Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model

WANG Er-xiao; ZHANG Jing-jing; JIAN Fang-fang; ZHANG Jin-bao; XIANG Qiong

doi:10.3969/j.issn.1672-4933.2024.06.012

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Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model

Rehabilitation Education | 更新时间：2026-07-11

- Predictive Value of Language Milestone Acquisition in Children with Autism Spectrum Disorder at Different Ages Based on the Random Forest Model
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 22, Issue 6, Pages: 610-614(2024)
- 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：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.06.012
  CLC： R493
- Received：17 June 2024，
  
  Published：15 November 2024
- 稿件说明：
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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

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