Geurts Hilde M, Embrechts Mariëtte
Department of Psychonomics, University of Amsterdam, Roetersstraat 15, Amsterdam, The Netherlands.
J Autism Dev Disord. 2008 Nov;38(10):1931-43. doi: 10.1007/s10803-008-0587-1. Epub 2008 Jun 3.
Developmental disorders might differ in their language profiles when using parent reports. The first study indicated that school aged children with ASD have similar language profiles as children with ADHD. Both groups had relatively more difficulties with pragmatics than with structural language aspects. The second study indicated that both preschoolers with ASD and those with SLI show the opposite pattern, thus having relatively more difficulties with structural language aspects than with pragmatics. Finally, an increase in the presence of ADHD characteristics of impulsivity in these preschoolers is associated with an increase in language difficulties, while there is no such relation with inattention. It seems useful to evaluate the communication abilities of children regularly in the course of development and take ADHD characteristics into account. Finally recommendations on clinical use of the Children's Communication Checklist-2 (CCC-2, Bishop 2003) are discussed.
使用家长报告时，发育障碍在语言特征方面可能存在差异。第一项研究表明，患有自闭症谱系障碍（ASD）的学龄儿童与患有注意力缺陷多动障碍（ADHD）的儿童具有相似的语言特征。与语言结构方面相比，两组在语用学方面都相对更困难。第二项研究表明，患有ASD的学龄前儿童和患有特定语言障碍（SLI）的学龄前儿童表现出相反的模式，因此与语用学相比，在语言结构方面相对更困难。最后，这些学龄前儿童中ADHD冲动特征的增加与语言困难的增加有关，而与注意力不集中没有这种关系。在儿童发育过程中定期评估其沟通能力并考虑ADHD特征似乎是有用的。最后讨论了关于《儿童沟通检查表-2》（CCC-2，毕晓普，2003年）临床应用的建议。
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