Language, social cognitive processing, and behavioral characteristics of psychiatrically disturbed children with previously identified and unsuspected language impairments

Language, social cognitive processing, and behavioral characteristics of psychiatrically disturbed children with previously identified and unsuspected language impairments
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DOI:
10.1111/1469-7610.00286
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发表时间:
1998-09-01
期刊:
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子:
--
通讯作者:
Horodezky, NB
Horodezky, NB
中科院分区:
其他
文献类型:
--
作者:
Cohen, NJ;Menna, R;Horodezky, NB

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本研究探讨了380名7至14岁儿童的社会认知过程,精神障碍和行为评级的特点,这些儿童连续被转介到儿童精神科服务,有确定的和未被怀疑的语言障碍,并与正常发展的语言。结果表明,语言障碍儿童在社会认知处理方面,特别是情感解码和社会问题解决方面,比语言发育正常的儿童表现出更大的缺陷。只有在先前确定的语言障碍儿童和语言发育正常的儿童之间观察到精神病诊断和行为问题的差异;先前确定的语言障碍儿童更容易被诊断为注意力缺陷多动障碍(ADHD),并被父母和老师评定为有更严重的注意力问题。此外,老师们认为他们更孤僻。研究结果表明,将社会认知和语言功能的测量常规纳入临床评估是很重要的,目前很少这样做。
This study examined characteristics of social cognitive processing, psychiatric disorder, and behavioral ratings of 380 children aged 7 to 14 years who had been referred consecutively for child psychiatric services with identified and unsuspected language impairments and with normally developing language. The results indicated that children with language impairments generally exhibited greater deficits in social cognitive processing, and particularly emotion decoding and social problem solving, than children who have language that is developing normally. Differences in psychiatric diagnosis and behavior problems were observed only between children with previously identified language impairments and children with normally developing language; children with previously identified language impairments were more likely to be diagnosed as having Attention Deficit Hyperactivity Disorder (ADHD) and to be rated by both parents and teachers as having more severe attentional problems. In addition, teachers rated them as more socially withdrawn. The results suggest that it is important to incorporate measures of both social cognition and language functioning routinely into clinical assessment, something that currently is rarely done.