Friedman Laura, Sterling Audra
Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, Wisconsin.
Semin Speech Lang. 2019 Aug;40(4):291-304. doi: 10.1055/s-0039-1692964. Epub 2019 Jul 16.
Difficulties with both executive functions and language skills are common but variable in autism spectrum disorder (ASD). Executive functions and language skills are related to one another, such that vocabulary, syntax, and pragmatics are related to domains of working memory, shifting, and inhibition in ASD, although the directionality of these relationships remains unclear. Moreover, interventions that target pragmatic ability have been found to improve executive function skills, and conversely, executive function interventions are linked with improvements in social skills in children with ASD. We review the literature on executive functions, language skills, and their relationship in ASD; discuss factors that may be driving inconsistent findings; and explore clinical applications from the research thus far.
在自闭症谱系障碍(ASD)中,执行功能和语言技能方面的困难很常见,但存在个体差异。执行功能和语言技能相互关联,例如在ASD中,词汇、句法和语用学与工作记忆、转换和抑制等领域相关,尽管这些关系的方向性尚不清楚。此外,已发现针对语用能力的干预措施可改善执行功能技能,反之,执行功能干预与ASD儿童社交技能的改善相关。我们回顾了关于ASD中执行功能、语言技能及其关系的文献;讨论了可能导致结果不一致的因素;并探讨了迄今为止该研究的临床应用。