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PubMed1986

Handedness and sex of children with developmental language disorders.

The handedness and sex of 4- and 5-year-old children with developmental language disorders were studied through a comparison of language disordered children and a normal control group and through a comparison of six linguistically homogeneous subgroups of language disordered children. Differences between the handedness of a generalized language disordered group and a normal control group were not found, possibly due to the multiple etiologies of developmental language disorders. Children with severe language disorders, however, were non-right-handed more often than children with mild language disorders. Furthermore, certain types of linguistic deficits were associated with non-right-handedness, whereas age and cognitive abilities were not. Males were more often language disordered than females; however, sex ratios did not significantly differ among the subgroups, possibly due to the small number of language disordered females in this study. Implications for cerebral laterality in developmental language disorders are discussed.

Child, Preschool↗
PubMed1984

Psycholinguistic aspects of learning disorders: identification and assessment.

This article examines in detail the relationship between language and learning disorders in children of school age and the behavioral characteristics of children with language and learning disabilities. Guidelines are offered for screening for identification of language disorders and for differential diagnosis.

Child↗
PubMed1982

Language disorders and prognosis for reading disabilities in developmental age.

2 groups of language-disordered children were studied regarding the reading levels reached at the end of the first year of school. The first group was composed by children with language retardation mainly on phonological level, the second group was composed by children with retardation also on semantic-syntactic level. The results confirmed the strong association between reading disability and language disorders and yielded significant differences between the two groups: the reading achievement seemed to be associated mainly to semantic and syntactic competences.

Achievement↗
PubMed1996

Long-term consistency in speech/language profiles: II. Behavioral, emotional, and social outcomes.

OBJECTIVE: This study examined the 7-year behavioral, emotional, and social outcome of speech/language-impaired and control children selected from a community sample. METHOD: Speech/language and psychosocial measures were administered to the children at ages 5 and 12.5 years. Using children's age 5 speech/language test results, a cluster analysis was performed to ascertain whether specific linguistic subgroups would emerge. The association between speech/language cluster at age 5 and psychosocial functioning at age 12.5 was examined. RESULTS: Children with receptive and pervasive speech/language problems at age 5 demonstrated greater behavioral disturbance than children without such impairment. Controlling for initial behavioral status, early childhood language profile was still associated with behavioral and social competence ratings, 7 years later. Children without receptive language problems showed superior social adjustment. CONCLUSIONS: Empirically supported speech/language classifications identified as early as age 5 were associated with behavioral disturbance in late childhood. Receptive and pervasive speech/language impairment in early childhood was associated with the greatest risk at follow-up. Early auditory comprehension problems may be a specific risk factor for later aggressive and hyperactive symptoms. These findings identify the need for effective intervention with speech/language-impaired children.

Affective Symptoms↗
PubMed2001

Conversational characteristics of children with fragile X syndrome: tangential language.

The production of tangential language during conversations was studied with people who have fragile X syndrome, autistic disorder, or mental retardation not caused by fragile X. Tangential language was found to be more prevalent among those with fragile X, compared to the control groups, especially within unsolicited comments. These results support our hypothesis that the tangential language seen in fragile X is not the result of either general developmental delay or undiagnosed autistic disorder. We offer a possible interpretation of these results based upon such phenotypic characteristics as social anxiety, hypersensitivity to social and sensory stimuli, and inhibitory control deficits.

Adolescent↗
PubMed1993

History of middle ear involvement and speech/language development in late talkers.

Late-talking and normally speaking toddlers with and without histories of middle ear involvement were followed for 2 years to assess speech and expressive language outcomes. Results revealed no differences in expressive language outcome that could be attributed to history of middle ear involvement in either group. There did seem to be differences in outcome on measures of articulation that were associated with history of middle ear involvement. The implications of these findings for treatment of otitis media and for referral of late-talking toddlers for speech and language services are discussed.

Analysis of Variance↗
PubMed2004

The impact of aided language stimulation on symbol comprehension and production in children with moderate cognitive disabilities.

Over the past decade, aided language stimulation has emerged as a strategy to promote both symbol comprehension and symbol production among individuals who use graphic mode communication systems. During aided language stimulation, an interventionist points to a graphic symbol while simultaneously producing the corresponding spoken word during natural communicative exchanges. The purpose of this study was to determine the impact of aided language stimulation on children with moderate cognitive disabilities. Three preschool children with moderate cognitive disabilities who were functionally nonspeaking participated in the investigation. The investigator implemented a multiple-probe design across symbol sets/activities. Elicited probes were used to determine whether the children increased their comprehension and production of graphic symbols. Results indicated that all 3 children displayed increased symbol comprehension and production following the implementation of aided language stimulation.

Child, Preschool↗
PubMedDate not supplied

Auditory processing limitations in low verbal children: evidence from a two-response dichotic listening task.

Evidence for auditory processing limitations based on the use of two-response consonant-vowel (CV) dichotic listening tasks is reviewed. These studies show that low verbal children obtain fewer trials on which both items are correctly identified (double correct responses). A study is reported comparing a group of good and poor readers on the dichotic CV task. These data are then analyzed in terms of a normative model which attempts to show the effects of overall performance and guessing on double correct responses. It is concluded, in terms of the model, that the poor double correct performance of the poor readers is the direct result of poor auditory processing capacity.

Auditory Perception↗
PubMed1992

Language sample collection and analysis: interview compared to freeplay assessment contexts.

Spontaneous language samples elicited during freeplay and interview contexts were compared for 10 children who were specifically language impaired (SLI). Clinician-child videotaped interactions were analyzed for both structural and conversational behaviors. The results indicated that the interview was a reliable and valid assessment context, eliciting the same profile of behaviors as the freeplay context without altering diagnostic classifications. Most behaviors occurred significantly more often during the interview than during the freeplay context, indicating further that interviews are an efficient language sampling alternative for assessment purposes with elementary school-aged children with language disorders.

Child↗
PubMed1991

Relation between receptive language and cognitive maturity in persons with mental retardation.

We examined the correlations between receptive language level and performance on indices of nonverbal cognitive functioning for 20 persons with mental retardation and for 20 children without mental retardation matched to them on nonverbal MA. The correlations suggested that the retarded group focused on the formal, sequential properties of language. The correlations also suggested that the nondisabled group placed less emphasis on the formal, sequential properties of language and more on semantic, conceptual properties. These differences in approach may explain why the persons with mental retardation did poorly on the task of understanding spoken language compared to the children without mental retardation.

Adolescent↗
PubMed1994

Practitioner review: early developmental language delay: what, if anything, should the clinician do about it?

Early developmental language delay is characterized by slow development of language in preschoolers. The condition is frequent among two- and three-year-olds, causes concern among parents, and generates differences of opinion as to significance among informed professionals. Poorer long-term outcomes are much more likely if language delay persists until the later preschool years, and if the delay is not specific to language and/or includes problems in understanding. Specific language delay in the preschool period is better characterized as a risk factor than a disorder; most children with specific language delay recover to the normal range by five years of age.

Child↗
PubMed1982

Phonological disorders III: a procedure for assessing severity of involvement.

Data are presented to support the reliability, validity, and utility of a severity metric for phonological disorders. The metric, percentage of consonants correct (PCC), is readily derived from a continuous speech sample. PCC values are shown to reflect an ordinal severity scale that embraces the constructs of disability, intelligibility, and handicap. PCC values index four levels of "severity of involvement": Mild, mild-moderate, moderate-severe, and severe. The metric provides a means by which instructors, researchers, and speech-language pathologists working in different settings can specify subject descriptions, gauge the effects of intervention programs, and undertake cross-institutional projects. The metric is used as one component of a diagnostic classification system for phonological disorders (Shriberg & Kwiatkowski, 1982a) and within a framework for management of persons with phonological disorders (Shriberg & Kwiatkowski, 1982b), the first and second papers in this series.

Child↗
PubMed2003

The role of specific consequences in the maintenance of three types of questions.

This research replicated and extended a study by Williams, Donley, and Keller (2000). In that study, children with autism received a box with an object inside and learned to ask "What's that?," "Can I see it?," and "Can I have it?" to have the name of the object, to see the object, and to get the object, respectively. The purpose of the present research was to determine if the three questions (a) were three independent repertoires of behavior, (b) constituted three instances of a single functional response class, or (c) belonged to a chain of behavior. The 3 boys with autism who participated responded independently to each question when the consequences for each question were altered. This indicates that the three target responses were three independent repertoires of behavior, each one reinforced and maintained with its specific consequences. Thus, this procedure serves to teach children with autism to ask questions with flexibility according to a variable context.

Autistic Disorder↗
PubMed2002

Language-based intervention for phonological disorders.

Children with phonological disorders often display difficulty in other domains of language. Language-based approaches focus on all aspects of language; therefore, little attention may be drawn to sound errors and these may not be specific targets of intervention. These approaches involve a variety of naturalistic, conversationally based techniques such as focused stimulation in the form of expansions and recasts, scaffolding narratives, and elicited production devices such as forced choice questions, cloze tasks, and preparatory sets. Results from well-controlled group studies are inconclusive regarding the cross-domain effects of morphosyntax approaches on phonology. There are, however, individual children whose phonology improves with a language-based approach. Preliminary evidence suggests that such an approach may be an appropriate choice for children with both speech and language impairments whose phonological systems are highly inconsistent. One advantage of a language-based approach is that it may lead to simultaneous improvements in both speech and language for children with difficulty in both these domains. It is also a viable option when service delivery dictates classroom and collaborative settings. When a language-based approach is chosen for children with phonological disorders, it is imperative that the practitioner monitor phonological progress closely to ensure its effectiveness.

Child↗
PubMed1997

Secondary prevention of paediatric language disability: a comparison of parents and nurses as screening agents.

The purpose of this investigation was to compare the ability of nurses and parents to detect speech and language disability. The methodology included development and validation of a parent questionnaire to detect speech and language disability in 398 3-year-old English-speaking children. The parent questionnaire and a standard developmental screen administered by child health nurses were compared with a gold standard (a speech and language assessment). International criteria for screening tools were applied. The tools were comparable in performance. A simple parent questionnaire, completed without professional assistance, was a viable alternative to professional screening. Parents' education and parity had no influence on their ability to detect language disorders. Although size of sibship had no association with the occurrence of speech and language disability, third-born children were more likely to have a speech and language disability than any other birth order.

Child, Preschool↗
PubMed1979

The effects of chronic middle ear effusion on speech and language development -- a descriptive study.

In this study, the speech and language skills of children with histories of chronic middle ear effusion were analyzed. Forty-seven children between the ages of one year eleven months and five years five months were given a battery of speech and language tests in the course of a diagnostic evaluation. All the children had been referred to speech pathology by a physician because of a suspected communication disorder. All subjects had histories of three or more episodes of middle era effusion, with the first episode occurring prior to 18 months of age. All medical records were checked and in-depth case histories were obtained in order to rule out other possible complicating factors that might have contributed to a speech and language delay. The results of this study revealed essentially age-appropriate receptive language skills in this group of children. Expressive language and articulatory skills were significantly below chronological age level expectation, indicating the possible serious effects of chronic middle ear effusion on speech and language development.

Child, Preschool↗