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自闭症谱系障碍、发育性语言迟缓儿童与健康对照组的语言特征及自闭症谱系症状比较。

Comparison of Language Features, Autism Spectrum Symptoms in Children Diagnosed with Autism Spectrum Disorder, Developmental Language Delay, and Healthy Controls.

作者信息

Özyurt Gonca, Eliküçük Çağla Dinsever

机构信息

Department of Child Psychiatry, Nevşehir State Hospital, Nevşehir, Turkey.

Child Development Policlinic, Nevşehir State Hospital, Nevşehir, Turkey.

出版信息

Noro Psikiyatr Ars. 2018 May 28;55(3):205-210. doi: 10.5152/npa.2017.19407. eCollection 2018 Sep.

Abstract

INTRODUCTION

Language and communication is very important in social, emotional, and cognitive development of children. Delay in language is the first complaint for children diagnosed with autism spectrum disorder (ASD) or developmental language delay (DLD). In this study it is aimed to evaluate and compare language profiles and autistic symptoms between children diagnosed with ASD, DLD, and healthy controls.

METHOD

Twenty-six children who are diagnosed with ASD, 43 children who are diagnosed with DLD, and 47 healthy controls are included to study; and all children are in the age of 48-72 months. Test of Early Language Development was used to evaluate language profiles, and autism spectrum symptoms were evaluated with social communication questionnaire (SCQ).

RESULTS

The sociodemographic features of groups were similar. The statistical significant differences were found in all language subscales and subscales of SCQ among three groups. Both children who were diagnosed with ASD and DLD had more autism spectrum symptoms when compared to controls.

DISCUSSION

In present study, it is indicated that developmental language trajectories are different in ASD and DLD group. Children, who are diagnosed with ASD, have more receptive language difficulties while children, who are diagnosed with DLD, have more language difficulties in expressive language area. The finding, children who are diagnosed with DLD have more autistic symptoms, shows that autistic symptoms are related with language development, and it is very important to give preference to language education in the treatment.

摘要

引言

语言与沟通在儿童的社交、情感和认知发展中非常重要。语言发育迟缓是被诊断为自闭症谱系障碍(ASD)或发育性语言迟缓(DLD)儿童的首要症状。本研究旨在评估和比较被诊断为ASD、DLD的儿童与健康对照组儿童的语言特征和自闭症症状。

方法

本研究纳入了26名被诊断为ASD的儿童、43名被诊断为DLD的儿童和47名健康对照儿童;所有儿童年龄在48至72个月之间。使用早期语言发展测试来评估语言特征,并用社交沟通问卷(SCQ)评估自闭症谱系症状。

结果

三组的社会人口学特征相似。三组在所有语言子量表和SCQ子量表上均存在统计学显著差异。与对照组相比,被诊断为ASD和DLD的儿童都有更多的自闭症谱系症状。

讨论

在本研究中,表明ASD组和DLD组的语言发展轨迹不同。被诊断为ASD的儿童在接受性语言方面有更多困难,而被诊断为DLD的儿童在表达性语言方面有更多困难。被诊断为DLD的儿童有更多自闭症症状这一发现表明,自闭症症状与语言发展有关,在治疗中优先进行语言教育非常重要。

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