Noterdaeme M, Breuer-Schaumann A, Amorosa H
Heckscher Klinik für Kinder- und Jugendpsychiatrie, Aussenstelle München-Solln: Abteilung für teilleistungs- und verhaltensgestörte Kinder.
Z Kinder Jugendpsychiatr Psychother. 1998 Dec;26(4):253-60.
Deficits in the expressive language abilities of children are easily observed. Thus these children usually are detected early and receive appropriate professional help. Receptive language abilities are much more difficult to assess, so that deficits either go unnoticed or often are not treated early.
In a population of 100 children examined between 1993 and 1995 in the outpatient department for speech, language and behavior problems at the Heckscher Klinik in Munich-Solln and diagnosed as having clinically relevant deficits in language comprehension, we determined the ICD-10 diagnostic category into which the symptom "language comprehension deficit" would best fit.
16 children exhibited language comprehension deficits that were part of a general mental retardation, three other children were diagnosed as having a pervasive developmental disorder. 81 children fulfilled the clinical ICD-10 criteria of a specific receptive language disorder, often in combination with a hyperkinetic syndrome or an emotional disorder. For 42 of these children this diagnosis also was confirmed by test results showing a discrepancy of one standard deviation between the language comprehension test and the non-verbal IQ. The value of language tests for the diagnosis of specific developmental speech and language disorders is discussed.
儿童表达性语言能力缺陷很容易被观察到。因此，这些儿童通常能被早期发现并得到适当的专业帮助。而接受性语言能力则更难评估，以至于这些缺陷要么未被注意到，要么常常没有得到早期治疗。
在1993年至1995年间于慕尼黑-索尔恩的黑克舍尔诊所言语、语言和行为问题门诊接受检查的100名儿童中，他们被诊断为在语言理解方面存在临床相关缺陷，我们确定了症状“语言理解缺陷”最符合的ICD-10诊断类别。
16名儿童的语言理解缺陷是一般性智力发育迟缓的一部分，另外3名儿童被诊断为患有广泛性发育障碍。81名儿童符合特定接受性语言障碍的临床ICD-10标准，常常与多动综合征或情感障碍并发。对于其中42名儿童，这一诊断也通过测试结果得到证实，这些结果显示语言理解测试与非言语智商之间存在一个标准差的差异。文中讨论了语言测试在诊断特定发育性言语和语言障碍方面的价值。
