Vogindroukas Ioannis, Stankova Margarita, Chelas Evripidis-Nikolaos, Proedrou Alexandros
New Bulgarian University, Sofia, Bulgaria.
Research and Education Institute of Speech Therapy, Ioannina, Greece.
Neuropsychiatr Dis Treat. 2022 Oct 14;18:2367-2377. doi: 10.2147/NDT.S331987. eCollection 2022.
The aim of this paper is to provide information regarding diversity in speech and language profiles of individuals with Autism Spectrum Disorders (ASD) and try to classify these profiles according to the combination of the communication difficulties. Research findings confirm the existence of heterogeneity of communication challenges in ASD across the lifespan. A lot of children with ASD experience communication challenges and strengths across all language sub-systems including pragmatics, grammar, semantics, syntax, phonology, and morphology in both oral and written language, while some children with autism demonstrate exceptional language abilities incl. linguistic creativity. Communication issues vary on a continuum of severity so that some children may be verbal, whereas others remain non-verbal or minimally-verbal. The diversity of profiles in speech and language development stem from either the presence of comorbid factors, as a core symptom of autistic behavior without comorbidity or both, with the development of complex clinical symptoms. Difficulties with the semantic aspect of language affect the individual's skills in abstract thinking, multiple meanings of words, concept categorization, and so on. Finally, the coexistence of ASD with other communication difficulties such as a Language Disorder, Apraxia of Speech, Speech Sound Disorders or/and other neurodevelopmental disorders raises the need for examining more carefully the emergence of new clinical profiles and clinical markers useful in performing differential diagnosis and different intervention.
本文旨在提供有关自闭症谱系障碍(ASD)个体言语和语言特征多样性的信息,并尝试根据沟通困难的组合对这些特征进行分类。研究结果证实,ASD患者在整个生命周期中存在沟通挑战的异质性。许多ASD儿童在口语和书面语言的所有语言子系统(包括语用学、语法、语义学、句法、音系学和形态学)中都经历沟通挑战和优势,而一些自闭症儿童则表现出特殊的语言能力,包括语言创造力。沟通问题在严重程度上呈连续变化,因此有些儿童可能会说话,而另一些儿童则仍然不会说话或只会说极少的话。言语和语言发展特征的多样性源于共病因素的存在、作为无共病的自闭症行为的核心症状或两者兼有,并伴有复杂临床症状的发展。语言语义方面的困难会影响个体在抽象思维、单词的多种含义、概念分类等方面的技能。最后,ASD与其他沟通困难(如语言障碍、言语失用症、语音障碍或/和其他神经发育障碍)的共存,增加了更仔细检查新的临床特征和有助于进行鉴别诊断及不同干预的临床标志物出现情况的必要性。