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受虐儿童在家庭外照料环境中的叙事语言技能。

Narrative language skills of maltreated children living in out-of-home care.

机构信息

La Trobe Rural Health School, La Trobe University, Bendigo, Australia.

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Australia.

出版信息

Int J Speech Lang Pathol. 2020 Apr;22(2):117-128. doi: 10.1080/17549507.2019.1598493. Epub 2019 May 2.

Abstract

: Children's narrative accounts of their experiences are central to the prosecution of perpetrators of alleged maltreatment. We describe the narrative language skills of children who were placed in out-of-home care (OOHC) following substantiated maltreatment. It was hypothesised that (i) children with such histories would display narrative language skills that fall significantly below published age-expected norms, (ii) narrative language skills and core language skills would be positively correlated and (iii) narrative language skills would be associated with measures of socio-economic disadvantage.: Eighty-three children (40 males and 43 females) aged 5;3 to 12;10 (M = 7.9, SD = 2.3) from English-speaking home backgrounds were assessed using the Test of Narrative Language and the Clinical Evaluation of Language Fundamentals (CELF-4) Core Language Score. The Raven's Coloured Progressive Matrices, a measure of nonverbal intelligence, was employed as a covariate.: Forty-two percent of children scored in the below-average range on the Narrative Language Index Ability Index. The same proportion scored at/above age-expected levels on the Narrative Comprehension subtest, and 19% scored at/above age-expected levels on Oral Narration. There was a significant correlation between CELF-4 Core Language Scores and the Narrative Language Index Ability Index. Female carers' education was significantly positively associated with overall narrative language scores; however, household income and index of socio-economic disadvantage were not significantly associated with narrative language scores.: Children who are victims of substantiated maltreatment should be considered at-risk for compromised ability to provide a narrative account of their experiences. The heterogeneity and often scant oral narrative language skills of these children highlights the importance of police/human services training on best-practice forensic interviewing. Policy and practice implications for speech-language pathology early intervention to support the needs of at-risk children are also discussed.

摘要

儿童对其经历的叙述性描述是起诉虐待行为肇事者的核心依据。我们描述了经证实受虐待后被安置在家庭外照料(OOHC)的儿童的叙述性语言技能。假设:(i)有此类病史的儿童会表现出明显低于已发表的年龄预期规范的叙述性语言技能,(ii)叙述性语言技能和核心语言技能呈正相关,(iii)叙述性语言技能与社会经济劣势的衡量标准有关。

我们评估了 83 名来自英语家庭背景的儿童(40 名男性和 43 名女性),年龄在 5;3 至 12;10 岁之间(M=7.9,SD=2.3),使用叙事语言测试和临床语言基本评估(CELF-4)核心语言评分。瑞文彩色渐进矩阵,作为非语言智力的衡量标准,被用作协变量。

42%的儿童在叙事语言指数能力指数上的得分处于低于平均水平。同样的比例在叙事理解子测试上的得分达到/高于年龄预期水平,19%在口头叙述上的得分达到/高于年龄预期水平。CELF-4 核心语言评分与叙事语言指数能力指数之间存在显著相关性。照顾者的女性教育与整体叙事语言评分呈显著正相关;然而,家庭收入和社会经济劣势指数与叙事语言评分无显著相关。

遭受过虐待的儿童应被视为叙述其经历能力受损的高危人群。这些儿童的异质性和口语叙事语言技能通常不足,突出了警察/社会服务培训在最佳实践法医访谈方面的重要性。还讨论了言语病理学早期干预以支持高危儿童需求的政策和实践意义。

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