The impact on socio-emotional development and quality of life of language impairment in 8-year-old children
The impact on socio-emotional development and quality of life of language impairment in 8-year-old children
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DOI：
10.1111/j.1469-8749.2010.03794.x
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发表时间：
2011-01-01
影响因子：
3.8
通讯作者：
de Koning, Harry
中科院分区：
文献类型：
--
作者：
van Agt, Heleen;Verhoeven, Ludo;de Koning, Harry
目的探讨不同类型语言障碍对8岁儿童社会情绪发育和健康相关生活质量(HRQOL)的影响。方法在10911名符合条件的儿童中(66名因智力障碍或外语被排除，2448名因搬家、拒绝、死亡等原因失去随访)，在13427名新生儿中，获得6051名8岁以下儿童父母的书面同意(55%)。问卷由4745名儿童的家长(2323名男性，2412名女性)和4771名儿童(2360名男性，2411名女性)的教师完成，问卷包括确定语言障碍类型、评估社会情绪发育和HRQOL的有效措施。结果在377名(8.2%)儿童中，言语/语言障碍被识别。接受性语言障碍儿童在外向性(9.7，99%CI 9.3-10.1，p=0.006)、学校态度(7.8，99%CI 7.4-8.2；p<；0.001)、宜人性(9.1，99%CI 8.6-9.6，p<；0.001；正常范围7-13)和生活质量(49.6，99%CI 48.8-51；p<；0.001；正常范围40-60)，与没有这些障碍的儿童相比。语用障碍和疑似自闭症与最不利的分数有关，分别是学校态度8.1分(99%可信区间6.9-9.3p<；0.001)和7.5分(99%可信区间6.1-8.9，p=0.002)，生活质量得分42.9分(99%可信区间40.3-45.5p<；0.001)和生活质量得分36.2分(99%可信区间30.0-42.4p<；0.001)。
AimTo estimate the impact of different types of language disorders on socio-emotional development and health-related quality of life (HRQOL) in 8-year-old children.MethodIn a prospective cohort including 13 427 newborns, of 10 911 eligible children (66 excluded because of intellectual disability or foreign language, 2448 lost to follow-up due to house moves, refusal, death or other reasons) written consent was obtained from the parents of 6051 then 8-year-old children (55%). Questionnaires, completed by the parents of 4745 children (2323 males, 2412 females) and the teachers of 4771 children (2360 males, 2411 females), included validated measures to define type of language disorder and to assess socio-emotional development and HRQOL.ResultsIn 377 (8.2%) children, speech/language disorders were identified. Children with receptive language disorders had more unfavourable scores for extraversion (9.7, 99% CI 9.3-10.1, p=0.006), school attitude (7.8, 99% CI 7.4-8.2; p < 0.001), agreeableness (9.1, 99% CI 8.6-9.6, p < 0.001; normal ranges 7-13), and quality of life (49.6, 99% CI 48.8-51.0, p < 0.001; normal range 40-60), as compared to children without these disorders. Pragmatic disorders and suspected autism were associated with the most unfavourable scores, for school attitude 8.1 (99% CI 6.9-9.3, p < 0.001) and 7.5 (99% CI 6.1-8.9, p=0.002), and for quality of life 42.9 (99% CI 40.3-45.5, p < 0.001) and 36.2 (99% CI 30.0-42.4, p < 0.001).InterpretationLanguage impairment at school age has a large impact on children's behaviour and daily life.