Language and Executive Function in Preschoolers With Developmental Language Disorder: The Role of Self-Directed Speech

Abstract

Purpose: Our goal was to examine the relationship between language and executive function in children with specific language impairment (SLI) and/or developmental language disorder (DLD) with a specific focus on how language in the form of self-directed speech (SDS) affects executive functioning in this population. Method: Participants included thirty-one 4- and 5-year-old children with DLD. Children completed a visual, computer-based continuous performance task (CPT) that tapped their sustained selective attention. SDS children produced during this task was coded off-line for intelligibility, task relevancy, and whether it was regulatory. Regression analyses were used to characterize the relationship between children's performance on the CPT and their SDS. Results: The majority of SDS that children produced during the CPT was task relevant and regulatory, but there was individual variability in the total amount of SDS produced. Children's percentage of regulatory SDS was a significant predictor of their CPT performance. Conclusions: Because SDS is positively associated with executive function performance but has delayed development among children with SLI and/or DLD, clinicians have an opportunity to support SDS development in children. We discuss specific approaches and clinical activities for supporting SDS development in early childhood.