Ash Andrea C, Redmond Sean M, Timler Geralyn R, Kean Jacob
a Department of Communication Sciences and Disorders , University of Utah , Salt Lake City , UT , USA.
b Department of Communication Sciences and Disorders , James Madison University , Harrisonburg , VA , USA.
Clin Linguist Phon. 2017;31(4):293-312. doi: 10.1080/02699206.2016.1257655. Epub 2016 Dec 12.
The addition of social (pragmatic) communication disorder [S(P)CD] to the DSM-5 taxonomy has left clinicians and researchers searching for appropriate diagnostic measures. Factor analysis procedures examined the extent to which S(P)CD symptoms presented within the Children's Communication Checklist-Second Edition (CCC-2) represented a unique construct and whether these factors were influenced by children's sex. Parents of 208 children (males = 125 and females = 83) from a community-based sample completed the CCC-2. Two pragmatic scores from the CCC-2 were analysed as follows: the social interaction difference index (SIDI) and a pragmatic composite from the original CCC (PC-5). Factor analysis failed to find a unique factor structure for either pragmatic composite. Analyses uncovered different factor structures for the CCC-2 SIDI and PC-5 composites and for boys and girls. S(P)CD represents a complex combination of symptoms that are poorly differentiated from other language and socioemotional behavioural difficulties.
将社交(语用)沟通障碍[S(P)CD]纳入《精神疾病诊断与统计手册》第五版(DSM-5)分类体系后,临床医生和研究人员一直在寻找合适的诊断方法。因子分析程序检验了《儿童沟通检查表第二版》(CCC-2)中呈现的S(P)CD症状在多大程度上代表一个独特的结构,以及这些因子是否受儿童性别的影响。来自一个社区样本的208名儿童(男125名,女83名)的家长完成了CCC-2测试。对CCC-2的两个语用分数进行了如下分析:社交互动差异指数(SIDI)和原始CCC中的语用综合得分(PC-5)。因子分析未能为任何一个语用综合得分找到独特的因子结构。分析发现,CCC-2的SIDI和PC-5综合得分以及男孩和女孩的因子结构不同。S(P)CD代表了一组复杂的症状组合,与其他语言和社会情感行为困难难以区分。