Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (2): 95-101.doi: 10.6040/j.issn.1671-7554.0.2020.1367

Previous Articles     Next Articles

Observation on “five no” behaviors of 316 children with language development retardation

GUO Lingling1,2, CHE Chao3, CHEN Kunping3, CHAI Runyu3, YANG Bingshang4, CAO Aihua3   

  1. 1. Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Pediatrics, Shandong Rehabilitation Hospital, Jinan 250109, Shandong, China;
    3. Department of Pediatrics, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    4. Department of Rehabilitation, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2021-03-05

PDF (PC)

662

Abstract: Objective To explore the application of “five no” behaviors in language clinic, including no(less)seeing, no(less)responding, no(less)referring, no(less)language and inappropriateness. Methods The clinical data of 316 children complaining of “language retardation” in the Department of Child Health and Developmental Behavior, Qilu Hospital of Shandong University were reviewed. According to the DSM-5 diagnosis, the children were divided into autism spectrum disorder(ASD)group, general growth retardation(GDD)group and language disorder(LD)group. The “five no” behaviors observed at the first visit were compared among the three groups. Correlation analysis and Logistic regression analysis were conducted between the “five no” behaviors and scores of autism behavior scale(ABC), childhood autism rating scale(CARS), symbolic play ability test(SPT), and Gesell developmental diagnosis scale(GDS). Results There were statistically significant differences in no(less)seeing, no(less)responding, no(less)referring, and inappropriateness between ASD group and GDD group, LD group(P<0.001). There was a positive correlation between “five no” behaviors score with ABC and CARS scores(P<0.001), and a moderate negative correlation with SPT and GDS in coping with human ability, material ability and speech ability(P<0.001). Regression analysis showed that younger children with lower score of coping ability and higher score of CARS had higher score of “five no” behaviors(P<0.05). Conclusion By analyzing the characteristics of “five no” behaviors in ASD, GDD and LD children, we found that examining “five no” behaviors is an effective method to identify children with language development retardation in language clinic.

Key words: “five no” behaviors, Autism spectrum disorder, Global development disorder, Language disorder

CLC Number: 

  • R749.94
[1] Lee NR, Chung SH, Song MK, et al. A comparative analysis of clinical screening test and language specific test in language delay children[J]. Chonnam Med J, 2020, 56(1): 44-49.
[2] 邹园园, 张素卿, 黄师菊, 等. 2~3岁儿童孤独症谱系障碍与发育性语言障碍的Gesell结果分析[J]. 中国儿童保健杂志, 2015, 23(3): 298-300. ZOU Yuanyuan, ZHANG Suqing, HUANG Shiju, et al. Analysis of Gesell Developmental Scale of children aged 2~3 years old with autism spectrum disorder or with developmental language disorder[J]. Chinese Journal of Child Health Care, 2015, 23(3): 298-300.
[3] 朱风雷, 陈凯云, 成三梅, 等. 共同注意在孤独症谱系障碍幼儿早期识别中的应用[J]. 中国儿童保健杂志, 2018, 26(10): 1072-1075. ZHU Fenglei, CHEN Kaiyun, CHENG Sanmei, et al. Application of joint attention in early identification of infants with autism spectrum disorders[J]. Chinese Journal of Child Health Care, 2018, 26(10): 1072-1075.
[4] 中华医学会儿科学分会发育行为学组, 中国医师协会儿科分会儿童保健专业委员会, 儿童孤独症诊断与防治技术和标准研究项目专家组. 孤独症谱系障碍儿童早期识别筛查和早期干预专家共识[J]. 中华儿科杂志, 2017, 55(12): 890-897.
[5] 李晓捷. 儿童康复学[M]. 北京: 人民卫生出版社, 2018: 188-200.
[6] 中华医学会儿科学分会神经学组, 中国医师协会神经内科分会儿童神经疾病专业委员会.儿童智力障碍或全面发育迟缓病因诊断策略专家共识[J].中华儿科杂志, 2018, 56(11): 806-810.
[7] 刘冬梅, 邹时朴, 龚俊, 等. 孤独症、全面发育迟缓及发育性语言延迟儿童早期语言发育特征[J]. 中国儿童保健杂志, 2020, 28(3): 312-315. LIU Dongmei, ZOU Shipu, GONG Jun, et al. Characteristics of early language development in children with autism spectrum disorder, global development delay and developmental language delay[J]. Chinese Journal of Child Health Care, 2020, 28(3): 312-315.
[8] 美国精神医学学会.精神障碍诊断与统计手册(第五版)[M]. 张道龙, 译. 北京: 北京大学出版社, 2016: 38-39.
[9] 季忆婷, 沈春, 范云, 等. 象征性游戏在孤独症谱系障碍早期识别诊断中的作用[J]. 临床儿科杂志, 2018, 36(9): 674-677. JI Yiting, SHEN Chun, FAN Yun, et al. The role of symbolic play test in early diagnosis and identification of autism spectrum disorders[J]. Journal of Clinical Pediatrics, 2018, 36(9): 674-677.
[10] Yang Y, Haihong L, Jun Z, et al. The value of Gesell score in predicting the outcome of cochlear implantation in children[J]. Eur Arch Otorhinolaryngol, 2017, 274(7): 2757-2763.
[11] 杨玉凤. 儿童发育行为心理评定量表[M]. 北京: 人民卫生出版社, 2016: 206-207.
[12] 黎文倩,刘晓,代英,等.孤独症谱系障碍儿童的诊断年龄及其影响因素[J]. 中国当代儿科杂志, 2018, 20(10): 799-803. LI Wenqian, LIU Xiao, DAI Ying, et al. Age of diagnosis of autism spectrum disorder in children and factors influencing the age of diagnosis[J]. Chinese Journal of Contemporary Pediatrics, 2018, 20(10): 799-803.
[13] 杨玉凤. 创建适合我国儿童孤独症谱系障碍的评估工具和干预方法[J]. 中国儿童保健杂志, 2020, 28(1): 1-2.
[14] 毕小彬, 范晓壮, 米文丽, 等. 高风险婴儿前瞻性纵向研究与孤独症谱系障碍早期识别[J].心理科学进展, 2020, 28(3): 443-455. BI Xiaobin, Fan Xiaozhuang, MI Wenli, et al. Early identification of autism spectrum disorder in prospective longitudinal studies of high-risk infants[J]. 2020, 28(3): 443-455.
[15] Friedman L, Sterling A. A review of language, executive function, and intervention in autism spectrum disorder[J]. Semin Speech Lang, 2019, 40(4): 291-304.
[16] Vasudevan P, Suri M. A clinical approach to developmental delay and intellectual disability[J]. Clin Med(Lond), 2017, 17(6): 558-561.
[17] 邹冰. 儿童孤独症与特定性言语和语言发育障碍的鉴别诊断[J]. 中国儿童保健杂志, 2012, 20(10): 867-868.
[18] Moriuchi JM, Klin A, Jones W. Mechanisms of diminished attention to eyes in autism[J]. Am J Psychiatry, 2017, 174(1): 26-35.
[19] 朱风雷,陈凯云,邢艺沛,等. 叫名反应在孤独症谱系障碍幼儿早期识别中的应用[J]. 中华实用儿科临床杂志, 2018, 33(24): 1851-1854. ZHU Fenglei, CHEN Kaiyun, XING Yipei, et al. Application of joint attention in early identification of infants with autism spectrum disorders[J]. Journal of Applied Clinical Pediatrics, 2018, 33(24): 1851-1854.
[20] Jaworski JL, Eigsti IM. Low-level visual attention and its relation to joint attention in autism spectrum disorder[J]. Child Neuropsychol, 2017, 23(3): 316-331.
[21] 陈玉美, 陈卓铭, 林珍萍, 等. 孤独症谱系障碍儿童的共同注意力特点分析[J]. 临床儿科杂志, 2017, 35(2): 102-105. CHEN Yumei, CHEN Zhuoming, LIN Zhenping, et al. Joint attention characteristics of children with autism spectrum disorders[J]. Journal of Clinical Pediatrics, 2017, 35(2): 102-105.
[22] 沈屹东, 欧建君, 董慧茜, 等. 孤独症谱系障碍患者家长观察到的早期异常[J]. 国际精神病学杂志, 2019, 46(2): 26-28.
[23] 刘兴莲, 戴琼, 周爱琴, 等. 孤独症谱系障碍儿童早期行为学特征分析[J]. 中国妇幼保健, 2017, 32(18): 4441-4445.
[24] 王吉,梁亚勇,唐春,等. 婴幼儿孤独症的早期预警信号[J]. 中国儿童保健杂志, 2017, 25(3): 242-244. WANG Ji, LIANG Yayong, TANG Chun, et al. Early autistic signs and symptoms in young toddler-a retrospective study[J]. Chinese Journal of Child Health Care, 2017, 25(3): 242-244.
[25] Marteleto MR, Pedromönico MR. Validity of Autism Behavior Checklist(ABC): preliminary study[J]. Braz J Psychiatry, 2005, 27(4): 295-301.
[26] 王瑜, 王贵菊, 王玉玮. 应用CABS及ABC分析儿童孤独症[J]. 山东大学学报(医学版), 2003, 41(2): 213-214.
[27] 卢建平, 杨志伟, 舒明耀, 等. 儿童孤独症量表评定的信度、效度分析[J]. 中国现代医学杂志, 2004, 14(13): 119-121, 123. LU Jianping, YANG Zhiwei, SHU Mingyao, et al. Reliability, validity analysis of the childhood autism rating scale[J]. China Journal of Modern Medicine, 2004, 14(13): 119-121, 123.
[28] Quinn S, Kidd E. Symbolic play promotes non-verbal communicative exchange in infant-caregiver dyads[J]. Br J Dev Psychol, 2019, 37(1): 33-50.
[29] Jung S, Sainato DM. Teaching play skills to young children with autism[J]. J Intellect Dev Disabil, 2013, 38(1): 74-90.
[1] GUO Bin, WANG Xinhai, XU Lingzhong, GAI Ruoyan. Mental health status and influencing factors in preschoolers in rural areas of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(1): 87-92.
[2] YANG Shulin, YANG Fan, ZHAI Jing, LIU Jintong, ZHANG Yan, CHEN Gang. Genome-wide association study of autism in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(11): 92-96.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui. Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 77 -81 .
[2] SHAO Haigang, WANG Xuan, WANG Qing. Anatomy of the root canal system of mandibular first premolar in population of Shandong Province[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 85 -89 .
[3] SHI Shuang, LI Juan, MI Qi, WANG Yunshan, DU Lutao, WANG Chuanxin. Construction and application of a miRNAs prognostic risk assessment model of gastric cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 47 -52 .
[4] HUANG Fei,WANG Huaijing,XING Yi,GAO Wei,LI Yonggang,XING Ziying,LI Zhenzhong. Protective effects of NGF and GM1 on primary sensory neurons in SD rat with sciatic nerve injury[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(4): 332 -335 .
[5] LI Yu-liang,WANG Yong-zheng,WANG Xiao-hua,ZHANG Fu-jun,ZHU Li-dong,ZHANG Wang-ming,LI Zheng,LI Zhen-jia,ZHANG Kai-xian. I implantation combined with Gemcitabine in the treatment of advanced pancreatic cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(4): 393 -396 .
[6] WANG Xiaoju1，　WANG Mingming2，　XU Wansu2,　ZHAO Shengmei3，CUI Sunan2，　LI Xiaoying2，　LIU Chunhua1
. Expression of peripheral blood lymphocyte ubiquitin mRNA in chronic HBV infection with active inflammation and its clinical significance[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(02): 58 -61 .
[7] TANG Fang1,2, ZHANG Yingqian3, WANG Zhiqiang4, KANG Dianmin4,
WANG Jiezhen1, XUE Fuzhong1. A 2D minimal spanning tree model of the spatial structures of natural focal disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 106 -110 .
[8] LI Wei,LI Dao-wei,YE Qian,GAO Shun-cui,JIANG Shu-juan.

Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions

[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1063 -1065 .
[9] MA Li-Xin, LI Gang, SU Yu-Hang, ZHANG Cai, ZHANG Jian. Expression of NKG2D on NK cells in intracranial tumors[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(5): 88 -91 .
[10] LIU Hai-Chun, ZHANG Jian-Feng, CHEN Yuan-zhen. Bone collagen and biomechanical propertyies in the femur of osteoporosis rats[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(5): 42 -45 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd