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지적장애아의 언어지연

Speech Delay of Children with Mental Retardation

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초록

Purpose : The purposes of this paper are to analyse the degree of language delay according to the classification and the etiology of mental retardation and to assess the efficacy of language treatment in children who received language treatment. Methods : The number of the subjects for the research is 79. The subjects had been diagnosed as children of mental retardation after a language development test from the language treatment center of the Chungnam National University Hospital from January, 2003 to December, 2007. We gathered the data concerning their main complaints, their etiology of mental retardation, their results of a language development test and an intelligence test, and their results of language treatment. Results : The results of our analysis to the data are as follows: The distribution of mental retardation classified as mild, moderate, and severe is 51.9% of the subjects, 27.9% and 20.2% each. The etiology of mental retardation is distributed as postnatal(20.3%), prenatal(13.9%), prenatal(5.1%), and idiopathic(60.7%). According to the classification of mental retardation, receptive, expressive, and synthetic language show a significant difference. There is no significant difference in the etiology of mental retardation in statistics. Among 28 children taken a language test after language treatment, 14 mild mental retarded children made their language delay to be shortened by 19.9 months, 10 moderate mental retarded children made their language delay to be shortened by 7.2 months, and 4 severe mental retarded children reduced their language delay by 1.3 month. Conclusion : The more severe mental retardation is, the longer language delay occurred. But there is no significant difference to language delay according to the etiology of mental retardation. After language treatment, mild mental retarded children show the remarkable shortening of language delay, while moderate and severe mental retarded children are slightly shortening. Therefore, it is thought that more active language treatment is needed to mild mental retarded children.

Abstract

Purpose : The purposes of this paper are to analyse the degree of language delay according to the classification and the etiology of mental retardation and to assess the efficacy of language treatment in children who received language treatment. Methods : The number of the subjects for the research is 79. The subjects had been diagnosed as children of mental retardation after a language development test from the language treatment center of the Chungnam National University Hospital from January, 2003 to December, 2007. We gathered the data concerning their main complaints, their etiology of mental retardation, their results of a language development test and an intelligence test, and their results of language treatment. Results : The results of our analysis to the data are as follows: The distribution of mental retardation classified as mild, moderate, and severe is 51.9% of the subjects, 27.9% and 20.2% each. The etiology of mental retardation is distributed as postnatal(20.3%), prenatal(13.9%), prenatal(5.1%), and idiopathic(60.7%). According to the classification of mental retardation, receptive, expressive, and synthetic language show a significant difference. There is no significant difference in the etiology of mental retardation in statistics. Among 28 children taken a language test after language treatment, 14 mild mental retarded children made their language delay to be shortened by 19.9 months, 10 moderate mental retarded children made their language delay to be shortened by 7.2 months, and 4 severe mental retarded children reduced their language delay by 1.3 month. Conclusion : The more severe mental retardation is, the longer language delay occurred. But there is no significant difference to language delay according to the etiology of mental retardation. After language treatment, mild mental retarded children show the remarkable shortening of language delay, while moderate and severe mental retarded children are slightly shortening. Therefore, it is thought that more active language treatment is needed to mild mental retarded children.

참고문헌 (27)

  1. Gupta VB., "Mental retardation. In Developmental and Behavioral Problems in Children", pp.53~70 (1999), Marcel Dekler Inc
  2. Swaiman KF, "Mental retardation In Pediatric Neurology. Principles and Practices", pp.148~152 (2006), Mosby
  3. Crocker AC., "The causes of mental retardation", Pediatr Ann, 18, pp.623~629 (1989)
  4. Ludlow CL., "Children's language disorders: recent research advances", Ann Neurol, 7, pp.497~507 (1980)
  5. Kim JB., "The efficacy of speech and language therapy for children with speech and language delays according to the eiologies", J Korean Pediatr Soc, 48, pp.924~928 (2005)
  6. Daily DK., "Identification and evaluation of mental retardation", Am Fam Phys, 61, pp.1059~1067 (2000)
  7. Welesley D., "The etiology of intellectual disability in Western Australia: a community-based study", Dev Med Child Neurol, 33, pp.963~973 (1991)
  8. Kim YY., "A clinical study on mental retardation of preschool children diagnosed in pediatric developmental clinic", J Korean Pediatr Soc, 47, pp.158~163 (2004)
  9. Aase JM., "Dysmorphologic diagnosis for the pediatric practitioner", Pediatr Clin North Am, 29, pp.135~156 (1992)
  10. Nevo Y., "Macrocephaly in children with developmental disabilities", Pediatr Neurol, 27, pp.363~368 (2002)
  11. Watemberg N., "Significance of macrocephaly among children with developmental disabilities", J Child Neurol, 17, pp.117~122 (2002)
  12. Nevo Y., "Unproved seizures and developmental disabilities: clinical characteristics of children referred to a child divelopment center", Pediatr Neurol, 13, pp.235~241 (1995)
  13. Silva PA., "The prevalence, stability and significance of developmental language delay in preschool children", Cevel Med Child Neurol, 22, pp.768~777 (1980)
  14. Law J., "Treating children with speech and language impairments", BMJ, 321, pp.908~909 (2000)
  15. Gibbard D., "Cost- effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive langunage delay", Int J lang Commun Disord, 39, pp.229~244 (2004)
  16. Glogowska M., "Randomised controlled trial of community based speech and language therapy for preschool children", BMJ, 321, pp.923~926 (2000)
  17. Whitehurst GJ., "Practitioner review : early developmental language delay: what, if, anything, should the clinician do about it?", J Child Psychil Psychiatry, 35, pp.613~648 (1994)
  18. Kim SY., "The relationship between developmental quotient in children with delayed language development and later intellectual quotient", J Korean Pediatr Soc, 47, pp.496~504 (2004)
  19. Abbeduto L., "Relation between the receptive language and mental age of persons with mental retardation", Am J Merit Retard, 93, pp.525~543 (1989)
  20. Cole KN., "Stability of the intelligence quotient-language relation: Is discrepancy modelling based on a myth?", Am J Merit Retard, 97, pp.131~143 (1992)
  21. Ko U., "Developmental analysis of a receptive language skill according to mentally retarded students' intelligence level", Journal of Mental Retardation, 8, pp.203~215 (2006)
  22. Hodapp RM., "Mental retardation's two cultures of behavioral research", Am J Ment Retard, 98, pp.675~687 (1994)
  23. Abbeduto L., "Receptive language skills of adolescents and young adults with mental retardation: A comparison of Down syndrome and fragile X syndrome", Am J Ment Retard, 108, pp.149~160 (2003)
  24. Fey M., "Preparing preschoolers for the academic challenges of school in : Language Intervention; Preschool Through the Elementary Years", pp.3~38 (1995), Brookes
  25. Reiss AL., "The contribution of neuroimaging to behavioral neurogenetics research in :Neuorimaging", pp.147~168 (1996), Brookes
  26. Gardner, H., "Multiple intelligences as a partner in school improvement", Educational leadership, 55, pp.20~21 (1997)
  27. Braun, O., "Psychologie der Sprachbehinderten in : Paedagogik der sprachbehinderten", pp.537~552 (1980), Handbuch der Sonderpaedagogik

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