评价CELF-5查测试和Vineland-3用于识别自闭症和注意力缺陷多动性障碍的语言困难
Vishnu Priya Mohanakumar Sindhu1,2, Amanda Brignell1,2, Mia Moses1
1Turner Institute for Brain and Mental Health, School of Psychological Sciences Monash University, Melbourne, Australia.
概括
语言选工具,如CELF-5选器和Vineland-3,对自闭症儿童和ADHD儿童的准确性较低. 这些工具可能会错过许多语言困难的儿童,强调需要在神经分化人群中仔细解释.
科学领域:
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
- 语音语言病理学 语言病理学
背景情况:
- 在患有自闭症和ADHD的儿童中,语言困难很常见.
- 标准语言选工具被广泛使用,但缺乏对这些人群的验证.
- 准确识别语言障碍对于干预至关重要.
研究的目的:
- 评估CELF-5Screener和Vineland-3对自闭症和/或多动症儿童语言困难的查准确度.
- 将这些工具的性能与黄金标准衡量标准进行比较.
- 评估每个工具对受体和表达语言缺陷的敏感性和特异性.
主要方法:
- 这项研究包括了132名被诊断为自闭症和/或多动症儿童.
- 进行了语言基础的临床评估,第五版查测试 (CELF-5查) 和维尼兰适应性行为尺度,第三版 (Vineland-3) 的管理.
- 查工具的性能与临床医生管理的CELF-5复合分数进行了比较.
- 使用接收器操作特征 (ROC) 分析和Youden的J统计数据来评估准确性.
主要成果:
- 在CELF-5选器表现出低灵敏度 (35.6%的受体,37.9%的表达),但高的特异性 (95.3%的受体,91.1%的表达).
- 维尼兰-3表现出高灵敏度 (93.3%),但表达性语言的特异性低 (48%),对接受性语言的灵敏度 (80.9%) 和特异性不够 (22.4%).
- 这两种工具都可能无法识别出大量同时出现语言困难的儿童.
结论:
- CELF-5 选器和Vineland-3 在精确选自闭症和/或多动症儿童的语言困难方面存在局限性.
- 临床医生在评估神经分歧儿童时,必须意识到这些工具的弱点.
- 必须仔细考虑个别语言特征,因为规范性轨迹可能不适用.
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