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Prosody and gestures help pragmatic processing in children with Developmental Language Disorder 韵律和手势有助于发展性语言障碍儿童的语用处理
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI: 10.1016/j.jcomdis.2025.106525
Albert Giberga , Ernesto Guerra , Nadia Ahufinger , Alfonso Igualada , Mari Aguilera , Núria Esteve-Gibert
The combination of linguistic prosody and bodily signals help typically developing children (TD) in accessing pragmatic meanings. We investigated the benefits of prosodic and gestural cues for processing pragmatic meanings in children with Developmental Language Disorder (DLD), having difficulties with structural language and pragmatics. 34 children with DLD and 45 TD controls, aged 5 to 10, participated in two visual-world eye-tracking tasks on pragmatic meanings that varied in complexity and develop in different stages: interrogative meaning (Exp. 1, less complex, developing earlier) and indirect requests (Exp. 2, more complex, developing later). In both experiments we manipulated the cues highlighting the intended meaning (prosodically-enhanced, multimodally-enhanced, and no-enhancement). The results showed that all children benefited from prosodic- and multimodal-enhancement to comprehend less complex meanings developing earlier, that younger children with DLD were less accurate even if such cues were present, and that the multimodal-enhancement was especially helpful for children with DLD when processing more complex meanings at an older age. Eye gaze data in both experiments revealed that, compared to TD children, children with DLD showed less clear preference to look at the Target image after the unfolding of bodily and prosodic cues, but that multimodal cues did reduce the children's bias to look at the literal interpretation of indirect requests. Our results highlight the importance of prosodic and bodily cues for the processing of pragmatic meanings that vary in complexity, especially when linguistic abilities are impaired, and have important implications on the communicative strategies that professionals use with children with DLD.
语言韵律和身体信号的结合有助于正常发育儿童获取语用意义。我们研究了韵律和手势线索对结构语言和语用学有困难的发展性语言障碍(DLD)儿童语用意义加工的益处。34名5 ~ 10岁的DLD儿童和45名对照组儿童参与了两项视觉世界眼动追踪任务,研究了不同复杂程度和发展阶段的语用意义:疑问句意义(实验1,较不复杂,发展较早)和间接请求意义(实验2,较复杂,发展较晚)。在这两个实验中,我们都对提示进行了操作,以突出预期的含义(韵律增强、多模态增强和无增强)。结果表明,所有儿童都受益于韵律和多模态增强,以理解较早发展的较不复杂的意义,年龄较小的DLD儿童即使存在这些线索,也不太准确,多模态增强对年龄较大的DLD儿童在处理更复杂的意义时特别有帮助。两个实验中的注视数据都显示,与TD儿童相比,DLD儿童在身体和韵律线索展开后,对目标图像的偏好不那么明显,但多模态线索确实减少了儿童对间接请求的字面解释的偏好。我们的研究结果强调了韵律和身体线索对于复杂的语用意义加工的重要性,特别是当语言能力受损时,这对专业人员对DLD儿童使用的交际策略具有重要意义。
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引用次数: 0
Using a scoring template to identify intervention goals for adolescent social communication interventions 使用评分模板确定青少年社会沟通干预的干预目标
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-03 DOI: 10.1016/j.jcomdis.2025.106513
Gerard H. Poll , William J. Boone , Janis Petru

Background

Social communication is a critical skill for adolescents at risk for communication disorders as they transition from compulsory education to adult contexts. Identifying intervention goals that are well tailored to the individual requires information from assessments that 1) describe the examinee's present level of social communication ability and 2) identify skills that are just beyond the examinee's current ability level that may challenge the examinee.

Purpose

The purpose of this study was to evaluate the psychometric properties of a new assessment of social communication for adolescents, and to explore whether a Rasch keyform – a scoring template that links an examinee's overall ability to their scores on individual instrument items–provides an interpretable assessment output for intervention goal selection.

Method

The new Transition Pragmatics Interview (TPI; Poll et al., 2024) was administered to 109 adolescents (14 to 21 years) of varied social communication abilities. Data were analyzed using Rasch analysis to evaluate the psychometrics of the TPI. Keyform displays for employment-related TPI items were generated for three participants at different levels of ability.

Results

Analyses supported the TPI as a unidimensional and reliable scale. Keyform displays facilitated the identification of transition zones for each of the three exemplar respondents. Transition zones are item sets at difficulty levels associated with emerging participant abilities.

Conclusions

TPI keyforms detailed the present level of participant ability and identified items which would be the next most challenging. Data from three exemplar respondents were reviewed in order to show how keyforms could provide information to identify appropriate social communication intervention goals when combined with the examinee's career goals, academic standards, and industry standards for social communication.
随着青少年从义务教育阶段过渡到成人阶段,社交是一项有沟通障碍风险的关键技能。确定适合个人的干预目标需要来自以下评估的信息:1)描述考生当前的社会沟通能力水平;2)识别超出考生当前能力水平的可能对考生构成挑战的技能。目的本研究的目的是评估一种新的青少年社交沟通评估的心理测量特性,并探讨Rasch键表——一种将考生的整体能力与其单项工具项目的得分联系起来的评分模板——是否为干预目标选择提供了可解释的评估输出。方法采用新型过渡语用访谈法(TPI);Poll et al., 2024)对109名具有不同社会沟通能力的青少年(14 - 21岁)进行了研究。数据采用Rasch分析评估TPI的心理测量学。为三个不同能力水平的参与者生成了与就业相关的TPI项目的键盘表格。结果分析支持TPI是一个一维的、可靠的量表。键盘显示有助于识别三个典型受访者的过渡区域。过渡区域是与新出现的参与者能力相关的难度级别的道具集。结论stpi关键表格详细描述了参与者目前的能力水平,并确定了下一个最具挑战性的项目。本文回顾了三个典型受访者的数据,以展示关键表格如何在结合考生的职业目标、学术标准和社会沟通行业标准时提供信息,以确定适当的社会沟通干预目标。
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引用次数: 0
The perceptions, attitudes and experiences of service users with telehealth speech-language pathology services 远程卫生语言病理学服务使用者的认知、态度和经验
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-04-02 DOI: 10.1016/j.jcomdis.2025.106527
Reem S.W. Alyahya

Aims

To investigate the perceptions, attitudes, and experiences of clients and caregivers towards telehealth Speech-Language Pathology (SLP) services.

Methods

A comprehensive questionnaire was developed and validated to investigate the perceptions, attitudes, and experiences of service users towards telehealth services. The questionnaire included questions related to telehealth experience, client's preferences, and the perceived facilitators, barriers, advantages, and disadvantages of telehealth. Phone survey was used to collect data from clients and caregivers of clients who received telehealth SLP services during and after the COVID-19 pandemic.

Results

A total of 293 clients and caregivers participated in this study. The findings indicated that 97.95 % of the respondents reportedly received telehealth SLP services for the first time during the COVID-19 pandemic, mainly through video-communication (51.2 %), and for different clinical services, with therapy (31.04 %) and monitoring (31.28 %) being the highest services. Of the total respondents, 54.95 % felt that telehealth appointments were similar to in-person appointments. However, 41.30 % of the respondents preferred receiving in-person appointments. Statistical analyses indicated that eight factors were perceived by service users as significant primary facilitators of telehealth (e.g., good internet connection, available resources, experience with technology), whereas only three factors were perceived as significant primary barriers (e.g., poor image/sound quality, and client's communication impairments). Furthermore, 10 factors were perceived as significant primary advantages of telehealth (e.g., reduced cost and travel time), while only one factor was identified as a significant primary disadvantage (inability to conduct a physical examination).

Conclusions

Service users identified numerous advantages of telehealth, including improved access to healthcare, and reduced costs, while only one disadvantage was identified (lack of physical examinations). The perceived facilitators and barriers of telehealth by service users can be classified into technology-related factors (e.g., comfort with technology, internet connection) and client-related factors (e.g., client's cognitive and sensory abilities). These technology and client-related factors should be considered by policy makers and funding bodies while planning the establishment or expansion of telehealth services.
目的调查客户和护理人员对远程医疗语音语言病理学(SLP)服务的看法、态度和经验。方法编制并验证了一份综合问卷,调查服务使用者对远程医疗服务的看法、态度和体验。问卷包括与远程医疗经验、客户偏好以及远程医疗的感知促进因素、障碍、优势和劣势相关的问题。通过电话调查收集在COVID-19大流行期间和之后接受远程医疗SLP服务的客户及其护理人员的数据。结果共293名患者及护理人员参与本研究。调查结果显示,据报告,97.95%的受访者在2019冠状病毒病大流行期间首次获得远程医疗服务,主要是通过视频通信(51.2%)和不同的临床服务,其中治疗(31.04%)和监测(31.28%)是最高的服务。在所有受访者中,54.95%的人认为远程医疗预约与面对面的预约相似。然而,41.30%的受访者更喜欢接受面对面的预约。统计分析表明,服务用户认为有8个因素是远程保健的重要主要促进因素(例如,良好的互联网连接、现有资源、技术经验),而只有3个因素被认为是重要的主要障碍(例如,图像/声音质量差和客户沟通障碍)。此外,10个因素被认为是远程保健的重要主要优势(例如,降低成本和旅行时间),而只有一个因素被确定为重大主要劣势(无法进行体检)。结论服务用户确定了远程保健的许多优点,包括改善获得保健的机会和降低成本,而只确定了一个缺点(缺乏体检)。服务使用者认为的远程保健的促进因素和障碍可分为与技术有关的因素(例如,对技术的适应程度、互联网连接)和与客户有关的因素(例如,客户的认知和感觉能力)。决策者和供资机构在规划建立或扩大远程保健服务时,应考虑这些与技术和客户有关的因素。
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引用次数: 0
Early language outcomes of children born with unilateral aural atresia 单侧失聪儿童的早期语言预后
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-22 DOI: 10.1016/j.jcomdis.2025.106523
Anna Persson , Peter Carew , Traci Flynn

Objective

Aural atresia is a congenital malformation involving the ear canal. There is limited investigation into the impact of aural atresia and the associated hearing loss on language in the early years of development.

Methods

Eight children with unilateral aural atresia were followed longitudinally at 30- and 60-days post hearing device fitting, 12 months, 18 months, 24 months, 30 months, and 36 months of age. Expressive language, auditory development, functional auditory performance, and hearing device use were measured.

Results

Two children were delayed in expressive language at 24 months of age. Children's auditory development and functional auditory performance were in the average or above average range. Children wore their hearing devices for an average of 1–2 hours per day.

Conclusion

Thirty-three percent of children (n = 2) were performing below the language levels expected for peers without hearing loss. Children's auditory development and functional auditory performance are comparable to children with typical hearing despite their low hearing device use. These results should be interpreted with caution due to the small number of children participating in the study.
摘要目的耳闭锁是一种累及耳道的先天性畸形。在发育的早期,关于听觉闭锁和相关听力损失对语言的影响的调查有限。方法对8例单侧耳闭锁患儿分别在配戴助听器后30、60天、12个月、18个月、24个月、30个月、36个月进行纵向随访。测量了表达性语言、听觉发展、功能性听觉表现和助听器使用情况。结果2例患儿在24月龄时出现语言表达迟缓。儿童听觉发育和功能性听觉表现处于中等或中等以上水平。儿童平均每天佩戴助听器1-2小时。结论33%的儿童(n = 2)的语言表现低于无听力损失的同龄人的预期水平。儿童的听觉发育和功能性听觉表现与正常听力儿童相当,尽管他们的听力设备使用较少。由于参与研究的儿童人数较少,因此对这些结果的解释应谨慎。
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引用次数: 0
A systematic review of the relationships amongst older adults’ cognitive and motor speech abilities 老年人认知和运动语言能力之间关系的系统回顾
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-02-28 DOI: 10.1016/j.jcomdis.2025.106510
Laura Manderson, Anna Krzeczkowska, Anja Kuschmann, Anja Lowit, Louise A. Brown Nicholls
Age-related differences in motor speech performance may be only partially explained by physiological factors. In this systematic review we investigated the extent to which cognition is related to older adults’ motor speech production. PsycInfo, PubMed, Web of Science, and the Cochrane Library were last searched on 1st October 2024. Eligible studies involved healthy older adults, and/or those with mild cognitive impairment (MCI), with an average age of 60 or above. Study quality was formally evaluated and results presented via a narrative synthesis. In total, there were 22 eligible studies identified including 747 older adults. Ten of eighteen studies investigating attention/executive abilities reported significant relationships with motor speech subprocesses in 571 of 661 participants. Relationships between other cognitive abilities and motor speech outcomes were also reported, however, there were significant gaps in the literature and heterogeneity in the measurements used. In addition, only five studies contained the highest quality evidence. Cognition, and potentially executive abilities specifically, may affect speech articulation in healthy aging and in MCI. Further research implementing a range of tasks is required to better understand the trajectory of age-related changes to cognition and motor speech production.
与年龄相关的运动语言表现差异可能只能部分地用生理因素来解释。在这篇系统综述中,我们调查了认知与老年人运动语言产生的关系程度。PsycInfo、PubMed、Web of Science和Cochrane Library最后一次被检索是在2024年10月1日。符合条件的研究涉及平均年龄在60岁或以上的健康老年人和/或轻度认知障碍(MCI)患者。对研究质量进行了正式评估,并通过叙事综合提出了研究结果。总共有22项符合条件的研究,包括747名老年人。在18项调查注意力/执行能力的研究中,有10项研究报告了661名参与者中571人与运动语言子过程的显著关系。其他认知能力和运动语言结果之间的关系也有报道,然而,在文献中存在显著的差距和使用的测量方法的异质性。此外,只有5项研究含有最高质量的证据。认知,特别是潜在的执行能力,可能会影响健康老年人和轻度认知障碍患者的言语表达。为了更好地了解认知和运动语言产生的年龄相关变化的轨迹,需要进一步的研究来实施一系列任务。
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引用次数: 0
Reading in aphasia: Supporting engagement in and enjoyment of reading in an aphasia support centre 失语症中的阅读:在失语症支持中心支持参与和享受阅读
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-04-14 DOI: 10.1016/j.jcomdis.2025.106528
Janet Webster , Julie Morris , Kathy Cann
People with aphasia often experience difficulties with reading. Within the literature, there are a small number of reports of dedicated book clubs for people with aphasia, providing a social activity for individuals to reconnect with reading in a supportive environment. This paper describes an exploratory study investigating how to support people with aphasia's engagement and enjoyment of reading in an aphasia support centre. The study consisted of two phases. In phase 1, a focus group explored people with aphasia's reading and preferences about social reading activities. In phase 2, a novel reading group that reflected the preferences shared within the focus group was offered in the support centre.
The focus group revealed individual variability in both pre- and post-stroke reading. People were motivated to read but found it effortful. Participants were interested in a social reading activity but felt a book club was not feasible due to differences in reading preferences, ability, and the effort required to read. The novel reading group was designed to allow individuals to share what they had read at home in a supportive and encouraging environment. The format allowed everyone to engage and participants reported improved reading. This social reading activity encouraged people to read their own reading material rather than a shared book, allowing consideration of personal preference and accommodation of different levels of reading ability. Individuals did not need to read the same reading material to benefit from sharing the experience of reading.
失语症患者通常在阅读方面有困难。在文献中,有少量关于失语症患者专门读书俱乐部的报道,为失语症患者提供了一种社交活动,让他们在一个支持性的环境中重新与阅读联系起来。本文描述了一项探索性研究,探讨如何在失语症支持中心支持失语症患者参与和享受阅读。这项研究包括两个阶段。在第一阶段,一个焦点小组探讨失语症患者的阅读和对社交阅读活动的偏好。在第二阶段,支持中心提供了一个反映焦点小组共同偏好的小说阅读小组。焦点小组揭示了中风前和中风后阅读的个体差异。人们有动力去阅读,但却发现这很费力。参与者对社交阅读活动感兴趣,但由于阅读偏好、能力和阅读所需的努力不同,他们觉得读书俱乐部不可行。小说阅读小组的目的是让个人在一个支持和鼓励的环境中分享他们在家里读过的东西。这种形式让每个人都参与进来,参与者报告说他们的阅读能力得到了提高。这种社交阅读活动鼓励人们阅读自己的阅读材料,而不是共享的书籍,允许考虑个人偏好和适应不同的阅读能力水平。个人不需要阅读相同的阅读材料就能从分享阅读经验中受益。
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引用次数: 0
Evaluation of reliability and validity of the Boston diagnostic aphasia examination (BDAE-2) in a Serbian population 波士顿诊断性失语症检查(BDAE-2)在塞尔维亚人群中的信度和效度评价
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-24 DOI: 10.1016/j.jcomdis.2025.106526
Mile Vuković , Lana Jerkić Rajić , Tanja Milovanović , Natalie F. Douglas
The Boston Diagnostic Aphasia Examination (BDAE) has been extensively utilized in Serbia; however, data on its psychometric properties within this context are limited. This study aimed to evaluate the reliability and validity of the BDAE-2 in Serbian-speaking individuals with aphasia. The sample comprised 119 participants with stroke-induced aphasia and 51 neurologically healthy speakers. A Serbian translation of the second edition of the BDAE was administered to all participants. Findings indicated that the Serbian version of the BDAE-2 exhibited strong internal consistency, high inter-rater reliability, satisfactory construct validity, and robust discriminative capacity for differentiating individuals with aphasia from neurotypical speakers. Furthermore, specific subtests effectively distinguished between various aphasia types and demonstrated sensitivity to aphasia severity levels. Sociodemographic factors (gender, education, age) significantly influenced assessments of certain language abilities. In conclusion, the BDAE-2 was found to be a reliable diagnostic tool for assessing aphasia in Serbian speakers, showcasing favorable psychometric properties.
波士顿失语诊断检查(BDAE)已在塞尔维亚广泛使用;然而,在这种情况下,关于其心理测量特性的数据是有限的。本研究旨在评估BDAE-2在塞尔维亚语失语症患者中的信度和效度。样本包括119名中风性失语症患者和51名神经系统健康的说话者。向所有与会者分发了第二版的塞尔维亚语翻译本。结果表明,塞尔维亚语版BDAE-2具有较强的内部一致性、较高的量表间信度、较好的构念效度和较强的区分失语症个体与神经正常说话者的能力。此外,特定的子测试有效地区分了各种失语症类型,并显示了对失语症严重程度的敏感性。社会人口因素(性别、教育程度、年龄)显著影响对某些语言能力的评估。综上所述,BDAE-2是评估塞尔维亚语失语症的可靠诊断工具,显示出良好的心理测量特性。
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引用次数: 0
Longitudinal predictors of reading ability in children with CI learning to read in Swedish 学习瑞典语阅读的CI儿童阅读能力的纵向预测因素。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.1016/j.jcomdis.2025.106497
Malin Wass , Lena Anmyr , Björn Lyxell , Eva Karltorp , Elisabet Östlund , Ulrika Löfkvist
Purpose: This study investigated long-term predictors of reading development (phonological decoding, word recognition, and reading comprehension) in 24 children with cochlear implants (CIs). Method: The predictor variables were age, sex, nonverbal intelligence, working memory, paired associate learning, receptive vocabulary, phonological skills, grammatical knowledge, age at implantation, speech perception, and reported interest in reading. The children's mean age was approximately 7;8 years at the start of the study and they were then measured at three time points. The first and second assessments took place approximately 13 months apart, and the children were approximately 11;8 years of age at the third time point. Results: Decoding ability at age 11 was associated with early measures of nonverbal cognitive ability, visual-verbal paired associate learning, and grammatical knowledge when 0.05 was used as significance level but none of them remained significant after correcting for multiple comparisons. Several predictor variables from earlier measurements were significantly related to reading comprehension at age 11. The predictors that remained significant after Bonferroni correction were receptive vocabulary and grammatical knowledge. Discussion: The findings from this research suggest that early exposure to hearing and language, in particular vocabulary and grammar, is associated with reading outcomes at age 11.
目的:本研究探讨了24名植入人工耳蜗儿童阅读发展的长期预测因素(语音解码、单词识别和阅读理解)。方法:预测变量为年龄、性别、非语言智力、工作记忆、配对联想学习、接受性词汇、语音技能、语法知识、植入年龄、言语感知、阅读兴趣。在研究开始时,儿童的平均年龄约为7、8岁,然后在三个时间点对他们进行测量。第一次和第二次评估相隔约13个月,在第三个时间点,儿童约为11.8岁。结果:11岁儿童解码能力与非语言认知能力、视觉-语言配对联想学习和语法知识的早期测量结果在0.05为显著性水平时相关,但经多重比较校正后均不显著。早期测量的几个预测变量与11岁时的阅读理解显著相关。在Bonferroni纠正后,接受性词汇和语法知识仍然是显著的预测因子。讨论:这项研究的结果表明,早期接触听力和语言,特别是词汇和语法,与11岁时的阅读成绩有关。
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引用次数: 0
Relationships between executive functions and vocabulary knowledge in Spanish-speaking children with and without developmental language disorder 有与无发展性语言障碍的西班牙语儿童执行功能与词汇知识的关系
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-22 DOI: 10.1016/j.jcomdis.2025.106498
Felipe Torres-Morales , Gary Morgan , Ricardo Rosas
Developmental language disorder (DLD) is often associated with deficits in executive functions (EFs). One common area of language difficulty in DLD is the development of vocabulary knowledge and it has been suggested that EF abilities may be linked to this difficulty. However, an explanation for this relationship remains unclear. The rationale for the current study examined the relationship between EFs and two aspects of vocabulary knowledge, receptive vocabulary size and vocabulary depth, in Spanish-speaking children with and without DLD. Vocabulary skills, the EFs of interference control, response inhibition, verbal and nonverbal working memory, and switching, were assessed in a total of 204 children aged 6–8 years: 105 with DLD and 99 with typical development (TD). Relationships were assessed using multiple regression models and path analysis, including EF as predictors, receptive vocabulary size and vocabulary depth as outcome or mediating variables, and age and non-verbal intelligence as covariates. In children with DLD, the EFs verbal working memory and switching were directly associated with receptive vocabulary size and indirectly with vocabulary depth. This indirect relationship was mediated by receptive vocabulary size. In contrast, no EFs were associated with receptive vocabulary size, and vocabulary depth in the TD group. These results suggest that verbal working memory and cognitive flexibility play a role in the cognitive mechanisms linked to vocabulary development in school children with DLD. Intervention programs aimed at improving vocabulary in this population should include EF activities.
发展性语言障碍(DLD)通常与执行功能缺陷(EFs)有关。DLD中一个常见的语言困难领域是词汇知识的发展,有人认为EF能力可能与这种困难有关。然而,这种关系的解释仍然不清楚。本研究的基本原理是考察有和没有语言障碍的西班牙语儿童的情感表达与词汇知识的两个方面,即接受性词汇量和词汇深度之间的关系。本文对204名6 ~ 8岁儿童的词汇技能、干扰控制、反应抑制、言语和非言语工作记忆、转换能力进行了评估,其中DLD儿童105名,TD儿童99名。使用多元回归模型和路径分析评估关系,包括EF作为预测变量,接受词汇量和词汇深度作为结果或中介变量,年龄和非语言智力作为协变量。DLD儿童的言语工作记忆和转换与接受性词汇量直接相关,与词汇深度间接相关。接受性词汇量介导了这种间接关系。相比之下,在TD组中,ef与接受性词汇量和词汇深度没有关联。这些结果表明,言语工作记忆和认知灵活性在与DLD学龄期儿童词汇发展相关的认知机制中发挥了作用。旨在提高这一人群词汇量的干预计划应该包括EF活动。
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引用次数: 0
Vocabulary and reading skills in adults with Prader-Willi syndrome 成人普瑞德-威利综合症的词汇和阅读技巧
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1016/j.jcomdis.2025.106508
Christelle Robert , Séverine Estival , Virginie Postal , Virginie Laurier , Fabien Mourre , Julie Tricot , Stéphanie Mathey

Introduction

Prader-Willi syndrome (PWS) is a rare genetic condition associated with global intellectual impairment. While research has evidenced speech problems, little is known about reading, which is a critical language ability involved in communication. The aim of the present study was to investigate vocabulary and reading skills in adults with PWS.

Method

A total of 56 individuals (35 females, mean age = 33.64 years, range = 19–57 years) with PWS participated. Standardized paper and pencil tests were used to examine the level of vocabulary (LexTale-FR test) and reading performance (Alouette-R test). Two computerized tasks were also administered to assess the efficiency of lexical and phonological processes in reading (lexical and phonological decision tasks, taken from the ECCLA software). Performance was analyzed and compared with available norms on neurotypical adults and/or children.

Results

The results showed that adults with PWS had a low level of vocabulary (i.e., three to five standard deviations difference compared to neurotypical adults), poor reading skills (i.e., equivalent to the level of nine-year-olds), and less efficient lexical and non-lexical phonological processes.

Conclusion

The present data suggest a global impairment in vocabulary and reading skills in adults with PWS. These findings might help clinicians to better understand the language abilities of these patients.
普瑞德-威利综合征(PWS)是一种罕见的遗传性疾病,与整体智力障碍有关。虽然研究证明了语言问题,但对阅读知之甚少,阅读是一种与交流有关的关键语言能力。本研究的目的是调查成人PWS患者的词汇和阅读技能。方法共纳入56例PWS患者,其中女性35例,平均年龄33.64岁,年龄范围19 ~ 57岁。采用标准化纸笔测试检测词汇水平(LexTale-FR测试)和阅读能力(Alouette-R测试)。两个计算机化的任务也被用来评估阅读中词汇和语音过程的效率(词汇和语音决策任务,取自ECCLA软件)。分析并比较神经正常的成人和/或儿童的表现。结果PWS成人的词汇量水平较低(与正常成人相比有3 ~ 5个标准差的差异),阅读能力较差(与9岁儿童水平相当),词汇和非词汇语音加工效率较低。结论:成人PWS患者的词汇和阅读能力普遍受损。这些发现可能有助于临床医生更好地了解这些患者的语言能力。
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Journal of Communication Disorders
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