Burden V, Stott C M, Forge J, Goodyer I
Developmental Psychiatry Section, Douglas House, Cambridge, UK.
Dev Med Child Neurol. 1996 Jul;38(7):613-31. doi: 10.1111/j.1469-8749.1996.tb12126.x.
A community-based investigation of the nature, characteristics and evolution of speech and language delay in a sample of 3-year-olds is being carried out in Cambridgeshire. 1936 parents completed a preschool language checklist (PLC) to identify children at risk of language difficulties. Two hundred and seventy-seven children at risk together with 148 controls completed a series of preliminary face-to-face standard language tests to determine expressive, receptive and phonological skills. Concordance between the Cambridge Language and Speech Project (CLASP) identification and speech therapy involvement suggests that the overall (CLASP) screening procedure identified a number of children that current surveillance had missed and support the conclusion that the PLC may be a useful adjunct for child health care services as an aid in prioritising children for referral to speech therapy services. Children with scores of 1 to 3 at 36 months should be reviewed at 39 months, and those with 4 or more should be a high priority for referral. Preliminary examination of the impairment profile suggests that children with language impairments rather than pure speech impairments at 36 and 39 months are more likely to have a broader range of overall language-related deficit.
剑桥郡正在对一个3岁儿童样本中言语和语言发育迟缓的性质、特征及演变情况进行一项基于社区的调查。1936名家长填写了一份学前语言检查表（PLC），以识别有语言困难风险的儿童。277名有风险的儿童与148名对照组儿童完成了一系列初步的面对面标准语言测试，以确定表达、接受和语音技能。剑桥语言与言语项目（CLASP）的识别结果与言语治疗参与情况之间的一致性表明，总体（CLASP）筛查程序识别出了一些当前监测遗漏的儿童，并支持以下结论：PLC可能是儿童保健服务的一项有用辅助工具，有助于确定转介至言语治疗服务的儿童的优先顺序。36个月时得分为1至3分的儿童应在39个月时进行复查，得分为4分或更高分的儿童应作为转介的高度优先对象。对损伤情况的初步检查表明，在36个月和39个月时存在语言障碍而非单纯言语障碍的儿童更有可能存在范围更广的与语言相关的整体缺陷。
