目的 研究功能性构音障碍(functional articulation disorder,FAD)儿童的音位对比式言语识别能力,以探讨其病因及发病机制。方法 选择符合FAD诊断标准的儿童及同年龄段正常儿童各100例作为被试,采用《儿童音位对比式识别能力评估(孙喜斌-刘巧云词表)》在安静房间中进行听觉识别能力评估,并对其分别进行智力及语言发育水平测定。结果 FAD儿童的声母、韵母及各项分测试识别能力均低于对照组,且差异有统计学意义(P<0.05)。除相同方式不同部位、卷舌音与非卷舌音、前鼻韵母与后鼻韵母外,FAD儿童的各项识别能力得分与构音障碍程度呈负相关。擦音与无擦音测试中,伴有语言发育迟缓的FAD儿童(36例)的识别能力低于单纯FAD儿童(64例),但差异无统计学意义(P>0.05);其余各项测试中,伴有语言发育迟缓的FAD儿童的识别能力低于单纯FAD儿童,且差异有统计学意义(P<0.05)。且伴语言发育迟缓的FAD儿童中中重度构音障碍者占80.56%。结论 FAD儿童的音位对比式言语识别能力明显落后于正常儿童,音位识别能力落后可能为FAD病因之一。
Abstract
Objective To investigate the etiology and pathology of functional articulation disorder (FAD) by minimal phoneme contrast test in children with FAD. Methoods One hundred FAD children and one hundred typical children matched for ages were selected as testees.The auditory recognition abilities were examined by Minimal Phoneme Recognition Scale in a quiet room.Intelligence and language developments were evaluated in test groups. Results The recognition abilities of Consonant Phoneme Contrast (CPC),Vowel Phoneme Contrast (VPC) and the subtests in FAD children were all much inferior to typical children (P<0.05).There was a negative correlation between the recognition abilities of all tests and impairments in FAD children,except the type of CPC described as "the same manner with different places",the VPC of retroflex and unretroflex and the VPC of front nasal and back nasal; Except the CPC of fricatve and unfricative (P>0.05),the recognition abilities of CPC,VPC and the other subtests in FAD with language impairment (n=36) were all much inferior to FAD (n=64) (P<0.05).Twenty-nine patients were moderate to severe disorder in FAD with language impairment (80.56%). Conclusion The recognition abilities of Phoneme Contrast (PC) in FAD children are much inferior to typical children,which might contribute to FAD.
关键词
功能性构音障碍 /
音位对比 /
听觉识别 /
儿童
Key words
functional articulation disorder /
phoneme contrast /
auditory recognition /
children
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Beate P.Oral and hand movement speeds are associated with expressive language ability in children with speech sound disorder[J].J Psycholinguist Res,2012,41(6):455-474.
[2] 韩德民.听力学基础与临床[M].北京:科学技术文献出版社,2003:20-150.
[3] 刘巧云,赵航,陈丽,等.3~5岁健听儿童音位对比识别习得过程研究[J].听力学及言语疾病杂志,2011,19(2):116-119.
[4] Johnson CJ,Beitchman JH.Phonological disorder[M]//Sadock BJ,Sadock VA.Kaplan & Sadock's comprehensive textbook of psychiatry.9th.Lippincott Williams&Wilkins.VolumeⅡ.2000:2645-2650.
[5] American Speech-Language-Hearing Association.Central auditory processing:current status of research and implications for clinical practice[J].American Journal of Audiology,1996,5(2):41-52.
[6] 李鸿,郑亿庆.失匹配负波与听觉辨别[J].听力学及言语疾病杂志,2013,21(3):315-319.
[7] MA＇RIA GO＇SY,VIKTO＇RIA HORVA＇TH.Speech processing in children with functional articulation disorders[J].Clin Linguist Phon,2014,29(3):185-200.
[8] Ozcebe E,Belgin E.Assessment of information processing in children with functional articulation disorders[J].Int J Pediatr Otorhinolaryngol,2005,69(2):221-228.
[9] 高延,郑希付,洪琦,等.功能性构音障碍儿童的听觉事件相关电位研究[J].中国当代儿科杂志,2013,15(8):653-656.
[10] 赵云静,孙洪伟,麻宏伟,等.功能性构音障碍的临床共患病调查及行为问题研究[J].中国当代儿科杂志,2009,11(3):225-228.
[11] 易海燕.人工耳蜗植入儿童与健听儿童音位对比式言语识别能力的比较研究[D].上海:华东师范大学硕士论文,2007.
[12] Lewis B,Freebairn L,Taylor H.Follow-up of children with early expressive phonology disorders[J].Journal of Learning Disabilities,2000,33(5):433-444.
[13] Lewis B,Freebairn L,Taylor H.Correlates of spelling abilities in children with early speech sound disorders[J].Reading and Writing:An Interdisciplinary Journal,2002,15(3-4):389-407.
PDF(476 KB)
