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作为自闭症高风险幼儿语言预测指标的联合注意和玩耍的发展轨迹

Growth Trajectories of Joint Attention and Play as Predictors for Language in Young Children at Elevated Likelihood for Autism.

作者信息

Moerman Floor, Van de Vyver Hanna, Warreyn Petra, Erdogan Maide, Noens Ilse, Sivaraman Maithri, Vlaeminck Fieke, Wallaert Steven, Roeyers Herbert

机构信息

Research in Developmental Diversity Lab (RIDDL) UGent, Department of Experimental Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.

Leuven Autism Research (LAuRes), KU Leuven, Louvain, Belgium.

出版信息

J Autism Dev Disord. 2024 Dec 18. doi: 10.1007/s10803-024-06685-9.

DOI:10.1007/s10803-024-06685-9
PMID:39692959
Abstract

This longitudinal study investigated the predictive value of initial level and growth rate of joint attention and play from 10 to 24 months for language abilities of 24-month-old toddlers at elevated likelihood (EL) for autism. (Semi-)structured assessments were used to measure all variables at different timepoints prospectively in younger siblings of children with autism (siblings, n = 48) and children born before 30 gestational weeks (preterms, n = 49). A positive association was found between initial level of play at 10 months and expressive language at 24 months in siblings, but not in preterms. We did not find an association between initial level of play and receptive language. Growth rate of play and initial level and growth rate of joint attention were not related to language abilities in siblings and preterms. Our results indicate that play and expressive language are interrelated, and early play behaviour may contribute to later language. As this association was absent in preterms, they may follow qualitatively different developmental processes. Moreover, future research including different EL-groups is needed to clarify these differential associations. In contrast to previous studies, no association between early joint attention and later language was found. These inconsistent findings warrant further exploration and highlight the importance of exploring alternative aspects of early development, for instance non-social factors, to expand our understanding of language acquisition.

摘要

这项纵向研究调查了10至24个月大时联合注意和玩耍的初始水平及增长率对患自闭症可能性较高(EL)的24个月大幼儿语言能力的预测价值。采用(半)结构化评估前瞻性地在不同时间点测量自闭症儿童的弟弟妹妹(n = 48)和孕30周前出生的儿童(早产儿,n = 49)的所有变量。在弟弟妹妹中,发现10个月时玩耍的初始水平与24个月时的表达性语言之间存在正相关,但在早产儿中未发现这种相关性。我们未发现玩耍的初始水平与接受性语言之间存在关联。玩耍的增长率以及联合注意的初始水平和增长率与弟弟妹妹及早产儿的语言能力无关。我们的结果表明,玩耍与表达性语言相互关联,早期玩耍行为可能有助于后期语言发展。由于这种关联在早产儿中不存在,他们可能遵循质的不同的发育过程。此外,需要包括不同EL组的未来研究来阐明这些差异关联。与先前的研究不同,未发现早期联合注意与后期语言之间存在关联。这些不一致的发现值得进一步探索,并突出了探索早期发展的其他方面(例如非社会因素)以扩展我们对语言习得理解的重要性。

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本文引用的文献

1
Studies pertaining to language impairment in school-age autistic individuals underreport participant socio-demographics: A systematic review.研究报告表明,在学龄自闭症个体的语言障碍研究中,参与者的社会人口统计学数据报告不足:一项系统综述。
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Brief Report: Response to Joint Attention and Object Imitation as Predictors of Expressive and Receptive Language Growth Rate in Young Children on the Autism Spectrum.
简要报告:对共同注意力和物体模仿的反应作为自闭症谱系儿童表达和接受语言增长率的预测指标。
J Autism Dev Disord. 2024 Mar;54(3):1213-1220. doi: 10.1007/s10803-022-05567-2. Epub 2022 Jun 3.
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Early predictors of language skills at 3 years of age vary based on diagnostic outcome: A baby siblings research consortium study.3 岁时语言技能的早期预测指标因诊断结果而异:婴儿兄弟姐妹研究联盟研究。
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Play in Relation to Autism Traits in Young Children at Elevated Likelihood for Autism Spectrum Disorder.与自闭症谱系障碍患病可能性较高的幼儿自闭症特征相关的玩耍行为
J Autism Dev Disord. 2023 Apr;53(4):1413-1430. doi: 10.1007/s10803-021-05326-9. Epub 2021 Oct 19.
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Symbolic Play among Children with Autism Spectrum Disorder: A Scoping Review.自闭症谱系障碍儿童的象征性游戏:一项范围综述
Children (Basel). 2021 Sep 12;8(9):801. doi: 10.3390/children8090801.
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A comparison of the early motor repertoire of very preterm infants and term infants.极早产儿与足月儿早期运动技能的比较。
Eur J Paediatr Neurol. 2021 May;32:73-79. doi: 10.1016/j.ejpn.2021.03.014. Epub 2021 Mar 31.
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Object exploration during the transition to sitting: A study of infants at heightened risk for autism spectrum disorder.物体探索在向坐姿转换期间:对自闭症谱系障碍高风险婴儿的研究。
Infancy. 2020 Sep;25(5):640-657. doi: 10.1111/infa.12341. Epub 2020 Jun 10.
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Diagnosing Autism Spectrum Disorder in Toddlers Born Very Preterm: Estimated Prevalence and Usefulness of Screeners and the Autism Diagnostic Observation Schedule (ADOS).诊断极早产儿自闭症谱系障碍:筛查工具和自闭症诊断观察量表(ADOS)的估计患病率和实用性。
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