Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Clinical Implications of Social Communication Disorder

사회적 의사소통장애의 임상적 이해

  • Shin, Suk-Ho (Dr. Shin's Child and Adolescent Psychiatric Clinic)
  • 신석호 (신석호 소아청소년 정신과)
  • Received : 2017.05.01
  • Accepted : 2017.08.10
  • Published : 2017.10.01
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Abstract

Social (pragmatic) communication disorder (SCD) is a new diagnosis included under communication disorders in the neurodevelopmental disorders section of Diagnostic and Statistical Manual of Mental Disorders-5. SCD is defined as a primary deficit in the social use of nonverbal and verbal communication. SCD has very much in common with pragmatic language impairment, which is characterized by difficulties in understanding and using language in context and following the social rules of language, despite relative strengths in word knowledge and grammar. SCD and Autism Spectrum Disorder (ASD) are similar in that they both involve deficits in social communication skills, however individuals with SCD do not demonstrate restricted interests, repetitive behaviors, insistence on sameness, or sensory abnormalities. It is essential to rule out a diagnosis of ASD by verifying the lack of these additional symptoms, current or past. The criteria for SCD are qualitatively different from those of ASD and are not equivalent to those of mild ASD. It is clinically important that SCD should be differentiated from high-functioning ASD (such as Asperger syndrome) and nonverbal learning disabilities. The ultimate goals are the refinement of the conceptualization, development and validation of assessment tools and interventions, and obtaining a comprehensive understanding of the shared and unique etiologic factors for SCD in relation to those of other neurodevelopmental disorders.

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References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Association;2013.
  2. Bishop DVM. Pragmatic language impairment: a correlate of SLI, a distinct subgroup, or part of the autistic continuum? In: Bishop DVM, Leonard LB, editors. Speech language impairments in children: causes, characteristics, intervention and outcome. New York, NY: Psychology Press;2000.
  3. Yang MB, Shin SH. Autism Spectrum Disorder A to Z. 2nd ed. Seoul: Sigmapress;2016.
  4. Adams C. Clinical diagnostic and intervention studies of children with semantic-pragmatic language disorder. Int J Lang Commun Disord 2001;36:289-305.
  5. Bishop DV, Norbury CF. Exploring the borderlands of autistic disorder and specific language impairment: a study using standardised diagnostic instruments. J Child Psychol Psychiatry 2002;43:917-929. https://doi.org/10.1111/1469-7610.00114
  6. Conti-Ramsden G, Simkin Z, Botting N. The prevalence of autistic spectrum disorders in adolescents with a history of specific language impairment (SLI). J Child Psychol Psychiatry 2006;47:621-628. https://doi.org/10.1111/j.1469-7610.2005.01584.x
  7. Jin YS, Pae S. Communication profiles of school-aged children with social communication disorder and high-functioning autism. Commun Sci Disord 2014;19:45-59. https://doi.org/10.12963/csd.14102
  8. Swineford LB, Thurm A, Baird G, Wetherby AM, Swedo S. Social (pragmatic) communication disorder: a research review of this new DSM-5 diagnostic category. J Neurodev Disord 2014;6:41. https://doi.org/10.1186/1866-1955-6-41
  9. Interagency Autism Coordinating Committee. IACC statement regarding scientific, practice and policy implications of changes in the diagnostic criteria for autism spectrum disorder. Washington, DC:IACC;2014.
  10. Foley-Nicpon M, L Fosenburg S, G Wurster K, Assouline SG. Identifying high ability children with DSM-5 autism spectrum or social communication disorder: performance on autism diagnostic instruments. J Autism Dev Disord 2017;47:460-471. https://doi.org/10.1007/s10803-016-2973-4
  11. Mattila ML, Kielinen M, Jussila K, Linna SL, Bloigu R, Ebeling H, et al. An epidemiological and diagnostic study of Asperger syndrome according to four sets of diagnostic criteria. J Am Acad Child Adolesc Psychiatry 2007;46:636-646. https://doi.org/10.1097/chi.0b013e318033ff42
  12. Shin SH. Confusions and controversies about Asperger syndrome. J Korean Neuropsychiatr Assoc 2008;47:230-238.
  13. Shin SH. Nonverbal learning disabilities and Asperger syndrome. 2nd ed. Seoul: Sigmapress;2016.
  14. Gillberg C. A guide to Asperger syndrome. Cambridge: Cambridge University Press;2002.
  15. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. 4th ed. Text revision. Washington, DC: American Psychiatric Association;2000.
  16. Kim YS, Fombonne E, Koh YJ, Kim SJ, Cheon KA, Leventhal BL. A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample. J Am Acad Child Adolesc Psychiatry 2014;53:500-508. https://doi.org/10.1016/j.jaac.2013.12.021
  17. Fitzgerald M, Corvin A. Diagnosis and differential diagnosis of Asperger syndrome. Adv Psychiatr Treat 2001;7:310-318. https://doi.org/10.1192/apt.7.4.310
  18. Gavilan B, Fournier-Del Castillo C, Bernabeu-Verdu J. Differences between the neuropsychological profiles of Asperger's syndrome and non-verbal learning disorder. Rev Neurol 2007;45:713-719.

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  1. Social Cognitive Reinforcement Program for Children with Social Communication Disorders vol.39, pp.5, 2018, https://doi.org/10.5723/kjcs.2018.39.5.45