Fourteen-year follow-up of children with and without speech language impairments: Speech language stability and outcomes
Fourteen-year follow-up of children with and without speech language impairments: Speech language stability and outcomes
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DOI：
10.1044/jslhr.4203.744
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发表时间：
1999-06-01
影响因子：
2.6
通讯作者：
Wang, M
中科院分区：
文献类型：
--
作者：
Johnson, CJ;Beitchman, JH;Wang, M
本报告涉及一项为期14年的前瞻性纵向研究，研究对象是有（N = 114）和无（N = 128）言语和/或语言障碍的社区儿童样本，研究对象是年轻人（N = 242）的言语和语言结果。参与者最初在5岁时被确定，随后在12岁和19岁时被跟踪。在所有三个时间段对多个领域（交际、认知、学术、行为和精神病学）进行直接评估。主要发现包括：(a)有障碍史的人士持续沟通困难的比率较高；(b)语文表现长期相当稳定；(c)初始语言障碍患者的长期预后优于语言障碍患者；(d)与继发于感觉、结构、神经或认知缺陷的损伤相比，有特殊语言障碍的患者预后更好。无论采用自由标准还是更严格的语言障碍标准，这些结论都是成立的。其中一些发现与早期的后续研究一致，这些研究使用了不太理想的方法。因此，目前用一种合理的方法复制和扩展这些发现，可以更有信心地将它们用于预测、计划和研究目的。
This report concerns the speech and language outcomes of young adults (N = 242) who participated in a 14-year, prospective, longitudinal study of a community sample of children with (n = 114) and without (n = 128) speech and/or language impairments. Participants were initially identified at age 5 and subsequently followed at ages 12 and 19. Direct assessments were conducted in multiple domains (communicative, cognitive, academic, behavioral, and psychiatric) at all three rime periods. Major Findings included (a) high rates of continued communication difficulties in those with a history of impairment; (b) considerable stability in language performance over time; (c) better long-term outcomes for those with initial speech impairments than for those with language impairments; and (d) more Favorable prognoses for those with specific language impairments than For those with impairments secondary to sensory, structural, neurological, or cognitive deficits. These general conclusions held when either a liberal or a more stringent criterion for language impairment was employed. Some of these findings are consistent with those from earlier Follow-up studies, which used less optimal methods. Thus, the present replication and extension of these findings with a sound methodology enables greater confidence in their use for prognostic, planning, and research purposes.