Receptive language and receptive-expressive discrepancy in minimally verbal autistic children and adolescents.

Receptive language and receptive-expressive discrepancy in minimally verbal autistic children and adolescents.
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最低限度言语自闭症儿童和青少年的接受性语言和接受表达差异。

DOI:
10.1002/aur.3079
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发表时间:
2024
期刊:
Autism research : official journal of the International Society for Autism Research
影响因子:
--
通讯作者:
Tager-Flusberg,Helen
Tager-Flusberg,Helen
中科院分区:
--
文献类型:
--
作者:
Chen,Yanru;Siles,Brynn;Tager-Flusberg,Helen

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在大约三分之一的自闭症患者中,他们在获得口语方面遇到了相当大的挑战,并且语言能力最低(MV),他们对接受语言能力的范围知之甚少。这项研究包括1579 MV自闭症儿童和青少年之间的5至18岁的国家数据库自闭症研究和SFARI基地数据库。MV自闭症儿童和青少年表现出显着较低的接受性语言相比,规范的标准化语言评估和家长报告措施。此外,随着年龄的增长,他们的语言接受能力差距越来越大。总的来说,我们的样本表现出明显更好的接受比表达语言。然而,在个人层面上,只有约25%的MV自闭症儿童和青少年表现出显着更好的接受语言相对于他们的最低表达水平。社交技能解释了父母报告的接受性语言技能的显著差异,而运动技能是更大的接受性表达差异的最重要预测因素。这项研究的结果揭示了MV自闭症儿童和青少年的异质性语言概况,强调了个性化干预的重要性,以匹配他们不同的沟通优势和需求,并整合多个相互关联的领域,以优化他们的语言理解,社交和一般运动技能的整体发展。
Among the approximately one‐third of autistic individuals who experience considerable challenges in acquiring spoken language and are minimally verbal (MV), relatively little is known about the range of their receptive language abilities. This study included 1579 MV autistic children and adolescents between 5 and 18 years of age drawn from the National Database for Autism Research and the SFARI Base data repository. MV autistic children and adolescents demonstrated significantly lower receptive language compared to the norms on standardized language assessment and parent report measures. Moreover, their receptive language gap widened with age. Overall, our sample demonstrated significantly better receptive than expressive language. However, at the individual level, only about 25% of MV autistic children and adolescents demonstrated significantly better receptive language relative to their minimal expressive levels. Social skills explained a significant proportion of the variance in parent‐reported receptive language skills, while motor skills were the most significant predictor of greater receptive‐expressive discrepancy. Findings from this study revealed the heterogeneous language profiles in MV autistic children and adolescents, underscoring the importance of individualizing interventions to match their different communication strengths and needs and integrating multiple interconnected areas to optimize their overall development of language comprehension, socialization, and general motor skills.
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