Children's Evaluation and Rehabilitation Center, R. F. Kennedy Center of Excellence in Developmental Disabilities, and Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York.
Children's Evaluation and Rehabilitation Center, R. F. Kennedy Center of Excellence in Developmental Disabilities, and Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York.
Pediatr Neurol. 2019 Nov;100:55-59. doi: 10.1016/j.pediatrneurol.2019.07.001. Epub 2019 Jul 11.
Bilingualism is increasingly prevalent; however, research in bilingual children with autism is sparse. The purpose of this study was to compare social skills and autistic features in monolingual English and bilingual English-Spanish children with autism spectrum disorder.
We conducted a review of the multidisciplinary evaluations done in all children aged one to six years diagnosed with autism spectrum disorder in an inner city, university-affiliated clinic from 2003 to 2013. Collected information included demographics, developmental testing, and autistic characteristics.
We identified 462 children; 165 were bilingual English-Spanish and 297 were monolingual English. Parents of bilingual children reported stereotyped or repetitive use of language more often (66% vs 48% P = 0.002) than monolinguals. Significant differences were not found in social interaction, use of nonverbal behaviors, peer relationships, sharing or social or emotional reciprocity, mannerisms, or autism severity.
Bilingualism does not seem to confer an extra vulnerability on children with autism spectrum disorder; however, differences in qualitative use of language were observed.
双语现象越来越普遍；然而，针对自闭症双语儿童的研究却很少。本研究旨在比较单语英语和双语英语-西班牙语自闭症谱系障碍儿童的社会技能和自闭症特征。
我们对 2003 年至 2013 年在一所城市内的大学附属诊所诊断为自闭症谱系障碍的 1 至 6 岁儿童进行了多学科评估。收集的信息包括人口统计学、发育测试和自闭症特征。
我们确定了 462 名儿童；165 名是双语英语-西班牙语，297 名是单语英语。双语儿童的父母报告语言刻板或重复使用的情况更为常见（66%比 48%，P=0.002）。在社会互动、使用非言语行为、同伴关系、分享或社会或情感互惠、习惯动作或自闭症严重程度方面，没有发现显著差异。
双语似乎不会给自闭症谱系障碍儿童带来额外的脆弱性；然而，在语言的定性使用方面观察到了差异。
