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将执行功能的综合框架应用于特定语言障碍的学龄前儿童。

Applying an Integrative Framework of Executive Function to Preschoolers With Specific Language Impairment.

作者信息

Kapa Leah L, Plante Elena, Doubleday Kevin

机构信息

Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson.

Department of Epidemiology and Biostatistics, University of Arizona, Tucson.

出版信息

J Speech Lang Hear Res. 2017 Aug 16;60(8):2170-2184. doi: 10.1044/2017_JSLHR-L-16-0027.

Abstract

PURPOSE

The first goal of this research was to compare verbal and nonverbal executive function abilities between preschoolers with and without specific language impairment (SLI). The second goal was to assess the group differences on 4 executive function components in order to determine if the components may be hierarchically related as suggested within a developmental integrative framework of executive function.

METHOD

This study included 26 4- and 5-year-olds diagnosed with SLI and 26 typically developing age- and sex-matched peers. Participants were tested on verbal and nonverbal measures of sustained selective attention, working memory, inhibition, and shifting.

RESULTS

The SLI group performed worse compared with typically developing children on both verbal and nonverbal measures of sustained selective attention and working memory, the verbal inhibition task, and the nonverbal shifting task. Comparisons of standardized group differences between executive function measures revealed a linear increase with the following order: working memory, inhibition, shifting, and sustained selective attention.

CONCLUSION

The pattern of results suggests that preschoolers with SLI have deficits in executive functioning compared with typical peers, and deficits are not limited to verbal tasks. A significant linear relationship between group differences across executive function components supports the possibility of a hierarchical relationship between executive function skills.

摘要

目的

本研究的首要目标是比较有特定语言障碍(SLI)和无特定语言障碍的学龄前儿童在言语和非言语执行功能能力方面的差异。第二个目标是评估在执行功能的4个组成部分上的组间差异,以确定这些组成部分是否如执行功能的发展整合框架中所建议的那样存在层次关系。

方法

本研究纳入了26名4至5岁被诊断为SLI的儿童以及26名年龄和性别匹配的发育正常的同龄人。参与者接受了持续选择性注意、工作记忆、抑制和转换方面的言语和非言语测试。

结果

在持续选择性注意和工作记忆的言语和非言语测试、言语抑制任务以及非言语转换任务中,SLI组的表现均比发育正常的儿童差。执行功能测量指标之间标准化组间差异的比较显示出线性增加,顺序如下:工作记忆、抑制、转换和持续选择性注意。

结论

结果模式表明,与正常同龄人相比,患有SLI的学龄前儿童在执行功能方面存在缺陷,且缺陷不限于言语任务。执行功能各组成部分的组间差异之间存在显著的线性关系,这支持了执行功能技能之间存在层次关系的可能性。

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