韦氏幼儿智力量表第4版语言理解指数在孤独症谱系障碍儿童语言能力评估中的应用  

Application value of WPPSI-Ⅳlanguage comprehension index in the assessment of language ability in children with autism spectrum disorder

作　　者：赵瑾珠 唐丽娜 何天祎 熊婷婷[1] 颜田 李锦卉 吴丹丹 郝燕[1] ZHAO Jin-zhu;TANG Li-na;HE Tian-yi(Division of Child Healthcare,Department of Pediatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院儿科学系儿童保健科,湖北武汉430030

出　　处：《中国实用儿科杂志》2023年第1期41-44,57,共5页Chinese Journal of Practical Pediatrics

基　　金：科技部高端外专计划(G2022154029L)。

摘　　要：目的评估韦氏幼儿智力量表第4版(WPPSI-Ⅳ)言语理解指数(VCI)与标准化语言评估工具的相关性,探讨VCI在孤独症谱系障碍(ASD)语言障碍儿童语言能力评估中的应用价值。方法选取2019年1月至2020年1月在华中科技大学同济医学院附属同济医院儿童保健科69例ASD共患语言障碍儿童和99名正常儿童为研究对象,比较其WPPSI-Ⅳ量表VCI得分与梦想语言标准化评估(DREAM-C)整体语言、听力理解、语言表达、语义和句法的相关性。结果ASD语言障碍儿童的VCI与DREAM-C听力理解(r=0.43)和语义(r=0.48)显著相关(P<0.05),VCI解释了DREAM-C总体语言得分方差变异的15.10%;正常儿童的VCI与DREAM-C听力理解(r=0.51)、语义(r=0.52)、语言表达(r=0.62)和句法(r=0.50)的相关系数差异均有统计学意义(P<0.05),VCI解释了DREAM-C总体语言得分方差变异的31.34%。结论针对该研究人群,VCI指数可预测ASD语言障碍儿童部分听力理解和语义能力,由于纳入样本量有限,研究结论需进一步开展临床研究证实。Objective To assess the correlation between the Verbal Comprehension Index(VCI)of Wechsler Preschool and Primary Intelligence Scale(WPPSI-IV)and standardized language assessment tools,and to explore the application value of VCI in the assessment of the language ability of children with language disorders in ASD.Methods From January 2019 to January 2020,69 children with ASD and 99 typical development children(TD)were selected as the subjects in the Division of Child Healthcare,Department of Pediatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology.We compared the VCI score in the WPPSI-IV scale with the overall language,listening comprehension,language expression,semantics and syntax in the Diagnostic Receptive and Expressive Assessment of Mandarin-Comprehensive(DREAM-C).Results The VCI of children with ASD language disorder was significantly correlated with DREAM-C listening comprehension(r=0.43)and semantics(r=0.48)(P<0.05).VCI explained 15.10%of the variance of the overall DREAM-C language score.The correlation coefficients between VCI and DREAM-C listening comprehension(r=0.51),semantics(r=0.52),language expression(r=0.62)and syntax(r=0.50)of TD were statistically significant(P<0.05),and 31.34%of the variance of the overall language score of DREAMC was explained by VCI.Conclusion For the children in this study,the VCI index can predict part of the listening comprehension and semantic abilities of children with ASD,but due to the limited sample size,the research conclusions need to be verified by more clinical studies.

关 键 词：孤独症谱系障碍 语言障碍 韦氏幼儿智力量表第4版 梦想语言标准化评估 

分 类 号：R72[医药卫生—儿科]