Journal of Communication Disorders最新文献_第5页

Infant temperament predicts early communicative skills in the FinnBrain Birth Cohort Study 在芬兰大脑出生队列研究中，婴儿气质预测早期沟通技能。

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-09-04 DOI: 10.1016/j.jcomdis.2025.106564

Denise Ollas-Skogster , Pirkko Rautakoski , Anna Kautto , Hasse Karlsson , Elina Mainela-Arnold , Linnea Karlsson , Saara Nolvi

Studies have established that dimensions of temperament and language development are associated in childhood. Insofar, however, longitudinal studies from infancy into toddlerhood accounting for all temperament dimensions and covering preverbal communication in addition to emerging verbal skills are scarce. Existing findings are inconclusive.

The current study is an extension of our previous study (N = 91) on a large cohort sample (N = 1200 and 1039 depending on analysis). Temperament (positive emotionality, negative emotionality and emerging self-regulation) was assessed at 6 and 12 months of age and gesturing and receptive vocabulary at 14 months. As an extension to the previous study, expressive vocabulary and sentence complexity in toddlerhood, at 30 months, were also assessed. All assessments utilized parent reports. Associations were studied by multiple linear regression analysis.

The temperament traits of positive emotionality and self-regulation positively predicted all communicative skills except sentence complexity. Positive emotionality accounted for 10–11 % of the variance in gesturing, 4–5 % in receptive vocabulary and 1–3 % in expressive vocabulary. Self-regulation accounted for 4–6 % of the variance in gesturing, 2–3 % in receptive vocabulary and 0–1 % in expressive vocabulary.

Results aligned with the findings of our prior study but also highlighted weak longitudinal positive associations between positive emotionality and self-regulation and gesturing and vocabulary. However, associations were notably stronger with gesturing compared to verbal skills. Longitudinal weakening of associations suggests the role of infant temperament is replaced by other factors influencing language development moving into toddlerhood.

研究已经确定，气质和语言发展的维度在童年时期是相关的。然而，到目前为止，从婴儿期到幼儿期的纵向研究，涵盖了所有气质维度，除了新兴的语言技能之外，还涵盖了言语前交流。现有的研究结果尚无定论。目前的研究是我们之前的研究（N = 91）在一个大队列样本（N = 1200和1039取决于分析）的扩展。在6个月和12个月大的时候评估气质（积极情绪、消极情绪和新兴的自我调节），在14个月大的时候评估手势和接受性词汇。作为先前研究的延伸，我们还对30个月大的幼儿的表达性词汇和句子复杂性进行了评估。所有评估均采用家长报告。采用多元线性回归分析研究相关性。积极情绪和自我调节的气质特征正向预测除句子复杂性外的所有交际技能。积极情绪对手势、接受性词汇和表达性词汇的影响分别为10- 11%、4- 5%和1- 3%。自我调节对手势、接受性词汇和表达性词汇的影响分别为4- 6%、2- 3%和0- 1%。结果与我们之前的研究结果一致，但也强调了积极情绪与自我调节、手势和词汇之间微弱的纵向正相关。然而，与语言技能相比，手势技能的关联性明显更强。关联的纵向减弱表明，进入幼儿期，影响语言发展的其他因素取代了婴儿气质的作用。

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引用次数: 0

Acoustic insights into coarticulatory dynamics in aphasia: Evidence from a semitic language 失语症中协同发音动力学的声学洞察：来自闪族语言的证据

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-09-01 DOI: 10.1016/j.jcomdis.2025.106562

Hicham Adem

This is the first comprehensive study to examine the feasibility of using acoustic measures to characterize coarticulatory dynamics in Arabic speakers with Broca's aphasia, addressing a significant gap in the literature and contributing to both universal and culturally specific understandings of coarticulatory timing in aphasia. Five Palestinian Arabic-speaking participants with Broca’s aphasia and five control speakers completed a repetition task involving initial fricative-vowel syllables. Using PRAAT software, the analysis incorporates both static and dynamic acoustic parameters, including formant values (F2 and F3), transition slopes and variability, Voice Onset Time (VOT), and intensity measures. Statistical analysis identified significant differences between the speaker groups, with individuals with Broca's aphasia exhibiting elevated and more variable formant values, prolonged and variable VOT patterns, and reduced intensity levels. Density mapping demonstrated broader distributions and increased variability in F2 and F3 frequencies, indicating disruptions in coarticulatory timing. Decreased spectral centroids and rapid intensity decay rates further highlighted reduced consistency in acoustic patterns. Contrary to findings from studies in other languages, our results indicate a delay in coarticulation rather than a complete loss, accompanied by increased variability in segmental transitions. The findings also underscore how Arabic’s unique phonological structures shape coarticulatory dynamics and advance our understanding of phonetic variability in linguistically underrepresented populations. The study also acknowledges its limitations and underlines the need for tailored interventions targeting timing dynamics, intensity patterns, and acoustic clarity to enhance therapy for individuals with Broca’s aphasia.

这是第一个全面的研究，探讨了使用声学测量来表征阿拉伯语Broca失语症患者协同发音动态的可行性，解决了文献中的重大空白，并有助于对失语症中协同发音时间的普遍和文化特异性理解。五名患有布洛卡失语症的巴勒斯坦阿拉伯语参与者和五名对照组参与者完成了一项涉及初始摩擦元音音节的重复任务。使用PRAAT软件，分析结合了静态和动态声学参数，包括形成峰值（F2和F3）、过渡斜率和变异性、声音开始时间（VOT）和强度测量。统计分析发现了说话者群体之间的显著差异，布洛卡失语症患者表现出更高且更多变的形成峰值，延长且多变的VOT模式，以及降低的强度水平。密度图显示F2和F3频率分布更广，变异性增加，表明协同发音时间中断。光谱质心的降低和强度衰减速率的加快进一步突出了声学模式一致性的降低。与其他语言的研究结果相反，我们的研究结果表明，协同发音的延迟而不是完全丧失，伴随着片段转换的变异性增加。这些发现还强调了阿拉伯语独特的语音结构如何塑造协同发音动态，并促进了我们对语言代表性不足人群语音变化的理解。该研究也承认其局限性，并强调需要针对时间动态、强度模式和声音清晰度进行量身定制的干预，以加强对布洛卡失语症患者的治疗。

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引用次数: 0

A longitudinal exploration of inhibitory control in children with Developmental Language Disorder 发展性语言障碍儿童抑制控制的纵向研究

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-08-16 DOI: 10.1016/j.jcomdis.2025.106561

Jorge-Luis Guirado-Moreno, Victor A. Sanchez-Azanza, Àngels Esteller-Cano, Eva Aguilar-Mediavilla, Daniel Adrover-Roig

Purpose

Previous research suggests that children with Developmental Language Disorder (DLD) exhibit weaker executive functioning, but there is limited understanding of how inhibitory control develops in this population over time. Adopting a longitudinal perspective, this study assessed inhibitory control in children with DLD compared with their typical developing peers.

Methods

We used a Flanker task to longitudinally assess interference control, a component of inhibitory control, in a group of 12 children with DLD and 31 typical development (TD) peers across three waves. At wave 1, participants had a mean age of 10.5 years, with data collected across three waves spanning ages 8.3 to 16.1 years.

Results

Regarding Response Time, incongruent trials were significantly slower than congruent and neutral trials across all waves for both groups separately. Moreover, the DLD group showed a larger interference effect (IE) than TD peers, but only in the first wave. Concerning accuracy, the DLD group showed lower scores in the first wave compared to the TD group. However, these differences diminished in the last two waves. Finally, no differences were found between groups in IE accuracy.

Conclusions

The DLD group showed a poorer overall inhibition compared to the TD group; however, this deficit seems to vanish over time. Our hypotheses are partially confirmed, aligning with evidence of deficits in inhibitory control in children with DLD. This suggests a domain-specific difficulty with inhibitory control that ameliorates during adolescence in DLD, driven by longer response times during incongruent trials and higher interference effects.

先前的研究表明，患有发展性语言障碍（DLD）的儿童表现出较弱的执行功能，但对这一人群的抑制性控制如何随着时间的推移而发展的了解有限。采用纵向视角，本研究评估了DLD儿童与典型发展同伴的抑制控制。方法采用Flanker任务纵向评估12名DLD儿童和31名典型发育（TD）儿童的干扰控制（抑止控制的一个组成部分）。在第一波中，参与者的平均年龄为10.5岁，数据收集分三波进行，从8.3岁到16.1岁不等。结果在反应时间方面，两组在所有波上的不一致试验均显著慢于一致和中性试验。此外，DLD组表现出比TD组更大的干扰效应（IE），但仅在第一波。在准确性方面，与TD组相比，DLD组在第一波中的得分较低。然而，这些差异在最后两波中消失了。最后，两组之间的IE准确性没有差异。结论DLD组整体抑制作用较TD组差；然而，这种赤字似乎会随着时间的推移而消失。我们的假设得到了部分证实，与DLD儿童抑制控制缺陷的证据一致。这表明，在DLD的青春期，抑制控制的特定领域困难得到改善，这是由不一致试验中更长的反应时间和更高的干扰效应驱动的。

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引用次数: 0

Content validity of the aphasia customised electronic patient reported outcome (ACe-PRO) - revealing hidden difficulties post stroke 失语定制电子患者报告结果（ACe-PRO）的内容效度——揭示脑卒中后隐藏的困难

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-08-16 DOI: 10.1016/j.jcomdis.2025.106559

Frederik Gybel Jensen , Helle Klingenberg Iversen , Troels Wienecke , Mia Ingerslev Loft

Purpose

This study aimed to evaluate the content validity of the Aphasia Customised electronic Patient Reported Outcome (ACe-PRO) questionnaire, designed for people with aphasia following stroke. ACe-PRO serves as a dialogue tool to address hidden difficulties in post-stroke consultations.

Method

The study followed the COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) guidelines for content validity, focusing on relevance, comprehensiveness, and comprehensibility. Data were collected through cognitive interviews with nine people with aphasia and structured as well as semi-structured interviews with seventeen healthcare professionals.

Result

Both people with aphasia and healthcare professionals found ACe-PRO relevant. However, healthcare professionals identified challenges with unclear underlying concepts in certain items. People with aphasia reported issues with wording and pictorial support. The comprehensiveness of the tool was generally rated as good, though suggestions for additional items were made.

Conclusion

ACe-PRO was assessed somewhat relevant. Adjustments are required to enhance its comprehensibility, particularly regarding wording, pictorial support, and the response scale. Further testing is needed to assess respondent burden in clinical practice and to validate its use in a digital format.

目的本研究旨在评估失语症定制电子患者报告结果（ACe-PRO）问卷的内容效度，该问卷专为卒中后失语症患者设计。ACe-PRO是解决中风后磋商中隐藏困难的对话工具。方法本研究遵循COSMIN（基于共识的健康测量工具选择标准）内容效度指南，注重相关性、全面性和可理解性。数据是通过对9名失语症患者的认知访谈和对17名医疗保健专业人员的结构化和半结构化访谈收集的。结果失语症患者和医护人员均认为ACe-PRO具有相关性。然而，医疗保健专业人员在某些项目中发现了潜在概念不明确的挑战。失语症患者报告在措辞和图片支持方面存在问题。该工具的全面性通常被评为良好，尽管对其他项目提出了建议。结论ace - pro评价具有一定的相关性。需要进行调整，以提高其可理解性，特别是在措辞、图像支持和反应规模方面。需要进一步的测试来评估临床实践中的应答者负担，并验证其在数字格式中的使用。

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引用次数: 0

Exploring the morphological and morpho-syntactic abilities of adolescents with autism 探讨青少年自闭症的形态学和形态句法能力。

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-08-09 DOI: 10.1016/j.jcomdis.2025.106560

Inbar Lotsky , Nufar Sukenik , Julia Reznick

This study examined the morphological and morpho-syntactic abilities of Hebrew-speaking adolescents with and without ASD. The participants consisted of 59 adolescents, divided into two groups: 29 with ASD (5 girls, 24 boys, ages 14-18) and 30 typically developing (TD) peers (9 girls, 21 boys, ages 14-18). Assessments included measures of non-verbal intelligence, vocabulary, and the production of morphological and morpho-syntactic structures. Group comparisons and correlations between background variables and performance on morphological and morpho-syntactic tasks were conducted. Additionally, individual analyses were performed to identify language profiles within the ASD group.

The results revealed significant differences favoring TD adolescents in tasks related to past tense verb inflection, as well as mixed-tense verb inflection. Both groups found tasks involving regular components to be easier. In both groups, vocabulary was correlated with performance on various morphological and morpho-syntactic tasks. Alongside some similarities in the hierarchy of task difficulty across the two groups, notable differences in this hierarchy were also observed. Two distinct language profiles were identified among the adolescents with ASD.

The study underscores the importance of tailored language assessments and targeted interventions and recommends longitudinal studies to determine whether these challenges are the result of developmental delays or persistent deficits.

本研究检测了有和没有ASD的讲希伯来语的青少年的形态和形态句法能力。参与者包括59名青少年，分为两组：29名患有ASD（5名女孩，24名男孩，14-18岁）和30名发育正常（TD）的同龄人（9名女孩，21名男孩，14-18岁）。评估包括非语言智力，词汇量，以及形态和形态句法结构的产生。小组比较背景变量与形态学和形态句法任务表现之间的相关性。此外，还进行了个体分析，以确定ASD组中的语言概况。结果显示，青少年在动词过去式和混合时态屈折相关的任务上存在显著差异。两组人都认为包含常规成分的任务更容易。在两组中，词汇量与各种形态和形态句法任务的表现相关。除了两组在任务难度层次上有一些相似之处外，我们还观察到这一层次上的显著差异。在自闭症青少年中发现了两种不同的语言特征。该研究强调了量身定制的语言评估和有针对性的干预的重要性，并建议进行纵向研究，以确定这些挑战是发育迟缓还是持续缺陷的结果。

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引用次数: 0

Parental language mixing and its association with language outcomes of children with (a suspicion of) Developmental Language Disorder 父母语言混合及其与发展性语言障碍儿童（疑似）语言结果的关系

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-07-28 DOI: 10.1016/j.jcomdis.2025.106557

Merel van Witteloostuijn, Elma Blom

Multilingual children naturally encounter language mixing in their environment. Since children’s language development depends on their language input, and processing language mixing in the input may be cognitively demanding, the amount of parental language mixing could affect children’s language outcomes. This matter is also highly relevant for children with developmental language disorder (DLD), who face challenges with language processing and uptake. We hypothesize that these children’s language difficulties may amplify any negative relationships between parental language mixing and the language outcomes of children with DLD. Using a combination of questionnaires, day-long audio recordings, and Bayesian hypothesis testing, we examined parental language mixing and its relationship with Dutch vocabulary and grammar outcomes in thirty 3- to 6-year-old multilingual children with (a suspicion of) DLD in the Netherlands. Analyses were controlled for overall exposure to Dutch, children’s age and parents’ education level. Contrary to our hypothesis, we found a positive, albeit modest, association between parental language mixing and children’s Dutch language outcomes. This suggests that language mixing in the input may not hinder majority language development in children with DLD. Replication and further research are needed to understand the broader implications of parental language mixing for multilingual development in children with DLD, also regarding their minority language outcomes.

多语言儿童在他们的环境中自然会遇到语言混合。由于儿童的语言发展依赖于他们的语言输入，而在输入中处理语言混合可能需要认知上的要求，父母语言混合的数量可能会影响儿童的语言结果。这一问题也与患有发展性语言障碍（DLD）的儿童高度相关，他们面临语言处理和吸收的挑战。我们假设这些儿童的语言困难可能会放大父母语言混合与DLD儿童语言结果之间的任何负相关关系。采用问卷调查、全天录音和贝叶斯假设检验相结合的方法，我们研究了荷兰33至6岁多语种（疑似）DLD儿童的父母语言混合及其与荷兰语词汇和语法结果的关系。分析控制了总体接触荷兰语、儿童年龄和父母教育水平。与我们的假设相反，我们发现父母的语言混合与孩子的荷兰语成绩之间存在着积极的联系，尽管这种联系并不明显。这表明输入中的语言混合可能不会阻碍DLD儿童的多数语言发展。需要进行复制和进一步的研究，以了解父母语言混合对DLD儿童多语言发展的更广泛影响，以及对他们的少数语言结果的影响。

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引用次数: 0

Experiences of individuals with adult-acquired hearing loss using hearing technology: A qualitative meta-synthesis systematic review 成人获得性听力损失患者使用听力技术的经验：一项定性综合系统综述

IF 2.1 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-07-26 DOI: 10.1016/j.jcomdis.2025.106558

Alliete R. Alfano, Kaitlyn N. Saari

Background

Individuals with adult-acquired hearing loss (HL) face many adjustments once diagnosed. The purpose of this qualitative meta-synthesis systematic review was to explore the experiences of working-age adults with adult-acquired HL who use hearing technology. This information can help identify gaps in clinical intervention for working-age adults with HL.

Method

: Researchers conducted a systematic review to examine articles pertaining to adults with adult-acquired HL, then performed a meta-analysis to better understand the difficulties individuals diagnosed and treated for HL in adulthood may face. The method was informed by systematic review and qualitative research methodologies. Researchers filtered articles via databases (Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), Medline, and PsychINFO) then imported articles into Covidence. Articles that were included in the study were reviewed and, using a qualitative interpretive approach to the data synthesis, reappearing and relevant themes were identified.

Results

: Seven articles met inclusion criteria and were reviewed. Two main themes emerged from the data, Internal Struggles and External Struggles, based on sub-themes that described experiences that individuals with HL reported facing due to their HL.

Conclusions

: Individuals with HL could benefit from options that include counseling for themselves or loved ones, education about HL, healthcare providers’ encouragement to seek audiologists, and continuity of HL intervention once the treatment plan is determined. A limitation of this study includes a possible lack of diversity within each study.

成人获得性听力损失（HL）患者一旦确诊，将面临许多调整。本定性综合系统综述的目的是探讨工作年龄成人获得性HL患者使用听力技术的经验。这一信息有助于确定工作年龄成人HL患者临床干预的差距。方法：研究人员对成人获得性HL相关文献进行了系统回顾，然后进行了荟萃分析，以更好地了解成人HL诊断和治疗可能面临的困难。该方法采用系统综述和定性研究方法。研究人员通过数据库（护理和相关健康文献累积索引（CINAHL）、教育资源信息中心（ERIC）、Medline和PsychINFO）筛选文章，然后将文章导入到Covidence中。审查了研究报告中所包括的文章，并采用数据综合的定性解释方法，重新出现并确定了有关主题。结果：7篇文章符合纳入标准。数据中出现了两个主要主题，内部斗争和外部斗争，这是基于描述HL患者报告因HL而面临的经历的子主题。结论：HL患者可以从以下选择中获益：为自己或亲人提供咨询、HL教育、医疗保健提供者鼓励寻求听力学家、治疗方案确定后继续HL干预。本研究的局限性包括每项研究可能缺乏多样性。

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引用次数: 0

Lexical organization in Spanish-speaking children with hearing loss 听力损失西班牙语儿童的词汇组织

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-07-18 DOI: 10.1016/j.jcomdis.2025.106556

Elsa M. Vargas-García , Haydée Carrasco-Ortíz , Natalia Arias-Trejo

Introduction

Early language deprivation in children with hearing loss is an important cause of later language delays and hinders lexical organization. By studying how lexical organization affects lexical retrieval, it is possible to further understand lexical processing in children with hearing loss and their hearing peers.

Methods

The purpose of this study is to evaluate lexical organization among children with hearing loss. To this end, 43 children, divided into two groups, participated in two language production experiments. The deaf and hard-of-hearing (DHH) group consisted of 21 children with hearing loss who use either a cochlear implant or a hearing aid and oral language as their main means of communication; the typical hearing (TH) group consisted of 22 children with no hearing difficulties, paired by age to the DHH group. Experiment 1 consisted of a semantic verbal fluency task (SVF); lexical organization was evaluated through the grouping strategies used by participants within the semantic categories presented for the task. Experiment 2 consisted of a free word association task (FWA); lexical organization was evaluated through the types of lexical relations present between stimulus and response. To assess lexical retrieval we used, in Experiment 1 (SVF), the number of items produced in one minute, and in Experiment 2 (FWA), the response times.

Results

Lexical organization showed contrasting patterns in both tasks. Similarities between groups were found in grouping strategies in the SVF, but dissimilarities were unveiled in the FWA concerning the proportions in the types of lexical relations presented by both groups. Lexical retrieval evidenced group differences: children with hearing loss showed a less efficient retrieval strategy in the SVF and slower response times in the FWA than their typical hearing counterparts.

Conclusions

These results indicate that both groups show similar lexical organization in grouping strategies within a category. However, children with hearing loss have fewer word relations involving lexical abstraction compared to their hearing peers. Moreover, children with hearing loss use different strategies than their hearing peers to retrieve words from their mental lexicon. Suggestions for clinical applications in language therapy are provided.

听力损失儿童早期语言缺失是导致后期语言迟缓和词汇组织障碍的重要原因。通过研究词汇组织对词汇检索的影响，可以进一步了解失聪儿童及其同龄人的词汇加工过程。方法本研究的目的是评估听力损失儿童的词汇组织。为此，43名儿童被分成两组，参与了两个语言生成实验。聋哑和听力障碍组（DHH）包括21名使用人工耳蜗或助听器并以口语作为主要交流手段的听力损失儿童；典型听力组（TH）由22名无听力障碍的儿童组成，按年龄与DHH组配对。实验1包括语义言语流畅性任务（SVF）；词汇组织是通过参与者在任务中呈现的语义类别中使用的分组策略来评估的。实验2包括自由词联想任务（FWA）；词汇组织是通过刺激和反应之间存在的词汇关系类型来评价的。为了评估词汇检索，我们在实验1 （SVF）中使用了一分钟内产生的条目数，在实验2 （FWA）中使用了响应时间。结果在两个任务中，词汇组织呈现出截然不同的模式。两组在分组策略上存在相似性，但在词汇关系类型中所占比例上存在差异。词汇检索证明了组间差异：听力损失儿童在SVF中的检索策略效率较低，在FWA中的反应时间较慢。结论两组学生在同一范畴内的分组策略中表现出相似的词汇组织。然而，与听力正常的同龄人相比，听力损失儿童涉及词汇抽象的单词关系较少。此外，听力损失儿童使用不同的策略从他们的心理词汇中检索单词。对语言治疗的临床应用提出了建议。

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引用次数: 0

Mapping 74 years in acoustic analysis of voice disorders: A bibliometric review and future research directions 74年来声音障碍声学分析的制图：文献计量学回顾和未来研究方向

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-07-11 DOI: 10.1016/j.jcomdis.2025.106555

Ahmed M. Yousef , Lady Catherine Cantor-Cutiva , Eric J. Hunter

Purpose

This paper conducts a bibliometric analysis to identify and examine the strengths, gaps, and trends in research on acoustic voice assessment for voice disorders.

Methods

A bibliometric analysis was performed on journal articles about voice disorders and acoustic voice assessment in English, Spanish, and Portuguese using seven indexed databases. The analyzed bibliometric parameters included publication year, authors, institutions, countries, journals, subject areas, and keywords. VOSviewer software was used for keyword co-occurrence analysis and authorships network analysis. The initial search yielded 6532 publications, with 1253 relevant papers after screening (1951–2024).

Results

Publications in acoustic voice assessment had 74 years of exponential growth (25 % published after 2021). The publishing journals covered 80 categories and subjects. Artificial Intelligence, though recent, was among the top journal subjects. Health conditions like dementia, Alzheimer’s, Amyotrophic lateral sclerosis, and depression were underassessed compared to Parkinson’s. The literature focused on four separate themes: physiology of voice-affecting conditions; speech acoustics for evaluating dysphonia; speech production measurements for treating voice disorders; machine learning integration for voice disorder assessment.

Conclusions

Taking a wide view of acoustic voice assessment demonstrated research strengths and gaps—highlighting where it is used and not used—and the co-occurrence of various voice assessment topics. These insights reveal future opportunities to implement acoustic voice assessment.

目的本文通过文献计量学分析来识别和检查语音障碍声学语音评估研究的优势、差距和趋势。方法使用7个索引数据库，对英语、西班牙语和葡萄牙语有关语音障碍和声学语音评估的期刊论文进行文献计量学分析。分析的文献计量参数包括出版年份、作者、机构、国家、期刊、学科领域和关键词。使用VOSviewer软件进行关键词共现分析和作者网络分析。最初检索到6532篇论文，筛选后相关论文1253篇（1951-2024）。结果声学语音评价的出版物呈指数增长74年，其中25%是在2021年以后发表的。出版期刊覆盖80个门类和学科。人工智能虽然是最近才出现的，但却是最热门的期刊主题之一。与帕金森病相比，痴呆、阿尔茨海默病、肌萎缩侧索硬化症和抑郁症等健康状况被低估了。这些文献集中在四个不同的主题上：影响声音条件的生理学；语音障碍评价的语音声学；用于治疗语音障碍的言语产生测量；语音障碍评估的机器学习集成。结论：对声学语音评估的广泛研究表明了研究的优势和差距——突出了使用和未使用的地方——以及各种语音评估主题的共存。这些见解揭示了实施声学语音评估的未来机会。

{"title":"Mapping 74 years in acoustic analysis of voice disorders: A bibliometric review and future research directions","authors":"Ahmed M. Yousef , Lady Catherine Cantor-Cutiva , Eric J. Hunter","doi":"10.1016/j.jcomdis.2025.106555","DOIUrl":"10.1016/j.jcomdis.2025.106555","url":null,"abstract":"<div><h3>Purpose</h3><div>This paper conducts a bibliometric analysis to identify and examine the strengths, gaps, and trends in research on acoustic voice assessment for voice disorders.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was performed on journal articles about voice disorders and acoustic voice assessment in English, Spanish, and Portuguese using seven indexed databases. The analyzed bibliometric parameters included publication year, authors, institutions, countries, journals, subject areas, and keywords. VOSviewer software was used for keyword co-occurrence analysis and authorships network analysis. The initial search yielded 6532 publications, with 1253 relevant papers after screening (1951–2024).</div></div><div><h3>Results</h3><div>Publications in acoustic voice assessment had 74 years of exponential growth (25 % published after 2021). The publishing journals covered 80 categories and subjects. Artificial Intelligence, though recent, was among the top journal subjects. Health conditions like dementia, Alzheimer’s, Amyotrophic lateral sclerosis, and depression were underassessed compared to Parkinson’s. The literature focused on four separate themes: physiology of voice-affecting conditions; speech acoustics for evaluating dysphonia; speech production measurements for treating voice disorders; machine learning integration for voice disorder assessment.</div></div><div><h3>Conclusions</h3><div>Taking a wide view of acoustic voice assessment demonstrated research strengths and gaps—highlighting where it is used and not used—and the co-occurrence of various voice assessment topics. These insights reveal future opportunities to implement acoustic voice assessment.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"117 ","pages":"Article 106555"},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695466","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}

引用次数: 0

Economic cost of language disorders in childhood: Evidence from Saudi Arabia 儿童语言障碍的经济成本：来自沙特阿拉伯的证据

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Communication Disorders

Pub Date : 2025-07-10 DOI: 10.1016/j.jcomdis.2025.106552

Yara Aljahlan , Roaa Alsulaiman , Haifa Alroqi , Alaa Almohammadi , Khadeejah Alaslani , Aalya Albeeshi , Fahad Alnemary

Purpose

This study aimed to examine the economic burden of language disorders (LDs) on families and identify key contributing factors, including time to diagnosis, parental education, and household income. We investigated whether a delay in diagnosis leads to increased costs.

Method

We surveyed 110 families of children aged 3–17 years diagnosed with LDs, assessing direct and indirect costs alongside factors such as parental education, household income, and time to diagnosis.

Results

Findings highlight the financial impact of LD, with an annual mean cost of SR 9862 for out-of-pocket LD-related therapeutic services, SR 4796 for out-of-pocket medical expenses, and SR 2132 for expenses related to travel to healthcare facilities. Regression analysis revealed that time to diagnosis and maternal education were the strongest predictors of total healthcare-related costs, including medical expenses and therapeutic services. Delayed diagnosis significantly increased the financial burden, with families of late-diagnosed children incurring an average additional annual cost of SR 6793. Each additional year of parental education reduced annual total costs by SR 3995, accounting for 23 % of the total cost.

Conclusion

These findings emphasize the financial strain on families of children with LDs, particularly those with lower maternal education and delayed diagnoses. Notably, early diagnosis was associated with significant annual financial savings, reducing total costs by an average of SR 6793 per year. The results highlight the importance of early intervention policies and accessible support systems to reduce long-term costs and improve outcomes for children with LDs.

目的本研究旨在探讨语言障碍（LDs）对家庭的经济负担，并找出主要影响因素，包括诊断时间、父母教育程度和家庭收入。我们调查了延误诊断是否会导致费用增加。方法我们调查了110个年龄在3-17岁被诊断为LDs的儿童家庭，评估了直接和间接成本以及父母教育程度、家庭收入和诊断时间等因素。研究结果强调了LD的财务影响，与LD相关的自费治疗服务的年平均费用为9862 SR，自费医疗费用为4796 SR，前往医疗机构的相关费用为2132 SR。回归分析显示，诊断时间和母亲教育是医疗相关总费用（包括医疗费用和治疗服务）的最强预测因子。延迟诊断显著增加了经济负担，晚期诊断儿童的家庭平均每年额外支出6793里亚尔。父母教育每增加一年，每年总成本减少3995里亚尔，占总成本的23%。结论这些发现强调了ld儿童家庭的经济压力，特别是那些母亲受教育程度较低和诊断延迟的家庭。值得注意的是，早期诊断与显著的年度财务节省相关，平均每年减少总成本6793 SR。研究结果强调了早期干预政策和可获得的支持系统对于降低长期成本和改善残疾儿童预后的重要性。

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引用次数: 0