孤独症谱系障碍儿童前语言期沟通性发声干预疗法的有效性研究  

The Effectiveness of Communicative Vocalization Therapy for Children with Autism Spectrum Disorder during the Prelinguistic Stage

作　　者：郑禹英 罗滔 黄昭鸣[2] 庾晓萌 ZHENG Yu-ying;LUO Tao;HUANG Zhao-ming;YU Xiao-Meng

机构地区：[1]湖南省岳阳市妇幼保健院,岳阳414021 [2]华东师范大学康复科学系,上海200062 [3]昆明学院学前与特殊教育学院,昆明622202

出　　处：《中国听力语言康复科学杂志》2023年第4期344-347,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：云南省教育厅科学研究基金教师类项目(2022J0653);昆明学院引进人才项目(YJW2214);云南省哲学社会科学规划项目(ZD202209)。

摘　　要：目的研究孤独症谱系障碍(autism spectrum disorder,ASD)儿童前语言期沟通性发声疗法干预的有效性,为前语言期学龄前ASD儿童的口语沟通能力干预提供参考建议。方法将被试随机分为实验组和对照组各11例,对照组给予常规言语语言干预,实验组采用前语言期沟通性发声干预(early emotion-speech-language integrated therapy in child language,ESL)疗法,干预时间2个月,采用随机对照试验对22名儿童的干预成效进行测试分析,比较两组干预前后在系列沟通性发声测量指标情况。结果实验组在手势发声次数、社会指向性发声次数及音调轮廓类别等指标均产生显著差异(P<0.05)。实验组较对照组在沟通性发声能力不同层面表现出发展与进步。结论儿童前语言期沟通性发声干预ESL疗法对改善和提升ASD儿童的前语言期沟通性发声具有显著成效。该疗法的开发及应用有助于丰富前语言期ASD儿童沟通障碍干预领域的相关研究,为临床干预提供更多实践依据。Objective This study investigated the intervention effectiveness of prelinguistic communicative vocalization therapy in children with autism spectrum disorder(ASD),and to provide reference and suggestions for the intervention of verbal communication ability in children with ASD in prelinguistic stage.Method The subjects were randomly divided into two groups,with 11 children in the experimental group and 11 children in the control group.The control group was given routine speech and language intervention,while the observation group was given Early Emotion-Speech-Language Integrated Therapy in Child Language(ESL)therapy.After two months of clinical intervention,a randomized controlled trial was conducted to test the effectiveness of intervention in 22 children with ASD.The data of the two groups were analyzed to compare the test results of the two groups in a series of communication vocalization measures before and after the intervention.Results There were significant differences between the experimental group and the control group in the number of vocalization with gesture,the number of social directed vocalization,and the type of pitch contour(P<0.05).The results of the study reflected the development and improvement of different levels of communicative vocalization ability in the experimental group compared with the control group.Conclusion The results of this study showed that ESL therapy was significantly effective in improving the prelinguistic communicative vocalization of children with ASD.The development and application of this therapy will help to enrich the related research in the field of communication disorder intervention for children with ASD in the prelinguistic stage and provide more practical basis for clinical intervention.

关 键 词：孤独症谱系障碍儿童 前语言期 沟通性发声 

分 类 号：R749.94[医药卫生—神经病学与精神病学]