入学语言技能作为幼儿园自闭症儿童并发和未来学业、社会和适应技能的预测因素。

The Clinical neuropsychologist Pub Date : 2022-07-01 Epub Date: 2021-07-27 DOI:10.1080/13854046.2021.1950211
Elizabeth P McKernan, So Hyun Kim
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引用次数: 7

摘要

目的:本研究比较了自闭症谱系障碍(ASD)儿童和正常发育(TD)儿童入园时的语言特征,并探讨了入园时的语言分数是否能预测ASD儿童当前和未来的学业成绩、同伴互动和适应技能。方法:参与者包括97名儿童(62名ASD儿童;35名TD儿童)在幼儿园入学和毕业时进行评估。语言能力评估使用儿童交流检查表2 (CCC-2)。在基线上比较ASD患儿和TD患儿的语言得分,并对ASD组进行纵向随访。采用回归分析比较ASD组和TD组的语言得分,并通过ASD儿童幼儿园入学语言得分预测其并发和未来的功能技能。结果:与TD儿童相比,ASD儿童在幼儿园入学时在CCC-2的所有量表上都表现出明显更多的损伤。在ASD组中,幼儿园入学语用语言显著预测并发数学和阅读成绩。句法/语义和语用两个领域对幼儿园毕业后的阅读表现都有显著的预测作用;语用学显著预测幼儿园毕业数学成绩。语用学还预测了并发和幼儿园毕业同伴游戏。语法/语义显著预测并发适应性交际技能,而语用显著预测并发适应性日常生活和社交技能以及幼儿园-毕业社交技能。结论:入学语言能力可以作为有认知能力的ASD儿童在幼儿园期间功能结局的一个有价值的预测指标。结果强调,需要针对早期的语言能力,以最大限度地提高学术,社会和适应技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
School-entry language skills as predictors of concurrent and future academic, social, and adaptive skills in kindergarteners with ASD.

Objective: This study compared language profiles of children with autism spectrum disorder (ASD) and typically developing (TD) children at kindergarten-entry and investigated whether kindergarten-entry language scores were predictive of concurrent and future academic achievement, peer interactions, and adaptive skills in children with ASD.

Method: Participants included 97 children (62 children with ASD; 35 TD children) assessed at kindergarten-entry and -exit. Language abilities were assessed using the Children's Communication Checklist-2 (CCC-2). Children with ASD and TD children's language scores were compared at baseline, and the ASD group was followed longitudinally. Regression analyses were performed to compare language scores between ASD and TD groups and to predict concurrent and future functional skills from kindergarten-entry language scores for children with ASD.

Results: Children with ASD demonstrated significantly more impairments across all scales of the CCC-2 at kindergarten-entry compared to TD children. Within the ASD group, kindergarten-entry pragmatic language significantly predicted concurrent math and reading achievement. Both syntactic/semantic and pragmatic domains significantly predicted kindergarten-exit reading performance; pragmatics significantly predicted kindergarten-exit math performance. Pragmatics also predicted concurrent and kindergarten-exit peer play. Syntax/semantics significantly predicted concurrent adaptive communication skills, whereas pragmatics significantly predicted concurrent adaptive daily living and socialization skills, as well as kindergarten-exit socialization skills.

Conclusions: School-entry language abilities can serve as a valuable predictor of functional outcomes across the kindergarten year for cognitively-able children with ASD. Results highlight the need to target early language abilities to maximize academic, social, and adaptive skills.

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