Language Profiles Of Children Research Articles

The relationship between direct or indirect therapy and language profiles in children with developmental language disorder (DLD) across European countries

ABSTRACT The present study aimed to investigate 1) whether country categories and type of DLD predict the type of therapy (direct, indirect, and mixed) the child receives, and 2) whether there is an association between country categories, type of therapy, and type of DLD (receptive, expressive, and mixed). European countries were categorised based on Sapir’s typology into Continental, AngloSaxon, Nordic and Mediterranean groups. A fifth group i.e. Central European (including Baltic countries) was added. The data to address these questions comes from an online survey, translated and adapted into 30 languages, and is based on reports by 4685 professionals delivering services for children with DLD. This survey was developed by the COST Action IS1406 members and distributed online among practitioners in the year 2017 across European countries. Results indicated that country categories and type of DLD predicted type of therapy. It was suggested that cultural and contextual factors might play a key role in driving clinical practice above and beyond language profiles, patient characteristics and evidence-based practice.

Spoken Sentence Complexity and Grammar Use in Children with CIs.

This study investigated if the language profiles of prelingually deaf children with bilateral cochlear implants (CIs) and children with typical hearing (TH) matched on their quantitative score on clinical spoken expressive language tasks differed in terms of sentence complexity, sentence length, and severity of grammatical errors. No significant differences were found between the groups in terms of (1) proportion of simple, conjoined, and complex sentences; (2) mean length of utterance based on words and syllables; and (3) proportion of local and global grammatical errors. The results indicate that the quantitative scores on the clinical spoken expressive language tasks are related to similar spoken language profiles in children with CIs and children with TH. These findings suggest that these tests can be used for meaningful comparisons of expressive spoken language skills. However, more studies are needed on the real-life expressive language skills of children with CIs, as clinical tests often rely on one specific modality (in this study: spoken language) and might therefore not accurately represent the language skills of the children.

Complex Language Use in Children With Hearing Loss: A Scoping Review.

Understanding what is known about the language profiles of children with hearing loss (CHL) is vital so that researchers and teachers can identify the specific complex syntactic structures that CHL may struggle to master. An understanding of which aspects of complex syntax pose difficulties for CHL is necessary to inform the kind of intervention that will facilitate learning complex syntax for this cohort of children. This scoping review aims to identify what is currently known about the complex syntax use of CHL who communicate through spoken language, and uncover gaps in the literature to guide further research. Ascoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. The Covidence software was utilized to manage the initial and full-text screening process for the search. From a total of 304 studies, 42 studies were identified that met the eligibility criteria. The review highlights the use of broad-based language assessments and limited use of specific descriptions of the types of complex syntactic structures and skills. Findings highlight the need for assessment protocols and analysis methods that better support the description of complex syntax profiles for CHL. School-age CHL continue to display challenges with complex syntax development. The review highlighted the need for further research to improve understanding of the complex syntax strengths and vulnerabilities of CHL. Further investigation is needed to better understand their ability to combine ideas and build complexity in their language use, which in turn can inform teaching in schools and interventions for children who require support. https://doi.org/10.23641/asha.21980177.

Language profile of children from a quilombola community.

to identify linguistic performance (expressive vocabulary, phonology and narrative) and cognitive performance (Verbal Short-Term Memory (VSTM)) of preschoolers living in a quilombola community. Twenty-four quilombola preschoolers aged four (4) and five (5) years with no complaints in language development participated in the study. Most families were in the D-E class and maternal and paternal education was lower than high school. Their guardians answered a questionnaire about their previous development, family practices and socioeconomic aspects, while the assessment included tests of expressive vocabulary, phonology, narrative and verbal short-term memory. The data collected were subjected to descriptive statistical analysis to characterize family practices, socioeconomic aspects and linguistic and cognitive performance, inferential analysis used Fisher's exact test to compare performance between subjects aged 4 and 5 years and also to compare performance according to family practices. 78.3% of preschoolers performed adequately in vocabulary and 79.2% in phonology; and 63.6% had the narrative classified as descriptive. 82.6% had a VSTM task performance below the expected for age. Although the preschoolers in this study had functional communication, their profile of language development and cognitive skills was more vulnerable and may have an impact on their school trajectory.

School-entry language skills as predictors of concurrent and future academic, social, and adaptive skills in kindergarteners with ASD

Objective This study compared language profiles of children with autism spectrum disorder (ASD) and typically developing (TD) children at kindergarten-entry and investigated whether kindergarten-entry language scores were predictive of concurrent and future academic achievement, peer interactions, and adaptive skills in children with ASD. Method Participants included 97 children (62 children with ASD; 35 TD children) assessed at kindergarten-entry and -exit. Language abilities were assessed using the Children’s Communication Checklist-2 (CCC-2). Children with ASD and TD children’s language scores were compared at baseline, and the ASD group was followed longitudinally. Regression analyses were performed to compare language scores between ASD and TD groups and to predict concurrent and future functional skills from kindergarten-entry language scores for children with ASD. Results Children with ASD demonstrated significantly more impairments across all scales of the CCC-2 at kindergarten-entry compared to TD children. Within the ASD group, kindergarten-entry pragmatic language significantly predicted concurrent math and reading achievement. Both syntactic/semantic and pragmatic domains significantly predicted kindergarten-exit reading performance; pragmatics significantly predicted kindergarten-exit math performance. Pragmatics also predicted concurrent and kindergarten-exit peer play. Syntax/semantics significantly predicted concurrent adaptive communication skills, whereas pragmatics significantly predicted concurrent adaptive daily living and socialization skills, as well as kindergarten-exit socialization skills. Conclusions School-entry language abilities can serve as a valuable predictor of functional outcomes across the kindergarten year for cognitively-able children with ASD. Results highlight the need to target early language abilities to maximize academic, social, and adaptive skills.

Enhancing Language Services to Native American Children: A Look From the Inside

Enhancing Language Services to Native American Children: A Look From the Inside

Spontaneous Expressive Language Profiles in a Clinically Ascertained Sample of Children With Autism Spectrum Disorder.

Children with autism spectrum disorder (ASD) have varying degrees of language impairment across multiple domains, which may include deficits in syntactic, pragmatic, and/or semantic skills. The heterogeneity of language profiles within ASD, coupled with the limited scope of existing standardized language measures, makes a comprehensive assessment of language impairments in ASD challenging. The Observation of Spontaneous Expressive Language (OSEL) is a new measure developed to capture children's spontaneous use of language in a naturalistic setting. The current study used the OSEL to examine the patterns of spontaneous expressive language abilities of 87 clinically ascertained children with ASD from 2 to 12 years. As expected, children with ASD were significantly more impaired in their spontaneous use of language compared to typically developing peers. Syntax and narrative skills continued to increase with age from toddler to elementary school years in cross-sectional comparisons. Pragmatic skills improved form toddler to preschool years but remained stable from preschool to elementary school years. Preliminary data also demonstrated significant improvements in OSEL syntax scores over time for a subset of children followed longitudinally (n = 8). Children with ASD consistently showed more impairments in spontaneous expressive language captured on the OSEL compared to language skills measured by other more structured standardized assessments, despite moderate convergent validity among those measures. Results suggest that impairments in the spontaneous and functional use of expressive language persist into middle childhood for many children with ASD, and a comprehensive assessment approach can lead to more precisely targeted treatment addressing specific language profiles. LAY SUMMARY: This study aimed to examine the variable language profiles in children with ASD. Children with ASD were shown to have impairments in the structure, meaning, and social use of language. These challenges were captured best by a measure that was created to assess the spontaneous use of language in a naturalistic environment. The results of this study emphasize the importance of a comprehensive assessment of language in ASD to inform treatment. Autism Res 2021, 14: 720-732. © 2020 International Society for Autism Research and Wiley Periodicals LLC.

Language profiles in children with concussion

ABSTRACTPrimary Objective: Inform the production of a screening tool for language in children with concussion. The authors predicted that children with a recent concussion would perform the cognitive-linguistic tasks more poorly, but some tasks may be more sensitive to concussion than others.Methods & Procedures: 22 elementary school aged children within 30 days of a concussion and age-matched peers with no history of concussion were assessed on a battery of novel language and cognitive-linguistic tasks. They also completed an auditory attention task and the Raven’s Colored Progressive Matrices.Main Outcomes & Results: Children with a recent concussion scored significantly more poorly in novel tasks targeting category identification, grammaticality judgments, and recognizing target words presented in a short story than their age-matched peers with no such injury history. All observed effects had moderate sizes. Inclusion of these three tasks significantly improved prediction of concussion status over symptom score when controlling for the age of participants.Conclusions: The finding supports continued investigation of targeted linguistic tasks in children following concussion, particularly in the domains of semantic and syntactic access and verbal working memory. Future work developing brief language assessments specifically targeting children in this age range may provide a valuable addition to the existing tools for identifying the effects of concussion.

Pragmatic versus structural difficulties in the production of pronominal clitics in French-speaking children with autism spectrum disorder

Background and aimsImpaired production of third person accusative pronominal clitics is a signature of language impairment in French-speaking children. It has been found to be a prominent and persistent difficulty in children and adolescents with specific language impairment. Previous studies have reported that many children with autism spectrum disorder also have low performance on these clitics. However, it remains unclear whether these difficulties in children with autism spectrum disorder are due to structural language impairment or to pragmatic deficits. This is because pragmatics skills, notoriously weak in children with autism spectrum disorder, are also needed for appropriate use of pronouns. Use of pronouns without clear referents and difficulty with discourse pronouns (first and second person), which require taking into account the point of view of one’s interlocutor (perspective shifting), have frequently been reported for autism spectrum disorder.MethodsWe elicited production of nominative, reflexive and accusative third and first person pronominal clitics in 19 verbal children with autism spectrum disorder (aged 6–12, high and low functioning, with structural language impairment, or with normal language) and 19 age-matched children with specific language impairment. If pragmatics is behind difficulties on these elements, performance on first-person clitics would be expected to be worse than performance on third person clitics, since it requires perspective shifting. Furthermore, worse performance for first person clitics was expected in the children with autism spectrum disorder compared to the children with specific language impairment, since weak pragmatics is an integral part of impairment in the former, but not in the latter. More generally, different error patterns would be expected in the two groups, if the source of difficulty with clitics is different (a pragmatic deficit vs. a structural language deficit).ResultsSimilar patterns of relative difficulties were found in the autism spectrum disorder language impairment and specific language impairment groups, with third person accusative clitics being produced at lower rates than first-person pronouns and error patterns being essentially identical. First-person pronouns did not pose particular difficulties in the children with autism spectrum disorder (language impairment or normal language) with respect to third-person pronouns or to the children with specific language impairment. Performance was not related to nonverbal intelligence in the autism spectrum disorder group.ConclusionsThe elicitation task used in this study included explicit instruction, and focus on perspective shifting (both visual and verbal), allowing for potential pragmatic effects to be controlled. Moreover, the task elicited a variety of types of clitics in morphosyntactic contexts of varying complexity, providing ample opportunities for employment of perspective shifting, which may have also curtailed perseveration of third person over first person. These properties of the task allowed for the grammatical nature of children’s difficulties with third-person accusative clitics to emerge unambiguously.ImplicationsAssessment of structural language abilities in children with autism spectrum disorder requires careful consideration of task demands. The influence of pragmatic abilities on structural language performance can be circumvented by making the pragmatic demands of the task explicit and salient. Filtering out this potential influence on structural language performance is fundamental to understanding language profiles in children with autism spectrum disorder and thus which children could benefit from which kinds of language intervention.

Language Proficiency and Sustained Attention in Monolingual and Bilingual Children with and without Language Impairment.

Background: The language profiles of children with language impairment (LI) and bilingual children can show partial, and possibly temporary, overlap. The current study examined the persistence of this overlap over time. Furthermore, we aimed to better understand why the language profiles of these two groups show resemblance, testing the hypothesis that the language difficulties of children with LI reflect a weakened ability to maintain attention to the stream of linguistic information. Consequent incomplete processing of language input may lead to delays that are similar to those originating from reductions in input frequency.Methods: Monolingual and bilingual children with and without LI (N = 128), aged 5–8 years old, participated in this study. Dutch receptive vocabulary and grammatical morphology were assessed at three waves. In addition, auditory and visual sustained attention were tested at wave 1. Mediation analyses were performed to examine relationships between LI, sustained attention, and language skills.Results: Children with LI and bilingual children were outperformed by their typically developing (TD) and monolingual peers, respectively, on vocabulary and morphology at all three waves. The vocabulary difference between monolinguals and bilinguals decreased over time. In addition, children with LI had weaker auditory and visual sustained attention skills relative to TD children, while no differences between monolinguals and bilinguals emerged. Auditory sustained attention mediated the effect of LI on vocabulary and morphology in both the monolingual and bilingual groups of children. Visual sustained attention only acted as a mediator in the bilingual group.Conclusion: The findings from the present study indicate that the overlap between the language profiles of children with LI and bilingual children is particularly large for vocabulary in early (pre)school years and reduces over time. Results furthermore suggest that the overlap may be explained by the weakened ability of children with LI to sustain their attention to auditory stimuli, interfering with how well incoming language is processed.

Evaluation of the language profile in children with rolandic epilepsy and developmental dysphasia: Evidence for distinct strengths and weaknesses

Although benign, rolandic epilepsy (RE) or benign childhood epilepsy with centro-temporal spikes is often associated with language impairment. Recently, fronto-rolandic EEG abnormalities have been described in children with developmental dysphasia (DD), suggesting an interaction between language impairment and interictal epileptiform discharges. To investigate if a behavioral-linguistic continuum between RE and DD exists, a clinical prospective study was carried out to evaluate the language profile of 15 children with RE and 22 children with DD. Language skills were assessed using an extensive, standardized test battery. Language was found to be impaired in both study groups, however RE and DD were associated with distinct language impairment profiles. Children with RE had difficulties with sentence comprehension, semantic verbal fluency and auditory short-term memory, which are unrelated to age of epilepsy onset and laterality of epileptic focus. In children with DD, sentence comprehension and verbal fluency were among their relative strengths, whereas sentence and lexical production constituted relative weaknesses.

Communication and language profiles of children with congenital deafblindness

To be born deaf and blind creates both communicative and language acquisition barriers for a child. Although case studies, research, and practical reports have described the severe communicative delay that children with congenital deafblindness (CDB) often experience, to date, no population studies have given a systematic overview of the characteristics of communication, language use, and language acquisition. This study investigates modes of communication and level of language acquisition among 71 children with CDB using the Rowland Communication Matrix and a questionnaire form. Results show heterogeneity in use of communication mode, vocabulary, and level of language development. Communication was distributed across modalities with 23% using tactile language, 32% oral language, and 39% visual sign language. With regard to the level of language acquisition, 41% used pre-verbal communication, 42% verbal communication (tactile, visual, or oral) but with delay, and 18% verbal communication (tactile, visual, or oral) without any delay. Similar heterogeneity was reflected on vocabulary count and score on the Rowland Communication Matrix. Children with CDB are not a uniform group, and more research is needed in order to map out the diversity found.

Bilingual Language Profile in Children with Mental Retardation

A few controlled studies and numerous anecdotal indications suggest that many mentally retarded children display real, even if limited, bilingual and sometimes multilingual abilities. The paper discusses the problems and limitations of second language learning in mentally retarded subjects on the basis of data on first language acquisition in these individuals. Recommendations are made as to planning second-language exposure and teaching in school contexts with mentally retarded pupils.

Language profiles in children with Down Syndrome and children with Language Impairment: Implications for early intervention

This study investigated early language profiles in two groups of children with developmental disability: children with Down Syndrome (DS, n=13) and children with Language Impairment (LI, n=16). Vocabulary and grammatical skills in the two groups were assessed and compared to language skills of typically developing (TD) children matched on size of either their receptive or expressive vocabulary (n=58). The study aimed to establish if language development in these groups is delayed or fundamentally different than the TD groups, and if the group with DS showed a similar language profile to the group with LI. There is a clinical motivation to identify possible key risk characteristics that may distinguish children who are likely to have LI from the variation observed in TD children. Three clear findings emerged from the data. Firstly, both receptive and expressive vocabulary compositions did not significantly differ in the clinical groups (DS and LI) after being matched to the vocabulary size of TD children. This provides further support for the idea that word learning for the children in the clinical groups is delayed rather than deviant. Secondly, children with LI showed a significantly larger gap between expressive and receptive word knowledge, but children with DS showed a pattern comparable to TD children. Thirdly, children with LI who understood a similar number of words as the TD children still had significantly poorer grammatical skills, further underlining the dissociation between lexical and grammatical skills in children with LI. Grammatical skills of children with DS were commensurate with their lexical skills. The findings suggest that language intervention should be specifically tailored to etiology rather than focused on general communication strategies, particularly in children with LI.

Identifying demographic and language profiles of children with a primary diagnosis of attention deficit hyperactivity disorder

As the language presentation of children with attention deficit (hyperactivity) disorder (ADHD) is highly complex, this study aims to delineate the profile of a cohort of 40 children with ADHD, aged between 9 and 12 years, attending a child and adolescent mental health service (CAMHS). Speech and language therapists (SLTs) assessed the children on formal language tests (including tests of verbal comprehension/expression, vocabulary, reading and communication) over three one-hour sessions. Group demographics showed a predominance of males, with a greater number of children presenting with the combined subtype of ADHD over other subtypes (i.e. predominantly inattentive or hyperactive-impulsive type). The majority of the children also had a secondary psychiatric diagnosis. Test findings revealed some common trends in the overall group’s performance, but a general ADHD-specific language profile was not discernible. Almost three-quarters of the study cohort had previously undetected language difficulties, with over 70% of those having both receptive and expressive language difficulties. Just under one-third of the cohort demonstrated reading difficulties. Relatively high correlations were found across performance on measures of verbal comprehension when compared to vocabulary and reading comprehension and expressive language. Most parents reported communication difficulties on completed questionnaires. The range, extent and complexity of the language difficulties of children with ADHD is demonstrated in our findings, with the heterogeneity of this population an obvious feature. Implications for further research and SLT clinical practice are discussed.

Maternal input to children with specific language impairment during shared book reading: is mothers’ language in tune with their children's production?

The literature on input addressed to children with specific language impairment (SLI) has shown contrasting results on the role that parents assume during conversational interactions. Some studies have shown that parents compensate for the child's linguistic limitations. In contrast, other studies have indicated that mothers are able to adjust their communication in response to their children's language characteristics. To assess the 'closeness of fit' between maternal input and child language profiles in children with SLI during shared book reading. To achieve this aim, the individual linguistic features of a group of children with SLI and their mothers were compared with those of two typically developing (TD) groups and the 'distances' (i.e., the differences between the mother's and her child's linguistic indices) within each dyad were compared. Three groups of children with their mothers participated in the study: 14 children with expressive SLI, 14 language age-matched TD children (LA-matched group), and 14 chronological age-matched TD children (CA-matched group). Each mother-child dyad was videotaped during two weekly sessions of shared book reading, at home. All sessions were entirely transcribed. For each session, the following indices were then considered: whole-word phonological indices, grammatical categories and lexical indices for types and tokens, and the distance between the mother's and the child's linguistic indices within individual dyads. Analysis of the differences between phonological, lexical and morphosyntactic characteristics of the mothers' and children's language indicated that both children with SLI and their mothers produced adjectives and adverbs with lower phonological complexity and with higher frequency of use compared with the CA-matched group, and nouns with lower frequency of use and higher age of acquisition compared with the LA-matched group. In addition, individual dyads within the SLI group displayed reduced distances between linguistic indices produced by the mother and child compared with dyads within the CA-matched group. On the whole these findings suggest that mothers of children with SLI are able to tune their language to their children's linguistic limitations. These findings may contribute to improving early intervention programmes with children with SLI by focusing on the mother-child interaction during shared book reading.

Effect of Recurrent Otitis Media on Language Profile in Children with Fragile X Syndrome

ObjectiveLanguage is almost always affected in fragile X syndrome (FXS), and a delay in language acquisition is one of the first characteristics. The aim of this work was to study the effect of recurrent middle ear infections on the language profile in boys with FXS. Study design: Prospective case series.SettingAcademic Medical Center.Subjects and MethodsThe present study was conducted on 30 males, ranging in age from 4–10 years. They were diagnosed as having a full mutation of DNA. The males were divided into two groups: Group A included 15 children with a history of recurrent middle ear infections more than four times per year during the first 4 years of life, and Group B did not have a history of recurrent middle ear infections during the first 4 years of life. Language assessments were done for all participants using the Standardized Arabic Language test.ResultsResults showed significant delays in language development in children with FXS. Relative strengths in semantics compared to syntax and pragmatics were observed in all boys. The recurrent ear infections of the boys played an important role in the language development delay. The mean of receptive, expressive, and total language age was better and higher among boys without a history of recurrent middle ear infections compared to boys with recurrent middle ear infections.ConclusionRecurrent otitis media in boys with FXS exacerbates the language problems that exist in this syndrome.

Language in Low-Functioning Children with Autistic Disorder: Differences Between Receptive and Expressive Skills and Concurrent Predictors of Language

Language profiles of children with autistic disorder and intellectual disability (n=36) were significantly different from the comparison groups of children with intellectual disability (n=26) and typically developing children (n=34). The group low-functioning children with autistic disorder obtained a higher mean score on expressive than on receptive language, whereas both comparison groups showed the reverse pattern. Nonverbal mental age, joint attention, and symbolic understanding of pictures were analyzed in relation to concurrent receptive and expressive language abilities. In the group with autistic disorder and intellectual disability, symbol understanding and joint attention were most strongly related to language abilities. Nonverbal mental age was the most important predictor of language abilities in the comparison groups.

Language profiles of monolingual and bilingual Finnish preschool children at risk for language impairment

A large proportion of children are exposed to more than one language, yet research on simultaneous bilingualism has been relatively sparse. Traditionally, there has been concern that bilingualism may aggravate language difficulties of children with language impairment. However, recent studies have not found specific language impairment (SLI) or language-related problems to be increased by bilingualism. The topic of bilingualism and its effects has high actuality in Finland, where increasing numbers of children in the country's 6% Swedish-speaking minority grow up in bilingual families, where one parent's primary language is Swedish and the other's Finnish. The present study aimed at exploring the influence of such bilingualism on the language profiles of children from this population at risk for language impairment (LI). Participants were recruited from a language screening of 339 children from kindergartens with instruction only in Swedish, from the Swedish-speaking parts of Finland. Of these children, 33 (9.7%) were defined as a Risk Group for LI, whereas 48 non-risk children were randomly selected to form a control group. When subdividing the children according to home language, 35 were found to be monolingual, Swedish-speaking, and 46 were Swedish-Finnish bilingual. The children underwent neuropsychological assessment during their preschool year. Assessment methods included subtests from the Wechsler Primary and Preschool Scale of Intelligence - Revised and the NEPSY Developmental Neuropsychological Assessment. A repeated-measures multiple analysis of covariance (MANCOVA) showed a significant effect of risk of LI on the NEPSY language scores. The effect of home language was not significant and there was no interaction between home language and risk for LI. Non-verbal IQ was controlled for. Across groups, bilingual children scored lower than monolingual children only on measures of vocabulary and sentence repetition. Although a slight general cost of bilingualism was found in the language profile of the six-year olds in this study, a bilingual background was not associated with more severe language problems in the LI Risk Group. Thus, there would seem to be no need to shield language-impaired children from opportunities for dual language learning.

Comparing language profiles: children with specific language impairment and developmental coordination disorder

Although it is widely recognized that substantial heterogeneity exists in the cognitive profiles of children with Developmental Coordination Disorder (DCD), very little is known about the language skills of this group. To compare the language abilities of children with DCD with a group whose language impairment has been well described: children with Specific Language Impairment (SLI). Eleven children with DCD and 11 with SLI completed standardized and non-standardized assessments of vocabulary, grammatical skill, non-word repetition, sentence recall, story retelling, and articulation rate. Performance on the non-standardized measures was compared with a group of typically developing children of the same age. Children with DCD were impaired on tasks involving verbal recall and story retelling. Almost half of those in the DCD group performed similarly to the children with SLI over several expressive language measures, while 18% had deficits in non-word repetition and story retelling only. Poor non-word repetition was observed for both the DCD and the SLI groups. The articulation rate of the children with SLI was slower than that of the DCD group, which was slower than that of typically developing children. Language impairment is a common co-occurring condition in DCD. The language profile of children with either DCD or SLI was similar in the majority of, but not all, cases.