Lucas Rebecca, Norbury Courtenay Frazier
J Speech Lang Hear Res. 2015 Aug 1;58(4):1224-32. doi: 10.1044/2015_JSLHR-L-14-0330.
Many children with communication disorders have reading comprehension difficulties, and in order to target interventions effectively it is important to identify which specific components of comprehension are especially challenging. The current study explored the relationship between text-inferencing skill, autistic symptomatology, and language phenotype.
Typically developing children (n = 32), children with autism spectrum disorders (ASD) and age-appropriate structural language skills (n = 27), children with ASD and language impairment (n = 15), and nonautistic children with language impairment (n = 12) were administered the Neale Analysis of Reading Ability-Revised (Neale, 1997), and responses to literal and inferential questions were analyzed.
For the sample as a whole, inferencing competence was predicted by oral language skill, with autistic symptomatology not contributing significant variance. However, although only 12.5% of typically developing children found answering inferential questions disproportionally challenging relative to answering literal questions, one third of children with age-appropriate structural language skills demonstrated inferencing deficits, as did over 50% of children with language impairments, regardless of ASD status.
These results indicate that children with language impairments are most likely to find inferencing challenging, but practitioners will also need to monitor the inferencing skills of children with ASD and good language and single-word reading skills.
许多有沟通障碍的儿童存在阅读理解困难,为了有效地进行干预,识别出阅读理解中哪些特定成分尤其具有挑战性很重要。当前研究探讨了文本推理技能、自闭症症状和语言表型之间的关系。
对发育正常的儿童(n = 32)、具有与年龄相符的结构语言技能的自闭症谱系障碍(ASD)儿童(n = 27)、患有ASD且有语言障碍的儿童(n = 15)以及患有语言障碍的非自闭症儿童(n = 12)进行了修订版的尼尔阅读能力分析(尼尔,1997),并对其针对字面问题和推理问题的回答进行了分析。
对于整个样本而言,推理能力由口语技能预测,自闭症症状并未产生显著差异。然而,尽管只有12.5%的发育正常儿童发现回答推理问题相对于回答字面问题具有不成比例的挑战性,但三分之一具有与年龄相符的结构语言技能的儿童表现出推理缺陷,超过50%的有语言障碍的儿童也是如此,无论其是否患有ASD。
这些结果表明,有语言障碍的儿童最有可能觉得推理具有挑战性,但从业者也需要监测具有良好语言和单字阅读技能的ASD儿童的推理能力。