Distinctive prosodic features of people with autism spectrum disorder: a systematic review and meta-analysis study.

Distinctive prosodic features of people with autism spectrum disorder: a systematic review and meta-analysis study.
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DOI:
10.1038/s41598-021-02487-6
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发表时间:
2021-11-29
期刊:
影响因子:
4.6
通讯作者:
Jenabi E
Jenabi E
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Asghari SZ;Farashi S;Bashirian S;Jenabi E

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在这篇系统性综述中,我们分析和评估了自闭症谱系障碍(ASD)患者发声的韵律特征研究结果,以识别统计学上显著的,最确认和可靠的韵律差异,将ASD患者与典型发育个体区分开来。使用合适的关键词,检索三个主要数据库,包括Web of Science,PubMed和Scopus。韵律特征的结果,如平均音高,音高范围和变异性,语速,强度和语音持续时间提取合格的研究。提取或计算ASD和对照组之间的合并标准平均差异。采用I2统计量和科克伦Q检验评价研究间异质性。发表偏倚采用漏斗图进行评估,其显著性采用Egger和Begg检验。共检索到39项符合条件的研究(ASD组和对照组分别包括910名和850名参与者)。这项系统回顾和荟萃分析显示,ASD组成员的平均音高显著高于正常组,(SMD = − 0.4,95% CI [− 0.70,− 0.10]),较大的间距范围(SMD = − 0.78,95% CI [− 1.34,− 0.21]),语音持续时间较长(SMD = − 0.43,95%CI [− 0.72,− 0.15]),和更大的音高变异性(SMD = − 0.46,95%CI [− 0.84,− 0.08])。然而,音高标准差,声音强度和语速没有显着差异组间。参与者的实际年龄和声音引出任务是研究间异质性的两个来源。此外,在分析期间未观察到发表偏倚(p > 0.05)。平均音高,音高范围,音高变异性和语音持续时间被认为是可靠的区别与TD个体ASD的人的韵律特征。
In this systematic review, we analyzed and evaluated the findings of studies on prosodic features of vocal productions of people with autism spectrum disorder (ASD) in order to recognize the statistically significant, most confirmed and reliable prosodic differences distinguishing people with ASD from typically developing individuals. Using suitable keywords, three major databases including Web of Science, PubMed and Scopus, were searched. The results for prosodic features such as mean pitch, pitch range and variability, speech rate, intensity and voice duration were extracted from eligible studies. The pooled standard mean difference between ASD and control groups was extracted or calculated. Using I2 statistic and Cochrane Q-test, between-study heterogeneity was evaluated. Furthermore, publication bias was assessed using funnel plot and its significance was evaluated using Egger’s and Begg’s tests. Thirty-nine eligible studies were retrieved (including 910 and 850 participants for ASD and control groups, respectively). This systematic review and meta-analysis showed that ASD group members had a significantly larger mean pitch (SMD =  − 0.4, 95% CI [− 0.70, − 0.10]), larger pitch range (SMD =  − 0.78, 95% CI [− 1.34, − 0.21]), longer voice duration (SMD =  − 0.43, 95% CI [− 0.72, − 0.15]), and larger pitch variability (SMD = − 0.46, 95% CI [− 0.84, − 0.08]), compared with typically developing control group. However, no significant differences in pitch standard deviation, voice intensity and speech rate were found between groups. Chronological age of participants and voice elicitation tasks were two sources of between-study heterogeneity. Furthermore, no publication bias was observed during analyses (p > 0.05). Mean pitch, pitch range, pitch variability and voice duration were recognized as the prosodic features reliably distinguishing people with ASD from TD individuals.
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