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威廉姆斯综合征的早期交流发展:一项纵向案例研究。

Early Communicative Development in Williams Syndrome: A Longitudinal Case Study.

作者信息

Diez-Itza Eliseo, Llona Florencia, Martínez Verónica

机构信息

LOGIN Research Group, University of Oviedo, 33003 Oviedo, Spain.

出版信息

Children (Basel). 2023 Dec 8;10(12):1900. doi: 10.3390/children10121900.

Abstract

Individuals with Williams Syndrome (WS) have a specific and atypical neuropsychological profile, where language is above what is expected for their mental age, although it shows a late onset. There exists only one longitudinal study in infants younger than 20 months old with WS about early language precursors (joint attention, referential and instrumental behaviors, pointing gesture, verbal tags). The aim of this investigation is to evaluate these precursors in a baby with WS (8 to 18 months). Seven sessions of systematic observation were performed (six at baby's home, one at the Early Childhood Assistance center). The Battelle Developmental Inventory was used to evaluate the baby's development in two occasions (12 and 18 months). The results show an atypical development, and he is 5-6 months under what is expected for his chronological age. Attention towards objects prevails over preference for faces, but this one tends to increase. The pointing gesture does not emerge at the end of the observation period and therefore follows the first words that appear. The implications for the comprehension of the early linguistic profile in WS are discussed, as well as the implications for specific intervention strategies in the context of early childhood care.

摘要

患有威廉姆斯综合征(WS)的个体具有特定且非典型的神经心理学特征,其语言能力高于根据其心理年龄所预期的水平,尽管语言发展出现较晚。关于WS患儿早期语言先兆(共同注意、指称和工具性行为、指示手势、言语标签),针对20个月以下婴儿的纵向研究仅有一项。本研究的目的是评估一名患有WS的婴儿(8至18个月)的这些先兆。进行了七次系统观察(六次在婴儿家中,一次在幼儿援助中心)。两次使用贝利婴幼儿发展量表评估婴儿的发育情况(12个月和18个月时)。结果显示其发育不典型,其发育水平比实际年龄预期落后5至6个月。对物体的关注超过对面孔的偏好,但对面孔的偏好有增加趋势。指示手势在观察期结束时未出现,因此是跟随最早出现的词语之后出现。文中讨论了对理解WS早期语言特征的意义,以及在幼儿护理背景下对特定干预策略的意义。

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