首页|不同听处理能力的学龄前儿童认知相关行为差异分析

不同听处理能力的学龄前儿童认知相关行为差异分析

Analysis of cognitive-related behavior differences among preschool children with different auditory processing abilities

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目的 分析不同听处理能力的学龄前儿童认知相关行为差异,探究学龄前儿童听处理能力与认知相关行为的关系.方法 对2021年8月参与学龄前儿童听处理评估量表南京地区常模研究、南京市妇幼保健院儿童保健科就诊的儿童以及南京市幼儿园的4~6岁学龄前儿童,利用学龄前儿童听处理评估量表筛选出听处理异常低风险组48例,高风险组48例,采用韦氏幼儿智力量表第4版(WPPSI-Ⅳ)、学龄前儿童持续注意力测试(K-CPT)和Conners父母用症状问卷(PSQ)分别评估学龄前儿童智力、注意力和行为问题,比较低风险组和高风险组认知相关行为的差异及其与听处理能力的关系.结果 高风险组儿童言语理解合成分低于低风险组(Z=-2.484,P<0.05),K-CPT中误点数及刺激改变,PSQ中各行为问题因子得分均高于低风险组(P<0.05).相关性分析显示,WPPSI-Ⅳ中言语理解合成分与量表总分及除听觉注意外其他各维度得分,K-CPT中误点数与量表总分及各维度得分,刺激改变与量表总分及除听觉解码、沟通交流外其他各维度得分,PSQ中除焦虑外其他问题因子与量表总分及各维度得分均相关(P<0.05),焦虑与量表总分及除沟通交流、视觉注意外其他各维度得分均相关(P<0.05).多重线性回归分析显示,听处理量表中听觉解码得分对WPPSI-Ⅳ中言语理解合成分有显著影响(β=-0.601,P<0.05).结论 不同听处理能力的学龄前儿童认知相关行为有差异,其听处理能力与认知相关行为有关.
Objective To analyze the cognitive-related behaviors of preschool children with different auditory processing abilities,and to explore the relationship between auditory processing ability and cognitive-related behaviors of preschool children.Methods For the 48 children with low risk of auditory processing disorder and the 48 children with high risk of auditory processing disorder identified by the preschool auditory processing assessment scale in the normative study con-ducted in Nanjing for children aged 4-6 years old in August 2021,who were seen at the Pediatric Healthcare Department of Nanjing Maternal and Child Healthcare Hospital and the children in Nanjing kindergartens,respectively.The Wechsler preschool and primary intelligence scale-Ⅳ(WPPSI-Ⅳ),the kiddie continuous performance test(K-CPT),and the Conners parent symptom questionnaire(PSQ)were used to evaluate the children's intelligence,attention,and behavior problems,and the differences in behavioral performance between the low-risk group and high-risk group and the relation-ship between behavioral performance and auditory processing ability were compared.Results Compared with the low-risk group,the high-risk group had lower verbal comprehension composite scores on the WPPSI-kiddie continuous per-formance test(Z=-2.484,P<0.05),more errors on the K-CPT,more stimulus changes,and higher scores on each be-havior problem factor on the PSQ(P<0.05).Pearson correlation analysis showed that verbal comprehension composite scores on the WPPSI-Ⅳ,total scores and scores on all dimensions except auditory attention on the K-CPT,and scores on all dimensions except communication,visual attention,and auditory processing on the PSQ were correlated with total scores and all dimensions(P<0.05).Anxiety on the PSQ was correlated with total scores and all dimensions except communication and visual attention(P<0.05).The results of the multiple linear regression showed that auditory process-ing scores on the K-CPT were significantly related to verbal comprehension composite scores on the WPPSI-Ⅳ(β=-0.601,P<0.05).Conclusion The behavioral performance of preschool children with different auditory processing a-bilities is different,and their auditory processing abilities are related to their behavioral performance.

Auditory processing abilityCognitive behaviorPreschool children

周佳、刘潘婷、林欢喜、肖正路、孙钰英、俞欣悦、钱君、池霞、洪琴

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南京医科大学附属妇产医院(南京市妇幼保健院)儿童保健科,江苏南京 210004

南京医科大学护理学院,江苏南京 211166

南京医科大学儿科学院,江苏南京 211166

南京市发育行为医学重点实验室,江苏南京 210004

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听处理能力 认知行为 学龄前儿童

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(12)