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A Study for Identifying Language Impairment in Preschooler

학령전기 아동언어장애 진단을 위한 조사연구

  • Received : 2012.12.11
  • Accepted : 2013.01.10
  • Published : 2013.01.31

Abstract

A total of 193 children between three and six years of age were given tests by using the PRES, REVT, KOSECT, and APAC. A specificity between referred and non-referred cases was not high. In the current study, the sensitivity of formal tests was insufficient. But combining of parental report with formal language tests could provide good criteria for identifying language impairment. The CCC-2 may provide an effective means to identify language difficulties using a standardized approach.

본 논문은 충남 ${\bigcirc}{\bigcirc}$군에서 4년 동안 만 3~6세 총 193명 아동에게 실시한 말 언어장애 검사 결과를 기초로 아동언어장애 진단의 민감도와 특이도를 알아보았다. 공식언어검사의 민감도가 낮고, 장애판정 가능성이 높은 아동이 치료에 의뢰되는 비율이 낮으며, 아동과 친숙한 사람의 보고형 체크리스트가 장애 진단에 유용할 수 있음을 제안하였다. PRES, REVT, KOSECT 및 APAC의 결과가 3%ile미만이면 통과하지 못한 것으로 판정했고, 5, 6세 아동의 교사에게 CCC2를 실시해 보고형 검사가 장애판정에 유용한지 조사했다. 장애로 판정받은 아동은 89.4%(민감도), 정상아동은 76.3%(특이도) 구별했다. 언어장애 가능성이 있는 아동이 치료에 의뢰되었는지 조사한 결과, 민감도 10.5%, 특이도 99.2%였다. CCC2의 GCC는 장애 가능성 집단과 그렇지 않은 집단에서 통계적으로 유의한 차이가 있었다.

Keywords

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