Journal of Communication Disorders最新文献_第9页

How hidden is hidden hearing loss? Self-reported listening problems in charcot Marie tooth disease 隐性听力损失有多隐蔽？charcot Marie牙病患者自我报告的听力问题。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106487

Marco van de Ven

Introduction

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.

Methods

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.

Results

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.

Conclusions

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.

实验室研究揭示了CMT （Charcot-Marie-Tooth，一种最常见的遗传性神经病变）患者的隐性听力损失，这可能会影响他们的生活质量。目前的研究区分了CMT 1型和2型，前者涉及周围神经脱髓鞘，后者涉及轴突病引起的周围神经功能障碍。研究了CMT1和CMT2在日常交际情境中对听力问题及相关社交和注意问题的影响。方法：收集42例CMT1患者、30例CMT2患者和72例对照者（从135名对照组参与者中选择）的数据，他们填写了关于日常和嘈杂环境下听力、听力困难引起的社交问题和听觉持续注意问题的问卷。结果：CMT2患者似乎只有轻微的听力困难。没有发现对社会和注意力问题有影响。此外，与对照组相比，发现CMT1患者在日常情况下有更多的整体听力困难。CMT1患者报告了严重的听力困难，特别是在嘈杂和混响的环境中。如文献所述，这些问题可能是由潜在的双耳听力问题以及时间和声学信息处理的减少引起的。这些听力障碍与社会问题有关，如社会不安全感，甚至社会回避，以及听觉持续注意力的问题。结论：这些发现强烈提示CMT1影响社会沟通方面的生活质量。本研究结果将有助于CMT1患者听力困难及相关问题的诊断和治疗。

{"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}

引用次数: 0

The impact of otitis media on speech production in children: A systematic review 中耳炎对儿童语言产生的影响：一项系统综述。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106490

Clancy Conlon , Barbra Zupan , Emily Pirie , Charlotte Gupta

Introduction

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.

Method

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.

Results

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.

Conclusions

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.

中耳炎（OM）是幼儿最常见的感染之一，可造成波动性听力损失。尽管这种情况具有普遍性，但缺乏关于其对言语产生结果的影响的确凿证据。因此，本系统综述的目的是确定中耳炎对儿童语言产生的影响。方法：采用5个数据库（PsycINFO、Medline、CINAHL、Pubmed和SpeechBITE）对2000年以来同行评议的出版物进行系统综述。如果研究报告以前或现在有中耳炎（OM）的经历，评估和报告12岁前儿童的语言产生，并评估儿童的英语语言产生，则将其纳入研究。回顾了332篇文章的标题和摘要，随后回顾了58篇研究的全文。由于研究过程和结果的可变性，完成了叙事综合。结果：12项研究符合本综述的纳入标准，调查了1265名12个月至7岁的儿童。8项研究采用前瞻性设计，3项研究采用回顾性设计，1项研究采用案例研究设计。六项研究没有发现OM和语言产生之间的关系，尽管其中五项研究是对639名儿童进行的更大研究的一部分。相比之下，五项研究确定了OM病史、OM的慢性性和/或听力水平升高和语言产生之间的联系。具体来说，OM与阻碍中支持的存在有关。结论：由于存在多种影响变量，如持续时间、严重程度、医疗干预、年龄、听力状况和社会经济状况，总体结果可能是混合的。本综述的结果是有限的，因为前瞻性研究只考虑了治疗的OM病例，因此不代表患有不明和/或未经治疗的OM的儿童。此外，许多研究没有一致地报告儿童的听力水平，只有两项研究纳入了土著背景的儿童群体。

{"title":"The impact of otitis media on speech production in children: A systematic review","authors":"Clancy Conlon , Barbra Zupan , Emily Pirie , 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}

引用次数: 0

Acoustic characteristics of three English semivowels /l, ɹ, w/ and vowels in young children with and without speech sound disorders 三个英语半元音/l、r /、w/和元音在有和无语音障碍幼儿中的声学特征

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106489

Hyunju Chung , Sarah K. Schellinger

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

目的：本研究的目的是考察三个半元音（/l, r /, w/）之间以及半元音与后元音之间的关系是否因儿童的整体语言熟练程度而不同，以及这种关系是否影响听者对液体音（/l, r /）的感知判断。通过每个儿童说话者的整体语音熟练程度和他们的半元音准确性来检查三个半元音之间的声学接近度和后面元音的声学特征。方法：对21例有和无语音障碍的单语英语儿童在不同的元音语境中产生包含目标半元音的单音节单词。参与者根据总体语言熟练程度分为三组，通过诊断状态和第三版的戈德曼-弗里斯托发音测试得分来衡量。为了提高准确性，对每个半元音和元音产生进行转录，并在半元音中点提取F2和F3值，计算三个半元音对（/l-w/、/l- r /和/ r -w/）之间的欧几里得距离（ED）。在元音中点提取的F1和F2值用于检测半元音之后的元音特征。结果：语言发育典型的儿童在三个半元音对之间表现出最大的ED值，其整体语言熟练程度最高。更大的ED值也与半元音/l/和/ r /被判断为感知上可接受的可能性更大有关。以下元音的声学特征在不同语言熟练程度的儿童中没有差异，但确实因前面的半元音上下文而有所不同。结论：不同语言熟练程度的儿童对半元音的声学区分是不同的，这是对半元音准确性判断的预测。元音的声学特征受到前面的半元音目标的影响，表明在半元音-元音序列之间存在协同发音。研究结果支持对半元音目标进行干预的方法，以训练儿童产生半元音之间的声学区分。

{"title":"Acoustic characteristics of three English semivowels /l, ɹ, w/ and vowels in young children with and without speech sound disorders","authors":"Hyunju Chung , 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}

引用次数: 0

Experiences with healthcare for unilateral vocal fold paralysis: A qualitative study of the patient's perspective 单侧声带麻痹的医疗保健经验：一项病人视角的定性研究。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106491

Imke Kissel , Iris Meerschman , Peter Tomassen , Evelien D'haeseleer , Kristiane Van Lierde

Objective

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.

Methods

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.

Results

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.

Conclusion

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.

目的：单侧声带麻痹（UVFP）经常引起严重的发声障碍，需要多学科治疗。关于干预结果的文献主要集中在声带运动或器乐声乐结果上，但尚未调查患者对治疗过程的看法。因此，本研究的目的是探讨UVFP患者在医疗保健方面的经验。方法：24例成人UVFP患者（年龄39 ~ 84岁）参与研究。采用NVivo软件程序进行半结构化访谈，并进行转录和分析。采用归纳主题方法对访谈进行编码和分析。结果：通过定性分析确定了三个主题：(1)卫生保健专业人员（HCP），(2)治疗经验，(3)患者支持。喉科医生和语言病理学家（SLP）是治疗过程中至关重要的hcp，患者非常依赖他们的建议，因此他们希望他们了解UVFP并对患者感同身受。由于与SLP的合作治疗关系，语音治疗主要是一种积极的体验，即使它没有产生足够的语音改善。对一些参与者来说，媒介化手术是一种解脱，而另一些人则期望更多，或者觉得自己太脆弱，无法接受手术。患者支持的来源包括个人关系，如亲属和其他患者，但与会者表示需要医疗保健系统提供更多支持和指导。结论：总体而言，参与者对他们所接受的护理感到满意，但确定了UVFP医疗保健中的某些障碍和需求。当前研究的结果可以帮助指导倡议的发展，以更好地支持患者和HCPs，并改善以患者为中心的UVFP护理。

{"title":"Experiences with healthcare for unilateral vocal fold paralysis: A qualitative study of the patient's perspective","authors":"Imke Kissel , Iris Meerschman , Peter Tomassen , Evelien D'haeseleer , 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}

引用次数: 0

Relationships between hearing, auditory processing, and communication in children diagnosed with auditory neuropathy spectrum disorder 听神经病变谱系障碍患儿听力、听觉加工和交流的关系。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106493

Hannah E. Cooper , Doris-Eva Bamiou , Christopher A. Clark , Lorna F. Halliday

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

目的：本研究的目的是评估听觉神经病变谱系障碍（ANSD）患儿与正常听力患儿的听觉加工、言语辨别、听力和沟通能力之间的关系。方法：这是一项病例对照研究，涉及17名以口语为主要交流方式并佩戴助听器或不佩戴助听器的被诊断为ANSD的参与者和21名听力正常的对照组。所有人都接受了一系列听力、言语感知和听觉处理技能的行为测试。他们的父母填写了一系列问卷来评估孩子的听力和沟通能力。评估各组差异，并进行层次线性回归来评估听觉测量预测家长报告得分的程度。结果：慢速调幅检测（慢速调幅检测）比纯音听力图更能预测ANSD患儿的听力和交流能力。纯音听力图与安静环境中辨别语音的能力有显著的关系，而在嘈杂环境中则无显著的关系。在大多数任务中，与对照组相比，患有ANSD的儿童更难完成听觉处理能力测试，或者表现明显更差。结论：本研究证实了被诊断为ANSD的儿童的结果是异质的，并提供了关于现实世界倾听和沟通能力的新信息。这些发现将有助于临床医生为新诊断婴儿的家庭提供咨询，并为诊断为ANSD的儿童提供管理。

{"title":"Relationships between hearing, auditory processing, and communication in children diagnosed with auditory neuropathy spectrum disorder","authors":"Hannah E. Cooper , Doris-Eva Bamiou , Christopher A. Clark , 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}

引用次数: 0

The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions 与老年人一起工作的专业人士在听觉认知互动方面的知识、经验和意识。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106492

Katrien Kestens , Fiona Verbrugghe , Louise Van Goylen , Hannah Keppler

Introduction

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.

Methods

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.

Results

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.

Conclusion

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.

听力损失是痴呆症的常见情况。研究已经提出了听觉-认知相互作用的理论框架，尽管目前还不清楚听力学家以外的专业人员是否以及如何在临床实践中对这种相互作用采取行动。方法：编制64项在线问卷，评估受访者的工作环境以及他们对听力损失、认知能力下降和听觉认知联系的知识、经验和意识。调查问卷被发给了与老年人打交道的荷兰专业人士。受访者的调查时间为2022年5月至9月。结果：206名平均工作经验为16年（范围：6个月- 42年）的非医生和25名平均工作经验为13年（范围：8个月- 42年）的医生填写了整个问卷。人们普遍倾向于将听力障碍和认知障碍视为不同的实体，忽视它们的共存和相互作用。结果还显示，在评估老年人的听力和认知状况方面存在缺陷，大多数依赖于老年人的自我报告或间接（非）口头线索。这些策略强烈依赖于专业人员的意识和知识，特别是在听力相关方面，被认为是有限的。例如，努力倾听几乎没有被受访者报告为一项重要的听力相关投诉。最后，沟通策略不足，专业人士采用一般方法，但缺乏特异性。结论：除了听力学家之外，专业人员还需要提供关于听觉-认知相互作用的具体信息，以及在临床实践中如何采取行动的指导方针，以优化老年人的以人为本的护理。

{"title":"The knowledge, experience, and awareness of professionals working with older adults on the auditory-cognitive interactions","authors":"Katrien Kestens , Fiona Verbrugghe , Louise Van Goylen , 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}

引用次数: 0

Reliability, validity and developmental sensitivity of the Language Use Inventory (LUI) in the Spanish context 语言使用量表（LUI）在西班牙语环境中的可靠性、有效性和发展敏感性。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106488

N. Gascón , I. Baixauli , C. Moret-Tatay

Introduction

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.

Methods

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.

Results

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.

Conclusions

Findings indicate that the LUI-Spanish is a suitable tool for assessing the pragmatic skills of toddlers and preschool-aged children.

语言使用量表（LUI）是一份标准化的家长报告问卷，用于评估18至47个月大儿童的语用语言发展。本研究的目的是描述语言使用量表（LUI）从英语到西班牙语的翻译，并报告西班牙语版本的信度、效度和发展敏感性的研究结果。方法：将原英文LUI翻译成西班牙语。236名正常发育儿童的父母完成了这份问卷。107名参与者的子样本再次在2周内完成了lui -西班牙语测试，以评估重测信度。结果：结果表明，lui -西班牙语具有较强的心理测量特性，具有较强的内部一致性和重测信度，以及良好的发展敏感性。在评估手势交流的子量表中，儿童的得分随着年龄的增长而下降。相比之下，评估句子交流的子量表随着参与者的年龄而获得显著更高的分数。在性别方面没有发现显著差异。结论：研究结果表明，lui -西班牙语是评估幼儿和学龄前儿童语用技能的合适工具。

{"title":"Reliability, validity and developmental sensitivity of the Language Use Inventory (LUI) in the Spanish context","authors":"N. Gascón , I. Baixauli , 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}

引用次数: 0

Assessing mental health of people with complex communication needs: A systematic review. 评估有复杂沟通需求的人的心理健康：一项系统综述。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2025.106494

Jacinta Molini Pennacchia , Jørn Østvik , Iain Dutia , Megan Walsh , Dave Coghill , Mats Granlund , Christine Imms

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.

根据世界卫生组织的定义，心理健康是“一种健康状态”。残疾人的幸福感通常不如非残疾人。评估幸福感或其三个核心组成部分（情感、心理、社会）的工具可能不太容易获得，也不太适合具有复杂沟通需求（CCN）的人。本研究旨在确定和描述用于衡量CCN患者幸福感的工具。根据PRISMA指南进行了系统审查。研究人员搜索了六个数据库，以确定对患有CCN的人进行幸福感测量的研究。两位审稿人提取数据来描述研究、参与者、使用的工具和应用的适应性。然后将工具项目映射为心理健康指标。纳入了26项研究。参与者的接受性语言范围从正常到严重受损，他们使用各种表达性沟通方法。确定了22种不同的乐器；其中10项是生活质量指标。在8项研究中对仪器进行了调整，主要是对管理程序进行了调整。项目图显示，虽然在所包括的工具中代表了一些幸福指标，但覆盖率不足以将任何工具视为该人口的“幸福指标”。有些工具具有使其更适合CCN患者的特点：确保通信通道；认识到幸福指标对个人的相对重要性；使用proxy-report时，从多个来源收集信息；承认环境因素。需要进行研究，开发或调整一种工具，以有效和可靠地测量CCN患者的福祉，确保该工具满足他们的通信获取需求。

{"title":"Assessing mental health of people with complex communication needs: A systematic review.","authors":"Jacinta Molini Pennacchia , Jørn Østvik , Iain Dutia , Megan Walsh , Dave Coghill , Mats Granlund , 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}

引用次数: 0

Language, theory of mind and cognitive skills in Arabic-speaking children with and without autism: Evidence from network and cluster analyses 有和没有自闭症的阿拉伯语儿童的语言、心理理论和认知技能：来自网络和聚类分析的证据。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106476

Muna Abd El-Raziq , Elinor Saiegh-Haddad , Natalia Meir

Introduction

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.

Methods

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.

Results

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.

Conclusions

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.

简介：自闭症谱系障碍（ASD）的特征是社会互动、社会沟通障碍，以及重复和刻板的行为模式。先前的研究报告了关于ASD儿童的语言（即音韵学、形态语法、词汇和语用学）、心理理论（ToM）、执行功能（EFs）和中心连贯测量之间的联系的混合发现。方法：163名4 ~ 11岁的巴勒斯坦-阿拉伯语儿童，其中ASD患儿76名，典型语言发育患儿87名。评估了儿童的语音、形态句法、词汇和语用技能，以及口头和非口头的ToM能力。此外，认知评估包括非语言智商、EF和中央连贯处理。结果：组水平结果显示，ASD患儿的各项指标均低于TLD患儿。网络分析显示，两组学生的语言、认知能力和认知能力之间存在密切联系。在自闭症儿童中，语言是中心节点，语用学比词法和词汇更重要，而年龄在TLD组中是中心节点。聚类分析确定了ASD群体中的四个语言集群，表明语言领域之间存在分离：(1)所有领域的高表现；(2)语音和形态句法的中等表现，语用能力低；(3)语音和词汇的中等表现，形态句法和语用能力低；(4)语音和词汇的中等表现，形态句法和语用能力极差。语言能力增强的自闭症儿童在言语和非言语ToM和EF任务中表现更好。结论：我们的研究结果强调了自闭症儿童在语言、ToM和认知方面的可变性，显示了一些自闭症儿童在不同领域内部和之间的分离。这些结果为应用干预措施提供了见解。

{"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 , Elinor Saiegh-Haddad , 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}

引用次数: 0

Is simpler better? Semantic content modulates the emotional prosody perception in Mandarin-speaking children with autism spectrum disorder 越简单越好吗？语义内容调节汉语自闭症谱系障碍儿童情绪韵律感知。

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

Journal of Communication Disorders

Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2025.106495

Ting Wang , Li Xia , Lulu Cheng

Introduction

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.

Method

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.

Results

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.

Conclusions

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.

语义内容是否以及如何调节自闭症谱系障碍（ASD）儿童的情绪韵律感知仍存在争议。本研究通过对汉语双音节词的语义信息进行系统处理，探讨了这一问题。方法：探讨语义内容复杂性对汉语自闭症儿童情绪韵律感知的潜在调节作用。设计了两项情绪韵律识别任务，在四种刺激类型中，分别是假词、语义中性词、语义韵律一致词和语义韵律不一致词，逐级增加不同程度的韵律和词汇复杂性。24名ASD儿童和22名正常发育儿童（TD）被要求专注于韵律通道来标记情绪，而忽略语义信息。结果：情绪中性的语义内容对ASD组的准确性影响不大，而情绪标签词的语义韵律不一致对ASD组的准确性有显著的不利影响。尽管在两组中观察到不同的情绪韵律识别模式，但混淆矩阵表明，患有ASD的参与者在识别五种韵律方面形成了相似的模式。结论：随着韵律线索和词汇线索重叠程度的增加，ASD患儿表现出更强的不利影响。然而，值得注意的是，他们倾向于发展一种典型的情绪韵律识别模式。因此，ASD组较差的表现可能源于抑制语义干扰的发育迟缓，而不是固有的情绪特异性障碍。

{"title":"Is simpler better? Semantic content modulates the emotional prosody perception in Mandarin-speaking children with autism spectrum disorder","authors":"Ting Wang , Li Xia , 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}

引用次数: 0