孤独症谱系障碍儿童沟通性发声对表达性词汇量的预测效果

doi:10.3969/j.issn.1006-9771.2025.09.004

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (9): 1017-1022.doi: 10.3969/j.issn.1006-9771.2025.09.004

• 专题　言语与语言康复 • 上一篇下一篇

孤独症谱系障碍儿童沟通性发声对表达性词汇量的预测效果

刘敏¹^,², 覃轲宇¹, 陈思齐³, 刘巧云⁴^,⁵()

¹ 南京特殊教育师范学院康复科学学院，江苏南京市 210038
² 江苏省特殊儿童障碍与干预技术重点实验室，江苏南京市 210038
³ 天津体育学院教育与心理学院，天津市 301617
⁴ 华东师范大学教育学部康复科学系，上海市 200062
⁵ 华东师范大学上海智能教育研究院，上海市 200062

收稿日期:2025-05-22 修回日期:2025-08-28 出版日期:2025-09-25 发布日期:2025-10-10
通讯作者: 刘巧云(1979-)，女，汉族，江苏南通市人，博士，教授，主要研究方向：儿童语言评估、发展与促进，E-mail： qyliu@spe.ecnu.edu.cn。
作者简介:刘敏(1987-)，女，汉族，江苏徐州市人，博士，讲师，主要研究方向：特殊儿童语言康复、孤独症儿童前语言沟通能力评估与康复。
基金资助:
1. 中国残疾人联合会听力语言残疾预防与康复专项(2024CDPFHS-14);2.国家语委"十四五"科研规划项目(YB145-21);3.江苏高校哲学社会科学研究项目(2025SJYB0365);4.江苏省残疾人事业发展研究课题(2025SC02013)

Predictive effect of communicative vocalization on expressive vocabulary in children with autism spectrum disorder

LIU Min¹^,², QIN Keyu¹, CHEN Siqi³, LIU Qiaoyun⁴^,⁵()

¹ School of Rehabilitation Sciences, Nanjing Normal University of Special Education, Nanjing, Jiangsu 210038, China
² Jiangsu Provincial Key Laboratory of Special Children's Impairment and Intervention, Nanjing, Jiangsu 210038, China
³ Department of Education and Psychology, Tianjin University of Sport, Tianjin 301617, China
⁴ Department of Rehabilitation Sciences, East China Normal University, Shanghai 200062, China
⁵ Shanghai Institute of AI for Education, East China Normal University, Shanghai 200062, China

Received:2025-05-22 Revised:2025-08-28 Published:2025-09-25 Online:2025-10-10
Contact: LIU Qiaoyun, E-mail: qyliu@spe.ecnu.edu.cn
Supported by:
China Disabled Person's Federation Hearing and Speech Program(2024CDPFHS-14);National Language Commission's "14th Five-Year Plan" Scientific Research Project(YB145-21);Jiangsu Universities Philosophy and Social Sciences Research Project(2025SJYB0365);Jiangsu Province Research Project on the Development of Programs for People with Disabilities(2025SC02013)

摘要/Abstract

摘要：

目的分析孤独症谱系障碍(ASD)儿童沟通性发声对表达性词汇量的预测作用。

方法 2021年2月至2022年2月，华东师范大学招募口头表达性词汇量< 20个的ASD儿童40例，采用半结构化游戏互动任务评估沟通性发声，12个月后，采用汉语沟通发展量表(普通话版)评估表达性词汇量。

结果沟通性典范音节发声对ASD儿童表达性词汇量具有显著正向预测作用(B = 0.939, β = 0.586, t = 4.655, P < 0.001)。

结论 ASD儿童的沟通性典范音节发声预测了其后期表达性词汇量的发展。临床干预中需给予ASD儿童沟通性典范音节发声更多的关注。

关键词: 孤独症谱系障碍, 沟通性发声, 表达性词汇量

Abstract:

Objective To explore the prediction effect of communicative vocalization on expressive vocabulary in children with autism spectrum disorder (ASD).

Methods From February, 2021 to February, 2022, 40 children with ASD whose expressive vocabularies contained fewer than 20 words were recruited at East China Normal University. Communicative vocalization was assessed using a semi-structured play-based interaction at baseline. Twelve months later, expressive vocabulary was measured with the Putonghua Communicative Development Inventory.

Results Communicative canonical syllable vocalization significantly and positively predicted expressive vocabulary in children with ASD (B = 0.939, β = 0.586, t = 4.655, P < 0.001).

Conclusion Communicative canonical syllable vocalization in children with ASD may predict subsequent development in expressive vocabulary. Clinical interventions should place greater emphasis on fostering communicative canonical syllable vocalization in ASD.

Key words: autism spectrum disorder, communicative vocalization, expressive vocabulary

中图分类号:

R749.93

刘敏, 覃轲宇, 陈思齐, 刘巧云. 孤独症谱系障碍儿童沟通性发声对表达性词汇量的预测效果[J]. 《中国康复理论与实践》, 2025, 31(9): 1017-1022.

LIU Min, QIN Keyu, CHEN Siqi, LIU Qiaoyun. Predictive effect of communicative vocalization on expressive vocabulary in children with autism spectrum disorder[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(9): 1017-1022.

图/表 5

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参考文献 23

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发声	定义
可编码为类言语的发声	至少包括一个元音、辅音或辅音与元音组合的典范音节发声
典范音节	必须满足：至少一个辅音(例如，/b/、/p/、/m/、/n/)；至少一个元音；从辅音到元音或元音到辅音的快速的过渡，如/ba/、/ga/
元音音节	成熟的元音发声
浊辅音	孤立的浊辅音，即/m/、/n/、/l/和/r/
不编码为类言语的发声	不能识别为辅音或元音的发声
耳语声	声带不振动的窃窃私语的声音
孤立的清辅音	发声时声带不振动的清辅音，如/h/、/x/、/b/、/t/
吞咽式发声	吸气时发声
喉咙发声	假声带发出的声音
生理性发声	打嗝、咳嗽、清喉咙等声音

项目	n	最小值	最大值	$\stackrel{-}{x}\pm s$	偏度	峰度
年龄/月	40	29.00	71.00	45.86±9.23	0.41(0.37)	-0.15(0.73)
CARS	40	30.00	45.00	36.25±2.94	0.62(0.37)	1.32(0.73)
原始PCDI词汇量/n	40	0.00	569.00	80.53±143.69	2.43(0.37)	5.47(0.73)
转换PCDI词汇量/n	40	0.00	2.76	1.28±0.82	0.17(0.37)	-0.92(0.73)

项目	沟通性元音发声	沟通性辅音发声	沟通性典范音节发声	年龄	CARS
沟通性辅音发声	0.229
沟通性典范音节发声	-0.111	0.107
年龄	-0.042	-0.054	0.040
CARS	0.029	-0.080	0.086	0.242
LgPCDI	0.029	0.301	0.594^a	0.112	-0.317^b

变量	B值	SE值	β值	t值	P值
常数	2.951	1.276		2.313	0.026
CARS	-0.058	0.035	-0.211	-1.672	0.103
沟通性典范音节发声	0.939	0.202	0.586	4.655	< 0.001

孤独症谱系障碍儿童沟通性发声对表达性词汇量的预测效果

Predictive effect of communicative vocalization on expressive vocabulary in children with autism spectrum disorder

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