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自闭症患者言语发音时机的差异及其与语用语言能力的关联

Differences in speech articulatory timing and associations with pragmatic language ability in autism.

作者信息

Lau Joseph C Y, Losh Molly, Speights Marisha

机构信息

Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, U.S.A.

出版信息

Res Autism Spectr Disord. 2023 Apr;102. doi: 10.1016/j.rasd.2023.102118. Epub 2023 Feb 3.

Abstract

BACKGROUND

Speech articulation difficulties have not traditionally been considered to be a feature of Autism Spectrum Disorder (ASD). In contrast, speech prosodic differences have been widely reported in ASD, and may even be expressed in subtle form among clinically unaffected first-degree relatives, representing the expression of underlying genetic liability. Some evidence has challenged this traditional dichotomy, suggesting that differences in speech articulatory mechanisms may be evident in ASD, and potentially related to perceived prosodic differences. Clinical measurement of articulatory skills has traditionally been phoneme-based, rather than by acoustic measurement of motor control. Subtle differences in articulatory/motor control, prosodic characteristics (acoustic), and pragmatic language ability (linguistic) may each be contributors to differences perceived by listeners, but the interrelationship is unclear. In this study, we examined the articulatory aspects of this relationship, in speech samples from individuals with ASD and their parents during narration.

METHOD

Using Speechmark analysis, we examined articulatory landmarks, fine-grained representations of articulatory timing as series of laryngeal and vocal-tract gestures pertaining to prosodic elements crucial for conveying pragmatic information.

RESULTS

Results revealed articulatory timing differences in individuals with ASD but not their parents, suggesting that although potentially not influenced by broader genetic liability to ASD, subtle articulatory differences may indeed be evident in ASD as the recent literature indicates. A follow-up path analysis detected associations between articulatory timing differences and prosody, and subsequently, pragmatic language ability.

CONCLUSION

Together, results suggest a complex relationship where subtle differences in articulatory timing may result in atypical acoustic signals, and serve as a distal mechanistic contributor to pragmatic language ability ASD.

摘要

背景

言语清晰度困难传统上并不被认为是自闭症谱系障碍(ASD)的一个特征。相比之下,ASD中言语韵律差异已被广泛报道,甚至可能以微妙的形式在临床上未受影响的一级亲属中表现出来,这代表了潜在的遗传易感性的表达。一些证据对这种传统的二分法提出了挑战,表明言语发音机制的差异在ASD中可能很明显,并且可能与感知到的韵律差异有关。传统上,发音技能的临床测量是基于音素的,而不是通过对运动控制的声学测量。发音/运动控制、韵律特征(声学)和语用语言能力(语言学)方面的细微差异可能都是导致听众感知差异的因素,但它们之间的相互关系尚不清楚。在本研究中,我们在叙述过程中对来自ASD个体及其父母的语音样本进行了研究,以探讨这种关系在发音方面的情况。

方法

我们使用语音标记分析来检查发音标志,即作为与传达语用信息至关重要的韵律元素相关的一系列喉部和声道手势的发音时间的细粒度表示。

结果

结果显示ASD个体存在发音时间差异,而其父母则没有,这表明尽管可能不受ASD更广泛的遗传易感性影响,但正如最近的文献所表明的,ASD中确实可能存在细微的发音差异。后续的路径分析检测到发音时间差异与韵律之间的关联,随后又检测到与语用语言能力之间的关联。

结论

综合来看,结果表明存在一种复杂的关系,即发音时间的细微差异可能导致非典型的声学信号,并作为语用语言能力ASD的一个远端机制因素。

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