuanfei, WANG Yu, CHEN Jinjin

Author information +

文章历史 +

摘要

目的比较不同性别孤独症谱系障碍(ASD)儿童与发育性语言障碍(DLD)儿童发育水平的差异,以期为不同性别学龄前ASD儿童的个性化教育干预提供理论依据。方法运用 Griffiths发育量表于2021年10月—2022年6月对116名2~5岁ASD儿童和97名同年龄DLD儿童进行发育评估。结果除运动领域外,ASD组男、女童总体在个人社会、听力语言、手眼协调、表现以及实际推理领域的发育商显著低于DLD组(t＝4.45、3.69、5.88、5.60、5.76,P＜0.001)。ASD组男、女童分别在个人-社会、听力语言、手眼协调、表现以及实际推理领域的发育商均低于DLD组(男童t=3.28、2.57、2.85、2.52、3.92,女童t=3.29、2.79、8.62、9.07、6.86,P＜0.01)。ASD女童在手眼协调和表现领域的发育商均低于ASD男童(t=3.51、4.84,P＜0.01)。结论除运动领域外, ASD儿童的发育水平均落后于DLD儿童;相较于ASD男童,ASD女童部分领域发育水平落后,因此需针对不同性别ASD儿童提供高强度个体化的干预。

Abstract

Objective To compare the differences in developmental levels between children with autism spectrum disorder (ASD) and children with developmental language disorder (DLD) of different genders, so as to provide theoretical basis for individualized educational interventions for preschool ASD children. Methods A total of 116 ASD children aged 2 - 5 years and 97 DLD children from October 2021 to June 2022 were evaluated by using the Griffiths Developmental Scale, and the evaluation results of the two groups were analyzed and compared. Results Except for motor development, personal-social,language, hand-eye coordination, performance dimension and practical reasoning DQs of ASD chilren were all significantly lower than those of DLD children(t=4.45, 3.69, 5.88, 5.60, 5.76, P＜0.001). ASD children had significantly lower scores in personal-social, language, hand-eye coordination, performance dimension and practical reasoning DQs than DLD children(boys: t=3.28、2.57、2.85、2.52、3.92; girls: t=3.29、2.79、8.62、9.07、6.86, P＜0.01). Girls with ASD had lower hand-eye coordination and performance DQs than boys with ASD(t=3.51, 4.84, P＜0.01). Conclusions Except for motor development, DQs of ASD children are all significantly lower than DLD children. DQs of some developmental areas in ASD girls lag behind those of ASD boys. Therefore, it is necessary to provide high-intensity individualized interventions for ASD children of different genders.

导出引用

沈世慧, 马晨欢, 李孟凡, 董传菲, 王瑜, 陈津津. 不同性别2~5岁孤独症谱系障碍与发育性语言障碍儿童发育水平的比较[J]. 中国儿童保健杂志. 2023, 31(11): 1191-1195 https://doi.org/10.11852/zgetbjzz2022-1169

SHEN Shihui, MA Chenhuan, LI Mengfan, DONG Chuanfei, WANG Yu, CHEN Jinjin. Comparative study on the development level of children with autism spectrum disorder and developmental language disorder in different genders aged 2 - 5 years[J]. Chinese Journal of Child Health Care. 2023, 31(11): 1191-1195 https://doi.org/10.11852/zgetbjzz2022-1169

中图分类号： R749.94

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基金

上海交通大学临床研究培育专项重点项目(2021YLYZ02);上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科建设项目子课题(GWV-10.1-XK14);上海申康医院发展中心市级医院新兴前沿技术联合攻关项目(SHDC12022114);上海市卫健委老龄化和妇幼健康专项(2020YJZX0207);上海交通大学“交大之星”计划医工交叉研究基金(YG2019ZDB01);上海市科委政府间国际合作项目(20410712700);上海市儿童医院临床研究培育专项面上项目(2022YLYM09)