象征性游戏测试在儿童语言发育异常临床评估中的应用价值

发布时间：2018-03-07 01:22

本文选题：象征性游戏　切入点：语言发育　出处：《中国儿童保健杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的通过象征性游戏测试判断语言发育异常儿童的早期概念形成,以及用最简单方式处理符号,表达自我经验和想象的能力,探索其在儿童语言发育评估中的价值,并为促进儿童的语言发育和语言治疗目标的制定提供依据。方法 2010年8月-2011年1月在上海儿童医学中心发育行为儿科因语言问题就诊的263例儿童,男206例(78.3%),女57例(21.7%)。对所有儿童进行象征性游戏、Gesell婴幼儿发育量表、婴幼儿语言发育筛查量表及ABC儿童孤独症量表测试。结果 263例儿童的象征性游戏测试的发育年龄明显落后于平均生理年龄,且4个年龄段的象征性游戏测试的发育年龄均显著落后于其平均生理年龄,随年龄增长,两者差距有增大的趋势。象征性游戏测试的原始分与Gesell婴幼儿发育量表的4个能区的发育商(DQ)、婴幼儿语言发育筛查量表总分存在显著正相关性(P0.001),与ABC儿童孤独症量表总分存在显著负相关性(P0.001)。结论象征性游戏测试结果可以提示语言发育异常儿童的早期概念形成,以及用最简单方式处理符号,表达自我经验和想象的能力,有助于鉴别不同原因的语言发育异常,并为促进儿童的语言发育和语言治疗目标的制定提供依据。
[Abstract]:Objective to determine the early concept formation of children with language dysplasia by symbolic game test, and to explore its value in language development assessment by dealing with symbols in the simplest way and expressing self-experience and imagination. Methods from August 2010 to January 2011, 263 children with developmental behavior and pediatrics with language problems were admitted to Shanghai Children's Medical Center. Two hundred and six men (78.3%) and 57 women (57 cases) were given symbolic games of Gesell Infant Development scale (Gesell scale). Results the developmental age of the symbolic play test of 263 children was significantly lower than that of the average physiological age. The developmental age of symbolic game test in four age groups was significantly lower than the average physiological age and increased with age. The original score of symbolic game test was positively correlated with the development quotient of 4 energy regions of Gesell, and the total score of language development screening scale of infants was positively correlated with that of ABC children with autism. The total score of the scale was significantly negatively correlated with P0.001.Conclusion the results of symbolic game test may indicate the early concept formation of children with language dysplasia. The ability to deal with symbols and express self-experience and imagination in the simplest way is helpful to identify the language development abnormalities of different causes and to provide the basis for promoting the language development of children and the formulation of language therapy goals.
【作者单位】：上海交通大学医学院附属上海儿童医学中心发育行为儿科;环境与儿童健康教育部重点实验室、上海市重点实验室;
【分类号】：R179

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