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首页> 外文期刊>Journal of speech, language, and hearing research: JSLHR >Early Speech and Language Development in Children With Nonsyndromic Cleft Lip and/or Palate: A Meta-Analysis
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Early Speech and Language Development in Children With Nonsyndromic Cleft Lip and/or Palate: A Meta-Analysis

机译：非正式裂隙唇唇和/或口感的儿童早期言语和语言开发：META分析

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Objective: The aim of the study was to conduct a meta-analysis of research examining the early speech and language functioning of young children, birth to age 8;11 (years; months), with nonsyndromic cleft lip and/or palate (NSCL/P) compared to their peers without NSCL/P. Method: We conducted a random-effects metaregression using 241 effect sizes from 31 studies comparing 955 young children with NSCL/P to 938 typically developing peers on measures of speech and language functioning. Moderators were sample characteristics (i.e., age, cleft type, publication year, and study location) and measurement characteristics (i.e., speech sample material, language modality and domain, and assessment type). Results: Young children with NSCL/P scored significantly lower on measures of speech and language compared to children without NSCL/P. Children with NSCL/P had smaller consonant inventories (standardized mean difference effect size [ES_g] = -1.24), less accurate articulation (ES_g = -1.13), and more speech errors (ES_g = 0.93) than their peers. Additionally, children with NSCL/P had poorer expressive (ES_g = -0.57) and receptive (ES_g = -0.59) language skills than their peers. Age and assessment type moderated effect sizes for expressive language. As children with NSCL/P aged, their expressive language performance became more similar to their peers. Expressive language effect sizes from parent reports and observational language measures (estimated effect size = -0.74) were significantly lower than those from standardized norm-referenced tests (estimated effect size = -0.45). Conclusions: These findings suggest that young children with NSCL/P experience delays relative to their peers across multiple speech and language constructs. Differences between children with NSCL/P and their typically developing peers appear to decrease with age.
机译：目的：该研究的目的是对研究幼儿的早期言语和语言运作的研究，出生于8岁; 11（岁月），非正式裂隙唇和/或口感（NSCL / p）与没有nscl / p的同龄人相比。方法：我们使用31项研究进行了一种随机效应的效果，从31项研究比较了955名幼儿，通常会在言语和语言运行措施上发展同行。主持人是样本特征（即年龄，裂缝类型，出版年份和学习位置）和测量特性（即语言样本材料，语言模态和域，评估类型）。结果：与没有NSCL / P的儿童相比，NSCL / P的幼儿在言论和语言的措施中得分显着降低。具有NSCL / P的儿童具有较小的辅音库存（标准化平均差异效应尺寸[ES_G] = -1.24），较低的阐明（ES_G = -1.13），比同行的更高的语音错误（ES_G = 0.93）。此外，NSCL / P的儿童表现较差（ES_G = -0.57）和接受（ES_G = -0.59）语言技能，而不是同龄人。年龄和评估型效果效果尺寸表达语言。随着NSCL / P老化的儿童，他们的表现力表现与他们的同龄人变得更加类似。来自父报告和观测语言措施的表现力语言效应大小（估计效果大小= -0.74）显着低于标准化规范的测试（估计效果= -0.45）。结论：这些调查结果表明，幼儿具有NSCL / P的延误相对于他们的同伴跨多种语音和语言构造。 NSCL / P患儿与其典型发展的同行的差异似乎随着年龄的增长而降低。

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