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Comorbidities and behavioral problems in children with functional articulation disorder
ZHAO Yun-Jing, SUN Hong-Wei, MA Hong-Wei, ZHAO Ya-Ru
Chinese Journal of Contemporary Pediatrics ›› 2009, Vol. 11 ›› Issue (03) : 225-228.
PDF(1009 KB)
PDF(1009 KB)
Comorbidities and behavioral problems in children with functional articulation disorder
OBJECTIVE: To study the incidences of comorbidities and behavioral problems in children with functional articulation disorders. METHODS: One hundred and twelve children with functional articulation disorders (aged 4-11 years) were enrolled. Their comorbidities were identified based on clinical investigations and the DSM-IV diagnosis criteria of attention deficit hyperactivity disorder (ADHD), stuttering, tic disorders and enuresis. Behavioral problems were evaluated by the Conners Parent Symptom Questionnaire and the Child Behavior Checklist. RESULTS: Sixty-nine patients (61.6%) had one or more comorbidities. The incidence of comorbidity in children with middle-severe functional articulation disorders was higher than in those with mild disorders. The most common comorbidity was language impairment (30.4%), followed by stuttering (16.1%), enuresis (13.4%), and tic disorders (6.3%). In school age children, ADHD (47.5%) was the most common comorbidity. The incidence of behavioral problems was 40.2% by the Child Behavior Checklist and 57.1% by the Parent Symptom Questionnaire. CONCLUSIONS: The children with functional articulation disorders have high incidence of comorbidity and many behavioral problems.［Chin J Contemp Pediatr, 2009, 11 (3):225-228］
［1］Baker L, Cantwell D. Developmental articulation disorder［M］.//Sadock BJ, Sadock VA. Kaplan & Sadock′s Comprehensive Textbook of Psychiatry. 4th ed. Baltimore: Williams ﹠Wilkins, 1989, 1705-1708.
［2］Johnson CJ, Beitchman JH .Phonological disorder［M］.//Sadock BJ, Sadock VA. Kaplan & Sadock′s Comprehensive Textbook of Psychiatry. 7th ed. Baltimore:Lippincott Williams ＆ Wilkins. 2000, 2645-2650.
［3］Nathan L, Stackhouse J, Goulandris N, Snowling MJ. Educational consequences of developmental speech disorder: Key Stage 1 National Curriculum assessment results in English and mathematics［J］. Br J Educ Psychol, 2004, 74(Pt 2): 173-186.
［4］章依文,金星明,沈晓明, 张锦明. 2～3 岁儿童语言发育迟缓筛查标准的建立［J］.中国儿童保健杂志,2003 ,11 (5): 308-310.
［5］忻仁娥，唐素琴.全国22个省市26个单位24013名城市在校少年儿童行为问题调查［J］.上海精神医学，1992，4（1）：47-55.
［6］范娟，杜亚松，王立伟.Conners父母用症状问卷的中国城市常模和信度研究［J］.上海精神医学，2005，17（6）：321-323.
［7］Lewis BA, Shriberg LD, Freebairn LA, Hansen AJ, Stein CM, Taylor HG，et al. The genetic bases of speech sound disorders: evidence from spoken and written language ［J］.J Speech Lang Hear Res, 2006, 49(6): 1294-1312.
［8］Blood GW, Ridenour VJ, Qualls CD, Hammer CS.Co-occurring disorders in children who stutter ［J］. J Communication Disorder, 2003, 36(6): 427-448.
［9］宋辉青, 赵亚茹, 赵云静, 马学梅.功能性构音障碍儿童的持续性注意研究［J］. 中国临床心理学杂志， 2007，15（1）： 21-22.
［10］库力巴汗，李冬梅，叶尔肯，若敏，庞格加甫.新疆奎屯市汉族、哈萨克族学生注意缺陷多功障碍发病情况调查［J］. 中国当代儿科杂志， 2005，7（4）： 366-368.
［11］张宛夏，于战涛，董崇娟，李永辉.注意缺陷多功障碍患儿智力结构的特点及临床意义［J］. 中国当代儿科杂志， 2004，6（5）： 443-444.
［12］Felsenfeld S, Broen PA, McGue M. A 28year followup of adults with a history of moderate phonological disorder: educational and occupational results［J］. J Speech Hear Res, 1994，37 (6): 1341-1353.
