University of London, Institute of Education, Department of Quantitative Social Science, London, UK.
Pediatrics. 2010 Jul;126(1):e73-80. doi: 10.1542/peds.2009-3282. Epub 2010 Jun 29.
Little is known on the psychosocial adult outcomes of children's early language skills or intervening circumstances. The aim of this study was to assess the longitudinal trajectory linking childhood receptive language skills to psychosocial outcomes in later life.
The study comprised 6941 men and women who participated in a nationally representative Birth Cohort Study. Direct assessment of language skills were made at age 5. The sample was studied again at age 34 to assess psychosocial outcomes and levels of adult mental health. Characteristics of the family environment, individual adjustment, and social adaptation in the transition to adulthood were assessed as potential moderating factors linking early language skills to adult mental health.
In early childhood, cohort members with poor receptive language experienced more disadvantaged socioeconomic circumstances than cohort members with normal language skills and showed more behavior and psychosocial adjustment problems in the transition to adulthood. At age 34, cohort members with poor early language skills reported lower levels of mental health than cohort members with normal language. After adjustment for family background and experiences of social adaptation, early language skills maintained a significant and independent impact in predicting adult mental health.
Early receptive language skills are significantly associated with adult mental health as well as psychosocial adjustment during early childhood and in later life. The needs of children with language problems are complex and call for early and continuing provision of educational support and services.
对于儿童早期语言技能或干预情况与成年后心理社会结果之间的关系,人们知之甚少。本研究旨在评估儿童接受性语言技能与成年后心理社会结果之间的纵向轨迹。
该研究纳入了 6941 名男性和女性,他们参加了一项全国代表性的出生队列研究。在 5 岁时对语言技能进行了直接评估。该样本在 34 岁时再次进行研究,以评估心理社会结果和成年心理健康水平。将家庭环境特征、个体适应情况和成年过渡期的社会适应情况作为潜在的调节因素,来评估其与早期语言技能与成年心理健康之间的联系。
在幼儿期,接受性语言技能较差的队列成员比语言技能正常的队列成员经历了更多不利的社会经济环境,并且在成年过渡期表现出更多的行为和心理社会适应问题。在 34 岁时,语言技能较差的队列成员报告的心理健康水平低于语言技能正常的队列成员。在校正家庭背景和社会适应经历后,早期语言技能仍然对预测成年心理健康具有显著的独立影响。
早期接受性语言技能与成年心理健康以及儿童期和成年后早期的心理社会适应显著相关。语言问题儿童的需求较为复杂,需要提供早期和持续的教育支持和服务。