Broome Kate, McCabe Patricia, Docking Kimberley, Doble Maree
Discipline of Speech Pathology, The University of Sydney, Australia.
The Sydney Children's Hospital Network, Sydney, Australia.
Am J Speech Lang Pathol. 2017 Aug 15;26(3):1011-1029. doi: 10.1044/2017_AJSLP-16-0014.
The purpose of this systematic review was to provide a summary and evaluation of speech assessments used with children with autism spectrum disorders (ASD). A subsequent narrative review was completed to ascertain the core components of an evidence-based pediatric speech assessment, which, together with the results of the systematic review, provide clinical and research guidelines for best practice.
A systematic search of eight databases was used to find peer-reviewed research articles published between 1990 and 2014 assessing the speech of children with ASD. Eligible articles were categorized according to the assessment methods used and the speech characteristics described.
The review identified 21 articles that met the inclusion criteria, search criteria, and confidence in ASD diagnosis. The speech of prelinguistic participants was assessed in seven articles. Speech assessments with verbal participants were completed in 15 articles with segmental and suprasegmental aspects of speech analyzed. Assessment methods included connected speech samples, single-word naming tasks, speech imitation tasks, and analysis of the production of words and sentences.
Clinical and research guidelines for speech assessment of children with ASD are outlined. Future comparisons will be facilitated by the use of consistent reporting methods in research focusing on children with ASD.
本系统评价旨在总结和评估用于自闭症谱系障碍（ASD）儿童的言语评估方法。随后完成了一项叙述性综述，以确定循证儿科言语评估的核心组成部分，这些组成部分与系统评价的结果共同为最佳实践提供临床和研究指南。
对八个数据库进行系统检索，以查找1990年至2014年间发表的评估ASD儿童言语的同行评审研究文章。符合条件的文章根据所使用的评估方法和所描述的言语特征进行分类。
该综述确定了21篇符合纳入标准、检索标准且对ASD诊断有信心的文章。七篇文章评估了语言前参与者的言语。15篇文章完成了对言语参与者的言语评估，并分析了言语的音段和超音段方面。评估方法包括连贯言语样本、单词命名任务、言语模仿任务以及单词和句子生成分析。
概述了ASD儿童言语评估的临床和研究指南。在针对ASD儿童的研究中使用一致的报告方法将有助于未来的比较。
