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Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien?
Language development disorders (in German: Sprachentwicklungsstörungen, SES) are the most common developmental disorders in childhood. In contrast to “secondary SES,” “primary SES” (prevalence about 7%) are not (co-)caused by other developmental disorders or diseases. In the German modification of t...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436846/ https://www.ncbi.nlm.nih.gov/pubmed/35861864 http://dx.doi.org/10.1007/s00103-022-03571-6 |
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author | Kiese-Himmel, Christiane |
author_facet | Kiese-Himmel, Christiane |
author_sort | Kiese-Himmel, Christiane |
collection | PubMed |
description | Language development disorders (in German: Sprachentwicklungsstörungen, SES) are the most common developmental disorders in childhood. In contrast to “secondary SES,” “primary SES” (prevalence about 7%) are not (co-)caused by other developmental disorders or diseases. In the German modification of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-GM-22), primary SES are referred to as “circumscribed developmental disorders of speech and language” (in German: USES; international previously known as Specific Language Impairment SLI), with an intelligence quotient (IQ) < 85 as an exclusion criterion, among other criteria. In ICD-11, primary SES are listed as “developmental language disorders” (DLD). German-speaking speech and language therapists would now like to replace the term “USES” with “DLD” using the diagnostic criteria proposed by the international CATALISE consortium (Criteria and Terminology Applied to Language Impairments Synthesizing the Evidence), in an effort to redefine the disorder. However, according to this conceptualization, only children with an intellectual disability (IQ < 70) would be excluded from the diagnosis. This change in the diagnostic criteria would most likely result in an increase in prevalence of DLDs. This makes the issue of early detection more important than ever. This discussion paper explains that the public health relevance of primary SES is growing and that systematic early detection examinations will play an even more important role. With early diagnosis and treatment, risks in the areas of mental health, behaviour and skill development can be mitigated. Currently, diagnosis (and therapy) are usually carried out relatively late. The way out could lie in the application of neurobiological parameters. However, this requires further studies that examine child cohorts for early indicators in a prospective longitudinal design. The formation of an early detection index from several indicators should also be considered. |
format | Online Article Text |
id | pubmed-9436846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-94368462022-09-03 Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? Kiese-Himmel, Christiane Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz In der Diskussion Language development disorders (in German: Sprachentwicklungsstörungen, SES) are the most common developmental disorders in childhood. In contrast to “secondary SES,” “primary SES” (prevalence about 7%) are not (co-)caused by other developmental disorders or diseases. In the German modification of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-GM-22), primary SES are referred to as “circumscribed developmental disorders of speech and language” (in German: USES; international previously known as Specific Language Impairment SLI), with an intelligence quotient (IQ) < 85 as an exclusion criterion, among other criteria. In ICD-11, primary SES are listed as “developmental language disorders” (DLD). German-speaking speech and language therapists would now like to replace the term “USES” with “DLD” using the diagnostic criteria proposed by the international CATALISE consortium (Criteria and Terminology Applied to Language Impairments Synthesizing the Evidence), in an effort to redefine the disorder. However, according to this conceptualization, only children with an intellectual disability (IQ < 70) would be excluded from the diagnosis. This change in the diagnostic criteria would most likely result in an increase in prevalence of DLDs. This makes the issue of early detection more important than ever. This discussion paper explains that the public health relevance of primary SES is growing and that systematic early detection examinations will play an even more important role. With early diagnosis and treatment, risks in the areas of mental health, behaviour and skill development can be mitigated. Currently, diagnosis (and therapy) are usually carried out relatively late. The way out could lie in the application of neurobiological parameters. However, this requires further studies that examine child cohorts for early indicators in a prospective longitudinal design. The formation of an early detection index from several indicators should also be considered. Springer Berlin Heidelberg 2022-07-21 2022 /pmc/articles/PMC9436846/ /pubmed/35861864 http://dx.doi.org/10.1007/s00103-022-03571-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | In der Diskussion Kiese-Himmel, Christiane Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title | Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title_full | Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title_fullStr | Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title_full_unstemmed | Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title_short | Früherkennung primärer Sprachentwicklungsstörungen – zunehmende Relevanz durch Änderung der Diagnosekriterien? |
title_sort | früherkennung primärer sprachentwicklungsstörungen – zunehmende relevanz durch änderung der diagnosekriterien? |
topic | In der Diskussion |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436846/ https://www.ncbi.nlm.nih.gov/pubmed/35861864 http://dx.doi.org/10.1007/s00103-022-03571-6 |
work_keys_str_mv | AT kiesehimmelchristiane fruherkennungprimarersprachentwicklungsstorungenzunehmenderelevanzdurchanderungderdiagnosekriterien |