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自闭症谱系障碍患儿运动和语言障碍共患情况。来自挪威的一项探索性研究。

The co-occurrence of motor and language impairments in children evaluated for autism spectrum disorder. An explorative study from Norway.

机构信息

Department of Child and Adolescent Psychiatry, Møre og Romsdal Hospital Trust, Volda Hospital, Volda, Norway; Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU Central Norway), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.

NevSom, Department of Rare Disorders and Disabilities, Oslo University Hospital, Oslo, Norway; K.G Jebsen Centre for Neurodevelopmental Disorders, University of Oslo, Oslo, Norway.

出版信息

Res Dev Disabil. 2022 Aug;127:104256. doi: 10.1016/j.ridd.2022.104256. Epub 2022 May 14.

Abstract

BACKGROUND

Current research suggest that motor and language impairments are common and closely related in infants with autism spectrum disorder (ASD). In older children, less is known about how these impairments are related to each other.

AIMS

The current study explored the co-occurrence and potential impact of motor and language impairments in a sample of school-aged children evaluated for ASD by Norwegian specialist health services.

METHODS

Besides clinical evaluation for ASD, all participants (N = 20, mean age 10.7 (SD = 3.4) years) underwent a standardized test of motor performance (MABC-2), parent report measures of current motor (DCDQ'07), language (CCC-2), and social (SRS) skills, and a caregiver interview on everyday functioning, providing an overall impairment score (DD-CGAS).

RESULTS

The majority (85%) had motor and/or structural language deficits in addition to their social impairment. All children identified with motor impairment on both measures (39%) also had structural language deficits. Better motor performance was strongly correlated with better structural language skills (r = .618, p = .006).

CONCLUSIONS

Our findings suggest that co-occurring motor and structural language deficits should be anticipated and assessed when evaluating children for ASD. These deficits may need specific interventions that complement those targeting social skills deficits and other ASD core symptoms.

摘要

背景

目前的研究表明,运动和语言障碍在自闭症谱系障碍(ASD)的婴儿中很常见且密切相关。在年龄较大的儿童中,对于这些障碍之间的相互关系,人们了解较少。

目的

本研究探讨了在由挪威专科医疗服务机构评估的 ASD 患儿样本中,运动和语言障碍的共同发生和潜在影响。

方法

除了对 ASD 的临床评估外,所有参与者(N=20,平均年龄 10.7(SD=3.4)岁)均接受了运动表现的标准化测试(MABC-2)、父母报告的当前运动(DCDQ'07)、语言(CCC-2)和社会(SRS)技能的测量,以及照顾者对日常功能的访谈,提供总体损伤评分(DD-CGAS)。

结果

大多数(85%)患儿除了社交障碍外,还存在运动和/或结构性语言缺陷。所有在两项测量中都存在运动障碍的儿童(39%)也存在结构性语言缺陷。更好的运动表现与更好的结构性语言技能呈强烈相关(r=.618,p=.006)。

结论

我们的研究结果表明,在评估 ASD 患儿时,应预期并评估同时存在的运动和结构性语言缺陷。这些缺陷可能需要特定的干预措施,以补充针对社交技能缺陷和其他 ASD 核心症状的干预措施。

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