Cohen N J, Davine M, Horodezky N, Lipsett L, Isaacson L
C.M. Hincks Treatment Centre/Institute, Toronto, Ontario, Canada.
J Am Acad Child Adolesc Psychiatry. 1993 May;32(3):595-603. doi: 10.1097/00004583-199305000-00016.
This study examined the prevalence of unsuspected language impairments in 4-12-year-old psychiatric outpatients.
Children (N = 399) were routinely screened with standardized language tests, and parents and teachers completed behavioral checklists.
Results indicated that of 288 children referred solely for a psychiatric disorder, 99 (34.4%) had a language impairment that had not been suspected previously. These children had more subtle language impairments than did the 111 children referred with previously identified language impairments. Both children with unsuspected and previously identified language impairments had symptoms associated with attention-deficit hyperactivity disorder. Children with unsuspected language impairments had the most serious externalizing behavioral problems.
Attention needs to be paid to screening children for language impairments and to helping adults understand how language disabilities impact on communication and behavior.
本研究调查了4至12岁精神科门诊患者中未被察觉的语言障碍患病率。
对399名儿童进行常规标准化语言测试筛查，家长和教师完成行为清单。
结果表明，在仅因精神疾病前来就诊的288名儿童中，99名（34.4%）存在先前未被怀疑的语言障碍。这些儿童的语言障碍比111名先前已确诊语言障碍的儿童更为轻微。未被察觉和先前已确诊语言障碍的儿童均有与注意力缺陷多动障碍相关的症状。未被察觉语言障碍的儿童存在最严重的外化行为问题。
需要重视对儿童进行语言障碍筛查，并帮助成年人了解语言障碍如何影响沟通和行为。
