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极重度自闭症儿童的沟通方式和形式与家长的反应能力有关吗?

Are minimally verbal autistic children's modality and form of communication associated with parent responsivity?

机构信息

Department of Psychological & Brain Sciences, Boston University, Boston, Massachusetts, USA.

Sargent College of Health & Rehabilitation Sciences, Boston University, Boston, Massachusetts, USA.

出版信息

Autism Res. 2024 May;17(5):989-1000. doi: 10.1002/aur.3131. Epub 2024 May 1.

Abstract

Prior work examined how minimally verbal (MV) children with autism used their gestural communication during social interactions. However, interactions are exchanges between social partners. Examining parent-child social interactions is critically important given the influence of parent responsivity on children's communicative development. Specifically, parent responses that are semantically contingent to the child's communication plays an important role in further shaping children's language learning. This study examines whether MV autistic children's (N = 47; 48-95 months; 10 females) modality and form of communication are associated with parent responsivity during an in-home parent-child interaction (PCI). The PCI was collected using natural language sampling methods and coded for child modality and form of communication and parent responses. Findings from Kruskal-Wallis H tests revealed that there was no significant difference in parent semantically contingent responses based on child communication modality (spoken language, gesture, gesture-speech combinations, and AAC) and form of communication (precise vs. imprecise). Findings highlight the importance of examining multiple modalities and forms of communication in MV children with autism to obtain a more comprehensive understanding of their communication abilities; and underscore the inclusion of interactionist models of communication to examine children's input on parent responses in further shaping language learning experiences.

摘要

先前的研究考察了自闭症的轻度口语(MV)儿童在社交互动中如何使用他们的手势交流。然而,互动是社交伙伴之间的交流。鉴于父母反应能力对儿童交流发展的影响,考察亲子社交互动至关重要。具体来说,父母对孩子交流的语义回应在进一步塑造孩子的语言学习方面起着重要作用。本研究考察了自闭症的 MV 儿童(N=47;48-95 个月;10 名女性)在家庭亲子互动(PCI)中,其交流的方式和形式是否与父母的反应能力相关。使用自然语言抽样方法收集 PCI,并对儿童交流的方式和形式以及父母的反应进行编码。Kruskal-Wallis H 检验的结果表明,父母的语义回应与儿童的交流方式(口语、手势、手势-口语组合和 AAC)和交流形式(精确与不精确)之间没有显著差异。研究结果强调了在 MV 自闭症儿童中检查多种交流方式和形式的重要性,以更全面地了解他们的交流能力;并强调了包括交流的互动模型来检查孩子对父母反应的输入,以进一步塑造语言学习体验。

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