Merely misunderstood? Receptive, expressive, and pragmatic language in young children with disruptive behavior disorders.

Merely misunderstood? Receptive, expressive, and pragmatic language in young children with disruptive behavior disorders.
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只是被误解了吗?具有破坏性行为障碍的幼儿接受,表现力和务实的语言。

DOI:
10.1080/15374416.2013.822306
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发表时间:
2014
期刊:
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子:
--
通讯作者:
Martel MM
Martel MM
中科院分区:
其他
文献类型:
--
作者:
Gremillion ML;Martel MM

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与同龄儿童相比,患有破坏性行为障碍(DBDs)的儿童的语言技能往往较差;然而,语言作为DBD的早期风险因素很少得到实证关注。本研究通过调查接受性、表达性和语用性语言技能与学龄前DBD症状之间的关系,对正常语言变异与DBD之间的关系进行了实证检验。样本包括109名3至6岁的学龄前儿童(M = 4.77岁,SD = 1.10, 59%为男孩;73%为DBD,包括对立违抗性障碍(ODD)和注意缺陷/多动障碍(ADHD))及其主要照顾者,他们完成了临床管理的访谈、症状问卷和语用语言问卷测量,教师和/或日托提供者完成了症状问卷。孩子们完成了接受性和表达性词汇的客观测试。与没有DBD的学龄前儿童相比,患有DBD的学龄前儿童表现出较差的接受、表达和实用技能。与ODD和非dbd组相比,仅患有ADHD或ADHD+ODD的学龄前儿童表现出较差的语言技能。特异性分析表明,父母评定的多动冲动与较差的语言技能尤其相关。因此,与没有DBD的学龄前儿童相比,患有DBD的学龄前儿童表现出较差的语言技能,并且多动症-冲动性增加的学龄前儿童表现出特殊的语言技能问题。这项研究表明,需要对学龄前儿童的语言进行早期评估,特别是对那些患有多动症的儿童,以及针对提高语言技能的量身定制的干预措施的可能效用,特别是对那些高度多动症-冲动性的儿童。
Children with disruptive behavior disorders (DBDs) often seem to have poorer language skills compared to same-age peers; however, language as an early risk factor for DBD has received little empirical attention. The present study provides an empirical examination of associations between normal language variation and DBD by investigating receptive, expressive, and pragmatic language skills and preschool DBD symptoms. The sample consisted of 109 preschoolers ages 3 to 6 (M = 4.77 years, SD = 1.10, 59% boys; 73% with DBD, including oppositional defiant disorder [ODD] and attention-deficit/hyperactivity disorder [ADHD]) along with their primary caregivers, who completed a clinician-administered interview, symptom questionnaires, and a questionnaire measure of pragmatic language, and teacher and/or daycare providers completed symptom questionnaires. Children completed objective tests of receptive and expressive vocabulary. Preschoolers with DBD showed poorer receptive, expressive, and pragmatic skills compared to preschoolers without DBD. Preschoolers with ADHD-only or ADHD+ODD exhibited poorer language skills, compared to ODD and non-DBD groups. Specificity analyses suggested that parent-rated hyperactivity-impulsivity were particularly associated with poorer language skills. Thus, preschoolers with DBD exhibited poorer language skills compared to preschoolers without DBD, and preschoolers with increased hyperactivity-impulsivity exhibited particular problems with language skills. This work suggests the need for early assessment of language in preschoolers, particularly those with ADHD, as well as the possible utility of tailored interventions focused on improving language skills, particularly for those with high hyperactivity-impulsivity.
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