...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of child psychology and psychiatry >Practitioner Review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications
【24h】

Practitioner Review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications

机译：从业者评论：社会（实用）沟通障碍的概念化，证据和临床意义

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background DSM-5 sees the introduction of Social (Pragmatic) Communication Disorder (SPCD), characterized by persistent difficulties using verbal and nonverbal communication for social purposes, in the absence of restricted and repetitive interests and behaviours. There is currently much confusion about the precise diagnostic criteria for SPCD and how this disorder relates to autism spectrum disorders (ASD), previous descriptions of pragmatic language impairment (PLI) and more specific language disorders (LD). Method Proposed criteria for SPCD are outlined. A selective review of the evidence considers whether these criteria form a cohesive and distinct diagnostic entity. Approaches to assessment and intervention are discussed. Results Implementing the new diagnosis is currently challenged by a lack of well-validated and reliable assessment measures, and observed continuities between SPCD and other neurodevelopmental disorders. High rates of comorbidity between SPCD and other seemingly disparate disorders (including conduct disorder, ADHD and disorders of known genetic origin) raise questions about the utility of this diagnostic category. Conclusions SPCD is probably best conceptualized as a dimensional symptom profile that may be present across a range of neurodevelopmental disorders, although there is an urgent need to investigate the latent structure of SPCD using consistent diagnostic criteria. In addition, social communication and aspects of pragmatic language may be dissociated, with the latter heavily influenced by structural language attainments. Finally, there is a dearth of reliable and culturally valid assessment measures with which to make a differential diagnosis, and few rigorously tested intervention programmes. The implications for research and clinical practice are outlined.
机译：背景技术DSM-5看到了社会（实用）交际障碍（SPCD）的引入，其特征是在没有限制性和重复性的兴趣和行为的情况下，为实现社会目的而使用口头和非言语交往持续存在困难。当前，对于SPCD的精确诊断标准以及该疾病与自闭症谱系障碍（ASD），实用语言障碍（PLI）和更具体的语言障碍（LD）的先前描述之间存在很多混淆。方法概述了SPCD的建议标准。对证据的选择性审查会考虑这些标准是否构成一个凝聚力和独特的诊断实体。讨论了评估和干预方法。结果目前，缺乏有效且可靠的评估方法以及SPCD与其他神经发育障碍之间的连续性，对实施新诊断提出了挑战。 SPCD与其他看似完全不同的疾病（包括行为障碍，ADHD和已知遗传起源的疾病）之间的高合并症率引起了对该诊断类别效用的质疑。结论尽管最好用一致的诊断标准来研究SPCD的潜在结构，但SPCD最好被概念化为可能出现在一系列神经发育障碍中的症状症状。此外，社交沟通和实用语言的各个方面可能会分离，后者在很大程度上受结构性语言素养的影响。最后，缺乏可靠的，文化上有效的评估方法，可以用来进行鉴别诊断，而且很少有经过严格测试的干预方案。概述了研究和临床实践的意义。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号