自闭症谱系障碍儿童、发育迟缓儿童和典型发育儿童说普通话时的发声交流和不典型性比较分析

IF 2.2 4区医学 Q1 EDUCATION, SPECIAL

Research in Autism Spectrum Disorders Pub Date : 2024-11-11 DOI:10.1016/j.rasd.2024.102513

Min Liu , Yanxia Wang , Xinyu Hu , Mudi Sun , Lu Qu , Xuling Han , Hang Zhao , Haidan Lu , Qiaoyun Liu

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引用次数: 0

摘要

目的本研究旨在探讨 36-72 个月大说普通话的自闭症谱系障碍（ASD）儿童、发育迟缓（DD）儿童和发育正常（TD）儿童在发声特征方面的异同。我们收集了 21 名 ASD 儿童、18 名发育迟缓儿童和 15 名发育正常儿童的视频和音频样本。结果与发育迟缓组和发育迟缓组的儿童相比，患有 ASD 的儿童表现出的非语言发声（NSV，p<0.01）、非典型发声（ATY，p<0.001）、非交流发声（NCV，p<0.001）和不回应他人（NR，p<0.001）的比例明显更高。这四项指标与儿童在发育评估和智力测验中的表现明显相关。接收者操作特征分析表明，用这四项指标区分 ASD 儿童和 TD 儿童时，曲线下面积（AUC）在 0.871-0.978 之间，准确度为中等；将这四项指标合并后，准确度提高到 1.000，准确度为高。结论：这些初步数据表明，发声交流和发声不典型可能是最小言语型 ASD 儿童的独特特征，而四项指标--NSV、ATY、NCV 和 NR--有可能成为筛查和诊断 ASD 的行为标记。

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Comparative analysis of vocal communication and atypicality in mandarin-speaking children with autism spectrum disorder, developmental delay, and typical development

Purpose

The current study aimed to examine the similarities and differences in vocal characteristics between Mandarin-speaking 36–72-month-old children with autism spectrum disorder (ASD), children with developmental delay (DD), and typically developing (TD) children.

Methods

We analyzed vocal characteristics during parent–child free play. Video and audio samples were collected from 21 children with ASD, 18 children with DD matched groupwise for developmental level, and 15 TD children matched groupwise for chronological age.

Results

Compared to children in the DD and TD groups, children with ASD exhibited a significantly higher proportion of nonspeech vocalizations (NSV, p<0.01), atypical vocalizations (ATY, p<0.001), noncommunicative vocalizations (NCV, p<0.001), and no response to others (NR, p<0.001). These four metrics were significantly correlated with children’s performance on the developmental evaluation and intelligence test. Receiver operating characteristic analyses indicated that the area under the curve (AUC) ranged from 0.871–0.978, with moderate accuracy, when using these four metrics to differentiate between children with ASD and TD children; this value improved to 1.000 with high accuracy when combining the four metrics. The AUC ranged from 0.747–0.820 when using the four metrics to differentiate children with ASD from those with DD and improved to 0.857 when combining the four metrics.

Conclusion

These preliminary data suggest that vocal communication and vocal atypicality may be unique features of children with minimally verbal ASD and that the four metrics—NSV, ATY, NCV, and NR—have the potential to be ASD behavioral markers in screening and diagnosis.

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来源期刊

Research in Autism Spectrum Disorders Multiple-

CiteScore

4.20

自引率

8.00%

发文量

108

期刊介绍： Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.