中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (7): 548-554.DOI: 10.19538/j.ek2025070605

• 专题笔谈 • 上一篇    下一篇

孤独症谱系障碍儿童语言和沟通能力评估研究进展

  

  1. 华东师范大学康复科学系  上海智能教育研究院,上海  200062

  • 出版日期:2025-07-06 发布日期:2025-09-02
  • 通讯作者: 电子信箱:qyliu@spe.ecnu.edu.cn
  • 基金资助:
    国家重点研发计划资助(2022YFC2705201);上海市教委创新重大项目(2023SKZD07);国家语委“ 十四五”科研规划(YB145-21);上海市长宁区妇幼保健院 PI 团队建设项目(PI202432);国家语言文字关键研究领域领航计划(LH24TD08)

Research advances in the assessment of language and communication abilities in children with autism spectrum disorder

  1. Department of Rehabilitation Sciences,Shanghai Institute of AI for Education,Shanghai  200062,China
  • Online:2025-07-06 Published:2025-09-02

摘要: 语言和沟通障碍虽然不是孤独症谱系障碍(ASD)儿童的诊断依据,但却在 ASD 儿童中普遍存在,并严重影响其认知、社交、情感的发展。系统、全面的评估不仅有助于及早发现 ASD 儿童语言沟通能力的优势与不足,还能为制定个性化干预方案提供依据。文章系统梳理了可用于 ASD 儿童语言和沟通能力评估的工具和方法,包括筛查性、诊断性、课程性和非结构化评估以及可用的神经科学评估方法。在分析当前评估不足基础上,提出了面向 ASD 儿童语言和沟通评估的未来发展方向:构建多层级的模块化评价体系、整合多模态评估方法、发展用于评估语用和社交的微行为量化编码体系、打造情景化任务库、多主体协同评估以及人工智能技术的适宜运用。期望为临床 ASD 儿童语言和沟通能力的评估工具选择和评估策略制定提供参考。

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Abstract:

Although language and communication impairments are not diagnostic criteria for autism spectrum disorder(ASD),they are commonly observed among children with ASD and significantly impact their cognitive,social,and emotional development.A systematic and comprehensive assessment not only helps with essential to the early identification of strengths and weaknesses in language and communication abilities but also for the development of personalized intervention plans.This paper systematically reviews the tools and methods available for assessing language and communication abilities in children with ASD,including screening,diagnostic,curriculum-based,and unstructured assessments,as well as applicable neuroscientific evaluation methods.Based on an analysis of current assessment limitations,it proposes future directions for ASD-focused language and communication assessment:the development of a multi-level modular evaluation framework,the integration of multimodal assessment approaches,the advancement of micro-behavioral quantitative coding systems for evaluating pragmatics and social communication,the creation of contextualized task libraries,multi-agent collaborative assessment,and the appropriate application of artificial intelligence technologies. It is expected to provide a reference for the selection of clinical assessment tools and the development of evaluation strategies for language and communication abilities in children with ASD.

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