Schützenberger A, Brauner K, Eysholdt U, Rosanowski F
Abteilung für Phoniatrie und Pädaudiologie in der HNO-Klinik, Universitätsklinikum Erlangen, Bohlenplatz 21, 91054 , Erlangen, Deutschland.
HNO. 2010 Jan;58(1):72-4, 76. doi: 10.1007/s00106-009-1912-5.
In western societies, delay of speech development is frequent and important as it may affect the entire development of a child. Therefore, early diagnosis and treatment is of outstanding relevance. For screening purposes in clinical practice, questionnaires focussing on speech development are assumed to be both valid and economic assessment tools. In this study, results of a questionnaire based on "milestones in early childhood development" as previously reported by Michaelis for German children were compared with results of systematic German speech development tests.
In a retrospective study, data were collected from 25 German preschool children. Their parents had completed a questionnaire on their child's development prior to the examination with 4 questions focussing on speech development. In this report, the answers on these 4 questions are evaluated against the background of systematic German speech development tests, i.e. the H-SET and PLAKSS, and an unsystematic examination by an experienced speech and language phonologist.
The questionnaire had a sensitivity of 50% and a specificity of 7%. The positive and negative predictive values were 55.9% and 5%, respectively.
A questionnaire based on "milestones in early childhood development" as previously reported by Michaelis for German children, is clinically invalid for screening speech development in preschool children.
在西方社会，语言发育迟缓很常见且很重要，因为它可能会影响儿童的整体发育。因此，早期诊断和治疗具有突出的相关性。在临床实践中用于筛查时，专注于语言发育的问卷被认为是有效且经济的评估工具。在本研究中，将基于米夏埃利斯之前报道的德国儿童“幼儿发育里程碑”的问卷结果与德国系统性语言发育测试的结果进行了比较。
在一项回顾性研究中，收集了25名德国学龄前儿童的数据。他们的父母在检查前完成了一份关于孩子发育的问卷，其中有4个问题专注于语言发育。在本报告中，根据德国系统性语言发育测试（即H-SET和PLAKSS）以及由经验丰富的言语和语言语音学家进行的非系统性检查的背景，对这4个问题的答案进行了评估。
该问卷的敏感性为50%，特异性为7%。阳性预测值和阴性预测值分别为55.9%和5%。
基于米夏埃利斯之前报道的德国儿童“幼儿发育里程碑”的问卷，在临床上对学龄前儿童语言发育筛查无效。
