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语言问题与 ADHD 行为:社会经济地位不利的学龄前样本中与学业准备的独特和交互关联。

Language Problems and ADHD Behaviors: Unique and Interactive Associations with School Readiness in a Socioeconomically Disadvantaged Preschool Sample.

机构信息

Department of Psychological Science, University of Vermont, 2 Colchester Avenue, Burlington, VT, 05405, USA.

出版信息

Child Psychiatry Hum Dev. 2023 Apr;54(2):597-608. doi: 10.1007/s10578-021-01272-w. Epub 2021 Oct 25.

DOI:10.1007/s10578-021-01272-w
PMID:34694560
Abstract

This study examined the unique and interactive effects of receptive language ability and ADHD behaviors on six school readiness outcomes, over and above the effects of socioeconomic status, in 49 preschoolers (M = 3.98, SD = .58; 53.06% female) recruited from Head Start-affiliated classrooms. Hierarchical regression analyses revealed unique positive associations between receptive language ability and cognitive and mathematics readiness, and unique negative associations between ADHD behaviors and social-emotional, physical, cognitive, and literacy readiness. Moderation analyses indicated that at higher, but not lower, levels of ADHD behaviors, lower receptive language ability was associated with lower social-emotional readiness. Results highlight that, when considered together, children's receptive language ability and ADHD behaviors vary in how they predict school readiness. Further, results provide preliminary evidence for ADHD behaviors as a risk factor in the association between receptive language deficits and social-emotional school readiness. Educational and clinical practice implications are discussed.

摘要

本研究考察了接受性语言能力和 ADHD 行为对 49 名学龄前儿童(M=3.98,SD=.58;53.06%为女性)六个入学准备结果的独特和交互影响,这些儿童均来自于“学步儿童发展计划”附属教室。分层回归分析显示,接受性语言能力与认知和数学准备呈正相关,而 ADHD 行为与社会情感、身体、认知和读写准备呈负相关。调节分析表明,在 ADHD 行为较高而非较低的水平上,较低的接受性语言能力与较低的社会情感准备相关。研究结果表明,当综合考虑时,儿童的接受性语言能力和 ADHD 行为在预测入学准备方面存在差异。此外,结果初步证明 ADHD 行为是接受性语言缺陷与社会情感入学准备之间关联的一个风险因素。讨论了教育和临床实践的意义。

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本文引用的文献

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Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.儿童和青少年注意缺陷多动障碍的诊断、评估和治疗临床实践指南。
Pediatrics. 2019 Oct;144(4). doi: 10.1542/peds.2019-2528.
2
School Readiness in Preschoolers With Symptoms of Attention-Deficit/Hyperactivity Disorder.幼儿注意缺陷多动障碍症状的学校准备。
Pediatrics. 2019 Aug;144(2). doi: 10.1542/peds.2019-0038. Epub 2019 Jul 22.
3
Inattentiveness and Language Abilities in Preschoolers: A Latent Profile Analysis.
学龄前儿童的注意力不集中与语言能力:潜在剖面分析。
J Abnorm Child Psychol. 2019 Feb;47(2):245-257. doi: 10.1007/s10802-018-0451-5.
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Attention Deficit/Hyperactivity Disorder (ADHD) symptoms and cognitive skills of preschool children.学龄前儿童的注意力缺陷/多动障碍(ADHD)症状与认知技能。
Psychiatriki. 2017 Jan-Mar;28(1):28-36. doi: 10.22365/jpsych.2017.281.28.
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Research Review: Language problems in children with Attention-Deficit Hyperactivity Disorder - a systematic meta-analytic review.研究综述:注意缺陷多动障碍儿童的语言问题——一项系统的荟萃分析综述
J Child Psychol Psychiatry. 2017 Jun;58(6):640-654. doi: 10.1111/jcpp.12688. Epub 2017 Feb 10.
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Relationship between early language skills and the development of inattention/hyperactivity symptoms during the preschool period: Results of the EDEN mother-child cohort.学前阶段早期语言技能与注意力不集中/多动症状发展之间的关系:EDEN母婴队列研究结果
BMC Psychiatry. 2016 Nov 8;16(1):380. doi: 10.1186/s12888-016-1091-3.
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Language Impairment in the Attention-Deficit/Hyperactivity Disorder Context.注意缺陷多动障碍背景下的语言障碍
J Speech Lang Hear Res. 2016 Feb;59(1):133-42. doi: 10.1044/2015_JSLHR-L-15-0038.
8
The Association Between Socioeconomic Disadvantage and Attention Deficit/Hyperactivity Disorder (ADHD): A Systematic Review.社会经济劣势与注意力缺陷多动障碍(ADHD)之间的关联:一项系统综述。
Child Psychiatry Hum Dev. 2016 Jun;47(3):440-58. doi: 10.1007/s10578-015-0578-3.
9
Language problems in children with ADHD: a community-based study.儿童注意缺陷多动障碍的语言问题:基于社区的研究。
Pediatrics. 2014 May;133(5):793-800. doi: 10.1542/peds.2013-3355.
10
Merely misunderstood? Receptive, expressive, and pragmatic language in young children with disruptive behavior disorders.只是被误解了?患有破坏性行为障碍的幼儿的接受性、表达性和语用语言。
J Clin Child Adolesc Psychol. 2014;43(5):765-76. doi: 10.1080/15374416.2013.822306. Epub 2013 Aug 7.