Gallinat Erica, Spaulding Tammie J
J Speech Lang Hear Res. 2014 Aug;57(4):1363-82. doi: 10.1044/2014_JSLHR-L-12-0363.
This study used meta-analysis to investigate the difference in nonverbal cognitive test performance of children with specific language impairment (SLI) and their typically developing (TD) peers.
The meta-analysis included studies (a) that were published between 1995 and 2012 of children with SLI who were age matched (and not nonverbal cognitive matched) to TD peers and given a norm-referenced nonverbal cognitive test and (b) that reported sufficient data for an effect size analysis. Multilevel modeling was used to examine the performance of children with SLI relative to their typically developing, age-matched peers on nonverbal IQ tests.
Across 138 samples from 131 studies, on average children with SLI scored 0.69 standard deviations below their TD peers on nonverbal cognitive tests after adjusting for the differences in the tests used, the low-boundary cutoff scores, the age of the participants, and whether studies matched the two groups on socioeconomic status.
The lower performance of children with SLI relative to TD children on nonverbal IQ tests has theoretical implications for the characterization of SLI and clinical and political implications regarding how nonverbal cognitive tests are used and interpreted for children with this disorder.
本研究采用荟萃分析方法,探究特定语言障碍(SLI)儿童与发育正常(TD)同龄人在非语言认知测试表现上的差异。
该荟萃分析纳入了以下研究:(a)1995年至2012年间发表的,针对与TD同龄人年龄匹配(而非非语言认知匹配)的SLI儿童,并对其进行常模参照非语言认知测试的研究;(b)报告了足够数据用于效应量分析的研究。采用多层次建模方法,考察SLI儿童在非语言智商测试中相对于发育正常、年龄匹配的同龄人的表现。
在来自131项研究的138个样本中,在对所使用的测试差异、低边界临界分数、参与者年龄以及研究是否使两组在社会经济地位上相匹配进行调整后,SLI儿童在非语言认知测试中的平均得分比其TD同龄人低0.69个标准差。
SLI儿童在非语言智商测试中相对于TD儿童表现较差,这对于SLI的特征描述具有理论意义,对于如何对患有这种障碍的儿童使用和解释非语言认知测试具有临床和政策意义。