Lee Kyung Sook, Shin Yee Jin, Yoo Hee Jeong, Lee Gui Jong, Ryu Jeong, Son Oweol, Cho Sook Whan
Department of Rehabilitation, Hanshin University, Osan, Korea.
Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2018 May;59(3):425-430. doi: 10.3349/ymj.2018.59.3.425.
This study aimed to examine the development of socializing and emotional expressions through vocalizations and joint attention (JA) behaviors in Korean-speaking children with autism spectrum disorder (ASD), compared to those with developmental delay (DD).
Video samples were collected from 28 toddlers with ASD and 18 age-matched toddlers with DD, and vocalizations were each coded in detail for the purpose of this retrospective research. In addition to some statistical analysis, Computerized Language Analysis was conducted to obtain the final results.
Although they produced a higher number of vocalizations than the DD group, the ASD group did not engage in emotional or social interactions with their caretakers, whereas the DD group did. The children with ASD used more atypical vocalizations and socially unengaged vocalizations than the children with DD did. JA using vocalizations in the ASD group, in particular, was largely dyadic, with triadic types occurring at a significantly lower frequency than those in the DD group.
Results from this study indicate the importance of assessing early vocalizations in toddlers with ASD, suggesting that some common symptoms of ASD, such as lack of typical, emotional, and social functions in early vocalizations, could be used to develop screening and intervention programs related to ASD.
本研究旨在探讨与发育迟缓(DD)儿童相比,患有自闭症谱系障碍(ASD)的韩语儿童通过发声和联合注意(JA)行为进行社交和情感表达的发展情况。
从28名患有ASD的幼儿和18名年龄匹配的患有DD的幼儿中收集视频样本,并为这项回顾性研究对发声进行详细编码。除了一些统计分析外,还进行了计算机语言分析以获得最终结果。
虽然ASD组幼儿发出的声音数量比DD组多,但ASD组幼儿并未与照顾者进行情感或社交互动,而DD组幼儿则进行了此类互动。与DD组儿童相比,ASD组儿童使用了更多非典型发声和非社交性发声。特别是,ASD组中通过发声进行的联合注意在很大程度上是二元的,三元类型出现的频率明显低于DD组。
本研究结果表明评估ASD幼儿早期发声的重要性,提示ASD的一些常见症状,如早期发声中缺乏典型、情感和社交功能,可用于制定与ASD相关的筛查和干预计划。