華語學齡前特定型語言障礙兒童的非詞複誦表現與臨床診斷之應用

陳昱君; 劉惠美

doi:10.6172/BSE.201811_43(3).0003

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P57 - 81

社会科学 > 教育学

DOI： 10.6172/BSE

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华语学龄前特定型语言障碍儿童的非词复诵表现与临床诊断之应用

Nonword Repetition Performance in Mandarin- Speaking Preschool Children with Specific Language Impairment-A Study of Diagnostic Accuracy

陈昱君(Yuchun Chen) ；刘惠美(Huei-Mei Liu)

特殊教育研究学刊； 43 卷 3 期 (2018 / 11 / 30) ， P57 - 81

繁体中文 DOI： 10.6172/BSE.201811_43(3).0003

非词复诵作业；特定型语言障碍；词汇理解；语音短期记忆；学前儿童； specific language impairment ； nonword repetition task ； preschool ； phonological short-term memory ； vocabulary comprehension

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摘要 │ 参考文献 (76) │ 被引用文献 (2) │ 国际计量

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Purposes: The aim of this study was two-fold. First, we developed a self-designed nonword repetition (NWR) task to evaluate the performance of NWR in 4-6-year-old Mandarin-speaking children with typical development. Second, we examined the performance of NWR in children with specific language impairment (SLI) and agematched typically developing (TD) children in order to explore the possibility of using NWR accuracy as a clinical marker for Mandarin-speaking preschool children with SLI. Methods: In Experiment 1, 90 TD preschool children (with 31 being aged 4 years, 29 being aged 5 years, and 30 being aged 6 years) were recruited. The children's performance on the standardized nonverbal IQ test, receptive vocabulary tests, and self-designed NWR task was assessed individually. The NWR task included 30 nonwords comprising low-frequency Chinese real words ranging from 2 to 6 syllables in length. The total number of correctly repeated syllables for each child was used to calculate the percentage of correctly repeated syllables that was considered as the NWR accuracy index. In Experiment 2, we compared the NWR abilities of 26 children with SLI who were aged between 4 and 6 years and 29 age-matched TD children. Children who scored 1 standard deviation below the means in two of the three standardized language tests were confirmed to have SLI. The sensitivity and specificity of the NWR task for discriminating between the two groups of children were analyzed using discriminant analysis. Additionally, positive and negative likelihood ratios were reported. Results/ Findings: In Experiment 1, Significant effects of syllable length were found across the three age groups: children' repetition accuracy decreased as the length of nonwords increased. This phenomenon supported the validity of the self-designed NWR task for assessing the capacity of phonological short-term memory in preschool-aged children. Moreover, the NWR accuracy increased with age, and the age-related change was more evident in nonwords with longer syllables. The NWR accuracy was highly correlated with children’s receptive vocabulary ability. Compared with the results from NWR studies conducted using other languages, our data provided supportive evidence for the clinical usage of the proposed Mandarin NWR task. In Experiment 2, the results obtained after partialling out the influence of nonverbal IQ revealed that compared with the TD children, the children with SLI performed more poorly on the NWR task consistently for the different syllable lengths. The overall diagnostic accuracy of the NWR task was 87%, suggesting that the proposed NWR task could adequately distinguish between Mandarin-speaking preschool children with and without SLI. Conclusions/Implications: In summary, our study provided evidence indicating the phonological short-term memory deficits in Mandarin-speaking children with SLI and the possibility of using the proposed NWR task in the early stages of SLI screening procedure. We expect to extend this self-designed NWR task to a standardized test and expand its applicability in future studies to improve the early identification of children with SLI.

参考文献 ( 76 ) 〈TOP〉

陈立芸、刘惠美(2010)。学龄期特定型语言障碍儿童听知觉区辨能力初探。特殊教育研究学刊，35，1-18。
连结：
錡宝香(2007)。特定型语言障碍儿童音韵短期记忆能力之初探。特殊教育研究学刊，32，19-45。
连结：
Aram, D. M.,Ekelman, B. L.,Nation, J. E.(1984).Preschoolers with language disorders: 10 years later.Journal of Speech and Hearing Research,27,232-244.
Bishop, D. V.,North, T.,Donlan, C.(1996).Nonword repetition as a behavioural marker for inherited language impairment: Evidence from a twin study.Journal of Child Psychology and Psychiatry,37(4),391-403.
Boersma, P.(2001).Praat, a system for doing phonetics by computer.Glot International,5,341-345.

被引用文献 ( 2 ) 〈TOP〉

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