首页|孤独症谱系障碍儿童听觉感知异常的研究进展及其教育干预启示

孤独症谱系障碍儿童听觉感知异常的研究进展及其教育干预启示

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ASD儿童的早期识别及早期干预对其生长发育至关重要。本研究分析了 2000-2023年的83篇相关文献,结果表明,听觉感知异常是ASD儿童的潜在识别标志,并在婴幼儿时期就已显现。早期异常行为表现主要有听觉反应过度、听觉性言语失认、对言语声的视听整合能力弱等;早期异常生理指标主要有脑干结构异常、脑干功能异常、听觉皮层功能异常等。随着年龄增长,ASD儿童易出现听感觉寻求、对非言语声敏感、噪声下听取困难等异常行为。目前,孤独症筛查和诊断已将听觉感知异常作为重要指标,且其过高的出现率对教育干预具有极为重要的提示作用。建议在未来教育干预中:(1)明确ASD儿童听觉反应过度的声音,给予系统脱敏训练,或帮助儿童建立主动阻断或隔离引发不适声音的能力;(2)充分利用ASD儿童的偏好,引导其对语音形成关注并积极加工;(3)利用适宜的视听游戏,增强ASD儿童视听整合能力以及噪声下的选择性听取能力。
Research Progress of Auditory Perceptual Abnormalities in Autism Spectrum Disorders and Its Implications for Educational Intervention
Early identification and early intervention for children with Autism Spectrum Disorder(ASD)are critical to their developmental outcomes.The present study analysed 83 relevant papers from 2000-2023,and the results suggested that auditory perceptual abnormalities may be a potential identifier of children with ASD and are evident in infancy and early childhood.Early behavioral abnormalities mainly include auditory overreaction,auditory verbal agnosia,and weak audio-visual integration of speech sounds;early physiological indicators of abnormalities include brainstem structural abnormalities,brainstem functional abnormalities,and auditory cortex functional abnormalities.As children with ASD grow older,they are prone to abnormal behaviors such as auditory sensory seeking,sensitivity to non-verbal sounds,and difficulty in hearing under noise.Auditory perceptual abnormalities are now an important component of autism screening and diagnosis,and their high rate of occurrence is an extremely important reminder for educational interventions.It is suggested that future educational interventions should:(1)identify children with ASD as having auditory overreactions to sounds and be given systematic desensitisation training,or be helped develop the ability to actively block or isolate sounds that cause discomfort;(2)make full use of the preferences of children with ASD and guide them actively process speech sounds;and(3)adopt appropriate audio-visual games to enhance the audio-visual integration ability and ability of selective listening under noise.

autism spectrum disorderauditory perception abnormalitiesbehavioral indicatorsphysiological indicators

周爱然、赵航、瞿璐、刘巧云

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华东师范大学康复科学系,上海,200062

华东师范大学智能教育学院,上海,200062

孤独症谱系障碍 听觉感知异常 行为指标 生理指标

2024

中国特殊教育
中央教育科学研究所

中国特殊教育

CSTPCDCSSCICHSSCD北大核心
影响因子:1.126
ISSN:1007-3728
年,卷(期):2024.(3)
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