文献综述

儿童语用能力的发展、评估及其在神经发育障碍诊断中的应用

  • 李雪薇 ,
  • 刘晓
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  • 重庆医科大学附属儿童医院儿童青少年生长发育与心理健康中心 儿童神经发育与认知障碍重庆市重点实验室 国家儿童健康与疾病临床医学研究中心 儿童发育疾病研究教育部重点实验室(重庆 401146)
刘晓 电子信箱:xiaoliucq@hospital.cqmu.edu.cn

收稿日期: 2025-11-15

  录用日期: 2025-12-31

  网络出版日期: 2026-03-31

Development and assessment of children's pragmatic competence and its application in the diagnosis of neurodevelopmental disorders

  • LI Xuewei ,
  • LIU Xiao
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  • Growth, Development and Mental Health, Center of Children and Adolescents, Children's Hospital of Chongqing Medical University, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorder, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 401146, China

Received date: 2025-11-15

  Accepted date: 2025-12-31

  Online published: 2026-03-31

摘要

语用能力是在特定语境中准确理解和恰当运用语言的能力。儿童语用能力的发展与神经发育障碍性疾病之间存在较为密切的相关性。部分神经发育障碍性疾病常伴随不同程度的语用交流障碍,患者多因语言或语用相关问题就诊,进而被确诊。深入探究正常儿童语用能力的发展规律及其标准化评估工具,对早期识别儿童行为问题和发育障碍风险具有重要指导意义。目前常用的语用能力标准化评估工具多为国外学者开发,包括儿童沟通检查表、语用语言测试、语言使用量表等,这些工具存在文化适应性不足、评估维度针对性不强等问题。国内本土化标准化评估工具仍较为匮乏且应用有限。本文综述了正常儿童语用能力的发展轨迹、现有语用能力标准化评估工具的研究进展,以及语用能力与神经发育障碍性疾病之间的关联,并探讨了未来的研究方向与挑战,为国内语用能力标准化评估工具的研发提供参考。

本文引用格式

李雪薇 , 刘晓 . 儿童语用能力的发展、评估及其在神经发育障碍诊断中的应用[J]. 临床儿科杂志, 2026 , 44(4) : 341 -347 . DOI: 10.12372/jcp.2026.25e1439

Abstract

Pragmatic competence refers to the ability to accurately understand and appropriately use language in a specific context.There is a relatively close correlation between the development of children's pragmatic competence and neurodevelopmental disorders. Some neurodevelopmental disorders are often accompanied by pragmatic communication disorders of varying degrees, and patients mostly seek medical attention due to language or pragmatics-related problems, which leads to their final diagnosis. In-depth research on the development patterns of pragmatic competence in normal children and their standardized assessment tools is of great guiding significance for the early identification of behavioral problems and developmental disorders risks in children. Most of the currently used standardized assessment tools for pragmatic competence are developed by foreign scholars, including the children's communication checklist, the test of pragmatic language, and the language use inventory. However, these tools have such limitations as insufficient cultural adaptability and lack of targeted assessment dimensions. Localized, standardized assessment tools in China are still relatively scarce and have limited application.This article reviews the development trajectory of normal children's pragmatic competence, the research progress in existing standardized assessment tools for pragmatic competence, and the relationship between pragmatic competence and neurodevelopmental disorders.It also discusses the future research directions and challenges, thus providing a reference for the development of standardized assessment tools for pragmatic competence in China.

参考文献

[1] 何自然. 新编语用学概论[M]. 北京: 北京大学出版社, 2009.
  He ZR. Newly compiled introduction to pragmatics[M]. Beijing: Peking University Press, 2009.
[2] Stalker JC. Communicative competence, pragmatic functions, and accommodation[J]. Applied Linguistics, 1989, 10 (2): 182-193.
[3] American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5[M]. Arlington, VA: American Psychiatric Association Publishing, 2013.
[4] Dolata JK, Suarez S, Calamé B, et al. Pragmatic language markers of autism diagnosis and severity[J]. Res Autism Spectr Disord, 2022, 94: 101970.
[5] 刘晓, 金星明. 前语言阶段语言发育进程的研究[J]. 重庆医学, 2006, 35(10): 930-931+933.
  Liu X, Jin XM. Research on the language development process in the pre-linguistic stage[J]. Chongqing Yixue, 2006, 35(10): 930-931+933.
[6] 杨英, 赵亚茹, 潘虹地. 沈阳市婴儿早期语言理解和表达方式研究[J]. 中国中西医结合儿科学, 2015, 7(2): 127-129.
  Yang Y, Zhao YR, Pan HD. Research on early language comprehension and expression patterns of infants in Shenyang City[J]. Zhongguo Zhongxiyi Jiehe Erkexue, 2015, 7(2): 127-129.
[7] Stark RE, Bernstein LE, Demorest ME. Vocal comm-unication in the first 18 months of life[J]. J Speech Hear Res, 1993, 36(3): 548-558.
[8] Tomasello M. Constructing a language: a usage-based theory of language acquisition[M]. Massachusetts: Harvard University Press, 2003.
[9] 周兢, 李晓燕. 0-6岁汉语儿童语用交流行为发展与分化研究[J]. 中国文字研究, 2008(1): 139-148.
  Zhou J, Li XY. Research on the development and differentiation of pragmatic communication behaviors in Chinese children aged 0-6[J]. Zhongguo Wenzi Yanjiu, 2008(1): 139-148.
[10] Nippold MA, Leonard LB, Anastopoulos A. Development in the use and understanding of polite forms in children[J]. J Speech Hear Res, 1982, 25(2): 193-202.
[11] 程璐璐, 高阳, 刘艳芹. 发展语用学视域下学龄前儿童叙事能力发展研究[J]. 西安外国语大学学报, 2023, 31(3): 53-58.
  Cheng LL, Gao Y, Liu YQ. Research on the development of narrative ability in preschool children from the perspective of developmental pragmatics[J]. Xi’an Waiguoyu Daxue Xuebao, 2023, 31(3): 53-58.
[12] 何自然. 语言模因中的元语用意识[J]. 华文教学与研究, 2021, 1: 41-47.
  He ZR. Meta-pragmatic awareness in language memes[J]. Huawen Jiaoxue Yu Yanjiu, 2021, 1: 41-47.
[13] Norbury CF, Nash M, Baird G, et al. Using a parental checklist to identify diagnostic groups in children with communication impairment: a validation of the children's communication checklist--2[J]. Int J Lang Commun Disord, 2004, 39(3): 345-364.
[14] Glumbić N, Brojčin B. Factor structure of the Serbian version of the children's communication checklist-2[J]. Res Dev Disabil, 2012, 33(5): 1352-1359.
[15] Bishop DV, Baird G. Parent and teacher report of pragmatic aspects of communication: use of the children's communication checklist in a clinical setting[J]. Dev Med Child Neurol, 2001, 43(12): 809-818.
[16] de la Torre Carril A, Durán-Bouza M, Pérez-Pereira M. Capacity of the CCC-2 to discriminate ASD from other neurodevelopmental disorders[J]. Children (Basel), 2021, 27, 8(8): 640.
[17] Geurts HM, Hartman C, Verté S, et al. Pragmatics fragmented: the factor structure of the Dutch children's communication checklist (CCC)[J]. Int J Lang Commun Disord, 2009, 44(5): 549-574.
[18] Wellnitz SAC, Kästel I, Vllasaliu L, et al. The revised children's communication checklist-2 (CCC-R): Factor structure and psychometric evaluation[J]. Autism Res, 2021, 14(4): 759-772.
[19] Hoffmann A, Martens MA, Fox R, et al. Pragmatic language assessment in Williams syndrome: a comparison of the test of pragmatic language-2 and the children's communication checklist-2[J]. Am J Speech Lang Pathol, 2013, 22(2): 198-204.
[20] Volden J, Phillips L. Measuring pragmatic language in speakers with autism spectrum disorders: comparing the children's communication checklist--2 and the test of pragmatic language[J]. Am J Speech Lang Pathol, 2010, 19(3): 204-212.
[21] Young EC, Diehl JJ, Morris D, et al. The use of two language tests to identify pragmatic language problems in children with autism spectrum disorders[J]. Lang Speech Hear Serv Sch, 2005, 36(1): 62-72.
[22] Carvalho CA, Lúcio PS, Ávila CR, et al. Psychometric equivalence of the Brazilian version of the test of pragmatic language 2-TOPL-2[J]. Codas, 2015, 27(4): 344-349.
[23] O'Neill DK. The language use inventory for young children: a parent-report measure of pragmatic language development for 18- to 47-month-old children[J]. J Speech Lang Hear Res, 2007, 50(1): 214-228.
[24] Brocchi BS, Osborn E, Perissinoto J. Translation of the parental inventory “language use inventory” into Brazilian Portuguese[J]. Codas, 2019, 31(2): e20180129.
[25] Gascón N, Baixauli I, Tatay MC. Reliability, validity and developmental sensitivity of the language use inventory (LUI) in the Spanish context[J]. J Commun Disord, 2024, 113: 106488.
[26] 樊晨晔, 王佳欣, 卢海丹. 5-10岁儿童汉语语用能力筛查问卷的编制及信度效度验证[J]. 听力学及言语疾病杂志, 2025, 33(4): 353-358.
  Fan CY, Wang JX, Lu HD. Development and reliability and validity verification of the Chinese pragmatic competence screening questionnaire for children aged 5-10[J]. Tinglixue Ji Yanyu Jibing Zazhi, 2025, 33(4): 353-358.
[27] 何思颖. 5-6岁儿童语用能力评估工具的编制及应用研究[D]. 重庆: 西南大学, 2020.
  He SY. Research on the development and ppplication of pragmatic ability assessment tools for children aged 5-6[D]. Chongqing: Southwest University, 2020.
[28] Qian L, Shao H, Fang H, et al. Reliability, validity and developmental sensitivity of the language use inventory (LUI) in the Chinese context[J]. Int J Lang Commun Disord, 2022, 57(3): 497-511.
[29] Baron-Cohen S, Leslie AM, Frith U. Does the autistic child have a "theory of mind"?[J]. Cognition, 1985, 21(1): 37-46.
[30] Paul R, Orlovski SM, Marcinko HC, et al. Conversational behaviors in youth with high-functioning ASD and Asperger syndrome[J]. J Autism Dev Disord, 2009, 39(1): 115-125.
[31] Green BC, Johnson KA, Bretherton L. Pragmatic language difficulties in children with hyperactivity and attention problems: an integrated review[J]. Int J Lang Commun Disord, 2014, 49(1): 15-29.
[32] Sciberras E, Mueller KL, Efron D, et al. Language problems in children with ADHD: a community-based study[J]. Pediatrics, 2014, 133(5): 793-800.
[33] Carruthers S, Taylor L, Sadiq H, et al. The profile of pragmatic language impairments in children with ADHD: a systematic review[J]. Dev Psychopathol, 2022, 34(5): 1938-1960.
[34] Tannock R, Schachar R. Executive dysfunction as an underlying mechanism of behavior and language problems in attention deficit hyperactivity disorder[M]. New York: Cambridge University Press, 1996.
[35] Willcutt EG, Doyle AE, Nigg JT, et al. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review[J]. Biol Psychiatry, 2005, 57(11): 1336-1346.
[36] Doebel S. Rethinking executive function and its development[J]. Perspect Psychol Sci, 2020, 15(4): 942-956.
[37] Branislav B, Mirjana D, Ivona MV. Pragmatic skills of children and youth with mild intellectual disability[J]. Specijalna Edukacija i Rehabilitacija, 2016, 15 (2): 95-118.
[38] Nona BF. The specific of the development of pragmatic communication skills in the context of intellectual disability[J]. Revista Română de Terapia Tulburărilor de Limbaj şi Comunicare, 2018, IV (2): 36-43.
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