Ghaziuddin M, Gerstein L
University of Michigan, Ann Arbor, USA.
J Autism Dev Disord. 1996 Dec;26(6):585-95. doi: 10.1007/BF02172348.
Asperger syndrome (AS) is a pervasive developmental disorder recently introduced as a new diagnostic category in the ICD-10 and the DSM-IV. Along with motor clumsiness, pedantic speech has been proposed as a clinical feature of AS. However, few attempts have been made to define and measure this symptom. We studied 17 patients with AS (ICD-10; 14 male, 3 female; mean age 16.4 years, mean full-scale IQ 97) and compared them with a control group of 13 patients with normal-intelligence autism or high-functioning autism (HFA) (ICD-10/DSM-III-R; 12 male, 1 female; mean age 15.5 years, mean full-scale IQ 81.2). An operational definition of pedantic speech was formulated and a rating scale devised. 13 (76%) of the AS patients were rated as pedantic compared to 4 (31%) of the HFA group (chi 2 = 6.3; p = .01). Results suggest that pedantic speech is common in AS and may help differentiate AS from high-functioning autism.
阿斯伯格综合征（AS）是一种广泛性发育障碍，最近在《国际疾病分类第10版》（ICD - 10）和《精神疾病诊断与统计手册第4版》（DSM - IV）中被列为一种新的诊断类别。除了运动笨拙外，学究式言语也被认为是阿斯伯格综合征的一个临床特征。然而，很少有人尝试对这一症状进行定义和测量。我们研究了17例阿斯伯格综合征患者（ICD - 10标准；14例男性，3例女性；平均年龄16.4岁，平均智商97），并将他们与13例智力正常的自闭症或高功能自闭症（HFA）患者组成的对照组进行比较（ICD - 10/DSM - III - R标准；12例男性，1例女性；平均年龄15.5岁，平均智商81.2）。我们制定了学究式言语的操作性定义并设计了一个评定量表。13例（76%）阿斯伯格综合征患者被评定为学究式言语，相比之下，高功能自闭症组有4例（31%）（卡方 = 6.3；p = 0.01）。结果表明，学究式言语在阿斯伯格综合征中很常见，可能有助于将阿斯伯格综合征与高功能自闭症区分开来。
