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Die \u201eprim\u00e4ren SES\u201c (Pr\u00e4valenz etwa 7\u202f%) werden im Unterschied zu \u201esekund\u00e4ren SES\u201c nicht durch andere Entwicklungsst\u00f6rungen bzw. Erkrankungen (mit-)verursacht. In der deutschen Modifikation der Internationalen Statistischen Klassifikation der Krankheiten und verwandter Gesundheitsprobleme (ICD-10-GM-22) werden die prim\u00e4ren SES als \u201eUmschriebene Entwicklungsst\u00f6rungen des Sprechens und der Sprache\u201c (USES) bezeichnet, wobei u.\u202fa. ein Intelligenzquotient (IQ) &lt;\u202f85 als Ausschlusskriterium gilt. In der ICD-11 werden prim\u00e4re SES als \u201eDevelopmental Language Disorder\u201c (DLD) angegeben.<\/jats:p><jats:p>Deutschsprachige Sprachtherapeut*innen m\u00f6chten nun den Terminus \u201eUSES\u201c durch \u201eDLD\u201c ersetzen und dabei die Diagnosekriterien verwenden, die vom internationalen CATALISE-Consortium (Criteria and Terminology Applied to Language Impairments Synthesizing the Evidence) vorgeschlagen werden, in deren Bestreben, eine Neubestimmung des St\u00f6rungsbildes vorzunehmen. Nach dieser Konzeption werden jedoch nur Kinder mit einer geistigen Behinderung (IQ &lt;\u202f70) von der Diagnose ausgeschlossen. Dieser Wechsel in den diagnostischen Kriterien h\u00e4tte h\u00f6chstwahrscheinlich einen Anstieg der Pr\u00e4valenz zur Folge. Damit wird die Frage der Fr\u00fcherkennung wichtiger denn je. In diesem Diskussionsbeitrag wird erkl\u00e4rt, dass die Public-Health-Relevanz der prim\u00e4ren SES w\u00e4chst und systematischen Fr\u00fcherkennungsuntersuchungen eine noch wichtigere Rolle zukommen wird. Mit einer fr\u00fchzeitigen Diagnose und Therapie k\u00f6nnen Risiken in den Bereichen psychische Gesundheit, Verhalten und Entwicklung von Fertigkeiten gemindert werden.<\/jats:p><jats:p>Derzeit erfolgen Diagnostik (und Therapie) meist relativ sp\u00e4t. Der Ausweg k\u00f6nnte in der Anwendung neurobiologischer Parameter liegen. Dazu werden jedoch weitere Studien ben\u00f6tigt, die Kinderkohorten in einem prospektiven longitudinalen Design auf Fr\u00fchindikatoren untersuchen. Auch die Bildung eines Fr\u00fcherkennungsindex aus mehreren Indikatoren ist zu erw\u00e4gen.<\/jats:p>","DOI":"10.1007\/s00103-022-03571-6","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T15:02:58Z","timestamp":1658415778000},"page":"909-916","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fr\u00fcherkennung prim\u00e4rer Sprachentwicklungsst\u00f6rungen\u00a0\u2013 zunehmende Relevanz durch \u00c4nderung der Diagnosekriterien?","Early detection of primary developmental language disorders\u2014increasing relevance due to changes in diagnostic criteria?"],"prefix":"10.1007","volume":"65","author":[{"given":"Christiane","family":"Kiese-Himmel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"3571_CR1","unstructured":"Law J, Levickis P, McKean C, Goldfeld S, Snow P, Reilly S (2017) Development Language Disorder\u2014a\u00a0public health problem? 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