Diagnostic assessment of communicative and interactive behaviours in children with autism and receptive language disorder
Diagnostic assessment of communicative and interactive behaviours in children with autism and receptive language disorder
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DOI：
10.1007/s007870070033
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发表时间：
2000-01-01
影响因子：
6.4
通讯作者：
Amorosa, H
中科院分区：
文献类型：
--
作者：
Noterdaeme, M;Sitter, S;Amorosa, H
患有自闭症的儿童和患有严重的特定接受性语言障碍的儿童在交流语言技能和社会关系方面都表现出明显的缺陷。在这项研究中，评估了自闭症诊断观察表(ADOS)在这两组发育障碍儿童之间的鉴别诊断中的有用性。II患有早期婴儿自闭症的儿童和20名患有特定接受性语言障碍的儿童参与了这项研究。18例语言表达障碍儿童作为对照组。ADOS由同一名检查员分别对所有儿童进行测试。结果表明，在大多数ADOS量表上，自闭症儿童明显比语言障碍儿童更有偏差。两组语言障碍儿童之间的差异无统计学意义。11名自闭症儿童中有8名在ADOS算法的“语言和交流”和“社交”这两项指标上达到了设定的分界值，而在“刻板印象行为”这一指标上，只有3名自闭症儿童达到了这一标准。语言障碍儿童中没有一人在一项以上的指标上达到分界值。ADOS允许对某些类型的行为进行良好的评估。然而，要确认婴儿自闭症的诊断，还需要父母提供更多信息。
Children with autism and children with a severe specific receptive language disorder both show clear deficits in communicative language skills and in social relationships. In this study the usefulness of the Autism Diagnostic Observation Schedule (ADOS) in the differential diagnosis between these two groups of developmentally impaired children is assessed. II children with early infantile autism and 20 children with a specific receptive language disorder participated in the study. 18 children with an expressive language disorder were used as a control group. The ADOS was individually administered to all children by the same examiner. The results showed that on most of the ADOS measures the autistic children were clearly more deviant than the language impaired children. There were no significant differences between the two groups of language impaired children. Eight out of 11 autistic children reached the defined cut-off values on the measures "language and communication" and "social interaction" of the ADOS algorithm, whereas only three autistic children did so on the measure "stereotyped behaviour". None of the language-impaired children reached the cut-off values on more than one measure. The ADOS allowed for good assessment of certain types of behaviour. However, to confirm the diagnosis of infantile autism, additional information from parents is required.