Pearce Patsy, Johnson Carolyn, Manly Patricia, Locke Jake
1Child Psychiatry Inpatient Unit, British Columbia Children's Hospital, Canada.
Clin Child Psychol Psychiatry. 2014 Apr;19(2):244-59. doi: 10.1177/1359104513487001. Epub 2013 May 20.
A large proportion of child psychiatry patients have undiagnosed language disorders. Adequately developed language is critical for psychotherapy and cognitive-behavioral therapies. This study investigated (1) whether assessment of oral narratives would identify language impairments in this population undetected by assessment of only core language abilities, and (2) the extent to which measures of cognition, working memory, emotional distress, and social function differentially predict core language and narrative development. Results showed that (1) more than twice as many children were identified with language impairment when both narrative and core language assessment were used, and (2) core language comprehension and complex verbal working memory were the strongest predictors of narrative production, while core language comprehension, a less complex working-memory task, and social skills best predicted narrative comprehension. Emotional distress did not predict either. The results emphasize the importance of evaluating child psychiatry patients' language, using both core language and narrative measures.
很大一部分儿童精神病学患者存在未被诊断出的语言障碍。充分发展的语言能力对于心理治疗和认知行为疗法至关重要。本研究调查了：（1）仅通过核心语言能力评估未检测到的该人群中的语言障碍，是否可以通过口头叙述评估来识别；（2）认知、工作记忆、情绪困扰和社会功能的测量在多大程度上对核心语言和叙述发展有不同的预测作用。结果表明：（1）同时使用叙述和核心语言评估时，被识别出有语言障碍的儿童数量是仅使用核心语言评估时的两倍多；（2）核心语言理解和复杂言语工作记忆是叙述生成的最强预测因素，而核心语言理解、较简单的工作记忆任务和社交技能最能预测叙述理解。情绪困扰对两者均无预测作用。研究结果强调了使用核心语言和叙述测量方法来评估儿童精神病学患者语言的重要性。
