Vallance D D, Im N, Cohen N J
C.M. Hincks Institute and University of Toronto, Ontario, Canada.
J Child Psychol Psychiatry. 1999 Jul;40(5):693-704.
The purpose of the current study was to examine whether types of discourse deficits were associated differentially with psychiatric disorders (PD) and with language impairments (LI) in children. Discourse analyses examining the occurrence of different types of discourse deficits in language structure, information structure, and flow of information were performed on the spoken narratives of 111 children aged 7 to 12 years who comprised 4 groups: (1) psychiatrically referred children with LI (PD + LI), (2) psychiatrically referred children with normally developing language (PD), (3) nonreferred children with language impairments (LI), and (4) nonreferred children with normally developing language (controls). Discourse deficits in language and information structure characterized children with LI, whereas disruptions in the flow of discourse characterized children with PD. Children with the comorbid condition exhibited deficits associated with both LI and PD; in addition, they displayed distinct deficits related to pronominal reference and causal cohesion. The findings provide a preliminary understanding of the associations among language, discourse, and psychopathology in children.
本研究的目的是检验不同类型的语篇缺陷是否与儿童的精神疾病(PD)和语言障碍(LI)存在不同的关联。对111名7至12岁儿童的口语叙述进行了语篇分析,这些儿童分为4组:(1)有语言障碍的精神科转诊儿童(PD + LI),(2)语言发育正常的精神科转诊儿童(PD),(3)有语言障碍的非转诊儿童(LI),以及(4)语言发育正常的非转诊儿童(对照组)。分析了语言结构、信息结构和信息流中不同类型语篇缺陷的出现情况。语言和信息结构方面的语篇缺陷是有语言障碍儿童的特征,而语篇信息流的中断是有精神疾病儿童的特征。患有合并症的儿童表现出与语言障碍和精神疾病相关的缺陷;此外,他们还表现出与代词指代和因果衔接相关的独特缺陷。这些发现为理解儿童语言、语篇和精神病理学之间的关联提供了初步认识。