自闭症青少年和年轻成年人的语言障碍:定义上的可变性
Teresa Girolamo1, Lindsay Butler2, Julia Parish-Morris3,4
1San Diego State University.
medRxiv : the preprint server for health sciences
|September 15, 2025
概括
自闭症青少年和成年人的语言障碍 (LI) 根据定义而有所不同. 建议采用多领域的方法来评估自闭症患者的语言技能,考虑非语言智力和自闭症特征.
科学领域:
- 神经发育障碍 神经发育障碍
- 发展心理学是发展心理学.
- 临床语言学 临床语言学
背景情况:
- 同时发生的结构性语言障碍 (LI) 在自闭症中很常见,并影响长期结果.
- 很少有人知道自闭症个体在童年以后的LI.
- 缺乏对LI的共识定义使研究和临床分类复杂化.
研究的目的:
- 根据不同的定义,调查自闭症青少年和年轻成年人中LI的临床分类如何不同.
- 检查自闭症青少年和年轻人的表现,通过各种语言测量,非语言智力 (NVIQ) 和自闭症特征.
- 探索这个人群中语言技能和个人资料的异质性.
主要方法:
- 75名自闭症参与者 (13-30岁) 完成了语言和NVIQ的标准参考测量.
- 将得分与LI的流行病学定义进行了比较,使用从-1 SD到-1.5 SD的截止值.
- 用描述性统计和集群分析分析数据.
主要成果:
- 更严格的LI定义发现参与者满足标准的比例更高.
- 更严格的切断增加了跨语言指标的分类一致性,但没有单一的切断提供了一对一的比率.
- 集群分析揭示了基于语言和NVIQ的三个异质配置文件,个人表现在各个措施中各不相同.
结论:
- 结果支持多领域的评估,以表征自闭症青少年和成年人的语言技能,包括那些有LI.
- 需要进一步的研究来了解自闭症儿童的语言发展,并完善评估实践.
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