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

Abstract

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

CLC Number:

R749.93

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.

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References 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

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

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