随机森林模型对不同年龄孤独症谱系障碍儿童语言里程碑习得的预测价值

王二晓; 张静静; 简芳芳; 张金宝; 相琼

doi:10.3969/j.issn.1672-4933.2024.06.012

您当前的位置：

首页 >

文章列表页 >

随机森林模型对不同年龄孤独症谱系障碍儿童语言里程碑习得的预测价值

康复教育 | 更新时间：2026-07-11

- 随机森林模型对不同年龄孤独症谱系障碍儿童语言里程碑习得的预测价值
- Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model
- 中国听力语言康复科学杂志 2024年22卷第6期页码：610-614
- 作者机构：
  
  解放军空军军医大学第一附属医院儿科西安 710032
- 作者简介：
  
  王二晓本科主管护师；研究方向：儿童康复
  相琼，E-mail：xiangqiongyx@126.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.06.012
  中图分类号： R493
- 收稿：2024-06-17，
  
  纸质出版：2024-11-15
- 稿件说明：
移动端阅览
王二晓,张静静,简芳芳等.随机森林模型对不同年龄孤独症谱系障碍儿童语言里程碑习得的预测价值[J].中国听力语言康复科学杂志,2024,22(06):610-614.

WANG Er-xiao,ZHANG Jing-jing,JIAN Fang-fang,et al.Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):610-614.
王二晓,张静静,简芳芳等.随机森林模型对不同年龄孤独症谱系障碍儿童语言里程碑习得的预测价值[J].中国听力语言康复科学杂志,2024,22(06):610-614. DOI： 10.3969/j.issn.1672-4933.2024.06.012.

WANG Er-xiao,ZHANG Jing-jing,JIAN Fang-fang,et al.Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):610-614. DOI： 10.3969/j.issn.1672-4933.2024.06.012.

摘要

目的

分析2～7岁孤独症谱系障碍（autism spectrum disorder，ASD）儿童的语言发展里程碑，探讨其与症状严重程度的关联，以期为早期识别和个体化干预提供依据。

方法

选取空军军医大学第一附属医院儿科2019年6月～2023年8月就诊的341例ASD儿童，应用Mokken量表分析确定患儿语言里程碑发展顺序。使用随机森林模型，结合Boruta算法，基于语言里程碑的习得情况预测症状严重程度。

结果

ASD儿童的语言里程碑习得顺序与一般儿童存在差异。Mokken量表分析确定了33项语言理解和表达能力的条目，展现了语言发展的阶段性。随机森林模型揭示了不同年龄段ASD儿童的语言里程碑特征集，突出了早期识别的重要性。性别和症状严重程度的亚组分析揭示了ASD儿童在语言发展上的可能差异。

结论

ASD儿童的语言发展里程碑与其症状严重程度紧密相关。早期语言技能评估和个体化干预策略非常必要。未来需要对ASD儿童进行长期跟踪，以评估早期语言里程碑对儿童长期发展的影响。

Abstract

Objective

This study aimed to analyze the language developmental milestones in children with Autism Spectrum Disorder (ASD) aged 2 to 7 years and to explore their association with symptom severity

providing a basis for early identification and personalized intervention.

Methods

341 children with ASD treated in the Department of Pediatrics of the First Affiliated Hospital of Air Force Military Medical University from June 2019 to August 2023 were selected

and the sequence of language milestone development was determined by Mokken scale analysis. The random forest model combined with Boruta algorithm was used to predict the severity of symptoms based on the acquisition of language milestones.

Results

The study found that the acquisition sequence of language milestones in ASD children differed from that of typically developing children. The Mokken Scale Analysis identified 33 items related to language understanding and expression

demonstrating the stage-like nature of language development. The Random Forest model revealed characteristic sets of language milestones in ASD children of different age groups

highlighting the importance of early identification. A subgroup analysis by gender and symptom severity revealed potential differences in language development among ASD children.

Conclusion

Language developmental milestones in ASD children are closely related to their symptom severity. The study emphasizes the necessity of early language skill assessment and individualized intervention strategies. Future research should conduct long-term follow-up on ASD children to assess the impact of early language milestones on long-term development.

关键词

Keywords

references

Hossain MM , Khan N , Sultana A , et al . Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses [J ] . Psychiatry Res , 2020 , 287 ( 5 ): 112922 .

Nadeau MV , Richard E , Wallace GL . The Combination of Food Approach and Food Avoidant Behaviors in Children with Autism Spectrum Disorder: "Selective Overeating" [J ] . J Autism Dev Disord , 2022 , 52 ( 3 ): 987 - 994 .

Georgiou N , Spanoudis G . Developmental Language Disorder and Autism: Commonalities and Differences on Language [J ] . Brain Sci , 2021 , 11 ( 5 ): 362 - 366 .

Mouga S , Correia BR , Café C , et al . Language Predictors in Autism Spectrum Disorder: Insights from Neurodevelopmental Profile in a Longitudinal Perspective [J ] . J Abnorm Child Psychol , 2020 , 48 ( 1 ): 149 - 161 .

孙小楠 , 陈珂 , 武运筹 , 等 . 简版健康素养量表的开发:基于经典测量理论和项目反应理论 [J ] . 中国全科医学 , 2024 , 27 ( 23 ): 2931 - 2940 .

Marina Zulauf Logoz . The revision and 5 th edition of the diagnostic and statistical manual of mental disorders (DSM-5): consequences for the diagnostic work with children and adolescents [J ] . Praxis der Kinderpsychologie und Kinderpsychiatrie , 2014 , 63 ( 7 ): 562 - 576 .

高美茹 , 齐聪妮 . 以家庭为中心的早期护理干预对孤独症患儿ATEC、CARS、ABC评分的影响 [J ] . 临床医学研究与实践 , 2023 , 8 ( 6 ): 161 - 163 .

姜小娟 , 梁宇 , 温慧玲 , 等 . 4-12岁孤独症谱系障碍患儿社会生活能力特征及其相关性研究 [J ] . 中医康复 , 2024 , 1 ( 4 ): 22 - 25 .

顾杨 , 李靖婕 , 马彩云 , 等 . 经颅磁刺激联合感觉统合训练对孤独症谱系障碍儿童ABC评分及发育商的影响 [J ] . 航空航天医学杂志 , 2022 , 33 ( 2 ): 175 - 178 .

吴媛 , 杨亭 , 陈红羽 , 等 . 学龄前孤独症谱系障碍儿童血清叶酸、维生素B12水平及其与神经发育特征的关联 [J ] . 中国当代儿科杂志 , 2024 , 26 ( 4 ): 371 - 377 .

Talbott MR , Young GS , Munson J , et al . The Developmental Sequence and Relations Between Gesture and Spoken Language in Toddlers With Autism Spectrum Disorder [J ] . Child Dev , 2020 , 91 ( 3 ): 743 - 753 .

Visser-Bochane MI , Reijneveld SA , Krijnen WP , et al . Identifying Milestones in Language Development for Young Children Ages 1 to 6 Years [J ] . Acad Pediatr , 2020 , 20 ( 3 ): 421 - 429 .

Hare-Harris AE , Mitchel MW , Myers SM , et al . Within-task variability on standardized language tests predicts autism spectrum disorder: a pilot study of the Response Dispersion Index [J ] . J Neurodev Disord , 2019 , 11 ( 1 ): 21 - 21 .

Levinson S , Eisenhower A , Bush HH , et al . Brief Report: Predicting Social Skills from Semantic, Syntactic, and Pragmatic Language Among Young Children with Autism Spectrum Disorder [J ] . J Autism Dev Disord , 2020 , 50 ( 11 ): 4165 - 4175 .

Bhat AN , Boulton AJ , Tulsky DS . A further study of relations between motor impairment and social communication, cognitive, language, functional impairments, and repetitive behavior severity in children with ASD using the SPARK study dataset [J ] . Autism Res , 2022 , 15 ( 6 ): 1156 - 1178 .

Kim H , Ahn J , Lee H , et al . Differences in Language Ability and Emotional-Behavioral Problems according to Symptom Severity in Children with Autism Spectrum Disorder [J ] . Yonsei Med J , 2020 , 61 ( 10 ): 880 - 890 .

Yang T , Zhu J , Li Q , et al . China Multi-Center Preschool Autism Project (CMPAP): Design and Methodologies to Identify Clinical Symptom Features and Biomarkers of Autism Spectrum Disorders [J ] . Front Psychiatry , 2020 , 11 ( 3 ): 613519 .

Zhang Y , Qin B , Wang L , et al . Sex differences of language abilities of preschool children with autism spectrum disorder and their anatomical correlation with Broca and Wernicke areas [J ] . Front Pediatr , 2022 , 10 ( 6 ): 762621 .

Legrand KJ , Weil LW , Lord C , et al . Identifying Childhood Expressive Language Features That Best Predict Adult Language and Communication Outcome in Individuals With Autism Spectrum Disorder [J ] . J Speech Lang Hear Res , 2021 , 64 ( 6 ): 1977 - 1991 .

La Valle C , Plesa-Skwerer D , Tager-Flusberg H . Comparing the Pragmatic Speech Profiles of Minimally Verbal and Verbally Fluent Individuals with Autism Spectrum Disorder [J ] . J Autism Dev Disord , 2020 , 50 ( 10 ): 3699 - 3713 .

Dailey S , Bergelson E . Language input to infants of different socioeconomic statuses: A quantitative meta-analysis [J ] . Dev Sci , 2022 , 25 ( 3 ): e13192 .

Zhang Q , Li Q , Yang T , et al . Neurodevelopmental domain characteristics and their association with core symptoms in preschoolers with autism spectrum disorder in China: a nationwide multicenter study [J ] . BMC Psychiatry , 2022 , 22 ( 1 ): 393 - 393 .

Olson L , Kinnear M , Chen B , et al . Socioeconomic Factors Account for Variability in Language Skills in Preschoolers with Autism Spectrum Disorders [J ] . J Dev Behav Pediatr , 2021 , 42 ( 2 ): 101 - 108 .

浏览量

124

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

医教结合背景下孤独症谱系障碍儿童集体活动模式探索与实践

孤独症谱系障碍儿童自我意识的发展特征及其机制探讨

社交技能训练课程对学龄前孤独症谱系障碍儿童社交功能及照顾者养育压力研究

小组训练对孤独症谱系障碍儿童语言技能缺陷干预效果研究

孤独症谱系障碍共患言语语言障碍诊治研究进展