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Comparison of Spontaneously Elicited Language Patterns in Specific Language Impairment and High-Functioning Autism

机译:特定语言损伤和高效自闭症中自发引发语言模式的比较

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BackgroundWe aimed to characterize differences in the use of language in children with specific language impairment and high-functioning autism by analyzing verbal responses on standardized tests. The overall goal was to provide clinicians with additional tools with which to aid in distinguishing the two neurodevelopmental disorders. Materials and MethodsThis study included 16 children with specific language impairment, 28 children with high-functioning autism, and 52 typically developing participants between the ages of six and 14. Groups were matched for age, and specific language impairment and high-functioning autism groups were matched on verbal and performance IQ. Responses from standardized tests were examined for response length, grammatical errors, filler words, perseverations, revisions (repeated attempts to begin or continue a sentence), off-topic attention shifts (lapses in attention to the task), and rambling. Data were analyzed using parametric and nonparametric methods. ResultsSpecific language impairment responses were longer and contained more filler words than did those of the other two groups, whereas high-functioning autism responses exhibited more grammatical errors, off-topic attention shifts, and rambling. Specific language impairment and high-functioning autism responses showed higher rates of perseveration compared with controls. There were no significant differences in revisions among the three groups. ConclusionsDifferences in language patterns of participants with specific language impairment and high-functioning autism may be useful to the clinician in helping to differentiate isolated language impairment from high-functioning autism. The results also support the conclusion that the two conditions are separable, and each exhibits a different pattern of language dysfunction.
机译:背景广告旨在通过分析对标准化测试的口头反应来表征具有特定语言损害和高功能自闭症的儿童使用语言的差异。总体目标是提供临床医生,其中包含额外的工具,以帮助区分两种神经发育障碍。材料和方法包括16名具有特定语言障碍的儿童,28名具有高效自闭症的儿童,52岁典型的六年和14岁之间的参与者均为年龄匹配,以及特定的语言损害和高功能性的自闭症组匹配口头和表演智商。检查了标准化测试的响应,用于响应长度,语法错误,填充词,持久性,修订(重复尝试开始或继续句子),偏离主题关注(关注任务)和漫步。使用参数和非参数方法分析数据。结果特异性语言损伤响应较长,并且包含比其他两组的更多的填充词,而高功能的自闭症响应表现出更多的语法错误,偏离主题关注转移和漫步。与控制相比,特定语言损害和高效自闭症响应显示出更高的持久性持续力。三组之间的修订没有显着差异。结论具有特定语言损伤和高效自闭症的参与者语言模式的变化可能对临床医生有助于区分从高功能自闭症的孤立语言障碍。结果还支持两种条件是可分离的结论,并且每个条件呈现出不同的语言功能障碍模式。

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