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特定的发育性语言障碍是由听觉感知缺陷引起的吗?

[Are specific developmental language disorders caused by deficits in auditory perception?].

作者信息

von Suchodoletz W, Alberti A, Berwanger D

机构信息

Institut und Poliklinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Ludwig-Maximilians-Universität München.

出版信息

Klin Padiatr. 2004 Mar-Apr;216(2):49-56. doi: 10.1055/s-2004-823147.

Abstract

BACKGROUND

Specific language impairment is assumed to be caused by deficits in auditory perception and therefore the training of auditory abilities is recommended as a treatment. Our study focussed on the question of whether a correlation between language disorders and auditory perception abilities can be proven empirically.

PATIENTS

23 language impaired children and 52 controls aged 7 to 11 years were examined.

METHOD

Auditory abilities were measured by means of a battery of nonverbal and verbal tests. The children had to identify tones of different frequencies, loudness, duration or patterns as well as every day sounds and mixtures of such sounds. Noise-overlaid, time-compressed and frequency-limited speech tasks, and binaural summation tasks were also used. In addition, phoneme discrimination ability and auditory memory were assessed.

RESULTS

Language impaired children scored low on phoneme discrimination and auditory memory tests but not on nonverbal or verbal auditory perception tasks. There are significant correlations between their expressive language ability and their scores on phoneme discrimination, auditory memory and sound duration identification tests.

CONCLUSIONS

The results do not support the assumption that developmental language disorders are associated with auditory perception deficits. However, there are indications that auditory memory and time processing are deficient. Thus, training of auditory perception does not appear to be a suitable treatment for language impaired children.

摘要

背景

特定语言障碍被认为是由听觉感知缺陷引起的,因此建议进行听觉能力训练作为一种治疗方法。我们的研究聚焦于能否通过实证证明语言障碍与听觉感知能力之间存在相关性这一问题。

患者

对23名7至11岁的语言障碍儿童和52名对照儿童进行了检查。

方法

通过一系列非言语和言语测试来测量听觉能力。孩子们必须识别不同频率、响度、时长或模式的音调,以及日常声音和此类声音的混合。还使用了叠加噪声、时间压缩和频率限制的言语任务以及双耳总和任务。此外,评估了音素辨别能力和听觉记忆。

结果

语言障碍儿童在音素辨别和听觉记忆测试中得分较低,但在非言语或言语听觉感知任务中得分不低。他们的表达性语言能力与音素辨别、听觉记忆和声音时长识别测试的得分之间存在显著相关性。

结论

结果不支持发育性语言障碍与听觉感知缺陷相关的假设。然而,有迹象表明听觉记忆和时间处理存在缺陷。因此,听觉感知训练似乎不是语言障碍儿童的合适治疗方法。

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