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社区学龄儿童的睡眠呼吸障碍与语言技能

Sleep-disordered breathing and verbal skills in school-aged community children.

作者信息

Honaker Sarah Morsbach, Gozal David, Bennett Jessica, Capdevila Oscar Sans, Spruyt Karen

机构信息

Division of Pediatric Sleep Medicine, Department of Pediatrics, Kosair Children's Hospital Research Institute, University of Louisville, Louisville, Kentucky, USA.

出版信息

Dev Neuropsychol. 2009;34(5):588-600. doi: 10.1080/87565640903133582.

Abstract

Sleep-disordered breathing (SDB) has been repeatedly associated with neurocognitive deficits in children. However, impairments in verbal skills have been inconsistently reported. The effects of SDB on verbal skills of 76 age-, gender, ethnicity, and maternal education matched groups of children with habitual snoring, but normal overnight sleep studies (HS), and children with significant SDB were compared to non-snoring healthy controls. A multi-method assessment of verbal abilities, and language neurodevelopment was chosen to unravel verbal skills. Preschoolers' difficulties in processing verbal instructions of increasing linguistic complexity, and school-aged children's reduced ability of verbal concepts provide evidence of SDB effects on verbal abilities. Although overall cognitive performances of SBD children remain in normative range, their problematic verbal skills may ultimately adversely affect academic performances or socioemotional behaviors.

摘要

睡眠呼吸障碍(SDB)一直被反复证明与儿童的神经认知缺陷有关。然而,关于言语技能受损的报道并不一致。将76组年龄、性别、种族和母亲教育程度相匹配的习惯性打鼾但夜间睡眠研究正常(HS)的儿童以及患有严重SDB的儿童的言语技能与不打鼾的健康对照组进行了比较。选择了一种多方法评估言语能力和语言神经发育的方式来剖析言语技能。学龄前儿童在处理语言复杂度不断增加的言语指令方面存在困难,学龄儿童的言语概念能力下降,这些都证明了SDB对言语能力的影响。尽管患有SDB的儿童的整体认知表现仍在正常范围内,但他们存在问题的言语技能最终可能会对学业成绩或社会情感行为产生不利影响。

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