Goorhuis-Brouwer S M, Wijnberg-Williams B J
ENT Clinic/Communication Disorders, University Hospital Groningen, The Netherlands.
Folia Phoniatr Logop. 1996;48(6):269-74. doi: 10.1159/000266421.
In children with specific language impairment (SLI) their problems are supposed to be specifically restricted to language. However, both on theoretical basis as well as on a practical basis it is often difficult to make a sharp distinction between specific and non-specific language disorders. In a three-step study we found in the first place that in a group of children with supposed SLI (n = 319), after multidisciplinary examination, only in 25% of the cases the diagnosis SLI was correct. Secondly we found that after a period of time children with correctly diagnosed SLI showed problems with attention, motor functioning and school achievement. Thirdly we found that the learning difficulties of the children were related to their previous language problems. We hypothesize that SLI is less specific than is generally assumed. It could be a part of a neuropsychological 'syndrome' in which neurological maturation is jeopardized.
在患有特定语言障碍（SLI）的儿童中，他们的问题被认为是专门局限于语言方面的。然而，无论是在理论基础上还是在实际基础上，往往都很难明确区分特定性和非特定性语言障碍。在一项分三步进行的研究中，我们首先发现，在一组被认为患有SLI的儿童（n = 319）中，经过多学科检查后，只有25%的病例SLI诊断是正确的。其次，我们发现，经过一段时间后，被正确诊断为SLI的儿童出现了注意力、运动功能和学业成绩方面的问题。第三，我们发现这些儿童的学习困难与他们之前的语言问题有关。我们推测，SLI并不像通常所认为的那样具有特异性。它可能是一种神经心理“综合征”的一部分，在这种综合征中神经成熟受到了损害。
