Peabody Picture Vocabulary Test-Revised Research Articles

Environmental Sounds Recognition in Children with Cochlear Implants

The aims of this study were (1) to document the recognition performance of environmental sounds (ESs) in Mandarin-speaking children with cochlear implants (CIs) and to analyze the possible associated factors with the ESs recognition; (2) to examine the relationship between perception of ESs and receptive vocabulary level; and (3) to explore the acoustic factors relevant to perceptual outcomes of daily ESs in pediatric CI users. Forty-seven prelingually deafened children between ages 4 to 10 years participated in this study. They were divided into pre-school (group A: age 4–6) and school-age (group B: age 7 to 10) groups. Sound Effects Recognition Test (SERT) and the Chinese version of the revised Peabody Picture Vocabulary Test (PPVT-R) were used to assess the auditory perception ability. The average correct percentage of SERT was 61.2% in the preschool group and 72.3% in the older group. There was no significant difference between the two groups. The ESs recognition performance of children with CIs was poorer than that of their hearing peers (90% in average). No correlation existed between ESs recognition and receptive vocabulary comprehension. Two predictive factors: pre-implantation residual hearing and duration of CI usage were found to be associated with recognition performance of daily-encountered ESs. Acoustically, sounds with distinct temporal patterning were easier to identify for children with CIs. In conclusion, we have demonstrated that ESs recognition is not easy for children with CIs and a low correlation existed between linguistic sounds and ESs recognition in these subjects. Recognition ability of ESs in children with CIs can only be achieved by natural exposure to daily-encountered auditory stimuli if sounds other than speech stimuli were less emphasized in routine verbal/oral habilitation program. Therefore, task-specific measures other than speech materials can be helpful to capture the full profile of auditory perceptual progress after implantation.

Kinematic performance of fine motor control in attention‐deficit/hyperactivity disorder: The effects of comorbid developmental coordination disorder and core symptoms

The aims of this study were: (i) to determine whether differences exist in the fine motor fluency and flexibility of three groups (children with attention-deficit/hyperactivity disorder [ADHD], children in whom ADHD is comorbid with developmental coordination disorder [DCD] [denoted as ADHD+DCD], and a typically developing control group); and (ii) to clarify whether the degree of severity of core symptoms affects performance. The Peabody Picture Vocabulary Test-Revised, the Beery-Buktenica Development Test of Visual-Motor Integration and the Movement Assessment Battery for Children were used as prescreening tests. The Integrated Visual and Auditory+Plus test was utilized to assess subjects' attention. The redesigned fine motor tracking and pursuit tasks were administered to evaluate subjects' fine motor performance. No significant difference was found when comparing the performance of the Children with ADHD and the typically developing group. Significant differences existed between children in whom ADHD is comorbid with DCD and typically developing children. Children with ADHD demonstrated proper fine motor fluency and flexibility, and deficient performance occurred when ADHD was comorbid with developmental coordination disorder. Children with ADHD had more difficulty implementing closed-loop movements that required higher levels of cognitive processing than those of their typically developing peers. Also, deficits in fine motor control were more pronounced when ADHD was combined with movement coordination problems. The severity of core symptoms had a greater effect on children with ADHD's fine motor flexibility than did fluency performance. In children with pure ADHD, unsmooth movement performance was highly related to the severity of core symptoms.

Chinese Immigrant Families and Bilingualism Among Young Children

Thirty-five children (17 boys and 18 girls, 4 to 8 years old) in 2-parent Chinese immigrant families had attended English-speaking facilities for 35.0 months (boys) and 32.9 months (girls), respectively. They were tested at home with the Peabody Picture Vocabulary Test–Revised (PPVT-R) and the Mandarin version of PPVT-R. No gender differences were found. Maternal English PPVT-R vocabulary (M = 112.9) correlated positively with child PPVT-R scores (r = . 35, p = . 04). The longer the children attended English-only educational facilities, the higher were their English PPVT-R scores (r = .327, p = .059), even when controlling for maternal scores. Children (n = 12) who had spent about 2 years (22 to 26 months) in English-speaking educational facilities had English PPVT-R standardized scores (M = 94.8, range = 71–110) close to the average (M = 100) score of English monolinguals. Chinese receptive language scores increased during the preschool years and were normative with monolingual Chinese children until abo...

영아반 그림책 읽기 활동, 교사의 언어적·비언어적 행동 및 영아의 어휘력 간의 관계

The purpose of this study was to investigate the relationship of toddlers` vocabulary ability with reading activities and teachers` verbal and nonverbal behaviors during book reading. The subjects were 52 teachers and 104 toddlers at age 2. Lee and Kim (2004)`s categories of the Teachers` Verbal Behaviors, the categories of the Nonverbal Behavioral Analysis(Kim. 2005), and the Peabody Picture Vocabulary Test-Revised (Kim, et al.1995) were used. The data was analyzed by t-test, ANOVA, and Correlations. The results indicated that there were significant correlations in the subcategories of reading activities in classrooms, teachers` picture book reading behaviors, and toddler`s vocabulary ability. The toddler`s vocabulary ability increased as the `interacting time both before and after book reading` became longer. The toddler`s vocabulary ability increased as `connecting with previous experience`, `asking questions for confirmation`, `acknowledging,` and `expanding` of verbal behavior, as well as the nonverbal behavior, such as `requesting behavior`, `emotional contact,` and `empathetic behavior.` In conclusion, teachers` reading behaviors and activities were related to toddlers` vocabulary ability.

Parents' child-directed communication and child language development: a longitudinal study with Italian toddlers

The present study focuses on the characteristics of parental child-directed communication and its relationship with child language development. For this purpose, thirty-six toddlers (18 males and 18 females) and their parents were observed in a laboratory during triadic free play at ages 1 ; 3 and 1 ; 9. The characteristics of the maternal and paternal child-directed language (characteristics of communicative functions and lexicon as reported in psycholinguistic norms for Italian language) were coded during free play. Child language development was assessed during free play and at ages 2 ; 6 and 3 ; 0 using the Italian version of the MacArthur-Bates Communicative Development Inventory (2 ; 6) and the revised Peabody Picture Vocabulary Test (PPVT-R) (3 ; 0). Data analysis indicated differences between mothers and fathers in the quantitative characteristics of communicative functions and language, such as the mean length of utterances (MLU), and the number of tokens and types. Mothers also produced the more frequent nouns in the child lexicon. There emerged a relation between the characteristics of parental child-directed language and child language development.

Linking Outcomes From Peabody Picture Vocabulary Test Forms Using Item Response Models

The present work describes how vocabulary ability as assessed by 3 different forms of the Peabody Picture Vocabulary Test (PPVT; Dunn & Dunn, 1997) can be placed on a common latent metric through item response theory (IRT) modeling, by which valid comparisons of ability between samples or over time can then be made. Responses from 2,625 cases in a longitudinal study of 697 persons for 459 unique PPVT items (175 items from Peabody Picture Vocabulary Test--Revised [PPVT-R] Form M [Dunn & Dunn, 1981], 201 items from Peabody Picture Vocabulary Test--3 [PPVT-3] Form A [Dunn & Dunn, 1997], and 83 items from PPVT-3 Form B [Dunn & Dunn, 1997]) were analyzed using a 2-parameter logistic IRT model. The test forms each covered approximately ± 3 SDs of vocabulary ability with high reliability. Some differences between item sets in item difficulty and discrimination were found between the PPVT-3 Forms A and B. Comparable estimates of vocabulary ability obtained from different test forms can be created through IRT modeling. The authors have also written a freely available SAS program that uses the obtained item parameters to provide IRT ability estimates given item responses to any of the 3 forms. This scoring resource will allow others with existing PPVT data to benefit from this work as well.

Language development in Japanese children who receive cochlear implant and/or hearing aid

ObjectivesThis study aimed to investigate a wide variety of factors that influence auditory, speech, and language development following pediatric cochlear implantation (CI). Study designProspective collection of language tested data in profound hearing-impaired children. HypothesisPediatric CI can potentially be effective to development of practical communication skills and early implantation is more effective. MethodsWe proposed a set of language tests (assessment package of the language development for Japanese hearing-impaired children; ALADJIN) consisting of communication skills testing (test for question–answer interaction development; TQAID), comprehensive (Peabody Picture Vocabulary Test-Revised; PVT-R and Standardized Comprehension Test for Abstract Words; SCTAW) and productive vocabulary (Word Fluency Test; WFT), and comprehensive and productive syntax (Syntactic processing Test for Aphasia; STA). Of 638 hearing-impaired children recruited for this study, 282 (44.2%) with >70dB hearing impairment had undergone CI. After excluding children with low birth weight (<1800g), those with >11 points on the Pervasive Developmental Disorder ASJ Rating Scale for the test of autistic tendency, and those <2 SD on Raven's Colored Progressive Matrices for the test of non-verbal intelligence, 190 children were subjected to this set of language tests. ResultsSixty children (31.6%) were unilateral CI-only users, 128 (67.4%) were CI–hearing aid (HA) users, and 2 (1.1%) were bilateral CI users. Hearing loss level of CI users was significantly (p<0.01) worse than that of HA-only users. However, the threshold level, maximum speech discrimination score, and speech intelligibility rating in CI users were significantly (p<0.01) better than those in HA-only users. The scores for PVT-R (p<0.01), SCTAW, and WFT in CI users were better than those in HA-only users. STA and TQAID scores in CI–HA users were significantly (p<0.05) better than those in unilateral CI-only users. The high correlation (r=0.52) has been found between the age of CI and maximum speech discrimination score. The scores of speech and language tests in the implanted children before 24 months of age have been better than those in the implanted children after 24 months of age. ConclusionsWe could indicate that CI was effective for language development in Japanese hearing-impaired children and early CI was more effective for productive vocabulary and syntax.

Do hypertensive diseases of pregnancy disrupt neurocognitive development in offspring?

The current study sought to determine whether hypertensive diseases of pregnancy (gestational hypertension and pre-eclampsia) are associated with neurocognitive outcomes in middle childhood. Participants were members of the Western Australian Pregnancy Cohort (Raine) Study. Data were available for 1389 children (675 females; mean age = 10.59 years; SD = 0.19). Twenty-five per cent of these participants were offspring of pregnancies complicated by either gestational hypertension (n = 279), or pre-eclampsia (n = 34). Verbal ability at age 10 years was assessed with the Peabody Picture Vocabulary Test - Revised (PPVT-R), and non-verbal ability with Ravens Colored Progressive Matrices (RCPM). Separate multivariable regression analyses, incorporating sociodemographic, antenatal, obstetric and postnatal covariates, investigated the effect of a two- (normotensive pregnancy vs. hypertensive pregnancy) and three-level (normotensive pregnancy vs. gestational hypertension vs. pre-eclampsia) predictor variable on PPVT-R and RCPM scores. Offspring of pregnancies complicated by maternal hypertension (gestational hypertension or pre-eclampsia) had a mean PPVT-R score that was 1.83 ([95% confidence interval (CI) -3.48, -0.17], P = 0.03) points lower than children from normotensive pregnancies. Multivariable regression analysis also identified a significant inverse association between the three-level predictor variable and offspring PPVT-R scores (P = 0.02). Gestational hypertension (without pre-eclampsia) reduced offspring PPVT-R scores by 1.71 points [95% CI -3.39, -0.03] and pre-eclampsia led to a reduction of 3.53 points [95% CI -8.41, 1.35], although this latter association did not achieve statistical significance. There was no effect of the two- (P = 0.99) or three-level (P = 0.92) predictor variable on RCPM scores. Maternal hypertensive diseases of pregnancy are a risk factor for a small reduction in offspring verbal ability.

Language Functions in Preterm Children: A Systematic Review and Meta-Analysis

Background: Preterm children have more language problems than term children. However, it is unknown whether the language problems in these children worsen, are stable, or improve over time. We aimed to determine the developmental course of language function in preterm children in comparison to term children during childhood. Methods: We performed a systematic review, random-effects meta-analysis, and meta-regression of studies enrolling preterm children and assessed language function. The computerized databases EMBASE, Pub Med, Web of Knowledge, and PsycInfo were used to search for studies published between January 1995 and March 2011. Results: We included language data from 17 studies, encompassing 1501 preterm children and 940 term children. Preterm children scored significantly lower compared to term children on simple language function measured with the Peabody Picture Vocabulary Test-Revised (PPVT-R; d= -0.45, 95% CI, -0.59 to -0.30; P< .001), as well as on complex, higher-order language function measured with the Clinical Evaluation of Language Fundamentals (CELF; d=-0.69, 95% CI, -0.82 to -0.55; P< .001). Meta-regression by age at assessment reveals an increasing gap between preterm and term children regarding complex language functions during childhood (slope=-0.06, P =.01). This is, however, not the case for simple language function (slope=0.03, P=.25). Conclusion: Preterm children have increasing difficulties with complex, higher-order language functions during childhood.

Estimated net saving to society from cochlear implantation in infants: A preliminary analysis

Although it is clear that cochlear implants (CIs) are highly cost-effective in adults and children, the possible additional economic benefit of implantation at younger ages has to be fully established to verify whether the costs and outcomes of CIs differ between infants and older children. Retrospective cohort study. Comprehensive data of CI costs were obtained in four groups of children (age 2-11, 12-23, 24-35, and 72-83 months) from parent questionnaires, national healthcare and educational systems, and retail prices for materials used. Outcomes are compared in terms of receptive language level (Peabody Picture Vocabulary Test-Revised [PPVT-R]), with follow-up to the chronological age of 10 years. Implantation in infants was associated with a lower total cost for the first 10 years of life. The net savings to society ranged from around 21,000€ in the two younger classes to more than 35,000€ when comparing infants against children in the oldest group. When implantation was delayed, family costs played an important role in the increase in expenses. Children in the 2- to 11-month group scored significantly better at the PPVT-R than those in the other age groups (P < .05, P < .01, and P < .001, respectively; Dunn's test) at 10 years of age. The cost per 1-year gain in vocabulary age at the PPVT-R showed a substantial difference between the youngest and oldest age groups (13,266€/year, 17,719€/year, 20,029€/year, and 28,042€/year, respectively). CIs for patients under 1 year of age afford significantly improved performance and a net savings to society.

Psychometric Evaluation of a Receptive Vocabulary Test for Greek Elementary Students

Assessment of lexical/semantic knowledge is performed with a variety of tests varying in response requirements. The present study exemplifies the application of modern statistical approaches in the adaptation and assessment of the psychometric properties of the Peabody Picture Vocabulary Test–Revised (PPVT-R) Greek. Confirmatory factor analyses applied to data from a large sample of elementary school students ( N = 585) indicated the existence of a single vocabulary dimension and differential item functioning procedures pointed to minimal bias due to gender or ethnic group. Rasch model–derived indices of item difficulty and discrimination were used to develop a short form of the test, which was administered to a second sample of 900 students. Convergent and discriminant validity were assessed through comparisons with the Wechsler Intelligence Scales for Children–III Vocabulary and Block design subtests. Short- and long-term stability of individual scores over a 6-month period were very high, and the utility of the test as part of routine educational assessment is attested by its strong longitudinal predictive value with reading comprehension measures. It is concluded that the Greek version of the PPVT-R constitutes a reliable and valid assessment of vocabulary for Greek students and immigrants who speak Greek.

Speech concerns at 5 years and adult educational and mental health outcomes

To determine if parent-reported speech concerns at 5 years predict poorer educational and mental health outcomes at 21 years independent of social context and child's receptive language, behaviour and motor concerns at 5 years. To determine if these adult outcomes are mediated by school performance at 14 years. Information on speech concerns at 5- and 21-year outcomes was available for 3193 participants from a birth cohort of 7223 infants. At 5, child behaviour was measured using a behavioural checklist, and at 21 years, it was measured by the Young Adult Self-Report. Peabody Picture Vocabulary Test-Revised at 5 years was not available for all children. Maternal mental health and social information at 5 years and educational outcomes at 14 years and 21 years were collected prospectively by questionnaire. Potential confounding and mediating factors were analysed using logistic regression. Children with speech concerns were less likely to have completed secondary school (P < 0.01) or gained better overall position (OP) scores (P < 0.001). OP scores rank students in Queensland applying for tertiary entrance. There was no association with mental health outcomes. Findings were independent of maternal and social factors, and motor concerns, though attenuated by behaviour and Peabody Picture Vocabulary Test-Revised scores. In the model adjusted for these factors, any concerns predicted OP score 1-11 (odds ratio 0.58; 95% confidence interval 0.42, 0.79), though if academic functioning at 14 was included, no associations were significant. Maternal-reported speech concerns at 5 years predict poorer educational though not adult mental health outcomes.

Preterm birth results in alterations in neural connectivity at age 16 years

Very low birth weight preterm (PT) children are at high risk for brain injury. Employing diffusion tensor imaging (DTI), we tested the hypothesis that PT adolescents would demonstrate microstructural white matter disorganization relative to term controls at 16years of age. Forty-four PT subjects (600–1250g birth weight) without neonatal brain injury and 41 term controls were evaluated at age 16years with DTI, the Wechsler Intelligence Scale for Children—III (WISC), the Peabody Picture Vocabulary Test—Revised (PPVT), and the Comprehensive Test of Phonological Processing (CTOPP).PT subjects scored lower than term subjects on WISC full scale (p=0.003), verbal (p=0.043), and performance IQ tests (p=0.001), as well as CTOPP phonological awareness (p=0.004), but scored comparably to term subjects on PPVT and CTOPP Rapid Naming tests. PT subjects had lower fractional anisotropy (FA) values in multiple regions including bilateral uncinate fasciculi (left: p=0.01; right: p=0.004), bilateral external capsules (left: p<0.001; right: p<0.001), the splenium of the corpus callosum (p=0.008), and white matter serving the inferior frontal gyrus bilaterally (left: p<0.001; right: p=0.011). FA values in both the left and right uncinate fasciculi correlated with PPVT scores (a semantic language task) in the PT subjects (left: r=0.314, p=0.038; right: r=0.336, p=0.026). FA values in the left and right arcuate fasciculi correlated with CTOPP Rapid Naming scores (a phonologic task) in the PT subjects (left: r=0.424, p=0.004; right: r=0.301, p=0.047).These data support for the first time that dual pathways underlying language function are present in PT adolescents. The striking bilateral dorsal correlations for the PT group suggest that prematurely born subjects rely more heavily on the right hemisphere than typically developing adults for performance of phonological language tasks. These findings may represent either a delay in maturation or the engagement of alternative neural pathways for language in the developing PT brain.

Duration of breast feeding and language ability in middle childhood

There is controversy over whether increased breast-feeding duration has long-term benefits for language development. The current study examined whether the positive associations of breast feeding on language ability at age 5 years in the Western Australian Pregnancy (Raine) Cohort, were still present at age 10 years. The Raine Study is a longitudinal study of 2868 liveborn children recruited at approximately 18 weeks gestation. Breast-feeding data were based upon information prospectively collected during infancy, and were summarised according to four categories of breast-feeding duration: (1) never breast-fed, (2) breast-fed predominantly for <4 months, (3) breast-fed predominantly for 4-6 months, and (4) breast-fed predominantly for >6 months. Language ability was assessed in 1195 children at the 10 year follow-up (mean age = 10.58 years; standard deviation = 0.19) using the Peabody Picture Vocabulary Test - Revised (PPVT-R), which is based around a mean of 100 and a standard deviation of 15. Associations between breast-feeding duration and PPVT-R scores were assessed before and after adjustment for a range of sociodemographic, obstetric and psychosocial covariates. Analysis of variance revealed a strong positive association between the duration of predominant breast feeding and PPVT-R at age 10 years. A multivariable linear regression analysis adjusted for covariates and found that children who were predominantly breast-fed for >6 months had a mean PPVT-R score that was 4.04 points higher than children who were never breast-fed. This compared with an increase of 3.56 points at age 5 years. Breast feeding for longer periods in early life has a positive and statistically-independent effect on language development in middle childhood.

Age, gender, and education effects on vocabulary measures in Greek

Background: Assessment of lexical/semantic knowledge—the ability to retrieve phonological, lexical, and general (semantic) information from long term memory—can be performed with a variety of tests varying in response requirements. Aims: The present study explores the impact of demographic variables on three such tests. Methods & Procedures: The Peabody Picture Vocabulary Test-Revised (PPVT-R), the Vocabulary subtest from the Wechsler Abbreviated Scale of Intelligence (WASI), and the Boston Naming Test (BNT) were used in a representative sample of 500 Greek community-dwelling adults aged 50–84 years. Outcomes & Results: Education effects were generally stronger than age effects, and were strongest on the WASI. Age effects (independent of educational level) were highest for the BNT and lowest for the WASI Vocabulary. Relationships among tests and also between each vocabulary test and an index of non-verbal intelligence are also discussed.

Closing the gap in academic readiness and achievement: the role of early childcare

Background: Socially disadvantaged children with academic difficulties at school entry are at increased risk for poor health and psychosocial outcomes. Our objective is to test the possibility that participation in childcare – at the population level – could attenuate the gap in academic readiness and achievement between children with and without a social disadvantage (indexed by low levels of maternal education).Methods: A cohort of infants born in the Canadian province of Quebec in 1997/1998 was selected through birth registries and followed annually until 7 years of age (n = 1,863). Children receiving formal childcare (i.e., center‐based or non‐relative out‐of‐home) were distinguished from those receiving informal childcare (i.e., relative or nanny). Measures from 4 standardized tests that assessed cognitive school readiness (Lollipop Test for School Readiness), receptive vocabulary (Peabody Picture Vocabulary Test Revised), mathematics (Number Knowledge Test), and reading performance (Kaufman Assessment Battery for children) were administered at 6 and 7 years.Results: Children of mothers with low levels of education showed a consistent pattern of lower scores on academic readiness and achievement tests at 6 and 7 years than those of highly educated mothers, unless they received formal childcare. Specifically, among children of mothers with low levels of education, those who received formal childcare obtained higher school readiness (d = 0.87), receptive vocabulary (d = 0.36), reading(d = 0.48) and math achievement scores (d = 0.38; although not significant at 5%) in comparison with those who were cared for by their parents. Childcare participation was not associated with cognitive outcomes among children of mothers with higher levels of education.Conclusions: Public investments in early childcare are increasing in many countries with the intention of reducing cognitive inequalities between disadvantaged and advantaged children. Our findings provide further evidence suggesting that formal childcare could represent a preventative means of attenuating effects of disadvantage on children’s early academic trajectory.

School readiness and later achievement: Replication and extension using a nationwide Canadian survey.

In this article we replicate and extend findings from Duncan et al. (2007). The 1st study used Canada-wide data on 1,521 children from the National Longitudinal Survey of Children and Youth (NLSCY) to examine the influence of kindergarten literacy and math skills, mother-reported attention, and mother-reported socioemotional behaviors on 3rd-grade math and reading outcomes. Similar to Duncan et al., (a) math skills were the strongest predictor of later achievement, (b) literacy and attention skills predicted later achievement, and (c) socioemotional behaviors did not significantly predict later school achievement. As part of extending the findings, we incorporated a multiple imputation approach to handle missing predictor variable data. Results paralleled those from the original study in that kindergarten math skills and Peabody Picture Vocabulary Test-Revised scores continued to predict later achievement. However, we also found that kindergarten socioemotional behaviors, specifically hyperactivity/impulsivity, prosocial behavior, and anxiety/depression, were significant predictors of 3rd-grade math and reading. In the 2nd study, we used data from the NLSCY and the Montreal Longitudinal-Experimental Preschool Study (MLEPS), which was included in Duncan et al., to extend previous findings by examining the influence of kindergarten achievement, attention, and socioemotional behaviors on 3rd-grade socioemotional outcomes. Both NLSCY and MLEPS findings indicated that kindergarten math significantly predicted socioemotional behaviors. There were also a number of significant relationships between early and later socioemotional behaviors. Findings support the importance of socioemotional behaviors both as predictors of later school success and as indicators of school success.

Normative Data for the Words-in-Noise Test for 6- to 12-Year-Old Children

To establish normative data for children on the Words-in-Noise Test (WIN; R. H. Wilson, 2003; R. H. Wilson & R. McArdle, 2007). Forty-two children in each of 7 age groups, ranging in age from 6 to 12 years (n=294), and 24 young adults (age range: 18-27 years) with normal hearing for pure tones participated. All listeners were screened at 15 dB HL (American National Standards Institute, 2004) with the octave interval between 500 and 4000 Hz. Randomizations of WIN Lists 1, 2, and 1 or WIN Lists 2, 1, and 2 were presented with the noise fixed at 70 dB SPL, followed by presentation at 90 dB SPL of the 70 Northwestern University Auditory Test No. 6 (T. W. Tillman & R. Carhart, 1966) words used in the WIN. Finally, the Peabody Picture Vocabulary Test-Revised (L. M. Dunn & L. M. Dunn, 1981) was administered. Testing was conducted in a quiet room. There were 3 main findings: (a) The biggest change in recognition performance occurred between the ages of 6 and 7 years; (b) from 9 to 12 years, recognition performance was stable; and (c) performance by young adults (18-27 years) was slightly better (1-2 dB) than performance by the older children. The WIN can be used with children as young as 6 years of age; however, age-specific ranges of normal recognition performance must be used.

Maternal life events during pregnancy and offspring language ability in middle childhood: The Western Australian Pregnancy Cohort Study

Background There is accumulating evidence for a link between maternal stress during pregnancy and later behavioural and emotional problems in children. Little research has examined other developmental outcomes. Aim To determine the effect of maternal stress during pregnancy on offspring language ability in middle childhood. Study design Longitudinal pregnancy cohort-study. Subjects A total of 2900 mothers were recruited prior to the 18th week of pregnancy, delivering 2868 live births. The language ability of just under half of the offspring cohort ( n = 1309; 45.6% of original sample) was assessed in middle childhood (Mean age = 10;7, Standard deviation = 0;2, range: 9;5–11;11). Outcome measures Language ability was measured using the Peabody Picture Vocabulary Test-Revised (PPVT-R). The main predictor variable was the frequency of 10 typically ‘stressful’ life events experienced by mothers during early and/or late pregnancy. Children were allocated to four groups according to whether they were exposed to high maternal stress (≥ 2 life events) during early pregnancy only, late pregnancy only, both, or neither. Results Mixed-effects regression analyses revealed no association between the maternal experience of two or more stressful life events at any time-point during pregnancy and PPVT-R scores. Repeating the regression analyses with more lenient (≥ 1 life events) or strict (≥ 3 life events) thresholds for defining high-levels of maternal stress did not alter the pattern of findings. Conclusions Maternal experience of typically stressful life events during pregnancy has a negligible effect on vocabulary development to middle childhood.

Functional connectivity to a right hemisphere language center in prematurely born adolescents

Prematurely born children are at increased risk for language deficits at school age and beyond, but the neurobiological basis of these findings remains poorly understood. Thirty-one PT adolescents (600–1250g birth weight) and 36 T controls were evaluated using an fMRI passive language task and neurodevelopmental assessments including: the Wechsler Intelligence Scale for Children-III (WISC-III), the Peabody Picture Vocabulary Test-Revised (PPVT-R), the Comprehensive Test of Phonological Processing (CTOPP) and the Test of Word Reading Efficiency (TOWRE) at 16years of age. Neural activity was assessed for language processing and the data were evaluated for connectivity and correlations to cognitive outcomes. PT subjects scored significantly lower on all components of the WISC-III (p<0.05) compared to term subjects, but there was no significant difference in PPVT-R scores between the groups. Functional connectivity (fcMRI) between Wernicke's area (left BA 22) and the right supramarginal gyrus (BA 40) was increased in preterm subjects relative to term controls (p=0.03), and the strength of this connection was inversely related to performance on both the PPVT-R (R2=0.553, p=0.002), and the verbal comprehension index (R2=0.439, p=0.019). Preterm adolescents engage a dorsal right hemisphere region for language at age 16years. Those with the greatest cognitive deficits demonstrate increasing reliance on this alternate pathway.