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特定学习障碍伴与不伴持续言语语音障碍者的言语感知。

Speech perception in the Specific Learning Disorder with and without Persistent Speech Sound Disorder.

机构信息

Programa de Pós-graduação em Distúrbios da Comunicação Humana, Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

Departamento de Fonoaudiologia, Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

出版信息

Codas. 2024 Oct 4;36(5):e20240034. doi: 10.1590/2317-1782/20242024034pt. eCollection 2024.

Abstract

PURPOSE

Investigate if speech perception skills can differentiate school children with Specific Reading Disorders (SRD) with and without Persistent Speech Sound Disorders (PSSD).

METHODS

80 children, regularly enrolled in the 2nd (N=1), 3rd (N=28), 4th (N=29), 5th (N=15) and 6th (N=7) grades participated in the study. Control Group (CG) (N=48): no complaints, no speech alteration; and Resarch Group (RG) (N=32) - with SRD, RGI (N=15) without PSSD and RGII (N=17) with PSSD. Two tests evaluated auditory input reception: Simplified evaluation of auditory processing; and Perception task of nonwords, with Portuguese language structure (DNPLS). Data was analyzed by: Likelihood Ratio Test, Kruskal-Wallis test, Dunn test with Bonferroni correction, Mann-Whitney test, Spearman correlation, and construction of a ROC curve to obtain a threshold value for the correct answers in the perception of non-words test.

RESULTS

Control and RGI showed higher correct answer scores than RGII. There was no difference between the correct answer distributions of the Control and RGI, and RGI and RGII in the test of DNPLS and the number of correct answers in the CG was higher than in the RGII.

CONCLUSION

The ability to discriminate non-words enabled the differentiated between school-aged children with SRD associated with PSSD and typical children, thus characterizing this group for presenting a number of correct answers lower than 30.5, considering the task proposed to discriminate non-words. These results suggest that the presence of PSSD worsens the performance in speech perception of the schoolchildren with SRD.

摘要

目的

研究语音感知技能是否能区分伴有和不伴有持续性语音障碍(PSSD)的特定阅读障碍(SRD)的学龄儿童。

方法

80 名儿童定期入读 2 年级(N=1)、3 年级(N=28)、4 年级(N=29)、5 年级(N=15)和 6 年级(N=7),参与了这项研究。对照组(CG)(N=48):无投诉,无言语改变;和研究组(RG)(N=32)-SRD,RGI(N=15)无 PSSD 和 RGII(N=17)有 PSSD。有两个测试评估听觉输入接收:听觉处理简化评估;和非词感知任务,使用葡萄牙语结构(DNPLS)。数据分析采用似然比检验、Kruskal-Wallis 检验、Dunn 检验与 Bonferroni 校正、Mann-Whitney 检验、Spearman 相关分析,以及构建 ROC 曲线以获得非词感知测试正确答案的阈值。

结果

对照组和 RGI 的正确答案得分高于 RGII。在 DNPLS 测试中,对照组和 RGI 的正确答案分布以及 RGI 和 RGII 的正确答案分布没有差异,CG 的正确答案数量高于 RGII。

结论

辨别非词的能力能够区分伴有和不伴有 PSSD 的 SRD 学龄儿童与典型儿童,从而将该组特征描述为给出的正确答案低于 30.5,考虑到提出的辨别非词的任务。这些结果表明,PSSD 的存在会降低伴有 SRD 的学龄儿童的语音感知表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/127d/11534149/1893e0e9b73c/codas-36-5-e20240034-g01-en.jpg

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