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寻找鼹鼠并选择苹果:发育性语言障碍(DLD)儿童的执行功能挑战

Finding the Mole and Choosing the Apple: Executive Function Challenges in Children with Developmental Language Disorder (DLD).

作者信息

Sanhueza Soraya, Urrutia Mabel, Marrero Hipólito

机构信息

Facultad de Humanidades y Arte, Universidad de Concepción, Concepción 4070386, Chile.

Facultad de Educación, Universidad de Concepción, Concepción 4070386, Chile.

出版信息

Children (Basel). 2024 Dec 14;11(12):1519. doi: 10.3390/children11121519.

Abstract

BACKGROUND

Children with a developmental language disorder (DLD) frequently experience deficits in cognitive skills such as working memory (WM) and sustained attention (SA), which are closely related to language development. Yet, these cognitive deficits remain underexplored in early childhood, particularly during the preschool years.

OBJECTIVE

This study explores WM and SA in Chilean preschoolers with a DLD compared to their typically developing (TD) peers, using the nonverbal tasks "Torpo the Clumsy Mole" for WM and the Continuous Performance Task (CPT) "Duno and the Worms" for SA, both from the Child Neuropsychological Evaluation Test (TENI in Spanish).

METHOD

Thirty DLD and 30 TLD peers (aged 4 to 4 years 11 months) participated. Accuracy and reaction times in both tasks were assessed.

RESULTS

The children with a DLD demonstrated significant deficits in working memory accuracy and poorer sustained attention accuracy despite exhibiting shorter reaction times in the sustained attention task compared to TLD children.

CONCLUSIONS

The findings highlight the multifaceted nature of a DLD, particularly in relation to cognitive dimensions beyond language, such as working memory and sustained attention. Early identification of these differences emphasizes the important role of executive functions in DLDs.

摘要

背景

患有发育性语言障碍(DLD)的儿童经常在诸如工作记忆(WM)和持续注意力(SA)等认知技能方面存在缺陷,这些技能与语言发展密切相关。然而,这些认知缺陷在幼儿期,尤其是在学龄前阶段,仍未得到充分探索。

目的

本研究使用来自儿童神经心理评估测试(西班牙语为TENI)中的非语言任务“笨拙的鼹鼠托波”评估工作记忆,以及使用连续执行任务(CPT)“杜诺和蠕虫”评估持续注意力,来探究智利患有DLD的学龄前儿童与发育正常(TD)的同龄人相比的工作记忆和持续注意力情况。

方法

30名患有DLD的儿童和30名发育正常的同龄人(年龄在4岁至4岁11个月之间)参与了研究。对两项任务中的准确性和反应时间进行了评估。

结果

患有DLD的儿童在工作记忆准确性方面表现出显著缺陷,并且在持续注意力准确性方面较差,尽管与发育正常的儿童相比,他们在持续注意力任务中的反应时间更短。

结论

研究结果突出了DLD的多面性,特别是在与语言之外的认知维度,如工作记忆和持续注意力方面的关系。这些差异的早期识别强调了执行功能在DLD中的重要作用。

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