孟加拉自闭症谱系障碍儿童的语言问题:用神经语言学方法观察

F. Ferdous, B. Yasmeen, F. Alam, Mahsukur Rahman Chisty, M. Kamal, J. Ali
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摘要

背景:自闭症谱系障碍(ASD)涵盖了一系列发育障碍,这些障碍会导致重大的社交、沟通和行为挑战。目的:应用神经语言学方法探讨孟加拉裔自闭症谱系障碍儿童的语言问题。方法:2014年4月至2014年12月在孟加拉国达卡大学语言学系对3-12岁的孟加拉国儿童进行描述性观察研究。从达卡市的两家三级医院有目的地招募了10名听力正常且符合诊断标准(DSM- 5或ICD 10)诊断为ASD的儿童。结果:本研究共纳入10例儿童,年龄3 ~ 12岁。男性占多数(90%)。绝大多数(90%)患儿无亲缘关系,60%有精神疾病家族史,70%有下宫产史,80%为足月儿。100%的儿童言语发育迟缓,90%的儿童不能用食指表示,90%的儿童不能使用名词和代词,90%的儿童有重复词语,100%的儿童不能参加押韵,90%的儿童不能玩符号,70%的儿童没有眼神交流,90%的儿童没有相互的社交微笑。结论:在孟加拉国,ASD儿童的语言问题是一个未得到充分关注的问题。据作者所知,这是孟加拉国第一个针对自闭症儿童的神经语言学方法。为了更好地了解这一问题的严重程度,有必要进一步进行大规模广泛的研究。北方国际医学院学报Vol.9(2) Jan 2018: 295-299
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Language Problem in Bangladeshi Children with Autism spectrum disorder : Observation through a Neurolinguistics Approach
Background : Autism spectrum disorder (ASD) covers a set of developmental disabilities that can cause significant social, communication, and behavioral challenges.Objective : It was aimed to find out the language problem in Bangladeshi children with Autism spectrum disorder following the neurolinguistics approach.Methodology : A descriptive observational study conducted during the period of April 2014 to December 2014 in the department of Linguistics, University of Dhaka, Bangladesh among the Bangladeshi children aged between 3–12 years. A total of 10 children with normal hearing ability who were diagnosed as ASD according to the diagnostic criteria (DSM- 5 or ICD 10) were enrolled in the study purposively from two tertiary care hospitals of Dhaka city.Results : In this study total 10 children were included and their age range was 3 to 12 years. Male was predominant (90%).Consanguinity of parents was not present in most (90%) cases,60% had positive family history of mental illness, 70% had history of delivery by lower uterine section, 80% of them were term baby. 100% children had delayed speech development, 90% was unable to indicate with index finger, 90% was unable to use noun and pronoun, 90% had repetitive words, 100% had inability to take part in rhymes, 90% was unable to play with symbols, 70% had no eye to eye contact, and 90% had no reciprocal social smile.Conclusion : Language problem in the children with ASD is an under attended problem in Bangladesh. To the authors’ best knowledge this is the first neurolinguistics approach to ASD children in Bangladesh. Further large scale extensive studies would be necessary for better visualization of the extent of the issue.Northern International Medical College Journal Vol.9(2) Jan 2018: 295-299
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