父母报告的早期指标是否预测了后来的发育语言障碍? 一个雷恩研究调查调查研究
Samuel D Calder1, Mark Boyes2,3, Christopher G Brennan-Jones4,5
1Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS, Australia.
International journal of language & communication disorders
|September 25, 2023
概括
父母报告的早期指标不能可靠地预测儿童的发育性语言障碍 (DLD). 这项研究发现,没有单一的指标或组合预测了10岁时的DLD,这表明目前的方法可能需要改进,以准确早期识别.
科学领域:
- 儿童发展 儿童发展
- 神经发育障碍 神经发育障碍
- 语音和语言病理学
背景情况:
- 发育性语言障碍 (DLD) 是一种常见的神经发育状况,但由于幼儿的语言发展变化,早期识别是具有挑战性的.
- 监管机构经常授权护理人员提供早期指标,以帮助识别DLD.
- 现有的早期DLD识别方法依赖于母公司报告的指标,但这些指标可能存在局限性.
研究的目的:
- 调查父母报告的早期指标与儿童在10岁时符合DLD诊断标准的可能性之间的预测关系.
- 评估早期指标或性别的累积风险指数是否能缓和DLD诊断.
- 评估目前DLD早期识别策略的有效性.
主要方法:
- 利用了前性雷恩研究的数据,包括1626名儿童 (104名患有DLD,1522名没有DLD).
- 将数据转化为11个预测变量,反映出从出生到3岁的早期DLD指标,包括通信里程碑和家族史.
- 计划回归分析以检查这些指标在10岁时对DLD诊断的预测能力.
主要成果:
- 没有单亲父母报告的早期指标能够在10岁时显著预测DLD.
- 综合预测因素的累积风险指数没有显著预测DLD (OR = 0.95,CI = 0.85-1.09,p = 0.447).
- 在10岁时,性别并没有显著降低DLD风险 (OR = 0.89,CI = 0.59-1.32,p = 0.563).
结论:
- 父母报告早期DLD指标被广泛使用,但可能无法可靠地识别有风险的儿童.
- 雷恩研究的数据表明,在以前的研究中,可能存在追溯性报告偏差.
- 临床影响表明,单独的"红旗"可能是不够的;为了有效的DLD识别和干预,建议将它们与语言评估和功能影响评估相结合.
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