小组多媒体语言训练对孤独症谱系障碍儿童语言功能缺陷干预效果研究

周梅君; 袁晓玲; 王磊; 赵婷; 林枫

doi:10.3969/j.issn.1672-4933.2026.05.015

您当前的位置：

首页 >

文章列表页 >

小组多媒体语言训练对孤独症谱系障碍儿童语言功能缺陷干预效果研究

康复教育 | 更新时间：2026-10-08

- 小组多媒体语言训练对孤独症谱系障碍儿童语言功能缺陷干预效果研究
- A Study of the Effect of Group Multimedia Language Training on the Intervention of Language Functional Deficits in Children with Autism Spectrum Disorders
- 中国听力语言康复科学杂志 2026年24卷第5期页码：530-533
- 作者机构：
  
  1.南京医科大学康复医学院南京 211112
  2.扬州大学医学院附属扬州市妇幼保健院扬州 21006
  3.南京医科大学第一附属医院南京 211112
- 作者简介：
  
  周梅君在读硕士主管康复技师；研究方向：孤独症儿童早期康复
  林枫，E-mail：peterduus_lin@hotmail.com
- 基金信息：
  
  2020年江苏省妇幼健康科研项目“扬州市儿童发育协调障碍早期筛查及诊断模式研究”(F202019)
- DOI：10.3969/j.issn.1672-4933.2026.05.015
  中图分类号： R767.92
- 收稿：2024-06-18，
  
  修回：2024-11-13，
  
  录用：2025-02-22，
  
  纸质出版：2026-09-15
- 稿件说明：
移动端阅览
周梅君,袁晓玲,王磊等.小组多媒体语言训练对孤独症谱系障碍儿童语言功能缺陷干预效果研究[J].中国听力语言康复科学杂志,2026,24(05):530-533.

ZHOU Mei-jun,YUAN Xiao-ling,WANG Lei,et al.A Study of the Effect of Group Multimedia Language Training on the Intervention of Language Functional Deficits in Children with Autism Spectrum Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(05):530-533.
周梅君,袁晓玲,王磊等.小组多媒体语言训练对孤独症谱系障碍儿童语言功能缺陷干预效果研究[J].中国听力语言康复科学杂志,2026,24(05):530-533. DOI： 10.3969/j.issn.1672-4933.2026.05.015.

ZHOU Mei-jun,YUAN Xiao-ling,WANG Lei,et al.A Study of the Effect of Group Multimedia Language Training on the Intervention of Language Functional Deficits in Children with Autism Spectrum Disorders[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(05):530-533. DOI： 10.3969/j.issn.1672-4933.2026.05.015.

摘要

目的

探讨小组多媒体语言训练形式对学龄前孤独症谱系障碍（autism spectrum disorders，ASD）儿童语言功能的影响，为临床康复干预提供参考。

方法

以60例扬州市妇幼保健院2～6岁学龄前ASD儿童为研究对象，随机分为观察组和对照组。对照组进行以应用行为分析（applied behavior analysis，ABA）理论为基础的回合式教学，观察组在常规回合式教学基础上增加小组多媒体语言训练。干预前后采用孤独症儿童心理教育评核第三版（psycho-educational profile， third edition，PEP-3）评估患儿沟通、体能、行为总体功能水平变化。用语言行为里程碑评估及安置程序（verbal behavior milestones assessment and placement program，VB-MAPP）中的提要求、命名、仿说、对话、语言结构作为研究指标，分析儿童语言功能影响指标。

结果

干预前两组儿童各项数据无显著差异（

0.05）。干预后各项分值均有显著改善（

0.05）。观察组干预后PEP-3量表3个合成因子数据及VB-MAPP量表中提要求、命名、对话、语言结构4个领域改善较对照组明显，差异有统计学意义（

0.05）。

结论

小组多媒体语言训练对ASD儿童词汇量、结构性语言技能、语用功能改善有明显效果。

Abstract

Objective

This study examines the impact of multimedia language training in group settings on the language functional of preschool children with autism spectrum disorders (ASD)

in order to provide a basis and reference for clinical rehabilitation interventions.

Methods

60 children aged 2-6 years from the Yangzhou Women and Children's Hospital was recruited. They were randomly assigned to either an intervention group or a control group. The control group received standard ABA-based instruction

while the observation group supplemented conventional discrete trial teaching with small-group multimedia language training. Pre- and post-intervention assessments were conducted using the Autism Spectrum Disorder Children's Psychological Education Assessment

Third Edition (psycho-educational profile

third edition

PEP-3) to assess changes in communication

physical abilities

and overall behavioral functioning. The language funcational were evaluated using the Vocabulary Behavior Milestones Assessment and Placement Program (VB-MAPP)

focusing on specific indicators

such as requesting

naming

imitation

conversation

and grammatical structure.

Results

There were no statistically significant differences between the two groups prior to intervention (

0.05). The Both groups showed improvements post-intervention

with statistically significant differences (

0.05). The intervention group showed significant improvements in PEP-3 composite factors and VB-MAPP domains of requesting

naming

conversation

and language structure compared to the control group.

Conclusion

Language training in a group setting is effective in improving the vocabulary

structural language skills and pragmatic functioning of children with ASD.

关键词

Keywords

references

Mussap M , Noto A , Fanos V . Metabolomics of autism spectrum disorders: early insights regarding mammalian-microbial cometabolites [J ] . Expert Review of Molecular Diagnostics , 2016 , 16 ( 8 ): 869 - 881 .

Vogindroukas I , Stankova M , Chelas EN , et al . Language and speech characteristics in autism [J ] . Neuropsychiatric Disease and Treatment , 2022 , 18 : 2367 - 2377 .

Schaeffer J , Abd El-Raziq M , Castroviejo E , et al . Language in autism: domains, profiles and co-occurring conditions [J ] . Journal of Neural Transmission , 2023 , 130 ( 3 ): 433 - 457 .

Reindal L , Nærland T , Weidle B , et al . Structural and Pragmatic Language Impairments in Children Evaluated for Autism Spectrum Disorder (ASD) [J ] . Journal of Autism and Developmental Disorders , 2023 , 53 ( 2 ): 701 - 719 .

McDaniel J , Yoder P , Estes A , et al . Predicting expressive language from early vocalizations in young children with autism spectrum disorder: which vocal measure is best? [J ] . Journal of Speech, Language, and Hearing Research , 2020 , 63 ( 5 ): 1509 - 1520 .

Brignell A , Chenausky KV , Song H , et al . Communication interventions for autism spectrum disorder in minimally verbal children [J ] . Cochrane Database of Systematic Reviews , 2018 , 11 ( 11 ): CD012324 .

Maksimović S , Marisavljević M , Stanojević N , et al . Importance of Early Intervention in Reducing Autistic Symptoms and Speech-Language Deficits in Children with Autism Spectrum Disorder [J ] . Children , 2023 , 10 ( 1 ): 122 .

Sandbank M , Bottema-Beutel K , Crowley S , et al . Intervention effects on language in children with autism: A project AIM meta-analysis [J ] . Journal of Speech, Language, and Hearing Research , 2020 , 63 ( 5 ): 1537 - 1560 .

MacDonald-Prégent A , Saiyed F , Hyde K , et al . Response to music-mediated intervention in autistic children with limited spoken language ability [J ] . Journal of Autism and Developmental Disorders , 2024 , 54 ( 4 ): 1438 - 1452 .

Posar A , Visconti P . Update about "minimally verbal" children with autism spectrum disorder [J ] . Revista Paulista de Pediatria , 2021 , 40 : e2020158 .

Steinbrenner JRD . Fostering communication in elementary school children on the autism spectrum who are minimally verbal [J ] . Seminars in Speech and Language , 2018 , 39 ( 2 ): 103 - 113 .

郑禹英 , 罗滔 , 黄昭鸣 , 等 . 孤独症谱系障碍儿童前语言期沟通性发声干预疗法的有效性研究 [J ] . 中国听力语言康复科学杂志 , 2023 , 21 ( 4 ): 344 - 347 .

Cui M , Ni Q , Wang Q . Review of intervention methods for language and communication disorders in children with autism spectrum disorders [J ] . PeerJ , 2023 , 11 : e15735 .

李丽芳 , 李晶 , 张长杰 . 应用行为分析联合语言治疗对孤独症谱系障碍儿童语言能力的影响 [J ] . 中华物理医学与康复杂志 , 2024 , 46 ( 2 ): 139 - 144 .

李丹 , 肖晗 , 沈晓 , 等 . 辅助沟通系统应用于"无语言"孤独症儿童沟通技能干预的研究述评 [J ] . 中国特殊教育 , 2022 ( 7 ): 62 - 70,81 .

Rose V , Paynter J , Vivanti G , et al . Predictors of expressive language change for children with autism spectrum disorder receiving AAC-infused comprehensive intervention [J ] . Journal of Autism and Developmental Disorders , 2020 , 50 ( 1 ): 278 - 291 .

Yang J , Gu W , Feng C . Evaluating interactive language for children with Autism Spectrum Disorder (ASD) in different contexts [J ] . Children , 2022 , 9 ( 6 ): 787 .

Bölte S , Mahdi S , de Vries PJ , et al . The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets [J ] . Autism , 2019 , 23 ( 2 ): 449 - 467 .

Clark-Whitney E , Klein CB , Hadley PA , et al . Caregiver Language Input Supports Sentence Diversity in Young Children With Autism Spectrum Disorder [J ] . Journal of Speech, Language, and Hearing Research , 2022 , 65 ( 4 ): 1465 - 1477 .

American Psychiatric Association . Diagnostic and statistical manual of mental disorders (DSM-5) [M ] . 5th ed . Washington DC : American Psychiatric Publishing , 2015 . 31 - 87 .

Wang SH , Zhang HT , Zou YY , et al . Efficacy and moderating factors of the Early Start Denver Model in Chinese toddlers with autism spectrum disorder: a longitudinal study [J ] . World Journal of Pediatrics , 2023 , 19 ( 8 ): 741 - 752 .

马书采 , 李孟春 , 乔宇 , 等 . 回合式教学法的有效学习:来自自闭症儿童职前教师的证据 [J ] . 心理学报 , 2023 , 55 ( 2 ): 237 - 256 .

耿立蒙 , 刘聪聪 , 李玲 , 等 . 运用心理教育量表(第3版)评估孤独症谱系障碍儿童心理行为特征 [J ] . 中国康复理论与实践 , 2023 , 29 ( 9 ): 1035 - 1039 .

Montallana KL , Gard BM , Lotfizadeh AD , et al . Inter-rater agreement for the milestones and barriers assessments of the verbal behavior milestones assessment and placement program(VB-MAPP) [J ] . Journal of Autism and Developmental Disorders , 2019 , 49 ( 5 ): 2015 - 2023 .

Barokova MD , La Valle C , Hassan S , et al . Eliciting language samples for analysis (ELSA): A new protocol for assessing expressive language and communication in autism [J ] . Autism Research , 2021 , 14 ( 1 ): 112 - 126 .

Kissine M , Saint-Denis A , Mottron L . Language acquisition can be truly atypical in autism: Beyond joint attention [J ] . Neuroscience & Biobehavioral Reviews , 2023 , 153 : 105384 .

黎文倩 . 孤独症儿童在三甲医院的首诊年龄及其影响因素分析 [D ] . 重庆 : 重庆医科大学 , 2018 .

Liu XL , Zahrt DM , Simms MD . An interprofessional team approach to the differential diagnosis of children with language disorders [J ] . Pediatric Clinics of North America , 2018 , 65 ( 1 ): 73 - 90 .

赵彦敏 . 多媒体感觉统合训练联合奖励法语言训练在孤独症谱系语言障碍患儿中的应用效果 [J ] . 河南医学研究 , 2024 , 33 ( 14 ): 2588 - 2591 .

周利红 , 尚培民 . 团体语言训练对ASD患儿行为功能和智力水平的影响 [J ] . 数理医药学杂志 , 2021 , 34 ( 8 ): 1253 - 1254 .

蔡娟娥 , 李晓乐 , 李家妮 . 团体语言训练、团体感觉统合游戏及图片交换沟通系统对自闭症儿童行为及康复效果的影响 [J ] . 医学理论与实践 , 2021 , 34 ( 2 ): 340 - 342 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

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

基于多主体协同视角的人工智能支持孤独症谱系障碍儿童教育干预的实践挑战与优化路径

基于社会故事法改善孤独症谱系障碍儿童同伴交往主动性个案研究

基于协同学序参量的孤独症谱系障碍学生融合教育课堂协同机制实证研究

宁夏回族自治区孤独症谱系障碍儿童家庭养护现状及支持资源需求调查研究