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幼儿的语言发育迟缓与行为/情绪问题:来自两家发育诊所的研究结果

Language delay and behavioral/emotional problems in toddlers: findings from two developmental clinics.

作者信息

Rescorla Leslie, Ross Gail S, McClure Sarah

机构信息

Bryn Mawr College, 101 North Merlon Avenue, Bryn Mawr, PA 19010, USA.

出版信息

J Speech Lang Hear Res. 2007 Aug;50(4):1063-78. doi: 10.1044/1092-4388(2007/074).

Abstract

PURPOSE

The association between language delay and behavior problems in toddlers was examined in 2 studies, 1 conducted in a developmental clinic in New Jersey (Study 1; N = 83) and the other conducted in a developmental clinic in New York (Study 2; N = 103).

METHOD

In both clinics, parents of 18- to 35-month-olds completed the Language Development Survey (LDS) and the Child Behavior Checklist/1.5-5 (CBCL). In Study 2, the Preschool Language Scale-Fourth Edition (PLS-4) was also administered. Neurodevelopmental delay (ND) and pervasive developmental disorder (PDD) symptoms were also assessed in both studies but were done so using different measures.

RESULTS

In Study 1, LDS Vocabulary score and CBCL Total Problems, Internalizing, and Withdrawn scores were significantly correlated. However, when children with ND and/or suspected PDD were excluded, only the correlation between LDS Vocabulary and Withdrawn remained significant. In Study 2, only the correlation between LDS Vocabulary and Withdrawn approached significance. Children delayed in language on the PLS-4 had higher CBCL scores than typically developing toddlers only on the CBCL Withdrawn syndrome.

CONCLUSION

Significant associations between language delays and behavior problems were not found in 2 samples of 18- to 35-month-olds when children with ND and PDD were excluded, except that toddlers with language delays appeared to show elevated social withdrawal relative to typically developing toddlers.

摘要

目的

在两项研究中对幼儿语言发育迟缓与行为问题之间的关联进行了考察,一项研究在新泽西州的一家发育诊所开展(研究1;N = 83),另一项研究在纽约的一家发育诊所开展(研究2;N = 103)。

方法

在两家诊所中,18至35个月大幼儿的家长均完成了语言发展调查问卷(LDS)和儿童行为量表/1.5 - 5岁版(CBCL)。在研究2中,还实施了《学前语言量表》第四版(PLS - 4)。两项研究中也对神经发育迟缓(ND)和广泛性发育障碍(PDD)症状进行了评估,但采用的是不同的测量方法。

结果

在研究1中,LDS词汇得分与CBCL总问题、内化问题及退缩得分显著相关。然而,当排除患有ND和/或疑似PDD的儿童后,仅LDS词汇与退缩之间的相关性仍显著。在研究2中,仅LDS词汇与退缩之间的相关性接近显著水平。在PLS - 4上存在语言发育迟缓的儿童,仅在CBCL退缩综合征方面的得分高于发育正常的幼儿。

结论

在排除患有ND和PDD的儿童后,在18至35个月大的两个样本中未发现语言发育迟缓与行为问题之间存在显著关联,不过,与发育正常的幼儿相比,语言发育迟缓的幼儿似乎表现出更高的社交退缩水平。

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