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Results for “Communication Disorders”

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PubMed1980

Understanding and assessing communicative disorders in children.

The pediatrician is frequently confronted with the problem of diagnosis and treatment of preschool-aged children suspected of having middle ear disease and speech / language impairments. Guidelines for referral of these children (otolaryngologist, audiologist, speech therapist) have not been clearly defined. The use of tympanometry and acoustic reflex testing was described to assist in the diagnosis of middle ear pathology, to provide an objective way to monitor spontaneous or antibiotic-induced remissions and to determine more accurately when a referral for surgical intervention is needed. A 35-item screening test is described, permitting speech and language assessments in the office and quantifying and comparing with age peers: vocabulary, articulation, receptive language and expressive language abilities. These office interventions enhance the physician's ability to judiciously recommend consultations.

Acoustic Impedance Tests↗
PubMed1981

Prevalence, type, and correlates of psychiatric diagnoses in 200 children with communication disorder.

The type and prevalence of psychiatric disorders were assessed in 200 children with speech and language disorders referred to a suburban speech and hearing clinic. Possible correlates of psychiatric disorder, including demographic factors, medical and developmental problems, psychosocial stressors, and speech and language factors, were also assessed. Standardized psychiatric and speech and language evaluations were done for all subjects, as were IQ and academic testing. Approximately 50% of the sample had some definable psychiatric disorder. The most common diagnoses were behavior disorders, followed by emotional disorders. The presence of psychiatric disorder was strongly correlated with speech and language factors, as well as psychosocial stressors. These findings have implications for primary care practitioners and speech and language therapists involved in planning treatment programs for such children.

Adolescent↗