目的 分析4岁左右孤独症儿童语言发育的情况及与同龄正常儿童的差距。方法 1)利用词汇掌握量表测量103例正常儿童和100例孤独症儿童词汇掌握情况。2)利用儿童孤独症评定量表(CARS)、孤独症行为检查量表(ABC)、词汇掌握量表对孤独症儿童语言能力进行测量,并计算三种测量方法的相关性。结果 孤独症儿童与正常儿童在各类词汇掌握上均有显著性差异(P<0.01),且各类词汇损伤程度变化一致。词汇掌握情况与CARS、 ABC中语言能力的得分呈显著正相关。结论 3.5~4.5岁孤独症儿童语言能力显著低于同龄正常儿童,词汇掌握呈现“一损俱损”的模式。利用CARS,ABC以及词汇掌握量表测量孤独症儿童语言能力的方法是可靠的。
Abstract
Objective To analyze the language development of autistic children aged around 4 years and the gap between autistic children and normal children at the same age. Methods 1) Vocabulary mastery scale was used to measure the mastery of vocabulary between 103 normal children and 100 autistic children.2) Autism Rating Scale (CARS),Autism Behavior Checklist (ABC) and Vocabulary Mastery Scale were used to measure the language ability of autistic children,and the correlation among the three methods was calculated. Results Significant differences on the mastery of vocabulary between autistic children and normal children were found (P<0.01),and the degree of vocabulary damage varied with each other.Vocabulary mastery was positively related to CARS and ABC. Conclusion 3.5 to 4.5-year-old autistic children's language ability is significantly lower than that of normal children,vocabulary mastery has a "broken all" mode.CARS,ABC,and Vocabulary Mastery Scales are reliable for measuring autistic children's language abilities.
关键词
孤独症儿童 /
语言能力发展 /
词汇
Key words
autistic children /
language development /
vocabulary
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参考文献
[1] CDC Web.Summary of autism spectrum disorder (ASD) Prevalence Studies.
[2] 张廷香.基于语料库的3-6岁汉语儿童词汇研究[D].济南:山东大学,2010.
[3] 周翔,陈强,陈红,等.300例孤独症儿童语言能力评估结果分析[J].中国康复理论与实践,2013,19(4):384-386.
[4] Loucas T,Charman T,Pickles A,et al.Autistic symptomatology and language ability in autism spectrum disorder and specific language impairment[J].J Child Psychol Psychiatry,2008,49(11):1184-1192.
[5] Hockema SA,Smith LB.Learning your language,outside-in and inside-out[J].Linguistics,2009,47(2):453-479.
[6] Hellendoorn A,Wijnroks L,Van DE,et al.Motor functioning,exploration,visuospatial cognition and language development in preschool children with autism[J].Res Dev Disabil,2015,39(2):32-42.
[7] Carter EJ,Williams DL,Minshew NJ,et al.Is he being bad? Social and language brain networks during social judgment in children with autism[J].Plos One,2012,7(10):e47241.
[8] Peltier M,Kizhner O,Kinzler W.190:Expression of autism-associated genes in intrauterine growth restriction[J].AJ OG,2008,199(6):S65-S65.
[9] SimiĆ KA,KolundžiĆ Z,GaliĆ S,et al.Language development in preschool children born after asymmetrical intrauterine growth retardation[J].Eur J of Paediatric Neurol,2012,16(2):132.
[10] Carlsson LH,Norrelgen F,Kjellmer L,et al.Coexisting disorders and problems in preschool children with autism spectrum disorders[J].Scientific World Journal,2013,doi:10.1155/2013/213979.
[11] Luzzatti C,Aggujaro S,Crepaldi D.Verb-noun double dissociation in aphasia:theoretical and neuroanatomical foundations[J].Cortex,2006,42(6):875-883.
[12] Bozic M,Tyler LK,Su L,et al.Neurobiological systems for lexical representation and analysis in English[J].J Cogn Neurosci,2013,25(10):1678-1691.
[13] Eyler LT,Pierce K,Courchesne E.A failure of left temporal cortex to specialize for language is an early emerging and fundamental property of autism[J].Brain,2012,135(3):949-960.
[14] 胡霄,黄颐.孤独症谱系障碍镜像神经元功能的研究现状[J].中国心理卫生杂志,2014,28(11):823-827.
[15] Damarla SR,Keller TA,Kana RK,et al.Cortical underconnectivity coupled with preserved visuospatial cognition in autism:Evidence from an fMRI study of an embedded figures task[J].Autism Research,2010,3(5):273.
[16] 贾少微,孙涛涛,樊蓉,等.针刺治疗儿童孤独症单光子发射计算机断层成像术可视化研究[J].中国中西医结合杂志,2008,28(10):886-889.
[17] Azouz HG,Kozou H,Khalil M,et al.The correlation between central auditory processing in autistic children and their language processing abilities[J].Int J Pediatr Otorhinolaryngol,2014,78(12):2297-2300.
[18] Shih P,Keehn B,Oram JK,et al.Functional differentiation of posterior superior temporal sulcus in autism:A functional connectivity magnetic resonance imaging study[J].Biol Psychiatry,2011,70(3):270-277.
[19] Redcay E,Courchesne E.Deviant functional magnetic resonance imaging patterns of brain activity to speech in 2-3-year-old children with autism spectrum disorder[J].Biol Psychiatry,2008,64(7):589-598.
[20] 舒明跃,贾少微,张繁新,等.孤独症患儿脑单光子发射计算机体层摄影术的研究[J].中华精神科杂志,2001,34(2):76-79.
[21] Neulinger K,Oram J,Tinson H,et al.Prospective memory and frontal lobe function[J].Neuropsychology Dev Cogn B Aging Cogn,2015,23(2):1-13.
[22] Kopp B,Rsser N,Tabeling S,et al.Performance on the Frontal Assessment Battery is sensitive to frontal lobe damage in stroke patients[J].BMC Neurology,2013,13(1):179.
基金
北京大学医学部-乌尔姆大学神经科学联合研究中心基金(BMU20160563)
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