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唐氏综合征患儿适应性行为的概况与发展

Profiles and development of adaptive behavior in children with Down syndrome.

作者信息

Dykens E M, Hodapp R M, Evans D W

机构信息

Yale Child Study Center.

出版信息

Am J Ment Retard. 1994 Mar;98(5):580-7.

PMID:8192903
Abstract

The profiles and developmental trajectories of adaptive behavior were cross-sectionally examined in 80 children with Down syndrome ages 1 to 11.5 years using the Vineland Adaptive Behavior Scales. Profile findings indicated a significant weakness in communication relative to daily living and socialization skills. Within communication itself, expressive language was significantly weaker than receptive skills, especially when children's overall communicative levels were above 24 months. One to 6-year-old children showed significant age-related gains in adaptive functioning, but older subjects showed no relation between age and adaptive behavior. There was, however, increased variability within this older group, implying that not all children plateau in adaptive development during the middle childhood years. Implications for development in Down syndrome and intervention programs were discussed.

摘要

使用文兰适应行为量表对80名年龄在1至11.5岁的唐氏综合征儿童的适应行为概况和发展轨迹进行了横断面研究。概况研究结果表明,与日常生活和社交技能相比,沟通能力存在显著弱点。在沟通能力本身方面,表达性语言明显弱于接受性技能,尤其是当儿童的整体沟通水平超过24个月时。1至6岁的儿童在适应功能方面显示出与年龄相关的显著进步,但年龄较大的受试者的年龄与适应行为之间没有关联。然而,在这个年龄较大的群体中变异性增加,这意味着并非所有儿童在童年中期的适应发展中都会趋于平稳。讨论了唐氏综合征发展和干预项目的相关影响。

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