Journal of Communication Disorders最新文献

{"title":"How hidden is hidden hearing loss? Self-reported listening problems in charcot Marie tooth disease","authors":"Marco van de Ven","doi":"10.1016/j.jcomdis.2024.106487","DOIUrl":"10.1016/j.jcomdis.2024.106487","url":null,"abstract":"<div><h3>Introduction</h3><div>Laboratory studies have revealed hidden hearing loss in patients with Charcot-Marie-Tooth (CMT) disease, the most prevalent inherited neuropathy, which may impact their quality of life. The current study distinguished between CMT type 1, which involves demyelination of the peripheral nerves, and type 2, which concerns dysfunction of peripheral nerves due to axonopathy. The self-reported effects were investigated of CMT1 and CMT2 on listening problems and related social and attentional problems in everyday communicative situations.</div></div><div><h3>Methods</h3><div>Data were collected from 42 CMT1 patients, 30 CMT2 patients, and 72 matched controls (selected from 135 control-group participants), who completed questionnaires concerning listening in everyday and noisy situations, social problems due to hearing difficulties, and problems regarding auditory sustained attention.</div></div><div><h3>Results</h3><div>CMT2 patients seemed to suggest only minor listening difficulties. No effects were found for social and attentional problems. In addition, CMT1 patients were found to be associated with more overall listening difficulties in everyday situations, compared to controls. CMT1 patients reported substantial listening difficulties, particularly in noisy and reverberant environments. These problems might be caused by underlying binaural hearing problems combined with reduced processing of temporal and acoustic information, as suggested in the literature. These listening difficulties were associated with social problems, such as social insecurity or even social avoidance, and problems regarding auditory sustained attention.</div></div><div><h3>Conclusions</h3><div>These findings strongly suggest that CMT1 impacts quality of life concerning social communication. The findings presented in this study will benefit diagnosis and treatment of hearing difficulties and related problems in CMT1 patients.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106487"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of otitis media on speech production in children: A systematic review","authors":"Clancy Conlon ,&nbsp;Barbra Zupan ,&nbsp;Emily Pirie ,&nbsp;Charlotte Gupta","doi":"10.1016/j.jcomdis.2024.106490","DOIUrl":"10.1016/j.jcomdis.2024.106490","url":null,"abstract":"<div><h3>Introduction</h3><div>Otitis Media (OM) is one of the most common infections in young children and can create fluctuating hearing loss. Despite the commonality of this condition, there is a lack of conclusive evidence on its impact on speech production outcomes. Therefore, the aim of this systematic review was to identify the impact of otitis media on speech production in children.</div></div><div><h3>Method</h3><div>A systematic review of peer-reviewed publications since 2000 was conducted using five data bases (PsycINFO, Medline, CINAHL, Pubmed and SpeechBITE). Studies were included if they reported a previous or current experience of otitis media (OM), assessed and reported on the speech production of children before the age of 12 years and the child's speech productions were assessed in the English language. Titles and abstracts of 332 articles were reviewed, followed by full-text review of 58 studies. Due to variability in study procedures and outcomes, a narrative synthesis was completed.</div></div><div><h3>Results</h3><div>12 studies met inclusion criteria for this review investigating 1,265 children aged between 12 months and 7 years of age. Eight studies used a prospective design, three studies used a retrospective design, and one study used a case study design. Six studies found no relationship between OM and speech production although five of these studies formed part of a larger study of 639 children. Comparatively five studies identified a link between OM history, chronicity of OM and/or elevated hearing levels and speech production. Specifically, OM was linked to the presence of backing in obstruents.</div></div><div><h3>Conclusions</h3><div>Overall findings were mixed likely due to the presence of multiple influencing variables such as duration, severity, medical intervention, age, hearing status and socio-economic status. Results of this review are limited as prospective studies only considered cases of OM which are treated and therefore do not represent children who have unidentified and/or untreated OM. Furthermore, many studies did not consistently report on the hearing levels of children and only two studies included cohorts of children from an Indigenous background.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106490"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acoustic characteristics of three English semivowels /l, ɹ, w/ and vowels in young children with and without speech sound disorders","authors":"Hyunju Chung ,&nbsp;Sarah K. Schellinger","doi":"10.1016/j.jcomdis.2024.106489","DOIUrl":"10.1016/j.jcomdis.2024.106489","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the current study is to examine if the relationship among three semivowel sounds (/l, ɹ, w/) and between the semivowel and the following vowel differs by children's overall speech proficiency, and if this relationship affects listeners’ perceptual judgment of the liquid sounds (/l, ɹ/). The acoustic proximity among the three semivowel sounds and the acoustic characteristics of the following vowel sounds were examined by each child speaker's overall speech sound proficiency and their semivowel accuracy.</div></div><div><h3>Methods</h3><div>A total of 21 monolingual English-speaking children with and without speech sound disorders produced monosyllabic words that include target semivowel sounds in word-initial position in different vowel contexts. Participants were divided into three groups based on overall speech proficiency, as measured by diagnostic status and score on the Goldman-Fristoe Test of Articulation – 3rd Edition. Each semivowel and vowel production was transcribed for accuracy, and F2 and F3 values were extracted at the semivowel midpoints to calculate Euclidean distances (ED) between the three semivowel pairs (/l-w/, /l-ɹ/, and /ɹ-w/). F1 and F2 values extracted at the vowel midpoint were used to examine the characteristics of vowels following the semivowels.</div></div><div><h3>Results</h3><div>Children with typically developing speech with the highest overall speech proficiency demonstrated the largest ED values between all the three semivowel pairs. Larger ED values were also related to a greater likelihood of semivowels /l/ and /ɹ/ being judged as perceptually acceptable. Acoustic characteristics of the following vowels did not differ across children of varying levels of speech proficiency, but did differ by the preceding semivowel context.</div></div><div><h3>Conclusions</h3><div>Acoustic distinction of semivowels differs across children with varying levels of speech proficiency and is predictive of judgements of semivowel accuracy. Acoustic characteristics of the vowels were influenced by the preceding semivowel target, indicating the presence of coarticulation across the semivowel-vowel sequences. Findings support intervention approaches that pair semivowel targets to train children to produce acoustic differentiation between semivowels.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106489"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability, validity and developmental sensitivity of the Language Use Inventory (LUI) in the Spanish context","authors":"N. Gascón ,&nbsp;I. Baixauli ,&nbsp;C. Moret-Tatay","doi":"10.1016/j.jcomdis.2024.106488","DOIUrl":"10.1016/j.jcomdis.2024.106488","url":null,"abstract":"<div><h3>Introduction</h3><div>The Language Use Inventory (LUI) is a standardized parent-report questionnaire to assess pragmatic language development in children 18 to 47 months of age. The aim of this study is to describe the translation of the Language Use Inventory (LUI) from English to Spanish and to report findings on the Spanish version's reliability, validity and developmental sensitivity.</div></div><div><h3>Methods</h3><div>The original English version of the LUI was translated into Spanish. Parents of 236 typically developing children completed the inventory. A sub-sample of 107 participants completed the LUI-Spanish, again within 2 weeks, to assess test-retest reliability.</div></div><div><h3>Results</h3><div>Results showed that the LUI-Spanish demonstrates robust psychometric properties, exhibiting strong internal consistency and test-retest reliability, as well as good developmental sensitivity. Children's scores showed a decrease with age in the subscales that assess communication with gestures. In contrast, subscales that assess communication with sentences obtained significant higher scores with participants' age. No significant differences were found in terms of gender.</div></div><div><h3>Conclusions</h3><div>Findings indicate that the LUI-Spanish is a suitable tool for assessing the pragmatic skills of toddlers and preschool-aged children.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106488"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences with healthcare for unilateral vocal fold paralysis: A qualitative study of the patient's perspective","authors":"Imke Kissel ,&nbsp;Iris Meerschman ,&nbsp;Peter Tomassen ,&nbsp;Evelien D'haeseleer ,&nbsp;Kristiane Van Lierde","doi":"10.1016/j.jcomdis.2024.106491","DOIUrl":"10.1016/j.jcomdis.2024.106491","url":null,"abstract":"<div><h3>Objective</h3><div>Unilateral vocal fold paralysis (UVFP) frequently causes severe dysphonia, which necessitates multidisciplinary treatment. Literature on outcomes of interventions has primarily focused on vocal fold motility or instrumental vocal outcomes, but the perspectives of patients about the treatment process have not yet been investigated. The purpose of the study was therefore to explore patient experiences with healthcare for UVFP.</div></div><div><h3>Methods</h3><div>Twenty-four adults with UVFP (age range: 39 – 84 years) participated in the study. Semi-structured interviews were conducted, transcribed, and analyzed with the software program NVivo. An inductive thematic approach was used to code and analyze the interviews.</div></div><div><h3>Results</h3><div>Three themes were identified through the qualitative analyses: (1) the healthcare professional (HCP), (2) experiences with treatment, and (3) patient support. The laryngologist and speech-language pathologist (SLP) were crucial HCPs during treatment, and patients relied heavily on their advice, so they expected them to be knowledgeable about UVFP and empathic towards their patients. Voice therapy was mostly a positive experience due to the collaborative therapeutic relationship with the SLP, even though it did not yield sufficient voice improvements. Medialization surgery was a relief for some participants, while others expected more or felt too vulnerable to undergo surgery. Sources of patient support included personal connections such as relatives and fellow patients, but participants expressed a need for increased support and guidance from the healthcare system.</div></div><div><h3>Conclusion</h3><div>Overall, participants were satisfied with the care that they had received, but certain barriers and needs within UVFP healthcare were identified. The findings from the current study can help guide the development of initiatives to better support patients and HCPs and improve patient-centered care in UVFP.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106491"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between hearing, auditory processing, and communication in children diagnosed with auditory neuropathy spectrum disorder","authors":"Hannah E. Cooper ,&nbsp;Doris-Eva Bamiou ,&nbsp;Christopher A. Clark ,&nbsp;Lorna F. Halliday","doi":"10.1016/j.jcomdis.2024.106493","DOIUrl":"10.1016/j.jcomdis.2024.106493","url":null,"abstract":"<div><h3>Objectives</h3><div>The objectives of this study were to evaluate the relationships between auditory processing, speech discrimination, and listening and communication abilities in children diagnosed with auditory neuropathy spectrum disorder (ANSD) compared to those with normal hearing.</div></div><div><h3>Methods</h3><div>This was a case-control study involving seventeen participants with a diagnosis of ANSD who used spoken language as their primary mode of communication and wore hearing aids or were unaided and 21 normally hearing controls. All underwent a battery of behavioural measures of hearing, speech perception and auditory processing skills. Their parents filled in a series of questionnaires to evaluate listening and communication abilities. Group differences were evaluated, and hierarchical linear regression was carried out to assess the extent to which auditory measures predicted parent report scores.</div></div><div><h3>Results</h3><div>Slow-rate amplitude modulation detection (AMD) was an important predictor of listening and communication abilities over and above the pure-tone audiogram in children diagnosed with ANSD. There was a significant relationship between the pure-tone audiogram and the ability to discriminate speech in quiet but not in noise. Children in the ANSD group had more difficulty completing tests of auditory processing ability or performed significantly more poorly than the control group for most tasks.</div></div><div><h3>Conclusions</h3><div>This study confirms that outcomes for children diagnosed with ANSD are heterogeneous, and provides new information about real world listening and communication abilities. These findings will be useful for clinicians counselling families of newly diagnosed infants and providing management for children with a diagnosis of ANSD.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106493"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions","authors":"Katrien Kestens ,&nbsp;Fiona Verbrugghe ,&nbsp;Louise Van Goylen ,&nbsp;Hannah Keppler","doi":"10.1016/j.jcomdis.2024.106492","DOIUrl":"10.1016/j.jcomdis.2024.106492","url":null,"abstract":"<div><h3>Introduction</h3><div>Hearing loss is a commonly occurring condition with dementia. Research already presented a theoretical framework for the auditory-cognitive interactions, though it is still unclear if and how professionals beyond audiologists act upon this interactions in clinical practice.</div></div><div><h3>Methods</h3><div>An online 64-item questionnaire was developed and evaluated respondents’ work setting as well as their knowledge, experience, and awareness regarding hearing loss, cognitive decline, and the auditory-cognitive link. The questionnaire was sent to Dutch professionals working with older adults. Respondents were surveyed from May to September 2022.</div></div><div><h3>Results</h3><div>Two hundred and six non-physicians with a mean work experience of 16 years (range: 6 months - 42 years) and 25 physicians with a mean work experience of 13 years (range: 8 months - 42 years) filled in the entire questionnaire. There was a prevailing tendency to treat hearing and cognitive impairment as distinct entities, overlooking their coexistence and interactions. Results also showed a deficiency in assessing the hearing and cognitive status of older adults, with most relying on the older adult's self-report or indirect (non)verbal cues. Those strategies are strongly dependent on the professional's awareness and knowledge which were, especially for the hearing-related aspects, considered limited. For example, effortful listening was barely reported by the respondents as an important hearing-related complaint. Last, communication strategies fall short, with professionals adapting general approaches but lacking specificity.</div></div><div><h3>Conclusion</h3><div>Specific information for professionals beyond audiologists regarding the auditory-cognitive interactions as well as guidelines how to acted upon in clinical practice are needed to optimise person-centered care for older adults.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106492"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing mental health of people with complex communication needs: A systematic review.","authors":"Jacinta Molini Pennacchia ,&nbsp;Jørn Østvik ,&nbsp;Iain Dutia ,&nbsp;Megan Walsh ,&nbsp;Dave Coghill ,&nbsp;Mats Granlund ,&nbsp;Christine Imms","doi":"10.1016/j.jcomdis.2025.106494","DOIUrl":"10.1016/j.jcomdis.2025.106494","url":null,"abstract":"<div><div>Mental health is “a state of wellbeing” as per the World Health Organisation. People with disabilities generally experience poorer wellbeing than those without disabilities. Instruments which assess wellbeing or its three core components (emotional, psychological, social) may be less accessible or appropriate for people with complex communication needs (CCN). This study aimed to identify and describe instruments used to measure wellbeing in people with CCN. A systematic review following PRISMA guidelines was conducted. Six databases were searched to identify studies where wellbeing was measured in people with CCN. Two reviewers extracted data to describe the studies, participants, instrument(s) used, and adaptations applied. Instrument items were then mapped to indicators of mental health. Twenty-six studies were included. Participants’ receptive language ranged normal to profoundly impaired and they used a variety of expressive communication methods. Twenty-two different instruments were identified; ten of which were quality-of-life measures. Adaptations were made to instruments in eight studies, mostly to administration procedures. Item mapping revealed that while some wellbeing indicators were represented within the included instruments, coverage was insufficient to consider any instrument a “measure of wellbeing” for this population. Some instruments had features which made them more appropriate for people with CCN: ensuring communication access; recognising the relative importance of wellbeing indicators to an individual; collecting information from multiple sources when using proxy-report; and acknowledging environmental factors. Research is required to develop or adapt an instrument for valid and reliable measurement of wellbeing in people with CCN, ensuring the instrument addresses their communication access needs.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106494"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language, theory of mind and cognitive skills in Arabic-speaking children with and without autism: Evidence from network and cluster analyses","authors":"Muna Abd El-Raziq ,&nbsp;Elinor Saiegh-Haddad ,&nbsp;Natalia Meir","doi":"10.1016/j.jcomdis.2024.106476","DOIUrl":"10.1016/j.jcomdis.2024.106476","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism spectrum disorder (ASD) is characterized by impairments in social interactions, social communication, and repetitive and stereotyped patterns of behavior. Previous studies have reported mixed findings regarding the links between language (i.e., phonology, morphosyntax, lexicon, and pragmatics), theory of mind (ToM), executive functions (EFs), and central coherence measures in children with ASD.</div></div><div><h3>Methods</h3><div>A total of 163 Palestinian-Arabic-speaking children aged 4–11 participated: 76 with ASD and 87 with typical language development (TLD). The children`s phonological, morphosyntactic, lexical, and pragmatic skills, along with verbal and non-verbal ToM abilities were evaluated. Additionally, cognitive assessments included non-verbal IQ, EF, and central coherence processing.</div></div><div><h3>Results</h3><div>Group-level results showed that children with ASD scored lower than their TLD peers in all measures. Network analysis revealed robust interconnections between language, ToM, and cognitive skills in both groups. In autistic children, language was a central node, with pragmatics prevailing over morphosyntax and lexicon, while age was central in the TLD group. Cluster analysis identified four language clusters within the ASD group, demonstrating dissociations between language domains: (1) high performance across all domains, (2) moderate performance in phonology and morphosyntax with low pragmatic abilities, (3) moderate performance in phonology and lexicon with low morphosyntax and pragmatics, and (4) moderate phonology and lexicon with extremely poor morphosyntax and pragmatics. Autistic children with enhanced language abilities performed better in verbal and non-verbal ToM and EF tasks.</div></div><div><h3>Conclusions</h3><div>Our findings underscore the variability in language, ToM, and cognitive profiles of autistic children, showing dissociation within and between different domains in some autistic children. These results offer insights for applied interventions.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106476"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is simpler better? Semantic content modulates the emotional prosody perception in Mandarin-speaking children with autism spectrum disorder","authors":"Ting Wang ,&nbsp;Li Xia ,&nbsp;Lulu Cheng","doi":"10.1016/j.jcomdis.2025.106495","DOIUrl":"10.1016/j.jcomdis.2025.106495","url":null,"abstract":"<div><h3>Introduction</h3><div>It is still under debate whether and how semantic content will modulate the emotional prosody perception in children with autism spectrum disorder (ASD). The current study aimed to investigate the issue using two experiments by systematically manipulating semantic information in Chinese disyllabic words.</div></div><div><h3>Method</h3><div>The present study explored the potential modulation of semantic content complexity on emotional prosody perception in Mandarin-speaking children with ASD. Two emotional prosody identification tasks were designed, in which different levels of prosodic and lexical complexity were incrementally included in four stimulus types: pseudo-words, semantically-neutral words, semantics-prosody congruent, and incongruent emotion words. Twenty-four children with ASD and twenty-two typically developing (TD) children were required to focus on the prosodic channel to label emotions while ignoring the semantic information.</div></div><div><h3>Results</h3><div>Emotionally neutral semantic content exerted little negative influence on the ASD group's accuracy, while semantic-prosodic incongruence in emotion-label words had dramatic adverse impacts. Although distinct emotional prosody identification patterns were observed across the two groups, the confusion matrices suggested that the participants with ASD had developed similar patterns in identifying the five prosodies.</div></div><div><h3>Conclusions</h3><div>Children with ASD demonstrated a stronger adverse impact from the incremental complexity in the overlap between prosody and lexical cues. However, notably, they have tended to develop a typical emotional prosody recognition pattern. Thus, the poorer performance in the ASD group might originate from the possible developmental delay in suppressing semantic interference rather than from inherent emotion-specific impairments.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"113 ","pages":"Article 106495"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}