Age 31 Mental Health Outcomes of Childhood Language and Speech Disorders
Age 31 Mental Health Outcomes of Childhood Language and Speech Disorders
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DOI：
10.1016/j.jaac.2014.07.006
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发表时间：
2014-10-01
影响因子：
13.3
通讯作者：
Bao, Lin
中科院分区：
文献类型：
--
作者：
Beitchman, Joseph H.;Brownlie, E. B.;Bao, Lin
目的：语言障碍与儿童和青少年的情绪和行为问题有关。虽然小样本的临床研究表明，心理社会困难会持续到成年，但儿童语言障碍的成人心理健康结果尚不清楚。这项前瞻性纵向研究的目的是确定31岁患有儿童语言障碍的个体的心理健康结果是否与典型发展对照的结果不同。方法：一项为期26年的队列研究，随访了从5岁到31岁的语言或言语障碍儿童。这些儿童是从三分之一的5岁儿童随机抽样中挑选出来的，采用了三个阶段的筛选和评估过程。另外，还选择了一个按性别、年龄、班级或学校相匹配的对照组。诊断通过综合国际诊断访谈进行，附加标准是总体功能评估得分表明至少有轻度损害。还进行了维度心理社会自我报告测量。结果：在31岁时，患有儿童语言障碍的参与者和对照组的诊断率是相等的，有或没有多重归算来估计缺失的结果。情感障碍和物质使用障碍的比率差异不能排除，因为语言障碍的队列中有损耗，他们在31岁时参与研究的可能性较小。两组的心理社会评分均在正常范围内。语言障碍组的自评身体健康状况比对照组差。结论：轻度/中度语言障碍在成年早期可能没有显著的长期心理健康后果。
Objective: Language disorders are associated with emotional and behavioral problems in childhood and adolescence. Although clinical studies with small samples suggest that psychosocial difficulties continue into adulthood, adult mental health outcomes of childhood language disorders are not well known. The objective of this prospective longitudinal study is to determine whether the age 31 mental health outcomes of individuals who had childhood language disorders differ from the outcomes of typically developing controls. Method: A 26-year cohort study followed up children with language or speech disorders from age 5 to age 31. The children were selected from a 1-in-3 random sample of 5-year-olds using a 3-stage screening and assessment process. A control group matched by sex, age, and classroom or school was also selected. Diagnoses were assigned with the Composite International Diagnostic Interview with the additional criterion that Global Assessment of Functioning scores indicated at least mild impairment. Dimensional psychosocial self-report measures were also administered. Results: Rates of diagnosis at age 31 years were equivalent between participants who had childhood language disorders and controls, with and without multiple imputation to estimate missing outcomes. Differences in rates of affective and substance use disorders could not be ruled out because of attrition in the cohort with language disorders, who were less likely to participate at age 31. Psychosocial scores for both cohorts were in the normal range. The cohort with language disorders had poorer self-rated physical health than controls. Conclusion: Mild/moderate language disorders may not have significant long-term mental health consequences in early adulthood.