RESUMEN

In a sample of 46 children aged 4-7 years with Autism Spectrum Disorder (ASD) and intelligible speech, there was no statistical support for the hypothesis of concomitant Childhood Apraxia of Speech (CAS). Perceptual and acoustic measures of participants' speech, prosody, and voice were compared with data from 40 typically-developing children, 13 preschool children with Speech Delay, and 15 participants aged 5-49 years with CAS in neurogenetic disorders. Speech Delay and Speech Errors, respectively, were modestly and substantially more prevalent in participants with ASD than reported population estimates. Double dissociations in speech, prosody, and voice impairments in ASD were interpreted as consistent with a speech attunement framework, rather than with the motor speech impairments that define CAS.

Asunto(s)

Apraxias/complicaciones , Trastornos Generalizados del Desarrollo Infantil/complicaciones , Trastornos del Habla/complicaciones , Adolescente , Adulto , Apraxias/diagnóstico , Niño , Trastornos Generalizados del Desarrollo Infantil/diagnóstico , Preescolar , Femenino , Humanos , Pruebas del Lenguaje , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Trastornos del Habla/diagnóstico

RESUMEN

We present results obtained with new instrumental methods for the acoustic analysis of prosody to evaluate prosody production by children with Autism Spectrum Disorder (ASD) and Typical Development (TD). Two tasks elicit focal stress - one in a vocal imitation paradigm, the other in a picture-description paradigm; a third task also uses a vocal imitation paradigm, and requires repeating stress patterns of two-syllable nonsense words. The instrumental methods differentiated significantly between the ASD and TD groups in all but the focal stress imitation task. The methods also showed smaller differences in the two vocal imitation tasks than in the picture-description task, as was predicted. In fact, in the nonsense word stress repetition task, the instrumental methods showed better performance for the ASD group. The methods also revealed that the acoustic features that predict auditory-perceptual judgment are not the same as those that differentiate between groups. Specifically, a key difference between the groups appears to be a difference in the balance between the various prosodic cues, such as pitch, amplitude, and duration, and not necessarily a difference in the strength or clarity with which prosodic contrasts are expressed.

Asunto(s)

Trastorno Autístico/psicología , Instrucción por Computador , Acústica del Lenguaje , Percepción Auditiva , Niño , Preescolar , Instrucción por Computador/métodos , Humanos , Juicio , Fonética , Escalas de Wechsler

RESUMEN

Assessment of prosody is important for diagnosis and remediation of speech and language disorders, for diagnosis of neurological conditions, and for foreign language instruction. Current assessment is largely auditory-perceptual, which has obvious drawbacks; however, automation of assessment faces numerous obstacles. We propose methods for automatically assessing production of lexical stress, focus, phrasing, pragmatic style, and vocal affect. Speech was analyzed from children in six tasks designed to elicit specific prosodic contrasts. The methods involve dynamic and global features, using spectral, fundamental frequency, and temporal information. The automatically computed scores were validated against mean scores from judges who, in all but one task, listened to "prosodic minimal pairs" of recordings, each pair containing two utterances from the same child with approximately the same phonemic material but differing on a specific prosodic dimension, such as stress. The judges identified the prosodic categories of the two utterances and rated the strength of their contrast. For almost all tasks, we found that the automated scores correlated with the mean scores approximately as well as the judges' individual scores. Real-time scores assigned during examination - as is fairly typical in speech assessment - correlated substantially less than the automated scores with the mean scores.