中国实用儿科杂志

中国实用儿科杂志

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婴幼儿沟通和象征性行为发展量表应用研究

  

  1. 1.南方医科大学附属深圳市妇幼保健院心理与康复科，广东  深圳  518000；2.深圳市龙岗区妇幼保健院儿童保健科，广东  深圳  518172
  • 出版日期:2016-10-06 发布日期:2016-10-20

Application of the communication and symbolic behavior scales developmental profile infant/toddler checklist

  1. Maternal and Child Health Hospital of Shenzhen City，Affiliated to Southern Medical University，Shenzhen  518028，China
  • Online:2016-10-06 Published:2016-10-20

摘要：

目的    了解发育迟缓（DD）、 特殊语言发育障碍（SLI）、 孤独症谱系障碍（ASD）儿童使用婴幼儿沟通和象征行为发展量表（CSBS-DP-ITC）筛查结果的差异， 为ASD的早期一级筛查提供指导。方法　采用回顾性分析方法，对2013年1月至2014年12月就诊于南方医科大学附属深圳市妇幼保健院儿童心理门诊的 86例DD、 175例SLI、 142例ASD的CSBS-DP-ITC结果进行比较分析，年龄均在12～24个月。结果　3组间语言因子可疑率差异无统计学意义；＞18～24月龄段在社会交往、象征性行为、总分等3个方面上，ASD使用CSBS-DP-ITC筛查结果可疑率最高，分别为98.4%、 94.5%、 97.6%；其次为DD，可疑率分别为76.6%、 81.2%、 85.9%；SLI可疑率最低，34.8%、 52.3%、65.2%。12～18月龄段中在情感和眼神、使用手势、使用物品的粗分上，3组差异有统计学意义（P＜0.05）。＞18～24月龄段中所有模块3组间差异皆有统计学意义（P＜0.05）， 其中在情感和眼神、 沟通、 使用手势、 理解词汇模块粗分上， ASD＜DD＜SLI。结论　婴幼儿沟通和象征性行为发展量表虽不能很好区分各类型存在沟通发育迟缓的疾病，但可作为广泛性筛查ASD的一级筛查工具，且随着婴幼儿月龄的增长，筛查ASD的效果增加。

关键词: 婴幼儿沟通和象征性行为发展量表, 孤独症谱系障碍, 筛查

Abstract:

Objective    To understand the different screening results of the CSBS-SP-ITC among the children who have autism spectrum disorder（ASD） or development delay（DD） or specific language impairment（SLI），and to guide the first-level broadband screening of ASD. Methods    Totally 86 of DD，175 of SLI and 142 of ASD who were at 12～24 months of age were selected to compare their results of CSBS-DP-ITC by retrospective analysis. Results    The language suspicious rate of the three groups had no statistical difference. In the 12～18-month age group，the social composite，symbolic composite and total score，and the suspicious rate of ASD were the highest（98.4%，94.5%，97.6%），those of DD group（76.6%，81.2%，85.9%） were lower than ASD，and SLI group was the the lowest（34.8%，52.3%，65.2%）. In the 12～18-month age group，the three groups’raw score of emotion and eye-gaze，use of gestures and use of objects had statistical difference（P＜0.05）. In the ＞18～24-month age group，all the modules had statistical difference（P＜0.05）. What’s more，the raw score of emotion and eye-gaze，communication，use of gestures and understanding of words was in the order of ASD＜DD＜SLI. Conclusion    Although ITC cannot accurately distinguish the types of diseases which has communication delay，it’s a good broadband first-level screening tool for ASD，and the efficiency of the ITC increases with age.

Key words: communication and symbolic behavior scales developmental profile infant-toddler checklist（CSBS-DP-ITC）, autism spectrum disorders（ASD）, screening