parental questionnaires

  • 文章类型: Journal Article
    患有自闭症谱系障碍的人和患有威廉姆斯综合征的人通常在社会行为上有障碍。这两种神经发育障碍通常被认为是社会光谱的两端,自闭症患者是社交回避者,而威廉姆斯综合症患者是高度社交的。大多数关于自闭症和威廉姆斯综合症儿童的研究都集中在学龄前和学龄儿童上。当前的研究评估了7-14岁的高功能自闭症学龄儿童,威廉姆斯综合症,和神经典型的发展中的同龄人。家长完成了索尔克研究所社交能力问卷和社会反应量表,提供对社会功能的独特见解,并利用不同的行为领域,社会方法行为,和社会反应。这项研究提供了额外的证据,表明自闭症和威廉姆斯综合征的幼儿在学龄期继续表现出不同的社会行为倾向,尽管控制了年龄和智力。这项研究的结果更好地阐明了患有神经发育障碍的学龄儿童及其典型发展中的同龄人之间的差异和共性,提供对日常社会功能的洞察。
    Individuals with autism spectrum disorders and those with Williams syndrome often have impairments in social behaviors. These two neurodevelopmental disorders are often reputed to be on the opposite ends of the social spectrum, with autistic individuals being socially avoidant and those with Williams syndrome highly social. Most research on children with autism and Williams syndrome has focused on preschool and younger school-age children. The current study assessed school-age children between the ages of 7-14 years with high-functioning autism, Williams syndrome, and neurotypical developing peers. Parents completed the Salk Institute Sociability Questionnaire and the Social Responsiveness Scale, to provide unique insights into social functioning and tap into different behavioral areas, social approach behaviors, and social responsiveness. This study provides additional evidence that young children with autism and Williams syndrome continue to show divergent social-behavioral tendencies at school-age, despite controlling for age and intellect. Results of this study better elucidate disparities as well as commonalities across school-age children with neurodevelopmental disorders and their typically developing peers, providing insight into everyday social functioning.
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  • 文章类型: Published Erratum
    [这修正了文章DOI:10.3389/fpsyg.2023.1110449。].
    [This corrects the article DOI: 10.3389/fpsyg.2023.1110449.].
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  • 文章类型: Journal Article
    语言习得受语言学习者输入的质量和数量的影响。特别是,据说早期的语言发展依赖于声学语音流,以及与语言相关的视觉信息,例如对话者的嘴提供的线索。此外,儿童的表达语言技能也受到提供输入的对话者的可变性的影响。COVID-19大流行为探索这些输入因素影响语言发展的方式提供了前所未有的机会。一方面,面具的普遍使用降低了语音质量,同时也减少了语言的视觉线索。另一方面,关于社交聚会的封锁和限制极大地限制了儿童投入中对话者的可变性。本研究旨在分析针对COVID-19的大流行措施对早期语言发育的影响。为此,使用加泰罗尼亚语改编的麦克阿瑟-贝茨交流发展清单(MB-CDIs),将2019年和2020年出生的41名儿童与2012年之前出生的41名儿童进行了比较。结果显示,Covid前后儿童的词汇没有显著差异,尽管词汇水平较低的儿童有进入后Covid组的趋势。此外,发现对话者变异性和参与者词汇量之间存在关系,这表明那些社会交流多样性机会较少的参与者表现出较低的表达词汇分数。这些结果加强了有关输入因素及其对早期语言学习的影响的其他最新发现。
    Language acquisition is influenced by the quality and quantity of input that language learners receive. In particular, early language development has been said to rely on the acoustic speech stream, as well as on language-related visual information, such as the cues provided by the mouth of interlocutors. Furthermore, children\'s expressive language skills are also influenced by the variability of interlocutors that provided the input. The COVID-19 pandemic has offered an unprecedented opportunity to explore the way these input factors affect language development. On the one hand, the pervasive use of masks diminishes the quality of speech, while it also reduces visual cues to language. On the other hand, lockdowns and restrictions regarding social gatherings have considerably limited the amount of interlocutor variability in children\'s input. The present study aims at analyzing the effects of the pandemic measures against COVID-19 on early language development. To this end, 41 children born in 2019 and 2020 were compared with 41 children born before 2012 using the Catalan adaptation of the MacArthur-Bates Communicative Development Inventories (MB-CDIs). Results do not show significant differences in vocabulary between pre- and post-Covid children, although there is a tendency for children with lower vocabulary levels to be in the post-Covid group. Furthermore, a relationship was found between interlocutor variability and participants\' vocabulary, indicating that those participants with fewer opportunities for socio-communicative diversity showed lower expressive vocabulary scores. These results reinforce other recent findings regarding input factors and their impact on early language learning.
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  • 文章类型: Journal Article
    已经发现非常和极度早产的儿童在早期语言发展中表现出延迟。在一些调查中,然而,严格控制生物医学并发症,如脑室周围白质软化(PVL),脑室出血(IVH)或支气管肺发育不良(BPD),并不总是存在。出于这个原因,低胎龄和生物医学并发症的混杂效应可能导致关于胎龄效应的错误结论.
    在这项调查中,我们比较了语言发展[单词的使用,三组24个月大的智利儿童的句子复杂性和三个最长话语的平均长度(MLU3)](早产儿的校正年龄)。第一组由42名健康的足月儿童组成(足月组:FT),第二组60名出生在32孕周以下且无医疗并发症的早产儿(低风险早产组:LRPT),第三组由64名32孕周以下有内科并发症的儿童组成(高危早产组:HRPT)。三组在性别分布方面相似,母亲教育,和社会经济环境。用于评估语言的工具是交际开发清单(CDI)。此外,年龄和阶段问卷-3(ASQ-3)也用于评估其他发展维度。
    结果表明,在通过CDI获得的三种语言测量中,HRPT和LRPT儿童获得的结果明显低于FT组。HRPT和LRPT组之间没有观察到显著差异,尽管HRPT在三种CDI测量中获得的结果最低。通过施用ASQ-3获得的结果证实了与FT组相比,两个早产组在沟通发展方面的延迟。FT组和PT组的粗大运动无显著差异,ASQ-3的精细电机和解决问题的尺寸。LRPT组取得的成果在粗大运动发育方面明显高于FT组和HRPT组。
    这些结果似乎表明,语言发育的区域尤其受到极低胎龄或极低胎龄的影响。
    UNASSIGNED: Very and extremely preterm children have been found to show delays in the development of language in early years. In some investigations, however, a rigorous control of biomedical complications, such as Periventricular Leukomalacia (PVL), Intraventricular Hemorrhage (IVH) or Bronchopulmonary Dysplasia (BPD), does not always exist. For that reason, a confounding effect of low gestational age and biomedical complications may lead to erroneous conclusions about the effect of gestational age.
    UNASSIGNED: In this investigation we compare language development [use of words, sentence complexity and mean length of the three longest utterances (MLU3)] of three groups of Chilean children at 24 months of age (corrected age for preterm children). The first group was composed of 42 healthy full-term children (Full term group: FT), the second group of 60 preterm children born below 32 gestational weeks without medical complications (low risk preterm group: LRPT), and the third group was composed of 64 children below 32 gestational weeks who had medical complications (High risk preterm group: HRPT). The three groups were similar in terms of gender distribution, maternal education, and socio-economic environment. The instrument used to assess language was the Communicative Development Inventories (CDI). In addition, the Ages and Stages Questionnaire-3 (ASQ-3) was also used to assess other developmental dimensions.
    UNASSIGNED: The results indicate that HRPT and LRPT children obtained significantly lower results than the FT group in the three language measures obtained through the CDI. No significant differences were observed between the HRPT and the LRPT groups, although the HRPT obtained the lowest results in the three CDI measures. The results obtained through the administration of the ASQ-3 confirm the delay of both preterm groups in communicative development when compared to the FT group. No significant differences between the FT and the PT groups were observed in gross motor, fine motor and problem solving dimensions of the ASQ-3. The LRPT group obtained results that were significantly higher than those of the FT group and the HRPT group in gross motor development.
    UNASSIGNED: These results seem to indicate that the area of language development is particularly influenced by very or extremely low gestational age.
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  • 文章类型: Journal Article
    在资源有限的发展中国家,儿童发育性语言障碍(DLD)的诊断不足是一个严重的问题。长期以来,人们一直注意到,父母对孩子的健康和发育的关注是丰富的信息,如果这些信息可以用于诊断,它可以提供一种方法来解决DLD的诊断不足的问题。这项研究旨在量化父母语言关注问题(PLCQ)对墨西哥单语西班牙语儿童语言障碍识别的效用。它还探讨了生物和环境条件问题(BECQ)的结合是否可以提高筛选测试的性能,以确定DLD。
    共有680名来自墨西哥城市地区的单语墨西哥西班牙语儿童和他们的父母参加了这项研究。比较了185名诊断为DLD的儿童和495名对照受试者对DLD关注问题的回答分布。并进行多元logistic回归分析,以选择具有高预测性的问题,基于Akaike信息标准。通过受试者工作特征(ROC)曲线评估问题的诊断效用,特定层似然比(SSLR),以及DLD的前测和后测概率的变化。使用128名儿童的数据,使用类似的程序来探索添加BECQ是否会提高有关DLD问题的诊断实用性。
    发现关于父母语言问题的四个问题对于识别患有DLD的儿童很有用。当所有四个问题都存在时,SSLR为8.79,而在根本没有问题时只有0.27。在测试前和测试后,DLD概率的估计值从0.12增加到0.55。另一方面,BECQ在识别DLD方面的表现不如PLCQ好,它提供的诊断性能的改进仅限于一个问题。
    父母问卷可以用作筛查工具,以帮助识别患有DLD的儿童。这项研究中提供的数据强调了将父母的语言问题作为筛查过程的一部分的重要性。这是一个现实的选择,可以为墨西哥目前的DLD诊断不足问题提供解决方案。
    UNASSIGNED: The underdiagnosis of developmental language disorder (DLD) in children is a serious problem in developing countries with limited resources. It has long been noted that the concerns parents have about their children\'s health and development are richly informative, and if this information can be used for diagnosis, it may provide a means to address the problem of underdiagnosis of DLD. This study aimed to quantify the utility of parental linguistic concern questions (PLCQ) on the identification of language disorders in monolingual Spanish-speaking children in Mexico. It also explored whether a combination of biological and environmental conditions questions (BECQ) might improve the performance of a screening test to identify DLD.
    UNASSIGNED: A total of 680 monolingual Mexican Spanish-speaking children and their parents from urban areas in Mexico participated in the study. The distribution of responses to questions about DLD concerns was compared between 185 children diagnosed with DLD and 495 control subjects, and multiple logistic regression analysis was performed to select questions with high predictivity, based on the Akaike information criterion. The diagnostic utility of the questions was assessed by receiver operating characteristic (ROC) curves, stratum-specific likelihood ratios (SSLRs), and changes in pretest and post-test probabilities of DLD. A similar procedure was used to explore whether adding BECQ would improve the diagnostic utility of questions about DLD concerns using data of 128 children.
    UNASSIGNED: Four questions regarding parental linguistic concerns were found to be useful in identifying children with DLD. When all four concerns were present, the SSLR was 8.79, while it was only 0.27 when there were no concerns at all. The estimates of DLD probability increased from 0.12 to 0.55 at pretest and post-test. On the other hand, the BECQ did not perform as well as the PLCQ in identifying DLD, and the improvement in diagnostic performance it provided was limited to one question.
    UNASSIGNED: The parental questionnaire can be used as a screening tool to help in identifying children with DLD. The data presented in this study underscore the importance of considering linguistic parental concerns as part of the screening process. This is a realistic option to provide a solution to the current problem of underdiagnosis of DLD in Mexico.
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  • 文章类型: Journal Article
    22q11.2缺失(22q11.2DS)和22q11.2重复(22q11.2Dup)赋予神经发育困难的风险,但是22q11.2Dup中语音语言和社交技能的表征仍然有限。因此,这项研究旨在描述22q11.2Dup(n=19)学龄儿童与其非携带者兄弟姐妹(n=11)和22q11.2DS(n=19)年龄匹配儿童的社交技能。父母完成了两份标准化问卷:儿童沟通清单(CCC-2),筛选语音,语言,和社交技能,和社会反应能力量表(SRS-2),评估社会行为的缺陷。父母报告说,患有22q11.2Dup和22q11.2DS的孩子都比普通人群表现出更多的社交障碍;患有22q11.2Dup的孩子似乎在他们的兄弟姐妹和患有22q11.2DS的孩子之间处于中间位置。与22q11.2DS相比,他们表现出不那么频繁和不那么严重的问题,和更多不同的社会交流概况,有限的利益和重复的行为。在22q11Dup的兄弟姐妹中,据报道,更温和的社会交流困难和同样不同的概况,这可能表明,除了重复之外,其他因素,如更广泛的遗传背景在社会交流结果中也起着作用。
    22q11.2 deletion (22q11.2DS) and 22q11.2 duplication (22q11.2Dup) confer risk for neurodevelopmental difficulties, but the characterization of speech-language and social skills in 22q11.2Dup is still limited. Therefore, this study aims to delineate social-communicative skills in school-aged children with 22q11.2Dup (n = 19) compared to their non-carrier siblings (n = 11) and age-matched children with 22q11.2DS (n = 19). Parents completed two standardized questionnaires: the Children\'s Communication Checklist (CCC-2), screening speech, language, and social skills, and the Social Responsiveness Scales (SRS-2), assessing deficits in social behavior. Parents report that both children with 22q11.2Dup and 22q11.2DS show more social-communicative deficits than the general population; children with 22q11.2Dup seem to take an intermediate position between their siblings and children with 22q11.2DS. Compared to 22q11.2DS, they demonstrate less frequent and less severe problems, and more heterogeneous social-communicative profiles, with fewer restricted interests and repetitive behaviors. In siblings of 22q11Dup, milder social-communicative difficulties and equally heterogeneous profiles are reported, which might indicate that-in addition to the duplication-other factors such as the broader genetic context play a role in social-communicative outcomes.
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  • 文章类型: Journal Article
    我们评估了自闭症幼儿(3-6岁)的触觉感知的不同方面。自闭症和神经典型儿童完成了评估反应时间的振动触觉任务,幅度判别(顺序和同时)和时间判别(时间顺序判断和持续时间判别)。自闭症儿童的反应时间升高且变化更大,提示较慢的感知运动处理速度和/或更大的注意力分散。与神经典型儿童相比,自闭症儿童还显示出更高的振幅辨别和时间顺序判断阈值。触觉感知指标与父母报告测得的社交或触觉敏感性无关。改变的触觉行为反应出现在儿童早期,可以量化,但似乎与灵敏度分离。这意味着这些措施是相辅相成的,但不一定相关,自闭症中的非典型触觉感知现象。
    We assessed different aspects of tactile perception in young children (3-6 years) with autism. Autistic and neurotypical children completed vibrotactile tasks assessing reaction time, amplitude discrimination (sequential and simultaneous) and temporal discrimination (temporal order judgment and duration discrimination). Autistic children had elevated and more variable reaction times, suggesting slower perceptual-motor processing speed and/or greater distractibility. Children with autism also showed higher amplitude discrimination and temporal order judgement thresholds compared to neurotypical children. Tactile perceptual metrics did not associate with social or tactile sensitivities measured by parent-reports. Altered tactile behavioral responses appear in early childhood, can be quantified but appear dissociated from sensitivity. This implies these measures are complementary, but not necessarily related, phenomena of atypical tactile perception in autism.
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  • 文章类型: Journal Article
    KCNB1 encephalopathy encompasses a broad phenotypic spectrum associating intellectual disability, behavioral disturbances, and epilepsies of various severity. Using standardized parental questionnaires, we aimed to capture the heterogeneity of the adaptive and behavioral features in a series of patients with KCNB1 pathogenic variants.
    We included 25 patients with a KCNB1 encephalopathy, aged from 3.2 to 34.1 years (median = 10 years). Adaptive functioning was assessed in all patients using the French version of the Vineland Adaptive Behavior Scales, Second Edition (VABS-II) questionnaire. We screened global behavior with the Childhood Behavioral Check-List (CBCL, Achenbach) and autism spectrum disorder (ASD) with the Social Communication Questionnaire (SCQ). We used a cluster analysis to identify subgroups of adaptive profiles.
    VABS-II questionnaire showed pathological adaptive behavior in all participants with a severity of adaptive deficiency ranging from mild in 8/20 to severe in 7/20. Eight out of 16 were at risk of Attention Problems at the CBCL and 13/18 were at risk of autism spectrum disorder (ASD). The adaptive behavior composite score significantly decreased with age (Spearman\'s Rho=-0.72, p<0.001) but not the equivalent ages, suggesting stagnation and slowing but no regression over time. The clustering analysis identified two subgroups of patients, one showing more severe adaptive behavior. The severity of the epilepsy phenotype predicted the severity of the behavioral profile with a sensitivity of 70% and a specificity of 90.9%.
    This study confirms the deleterious consequences of early-onset epilepsy in addition to the impact of the gene dysfunction in patients with KCNB1 encephalopathy. ASD and attention disorders are frequent. Parental questionnaires should be considered as useful tools for early screening and care adaptation.
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  • 文章类型: Evaluation Study
    This study investigates the use of a parental questionnaire to determine its effectiveness as a screening tool in identifying speech-language and/or auditory impairments in children.
    Parents completed speech-language (n = 36) or audiology (n = 23) questionnaires prior to their child\'s speech-language and/or auditory evaluations. The speech-language and audiology evaluations were conducted by clinicians at three different universities not familiar with the administration and scoring of the parental questionnaires. A research assistant coded the results of the speech-language and audiology evaluations. Statistical analysis was used to determine if any aspects of the parents\' evaluation of their child\'s speech, language, or hearing correlated with the speech-language pathologists\'/audiologists\' assessment. The results of the analyses would indicate whether parental reports are a reliable alternative to professionals\' assessment.
    The speech-language questionnaires for children aged 2-5 years revealed the parents\' perception of their children speaking 3-word sentences significantly (p < 0.05) corresponded to the children\'s comprehension and expression skills. The results from the auditory questionnaires revealed that reports of a child\'s ear pain were (p < 0.05) correlated with auditory dysfunction.
    These questionnaires can potentially be used in low-income countries where professional resources are scarce and there are barriers to identifying children with speech-language and/or auditory impairment.
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  • 文章类型: Journal Article
    Neurofibromatosis type 1 (NF1) is an autosomal dominant multisystem disorder, with large inter and intrafamilial clinical variability and uncertain prognosis. In children with NF1 cognitive disorders, learning difficulties and behavioral problems are common. The present study aims to establish the neuropsychological and behavioral profiles of 78 patients with NF1, aged between 5 and 18 years, and to examine the relationship between these profiles and the transmission of NF1 (sporadic vs. familial), clinical manifestations, and environmental factors. We used several questionnaires completed by parents and neuropsychological tests. The results confirmed specific neuropsychological disabilities in children with NF1, especially involving visuospatial and fine motor skills, learning difficulties and behavioral problems. Cognitive difficulties were significantly more frequent in patients with familial than in those with sporadic NF1. All parental questionnaires were correlated with each other, but parental reports were not associated with FSIQ, SES, school status, and clinical manifestations of the disease. Neuropsychological tests were poorly related to parental reports of cognitive and behavioral difficulties.
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