检查手势使用,发育领域和唐氏综合征小孩自闭症特征之间的同时关联
Chelsea La Valle1,2, Gabriela Davila Mejia3, Carol L Wilkinson3
1Division of Developmental Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, MA.
Journal of speech, language, and hearing research : JSLHR
|January 22, 2025
概括
唐氏综合征 (DS) 的幼儿的手势发展与语言,务实和运动技能有关. 更高的自闭症特征,特别是社会影响,与更少的手势相关,为临床理解提供信息.
科学领域:
- 发展心理学 发展心理学
- 临床语言学 临床语言学
- 儿科神经学 儿科神经学
背景情况:
- 患有唐氏综合征 (DS) 的幼儿往往表现出与同龄人相比的或更高的手势率.
- 在DS中,手势使用与其他发育领域之间的关系仍未得到充分探索.
- 作为社会沟通标记的手势使用的实用性与DS中的运动或语言技能相比是不清楚的.
研究的目的:
- 检查手势使用与运动,务实,语言和视觉接收 (VR) 技能在患有DS的幼儿的同时关联.
- 调查自闭症特征与DS小孩的手势使用之间的关系.
主要方法:
- 30名患有自闭症的幼儿 (平均年龄为26.12个月) 通过早期学习的穆伦尺度 (MSEL) 和自闭症诊断观察表第二版 (ADOS-2) 进行了评估.
- 家长报告的数据包括麦克阿瑟-贝茨沟通发展清单和实用语言的语言使用清单 (LUI).
- 对手势,实用语言,运动技巧和VR进行了分析,并根据时间表年龄,性别和自闭症特征进行了分析.
主要成果:
- 总体手势使用与实用语言 (LUI) 和整体语言 (MSEL受体和表达) 技能有着强烈的积极关联.
- 手势使用与精细和粗运动技能的中度积极关联.
- 在ADOS-2上较高的社会影响 (SA) 严重性得分与总体手势有很强的负相关性.
结论:
- 患有DS的幼儿的手势发展与语言,务实和运动技能的发展相互关联.
- 自闭症社会影响特征的严重程度增加与该人口中手势使用的减少有关.
- 临床医生应考虑全面的发育特征,以解释DS小孩的手势发展.
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