DLD和ADHD儿童和青少年的语言能力:范围界定综述。

IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Communication Disorders Pub Date : 2023-09-27 DOI:10.1016/j.jcomdis.2023.106381
Kaitlyn M.A Parks , Kara E. Hannah , Christine N. Moreau , Leah Brainin , Marc F. Joanisse
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引用次数: 0

摘要

目的:有一种新的观点认为,注意力缺陷/多动障碍(ADHD)的特点是语言困难,这一观点因ADHD与发展性语言障碍(DLD)高度共病而得到加强。这篇范围界定综述概述了DLD和ADHD儿童语言能力的文献,同时强调了相似性和差异性。方法:对这两种障碍的语言能力文献进行全面检索,共产生18篇符合本综述纳入标准的文章。根据评估的语言领域提供定性总结。结果:目前的文献表明,多动症儿童和青少年比DLD儿童和青少年具有更好的形态句法/语法、一般/核心语言能力、接受和表达能力。此外,在语义和比喻语言的评估中,这种表现是可比的,但在语音处理、句法、叙事语言和词汇的评估中因样本而异。结论:有证据表明,与多动症儿童和青少年相比,患有DLD的儿童和青少年有更大的语言困难,但有一些重要的注意事项。尽管研究不足以及如何识别这两种类型的障碍存在不一致性,但我们的综述为更好地理解这两种高度流行的儿童障碍的语言特征提供了必要而重要的一步。这些发现有助于优化患有多动症和DLD的儿童和青少年的语言结果和治疗效果。
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Language abilities in children and adolescents with DLD and ADHD: A scoping review

Purpose

There is an emerging view that attention-deficit/hyperactivity disorder (ADHD) is marked by problems with language difficulties, an idea reinforced by the fact that ADHD is highly comorbid with developmental language disorder (DLD). This scoping review provides an overview of literature on language abilities in children with DLD and ADHD while highlighting similarities and differences.

Method

A comprehensive search was performed to examine the literature on language abilities in the two disorders, yielding a total of 18 articles that met the inclusion criteria for the present review. Qualitative summaries are provided based on the language domain assessed.

Results

The current literature suggests children and adolescents with ADHD have better morphosyntax/grammar, general/core language abilities, receptive, and expressive abilities than those with DLD. Further, that performance is comparable on assessments of semantic and figurative language but varies by sample on assessments of phonological processing, syntax, narrative language, and vocabulary.

Conclusion

Evidence presented points to children and adolescents with DLD as having greater language difficulties compared to those with ADHD, but with some important caveats. Despite limitations related to the paucity of studies and inconsistencies in how the two types of disorders are identified, our review provides a necessary and vital step in better understanding the language profiles of these two highly prevalent childhood disorders. These findings are useful in optimizing language outcomes and treatment efficacy for children and adolescents with ADHD and DLD.

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来源期刊
Journal of Communication Disorders
Journal of Communication Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.30
自引率
5.90%
发文量
71
审稿时长
>12 weeks
期刊介绍: The Journal of Communication Disorders publishes original articles on topics related to disorders of speech, language and hearing. Authors are encouraged to submit reports of experimental or descriptive investigations (research articles), review articles, tutorials or discussion papers, or letters to the editor ("short communications"). Please note that we do not accept case studies unless they conform to the principles of single-subject experimental design. Special issues are published periodically on timely and clinically relevant topics.
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