自闭症谱系障碍青少年交际语用能力的提高:认知语用治疗的改编版本

IF 1.5 2区 文学 0 LANGUAGE & LINGUISTICS Language Learning and Development Pub Date : 2021-06-20 DOI:10.1080/15475441.2021.1924177
I. Gabbatore, C. Longobardi, F. Bosco
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引用次数: 9

摘要

自闭症谱系障碍(ASD)是一种复杂的病理,包括社会互动能力受损。对专门致力于提高沟通实用技能的项目重视不够。此外,大多数研究都集中在儿童身上,而专门为青少年开发的项目却缺乏。本研究旨在检验15期小组训练的青少年认知语用治疗(a - cpt)的可行性和可接受性,以及其对ASD青少年交际语用表现的改善能力。21名言语流利的ASD青少年参加了培训;他们被分为三个阶段进行评估,即在三个月的随访之前,之后和之后,使用沟通评估电池(ABaCo)的等效形式,这是一种测试广泛的语用现象的工具,如直接和间接的言语行为,讽刺,欺骗和违反格莱斯格言,通过语言,非语言,即手势或副语言表达手段表达。此外,还进行了心理理论(ToM)任务和测试,调查主要的认知领域,例如执行功能(计划、转移、工作记忆)和长期记忆。结果表明,被试在ABaCo的语言、外语言、副语言和语境四个维度上的表现均有显著提高;这种改善在项目结束后三个月的随访评估中保持不变。除表达性词汇任务外,在认知和ToM领域均未观察到任何改善。尽管缺乏对照组,但CPT的高度可行性,突出了在这一研究领域需要做更多工作的重要性。
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Improvement of Communicative-pragmatic Ability in Adolescents with Autism Spectrum Disorder: The Adapted Version of the Cognitive Pragmatic Treatment
ABSTRACT Autism spectrum disorder (ASD) is a complex pathology that includes impaired social interaction abilities. Insufficient attention has been paid to programs specifically devoted to improving communicative-pragmatic skills. Moreover, the majority of studies have focused on children, while programs specifically developed for the adolescents are lacking. The present study aims to test the feasibility and acceptability of the adapted version of the Cognitive Pragmatic Treatment for adolescents (A-CPT), a 15-session group training, as well as its ability to improve the communicative-pragmatic performance of adolescents with ASD. Twenty-one verbally fluent adolescents with ASD took part in the training; they were assessed in three phases, i.e., before, after and at three-month follow-up, using the equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for testing a wide range of pragmatic phenomena, such as direct and indirect speech acts, irony, deceit and violation of Grice’s maxims, expressed through linguistic, non-verbal, i.e., gestures, or paralinguistic expressive means. Furthermore, Theory of Mind (ToM) tasks and tests investigating the main cognitive domains, for example, Executive Functions (planning, shifting, working memory) and long-term memory, were administered. The results showed an improvement in participants’ performance in all the four scales of the ABaCo, i.e., linguistic, extralinguistic, paralinguistic and context scale; this improvement was maintained at follow-up assessment three months after the end of the program. No improvement was observed in the cognitive and ToM domains investigated, with the only exception of expressive vocabulary task. Despite the lack of a control group, the high degree of feasibility of the CPT, highlight the importance of more work needed in this research line.
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26
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