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临床医生提出的自闭症谱系障碍轻度言语儿童口语预后预测指标。

Clinician Proposed Predictors of Spoken Language Outcomes for Minimally Verbal Children with Autism Spectrum Disorder.

机构信息

Menzies Health Institute Queensland, Griffith University, Southport, QLD, Australia.

Griffith University, Parklands Dr., Southport, QLD, 4222, Australia.

出版信息

J Autism Dev Disord. 2021 Feb;51(2):564-575. doi: 10.1007/s10803-020-04550-z.

DOI:10.1007/s10803-020-04550-z
PMID:32556833
Abstract

Our aim was to explore insights from clinical practice that may inform efforts to understand and account for factors that predict spoken language outcomes for children with Autism Spectrum Disorder who use minimal verbal language. We used a qualitative design involving three focus groups with 14 speech pathologists to explore their views and experiences. Using the Framework Method of analysis, we identified 9 themes accounting for 183 different participant references to potential factors. Participants highlighted the relevance of clusters of fine-grained social, communication, and learning behaviours, including novel insights into prelinguistic vocal behaviours. The participants suggested the potential value of dynamic assessment in predicting spoken language outcomes. The findings can inform efforts to developing clinically relevant methods for predicting children's communication outcomes.

摘要

我们的目的是探索临床实践中的见解,这些见解可能有助于我们理解和解释那些预测使用最少语言的自闭症谱系障碍儿童口语结果的因素。我们采用了一种定性设计,包括 3 个焦点小组,共有 14 名言语治疗师参与,以探讨他们的观点和经验。使用框架方法进行分析,我们确定了 9 个主题,其中包括 183 个不同的参与者对潜在因素的参考。参与者强调了精细的社交、沟通和学习行为的集群的相关性,包括对前语言发声行为的新见解。参与者提出了在预测口语结果方面进行动态评估的潜在价值。这些发现可以为开发预测儿童沟通结果的临床相关方法提供信息。

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本文引用的文献

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Predictors and growth in receptive vocabulary from 4 to 8 years in children with and without autism spectrum disorder: A population-based study.自闭症谱系障碍儿童与非自闭症谱系障碍儿童从 4 岁到 8 岁接受性词汇的预测因素和增长:一项基于人群的研究。
Autism. 2019 Jul;23(5):1322-1334. doi: 10.1177/1362361318801617. Epub 2018 Nov 20.
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Aetiology of childhood apraxia of speech: A clinical practice update for paediatricians.儿童言语失用症的病因:儿科医生临床实践最新情况
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A systematic review of predictors, moderators, and mediators of augmentative and alternative communication (AAC) outcomes for children with autism spectrum disorder.
自闭症谱系障碍儿童辅助沟通(AAC)效果的预测因素、调节因素和中介因素的系统评价。
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Sci Rep. 2018 Jan 15;8(1):715. doi: 10.1038/s41598-017-19009-y.
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Language ENvironment Analysis (LENA) in Phelan-McDermid Syndrome: Validity and Suggestions for Use in Minimally Verbal Children with Autism Spectrum Disorder.费兰-麦克德米德综合征中的语言环境分析(LENA):在患有自闭症谱系障碍的极少言语儿童中的有效性及使用建议
J Autism Dev Disord. 2017 Jun;47(6):1605-1617. doi: 10.1007/s10803-017-3082-8.
6
Speech-specific categorical perception deficit in autism: An Event-Related Potential study of lexical tone processing in Mandarin-speaking children.自闭症患者言语范畴知觉缺陷:普通话儿童声调加工的事件相关电位研究。
Sci Rep. 2017 Feb 22;7:43254. doi: 10.1038/srep43254.
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The Social Feedback Hypothesis and Communicative Development in Autism Spectrum Disorder: A Response to Akhtar, Jaswal, Dinishak, and Stephan (2016).社会反馈假说与自闭症谱系障碍中的交流发展:对阿赫塔尔、贾斯瓦尔、迪尼沙克和斯蒂芬(2016年)的回应
Psychol Sci. 2016 Nov;27(11):1531-1533. doi: 10.1177/0956797616668558. Epub 2016 Sep 23.
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P300 amplitude and latency in autism spectrum disorder: a meta-analysis.自闭症谱系障碍中P300波幅与潜伏期:一项荟萃分析。
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The proportion of minimally verbal children with autism spectrum disorder in a community-based early intervention programme.在一项基于社区的早期干预项目中,患有自闭症谱系障碍的极少言语儿童的比例。
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Comparing methods for assessing receptive language skills in minimally verbal children and adolescents with autism spectrum disorders.比较评估患有自闭症谱系障碍的极少言语儿童和青少年接受性语言技能的方法。
Autism. 2016 Jul;20(5):591-604. doi: 10.1177/1362361315600146. Epub 2015 Sep 25.