什么时候查发育性语言障碍:对年龄特定证据的审查
Ji Hyun Park1, Min Cheol Chang2
1Department of Pediatrics, Brookdale University Hospital and Medical Center, Brooklyn, NY, United States.
Frontiers in pediatrics
|November 3, 2025
概括
有效查发育性语言障碍 (DLD) 的最早年龄是2.5岁. 在此之前,查工具缺乏足够的预测有效性来识别有风险的儿童.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 语音语言病理学 语言病理学
背景情况:
- 发育性语言障碍 (DLD) 对及时查提出了异质的挑战.
- 识别有风险儿童的最佳时间仍然是一个关键的临床决定.
- 在最近的文献中,越来越多地强调对选工具精度的年龄特定评估.
研究的目的:
- 确定DLD查工具显示可接受的预测有效性的最早年龄.
- 综合关于DLD查工具在不同年龄段的表现的证据.
- 为临床指南提供有关DLD查最佳时间的信息.
主要方法:
- 采用了一个叙事综合方法.
- 审查了评估DLD查工具或协议有效性的研究.
- 审查的重点是4岁以下儿童的数据.
主要成果:
- 在2岁之前的查显示灵敏度不足.
- 在2.5年后,一些工具达到70%-80%的灵敏度和特异性.
- 3岁时的查显示出足够的并发有效性,而4岁时更符合诊断.
结论:
- 2.5岁被确定为在DLD查中可接受的预测性表现的最早年龄.
- 这些发现支持完善DLD查时间的临床指南.
- 需要进一步的年龄分层研究来优化DLD查策略.
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