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特定语言障碍儿童同伴关系的纵向轨迹

Longitudinal trajectories of peer relations in children with specific language impairment.

作者信息

Mok Pearl L H, Pickles Andrew, Durkin Kevin, Conti-Ramsden Gina

机构信息

The University of Manchester, Manchester, UK.

出版信息

J Child Psychol Psychiatry. 2014 May;55(5):516-27. doi: 10.1111/jcpp.12190. Epub 2014 Jan 11.

DOI:10.1111/jcpp.12190
PMID:24410167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4283728/
Abstract

BACKGROUND

Peer relations is a vulnerable area of functioning in children with specific language impairment (SLI), but little is known about the developmental trajectories of individuals.

METHODS

Peer problems were investigated over a 9-year period (from 7 to 16 years of age) in 171 children with a history of SLI. Discrete factor growth modelling was used to chart developmental trajectories. Multinomial logistic regression analysis was conducted to investigate factors associated with group membership.

RESULTS

Four distinct developmental trajectories were identified: low-level/no problems in peer relations (22.2% of participants), childhood-limited problems (12.3%), childhood-onset persistent problems (39.2%) and adolescent-onset problems (26.3%). Risk of poor trajectories of peer relations was greater for those children with pragmatic language difficulties. Prosocial behaviour was the factor most strongly associated with trajectory group membership. Overall, the more prosocial children with better pragmatic language skills and lower levels of emotional problems had less difficulty in developing peer relations.

CONCLUSIONS

Analysis of developmental trajectories enriches our understanding of social development. A sizeable minority in the present sample sustained positive relations through childhood and adolescence, and others overcame early difficulties to achieve low levels of problems by their early teens; the majority, however, showed childhood-onset persistent or adolescent-onset problems.

摘要

背景

同伴关系是特定语言障碍(SLI)儿童功能中的一个脆弱领域,但对于个体的发展轨迹知之甚少。

方法

对171名有SLI病史的儿童进行了为期9年(从7岁到16岁)的同伴问题调查。采用离散因素增长模型绘制发展轨迹。进行多项逻辑回归分析以研究与组群归属相关的因素。

结果

确定了四种不同的发展轨迹:同伴关系中低水平/无问题(22.2%的参与者)、儿童期有限问题(12.3%)、儿童期起病的持续性问题(39.2%)和青春期起病问题(26.3%)。对于那些有语用语言困难的儿童,同伴关系不良轨迹的风险更大。亲社会行为是与轨迹组群归属最密切相关的因素。总体而言,亲社会行为更多、语用语言技能更好且情绪问题水平更低的儿童在发展同伴关系方面困难较少。

结论

对发展轨迹的分析丰富了我们对社会发展的理解。本样本中有相当一部分人在童年和青少年时期维持着积极的关系,其他人克服了早期困难,到十几岁时问题水平较低;然而,大多数人表现出儿童期起病的持续性问题或青春期起病问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9262/4283728/adb732cddbad/jcpp0055-0516-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9262/4283728/adb732cddbad/jcpp0055-0516-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9262/4283728/adb732cddbad/jcpp0055-0516-f1.jpg

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