发育性语言障碍儿童的亲子互动特征及影响因素分析

目的 研究发育性语言障碍(DLD)儿童亲子互动的特征以及影响因素,为临床早期发现、早期干预提供依据.方法 选取2018年1月-2020年3月在山东大学齐鲁医院儿童保健门诊就医,经专业医师确诊的DLD儿童30例,另选取同时期在山东大学齐鲁医院儿童保健门诊及山东大学中心校区校医院儿童保健门诊进行健康查体的正常儿童30例为对...

Characteristics and influencing factors of parent-child interaction in children with developmental language disorder

Objective To study the characteristics of parent-child interaction in children with developmental language disorder (DLD), and to analyze the influencing factors of DLD, so as to provide basis for early clinical detection and early intervention. Methods Thirty children with DLD diagnosed in the Child Health Care Clinic of Cheeloo Hospital of Shandong University were selected into this study from January 2018 to March 2020. Meanwhile, 30 normal children who took physical examination in the Child Healthcare Clinic of Cheeloo Hospital of Shandong University and the Child Healthcare Clinic of Shandong University Central Campus Hospital were selected as control. The Chinese version of the Parent-Child Interaction Assessment Scale and video analysis were used to assess the interactive behaviors of the children and their caregivers. Results There was significant difference in the scores of parent-child interaction between the DLD group and the control group (t=4.548, P<0.05). Multivariate regression analysis showed that the higher the scores of autonomy and social emotion of parent-child interaction, the higher the risk of DLD (OR=5.935, 8.833,P<0.05); While the higher the scores of empathy, respect for autonomy and the cultivation of cognitive ability in parent-child interaction, the lower the risk of DLD (OR=0.165, 0.417, 0.202, P<0.05). Higher education level of mothers (OR=0.159, 95%CI: 0.031 - 0.805), better family rearing environment (OR=0.051, 0.140) and family annual income>10⁵ yuan (OR=0.013, 95%CI: 0.033 - 0.380) were protective factors for DLD, while the daily video time＞1 h/d (OR=21.605, 95% CI: 3.214 - 145.225) was a risk factor for DLD in children. Conclusions In community primary medical institutions, children with DLD can be identified early with the help of parent-child interaction, so as to get chance for early screening and intervention. Improving family rearing environment and reducing screen time may reduce the occurrence of children's language disorder.