Nickisch Andreas, von Kries Rüdiger
Department of Phoniatrics, Kinderzentrum Munich, Heiglhofstrasse 63, 81377 Munich, Germany.
J Speech Lang Hear Res. 2009 Jun;52(3):578-95. doi: 10.1044/1092-4388(2008/07-0150).
Specific language impairment (SLI) is assumed to be causally related to deficits in auditory short-term memory (STM). Although verbal STM deficits have been consistently found in SLI, the results of visual STM tests are inconsistent. Do these inconsistencies reflect different study populations of expressive SLI (ELI) and receptive-expressive SLI (R/ELI)?
Twenty-one children (ages 6-11) with ELI, 21 with R/ELI, and 21 controls (CG) matched on age and nonverbal intelligence were retrospectively compared with regard to their visual and auditory STM.
ELI children and R/ELI children performed significantly poorer than the CG in auditory-verbal STM tests. On tests for visual STM (symbol sequences), the R/ELI children performed significantly poorer than the CG. For hand movements, children with R/ELI scored slightly poorer compared to both other groups but without reaching statistical significance. Correlation analyses showed significant associations between symbol sequences and receptive language measures. Regression analysis found that the scores of symbol sequences and digit sequences together accounted for 39% of the variance of the receptive language measures, whereas the scores for nonsense syllables accounted for 24% of the variance of the expressive language measures.
R/ELI children appear to have more complex STM deficits, as they showed visual STM constraints in addition to auditory STM constraints.
特定语言障碍(SLI)被认为与听觉短期记忆(STM)缺陷存在因果关系。尽管在SLI中一直发现存在言语STM缺陷,但视觉STM测试的结果并不一致。这些不一致是否反映了表达性SLI(ELI)和接受-表达性SLI(R/ELI)的不同研究人群?
回顾性比较了21名患有ELI的儿童(6-11岁)、21名患有R/ELI的儿童以及21名年龄和非语言智力相匹配的对照组(CG)儿童的视觉和听觉STM。
在听觉言语STM测试中,ELI儿童和R/ELI儿童的表现明显比CG组差。在视觉STM测试(符号序列)中,R/ELI儿童的表现明显比CG组差。对于手部动作,R/ELI儿童的得分略低于其他两组,但未达到统计学意义。相关性分析显示符号序列与接受性语言测量之间存在显著关联。回归分析发现,符号序列和数字序列的得分共同占接受性语言测量方差的39%,而无意义音节的得分占表达性语言测量方差的24%。
R/ELI儿童似乎存在更复杂的STM缺陷,因为他们除了存在听觉STM限制外,还表现出视觉STM限制。