Spanish-speaking Children Research Articles

Translation, cross-cultural adaptation, and psychometric properties of the Spanish version of the dysfunctional voiding score symptoms (DVSS-Sp) questionnaire in a pediatric chilean sample

BackgroundThe Dysfunctional Voiding Score Symptoms (DVSS) questionnaire is commonly used to evaluate dysfunctional voiding and incontinence (DVI). ObjectivesTo translate and culturally adapt the DVSS questionnaire into Spanish (DVSS-Sp) in pediatric population and to assess its psychometric properties. MethodsThe process of translation and cultural validation were done. To obtain evidence of validity and reliability, we evaluated the fit of different factor models and calculated internal consistency coefficients. Also, the diagnostic capacity of the DVSS-Sp scale was assessed through a logistic regression analysis and a receiver operating characteristic (ROC) curve. Accordingly, a total sample of 248 participants was recruited (204 with a diagnosis of DVIs and 44 with no medical problems). ResultsThe cross-cultural adaptation showed an adequate correspondence with the original version. The DVSS-Sp was configured with 2 factors: Overactive Bladder (OB) symptoms (items 1, 2, 6, and 7) and Dysfunctional Elimination (DE) symptoms (items 3, 4, 8, and 9), showing excellent goodness-of-fit indices. The relationship between the factors OB and DE was low. The reliability of the OB factor was α = 0.68, ω = 0.71, and the DE factor was α = 0.56, ω = 0.57. A logistic regression analysis suggests a good diagnostic capacity of the DVSS-Sp scale. Additionally, ROC analysis showed a cut-off score of 3.5 on the DVSS-Sp scale, where the specificity was 0.907, and the sensitivity was 0.636. ConclusionThe results of this study support the use of the DVSS-Sp for assessing DVIs in Spanish-speaking children.

Interpreting the direct- and derived-Trail Making Test scores in Argentinian children: regression-based norms, convergent validity, test-retest reliability, and practice effects

Objective: We carried out two research studies (using a cross-sectional and a longitudinal design) to establish regression-based normative data, and to examine the convergent validity, the test-retest reliability, and the changes in performance with practice (1-month and 1-year interval) of the direct- and derived- (B-A, B + A, and B/A ratio) Trail Making Test (TMT) scores in Spanish-speaking children. Method: In S1 (n = 413 6- to 15-year-old children and adolescents), regression-based norming procedure and partial correlations were employed. In S2 (n = 110 6- to 12-year-old children), intraclass correlation coefficient (ICC2,1), Pearson’s r-product-moment correlations, and paired t-tests were used. Results: S1 demonstrated that age was associated with better performance on both TMT-A and TMT-B. This improvement was more strongly related to direct scores than derived measures B-A and B/A. Additionally, TMT-B was found to be more related to other executive functions (EF) compared to the performance of TMT-A. Among the derived scores, only the B-A was related primarily to cognitive flexibility, while the B + A index was associated with most EF, suggesting a general measure of cognitive functioning. In S2, fair to good test-retest reliability coefficients were found at Time 2 for TMT-A and TMT-B, as well as the B + A index, both in 6 to 8-year-olds (ICCs .61 to .74) and 9 to 12-year-olds (ICCs .53 to .65). There was a significant increase in performance on TMT-A and TMT-B from the first assessment (Time 1) to the follow-up testing at Time 2 in older children. However, this significant improvement was not observed for TMT-B in the younger group. Test scores on the TMT direct measures improved significantly across 1-year. The B-A and B/A ratio scores did not change across examinations. Conclusions: These findings have important implications for assessing EF and developing interventions that target cognitive flexibility in pediatric populations.

Dialogic and pragmatic aspects of early object realization: a crosslinguistic comparison of three Romance languages

This exploratory research aimed to assess the impact of pragmatic and dialogic factors on the choice of referring expressions at the onset of transitive constructions in three Romance languages. The study was conducted using a corpus of three adult-child dialogues with three 2;6-year-old children acquiring Brazilian Portuguese (BP), Spanish (Sp), and French (Fr). After analyzing the distribution of forms for accusative and dative objects, we assessed the impact of the input (through two levels of influence) and of the attentional and discursive status of the referents (through four degrees of accessibility). Overall, the results showed the children’s sensitivity to pragmatic factors, but we also found different uses for null objects in each language: the Brazilian child used more over-explicit forms when nulls would be accepted, while the French child used null objects when pronouns were expected. The Spanish-speaking child showed little disparity from the adults’ usage. The three children adopted linguistic forms from the adults' speech, and this strategy seems to contribute to the children's assessment of referent accessibility and the acquisition of challenging weak forms.

Advancing Dyslexia Assessment in Children through Computerized Testing.

The acquisition of reading skills is an intricate process that demands the cultivation of various domain-general and domain-specific abilities. Consequently, it is unsurprising that many children grapple with maintaining proficiency at the grade level, particularly when confronted with challenges spanning multiple abilities across both domains, as observed in individuals with reading difficulties. Strikingly, despite reading difficulties being among the most prevalent neurodevelopmental disorders affecting school-aged children, the majority of available diagnostic tools lack a comprehensive framework for assessing the full spectrum of cognitive skills linked to dyslexia, with minimal computerized options. Notably, there are currently limited tools with these features available for Spanish-speaking children. The aim of this study was to delineate the protocol for diagnosing Spanish-speaking children with reading difficulties using the Sicole-R multimedia battery. This tool for elementary grades focuses on evaluating cognitive skills that are associated with dyslexia as prescribed by the scientific literature. Specifically, it concentrates on assessing a range of cognitive abilities that studies have demonstrated to be linked to dyslexia. This focus is based on the observation that individuals with dyslexia typically exhibit deficits in several of the cognitive areas evaluated by this digital tool. The robust internal consistency and multidimensional internal structure of the battery were demonstrated. This multimedia battery has proven to be a fitting tool for diagnosing children with reading difficulties in primary education, offering a comprehensive cognitive profile that is valuable not only for diagnostic purposes but also for tailoring individualized instructional plans.

Neural Correlates of Telicity in Spanish-Speaking Children with and without Developmental Language Disorder.

It is broadly acknowledged that children with Developmental Language Disorder (DLD) show verb-related limitations. While most previous studies have focused on tense, the mastery of lexical aspect-particularly telicity-has not been the primary focus of much research. Lexical aspect refers to whether an action has a defined endpoint (telic verbs) or not (atelic verbs). This study investigates the effect of telicity on verb recognition in Chilean children with DLD compared to their typically developing (TD) peers using the Event-Related Potential (ERP) technique. The research design is a mixed factorial design with between-group factors of 2 (DLD/TD) and within-group factors of 2 (telic/atelic verbs) and 2 (coherent/incoherent sentences). The participants were 36 school-aged children (18 DLD, 18 TD) aged 7 to 7 years and 11 months. The task required subjects to listen to sentences that either matched or did not match an action in a video, with sentences including telic or atelic verbs. The study found notable differences between groups in how they processed verbs (N400 and post-N400 components) and direct objects (N400 and P600 components). Children with DLD struggled to differentiate telic and atelic verbs, potentially because they employed overgeneralization strategies consistent with the Event Structural Bootstrapping model.

Nighttime Fears and Coping Responses in School-Aged Children: A Latent Profile Analysis.

Nighttime fears are common among school-aged children and may be linked to psychological difficulties, while coping strategies may vary and affect their emotional well-being. This study aimed to identify patterns of nighttime fears and coping styles in school-aged children using Latent Profile Analysis. Subsequently, possible predictors of the latent profiles were tested through multinomial logistic regression analysis. A sample of 786 Spanish-speaking children (aged 8 to 12; = 9.66, = 1.20; 51.3% girls) participated and completed self-report measures of nighttime fears and coping responses. The results revealed four latent profiles: (1)"low fears, low self-control" (24.2%), (2)"high fears (except for imaginary fears), maladaptive coping" (22.8%), (3)"moderate fears, adaptive coping" (44.9%), and (4)"high fears, maladaptive coping" (8.1%). The regression analysis revealed that sociodemographic characteristics and children's perceived helpfulness of coping strategies were predictors of the latent profiles. These findings suggest the presence of distinct patterns and heterogeneous subgroups, which may emerge as higher or lower risk profiles. It highlights the need to consider the existing patterns to provide tailored interventions targeting nighttime fears.

Conceptual subordination in the oral retelling of Spanish-speaking children

Although retelling as a technique to assess narration has been widely used, the input modality seems to impact in different ways on the elicited text, generating a debate about the biases that may appear. To contribute to this discussion, the objective of this study is to describe the development of conceptual subordination and its forms of coding in the oral stories of Spanish-speaking children as well as its relationship with the source text. The stories of 28 five-year-old Chilean school children collected through a retelling task were studied. The analysis consisted of firstly assessing the production of conceptual subordination through the identification of asymmetric links between states of affairs. Then, the encoding forms that instantiated these links were classified. Finally, indices were constructed and applied to compare the children’s texts with the source text. During the comparative analysis with the input, three qualitative categories emerged: similar production, reformulation and new link. The results showed that the participants’ stories present significantly less production of conceptual subordination link than the source text. However, the children were able to create new links that were not presented in the story and reformulated others, as evidence of an interpretive process that goes beyond the mere reproduction of the input in these types of tasks. Regarding the encoding forms, the results were very similar between the source text and the children’s text without significant differences. Both in source texts and children’s texts, the prototypical forms of Spanish dominated, allowing us to conclude a possible input bias.

Storytelling based on generative AI to promote the inclusion of people with disabilities

This article presents the comprehensive design and evaluation of a digital storytelling system tailored forchildren aged 4 to 6 in Latin America. This system is based on generative artificial intelligence.Tests were conducted encompassing the system’s functionality, content diversity, generation times,voice evaluation, intonation, speed, and pronunciation quality. The results confirm the system’s correctoperation and intuitive nature. The generated stories exhibit a high degree of diversity, as evidenced bythe calculation of Jaccard indices, with a maximum value of 0.2 observed in the evaluations of 30 analyzedstories. As anticipated, generation times increase with the length of the stories. It was determined thatthe voice best suited for storytelling is Onyx from OpenAI’s TTS. However, pronunciation errors werenoted in all TTS model voices. According to the conducted analysis, the system produces diverse stories that promote values among Spanish-speaking children, thus emphasizing the importance of inclusivity for individuals with different abilities. It is noteworthy that no inappropriate content for children was found in any of the stories

Instrumento MAIN para evaluar las habilidades narrativas en niños hispanohablantes con trastorno del desarrollo del lenguaje (TDL)

IntroductionDevelopmental language disorder (DLD) involves the impairment of one or more linguistic dimensions. It has been observed that these children present difficulties in oral narratives at the microstructure and macrostructure levels, although there is much disparity in the assessment tools used in research. The aim of this study is to assess the narrative skills of Spanish-speaking children with DLD by analyzing oral narratives in terms of narrative microstructure and macrostructure and phonological and morphological errors. MethodThe sample consisted of 24 children: 12 with DLD and 12 with typical development (TD) aged between 7 and 11years. They were administered CELF-5, Raven's 2, and Peabody Picture Vocabulary Test to assess the level of linguistic and cognitive competence and the Multilingual Assessment Instrument for Narratives (MAIN), a narrative assessment tool. These oral narratives were transcribed and analyzed with the CHILDES project tools and coded with the PREP-CORP system. ResultsStatistically significant differences were observed between both groups in the number of utterances, mean utterance length and number of events narrated, as well as in the frequency of morphological and phonological errors. ConclusionsOral narratives of DLD children using the MAIN tool are shorter and less detailed than those of TD, as well as with a higher number of phonological and morphological errors. Therefore, the MAIN could be a suitable clinical tool for the assessment of the narrative skills of DLD children.

The relationship between oral language abilities and reading: The case of children with developmental language disorder

Oral language abilities have been reported to be related to reading development. This relationship seems to be determined by orthographic systems and reading development. Children with developmental language disorder (DLD) show reading difficulties, although most studies focus on reading comprehension. The present study has two main objectives: to examine the reading performance of a group of Spanish-speaking children with DLD compared to a chronologically age-matched group of typically developing children (TD); and to study the relationship between oral language abilities and reading performance using network analysis. They were administered five standardized tests to obtain measures about oral language abilities and reading performance. Results showed that children with DLD were less accurate and slower in reading than TD children. Meanwhile, the network analyses suggest strong and stable connections between reading and oral production in the DLD group. This finding confirms the importance of language abilities for reading acquisition.

The moderating role of gender and acculturative status in the socialization of cultural values in U.S. Mexican families.

Familismo and respeto are traditional Latine values often taught to U.S. Latine children by their caregivers. Deference to authority figures and restraint from defiance to such figures are also taught. Despite the central role of these as markers of Latine ethnic identity and their relevance to children's health and well-being, little is known on how these traditional cultural values are socialized and whether differences exist in these values between English-speaking and Spanish-speaking U.S. Latine mothers and between boys and girls. We examined expressions of familismo, respeto, deference, and defiance in conversations of low-income, U.S. Mexican mothers and their children as a function of mothers' acculturative status and children's gender. One hundred thirty-eight video-recorded U.S. Mexican mother-child conversations (65 girls; age: M = 10.5 years, SD = 0.53) were transcribed and coded to obtain indices of respeto, familismo, deference, and defiance. There were 70 Spanish-speaking mothers and 68 English-speaking mothers (age: M = 34.9 years, SD = 5.8) from the Early Head Start Research and Evaluation project. Spanish-speaking children were more deferent than English-speaking children. English-speaking children were more defiant. There were no group differences, however, in familism and respect. The findings advance a more nuanced conceptual framework of cultural values socialization that is sensitive to acculturative status in U.S. Latine populations and can inform the development of effective intervention efforts (e.g., parenting education programs) aimed at supporting enculturative practices that can enhance U.S. Latine children's health and well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Identifying kindergarteners at-risk of writing difficulties based on foundational literacy skills

AbstractThe main aim of this study was to evaluate the Early Grade Writing Assessment for Kindergarten (EGWA-K), which is grounded in foundational literacy skills, for its validity and diagnostic accuracy in identifying children at risk of developing early learning disabilities in writing (LDW). To the best of our knowledge, no such tool exists for Spanish-speaking children. A sample of 363 Spanish kindergarten children aged 4.7 to 6.6 years was selected for this purpose. The EGWA-K protocol, comprising four tasks (i.e., phonological awareness, writing words from pictures, free writing of words, and oral narrative), was administered to the sample. Additionally, two criterion tasks based on free letter writing and teacher ratings were included for validation purposes. First, an exploratory factor analysis (EFA) was conducted using parallel analysis to determine the dimensionality of the EGWA-K, which was confirmed by a confirmatory factor analysis (CFA) yielding two factors (one related to transcription ability and the other to narrative competence). Additionally, measurement invariance was confirmed at the configural, metric, scalar, and residual levels by gender. The EGWA-K had an acceptable area under the ROC curve (AUC in the 0.87 range), particularly when free letter writing was utilized as the criterion measure, with adequate sensitivity (0.90) and specificity (0.71) indices. Therefore, a reliable and construct-valid screening tool such as the EGWA-K is now available for the early identification of LDW in Spanish kindergarten children.

Development of the Children's English and Spanish Speech Recognition Test: Psychometric Properties, Feasibility, Reliability, and Normative Data.

The Children's English and Spanish Speech Recognition (ChEgSS) test is a computer-based tool for assessing closed-set word recognition in English and in Spanish, with a masker that is either speech-shaped noise or competing speech. The present study was conducted to (1) characterize the psychometric properties of the ChEgSS test, (2) evaluate feasibility and reliability for a large cohort of Spanish/English bilingual children with normal hearing, and (3) establish normative data. Three experiments were conducted to evaluate speech perception in children (4-17 years) and adults (19-40 years) with normal hearing using the ChEgSS test. In Experiment 1, data were collected from Spanish/English bilingual and English monolingual adults at multiple, fixed signal-to-noise ratios. Psychometric functions were fitted to the word-level data to characterize variability across target words in each language and in each masker condition. In Experiment 2, Spanish/English bilingual adults were tested using an adaptive tracking procedure to evaluate the influence of different target-word normalization approaches on the reliability of estimates of masked-speech recognition thresholds corresponding to 70.7% correct word recognition and to determine the optimal number of reversals needed to obtain reliable estimates. In Experiment 3, Spanish/English bilingual and English monolingual children completed speech perception testing using the ChEgSS test to (1) characterize feasibility across age and language group, (2) evaluate test-retest reliability, and (3) establish normative data. Experiments 1 and 2 yielded data that are essential for stimulus normalization, optimizing threshold estimation procedures, and interpreting threshold data across test language and masker type. Findings obtained from Spanish/English bilingual and English monolingual children with normal hearing in Experiment 3 support feasibility and demonstrate reliability for use with children as young as 4 years of age. Equivalent results for testing in English and Spanish were observed for Spanish/English bilingual children, contingent on adequate proficiency in the target language. Regression-based threshold norms were established for Spanish/English bilingual and English monolingual children between 4 and 17 years of age. The present findings indicate the ChEgSS test is appropriate for testing a wide age range of children with normal hearing in either Spanish, English, or both languages. The ChEgSS test is currently being evaluated in a large cohort of patients with hearing loss at pediatric audiology clinics across the United States. Results will be compared with normative data established in the present study and with established clinical measures used to evaluate English- and Spanish-speaking children. Questionnaire data from parents and clinician feedback will be used to further improve test procedures.

Norms, convergent validity, test–retest reliability, and practice effects for verbal fluency overall performance, clustering, and switching in Spanish-speaking children

Objective We conducted two empirical studies (in a cross-sectional and a longitudinal design) with the aim at establishing normative data (including norms for strategy use [i.e., clustering and switching strategies] and performance over time), and examining the convergent validity, the test–retest reliability (3–4 wks interval) and the changes in performance with practice (1 year interval) of the different verbal fluency (VF) quantitative and qualitative scores in Spanish-speaking children and adolescents. Method In S1 (n = 620 6- to 15-year-old Spanish-speaking children and adolescents), MANCOVA and Pearson’s correlations were employed. In S2 (n = 148 6- to 12-year-old Spanish-speaking children), intraclass correlation coefficient (ICC), paired t-tests, and Confirmatory Factor Analysis (CFA) were used. Results S1 results showed an age effect on all VF measures (quantitative and qualitative). The number of switches/clusters was more related to total word productivity and to executive functions (EF) than the mean cluster size. In S2, a significant increase in phonological VF performance was observed on number of switches and word productivity scores from baseline (Time 1) to repeat testing at Time 2. Practice effects were observed at Time 3 on all measures except for semantic and phonological mean cluster size. Test–retest reliability coefficients at Time 2 for number of clusters and switches, but not for mean cluster size, fell in the moderate range, ranging from ICCs .61 to ICCs .81. Test–retest reliability coefficients for total word productivity were higher (ICCs above .80) and stronger when testing as a unity with CFA methods (ϕ=.94, p < .001). Conclusions These data may be relevant for informing the neuropsychological assessment of spontaneous cognitive flexibility in children with typical development (TD) and those with developmental or acquired disorders.

Nasalance scores in Spanish-speaking children aged 3 to 5 years according to gender, age, and vowel load

Nasometry is a non-invasive, easy-to-use technique that provides objective data regarding the amount of acoustic energy in the oral and nasal cavities during speech. The goal of this study is to create a Spanish passage and determine normative nasalance values for typical Spanish-speaking children, 3 to 5 years of age, that allows us to compare the values in children of the same age who present hypernasality and velopharyngeal dysfunction. Second, to determine if there are significant differences in nasalance scores based on age or gender. Third, to test the impact of vowel load on nasalance scores. Data were collected from 130 children with no known speech, language, or hearing disorder. Participants were organized into three groups according to age. A nasometric assessment protocol for Spanish was developed based on an adaptation of the MacKay-Kummer Simplified Nasometric Assessment Procedures-Revised (SNAP-R; 2005). All participants were required to repeat the speech stimuli. Data were collected using the icSpeech nasometer and were recorded on EXCEL 365 sheets for further analysis. Normative data is now available for a Spanish version of the SNAP-R Test. No significant differences were found between the genders, but significant differences were found based on age. It was also found that a load of high and anterior vowels, especially the phoneme /i/, increased nasalance scores. This protocol created passages in Spanish that mimic the passages of the SNAP-R Test in English. These Spanish passages were normed for Spanish-speaking children. This study confirms that high vowels result in higher nasalance values and therefore, the vowel composition of a specific passage determines the nasalance score, not the language of the passage.

Assessment of Central Auditory Processing in Children Using a Novel Tablet-Based Platform: Application for Low- and Middle-Income Countries.

Evaluate whether a portable, tablet-based central auditory processing (CAP) test system using native language training videos and administered by minimally trained community health workers can produce CAP results comparable to previously published norms. Our secondary aim was to determine subject parameters that influence test results. Cross-sectional study. Community-based settings in Chontales, Nicaragua, New Hampshire, and Florida. English- and/or Spanish-speaking children and adolescents (n = 245; average age, 12.20 yr; range, 6-18 yr). Completion of the following tests with responses comparable to published norms: Pure-tone average (PTA), gap detection threshold (GDT), fixed-level frequency threshold, masking level difference (MLD), Hearing in Noise Test (HINT), Dichotic Digits Test (DDT), and Frequency Pattern Recognition (FPR) test. GDT, HINT, and DDT had comparable results to previously published normative values. MLD and FPR results differed compared with previously published normative values. Most CAP tests (MLD, GDT, HINT) results were independent of age and PTA (p = 0.1-0.9). However, DDT was associated with age and PTA (p < 0.0001). Pediatric CAP testing can be successfully completed in remote low- and middle- income country environments using a tablet-based platform without the presence of an audiologist. Performance on DDT improved with age but deteriorated with hearing loss. Further investigation is warranted to assess the variability of FPR.

Child and caregiver voices about inpatient care: What do they report as positive and as needing improvement?

PurposeIn pediatric healthcare, patient satisfaction queries exclude children and solicit quantitative ratings from caregivers. We sought satisfaction perspectives from hospitalized children 7 to 17 years and their caregivers by qualitatively analyzing interview responses. Design and methodsEnglish and Spanish-speaking children and their parents on five inpatient units completed two open-ended questions about their satisfaction at hospital discharge (T1, face to face) and 7 to 10 days later (T2, telephone). The questions asked about what was good and what could be better at the hospital. Responses were analyzed using descriptive semantic content analysis and consensus coding methods. ResultsPatients' mean age was 11.9 years (SD = 3.17); 51% were male. At T1, 362 patients offered 833 responses; 600 parents offered 1496 responses. At T2, 252 patients offered 552 responses; 488 parents offered 1290 responses. At T1 and T2, the most frequent patient response to what was good was ‘Staff took good care of me’ and for caregivers was ‘Staff behaving professionally’. At T1, the most frequent patient response about what could be better was ‘more activities for kids’, and at T2, ‘Nothing’ and ‘More food options and better food quality’; for caregivers at T1, ‘Nothing’ and ‘Not liking the physical space’, and at T2, ‘Nothing’, and ‘More communication and professionalism from hospital staff’. ConclusionsPediatric patients and their caregivers are willing and able to offer perspectives about satisfaction with care, and suggestions for improvement before discharge. Practice implicationsPediatric patients and their caregivers' perspectives about care yield actionable recommendations for hospital systems.

Lexical and Sublexical Skills in Children's Literacy

Letter knowledge and word identification are key skills for reading and spelling. Letter knowledge facilitates the application of sublexical letter-sound mappings to decode words. With reading experience, word identification becomes a key lexical skill to support decoding. In transparent orthographies, however, letter knowledge might be an enduring predictor of decoding and spelling, even in children with some reading experience. This study investigated the association of children's sublexical (letter knowledge) and lexical skills (word identification and vocabulary) with word decoding and spelling accuracy in Spanish, which is a transparent orthography. The sample consisted of 117 Spanish-speaking children, aged 8 to 10. Results revealed that (1) letter knowledge and word identification were independently associated with children's word spelling; (2) word identification was uniquely associated with word decoding; and (3) children's vocabulary level was associated with word identification. The implications of these findings were examined within the framework of reading models and the characteristics of a transparent orthography.

Is language impaired in Spanish-speaking children with autism spectrum disorder level 1?

Our main aim was to explore whether children with ASD-Level 1 (ASD-L1) present difficulties in the acquisition of structural language, as little work has been done in this regard so far. As a secondary aim we evaluated the degree to which the potential language impairment in ASD is directly associated with their social communication deficits or it represents a distinct deficit. To further clarify the nature and characteristics of putative language difficulties in ASD-L1, we evaluated language skills in 89 children and preadolescents diagnosed with ASD-L1, and a group of typically developing participants (TD). All of them were between 8 and 13 years old and had similar socioeconomic backgrounds. Children with ASD-L1 obtained lower scores than those in TD group in repeating sentences, in finding the semantic relationships between words, and in applying word structure rules (morphology). Congruently, the core language standard score was lower in the ASD-L1 group, and the proportion of language delay was significantly higher in the ASD-L1 group than in the control group. Language scores were associated with autistic traits; thus, language performance in ASD-L1 is closely related to autistic symptoms. These results are discussed according to the literature on linguistic deficits in ASD-L1 and their relations with phonological working memory.

Exploring Comorbidity Between Anxiety and Depression in Spanish-Speaking School-Aged Children: A Network Analysis Approach.

Anxiety and depression are highly prevalent and comorbid problems in childhood, which deserve greater understanding for effective prevention and treatment. The main aim of the present study was to explore the comorbidity between anxiety and depression symptoms using a novel and valuable approach to study comorbidity, such as network analysis. Specifically, the connectivity between symptoms and possible relevant symptoms was examined through comorbidity estimation and shortest pathway networks, as well as bridge symptoms. This study comprised 281 Spanish-speaking children aged 8-12 years (45.2% girls), whose anxiety and depression symptoms were assessed through specific brief parent-report measures. Analyses revealed that in the comorbidity network, the most central symptoms were related to depression ("No good anymore," "Could never be as good," "Hated self," "Did everything wrong," "Nobody loved him/her") or anxiety ("Suddenly feels really scared"). Furthermore, it was found that the most central bridge symptoms, whose activation would play a key role in the activation of other domain symptoms, were anxiety symptoms such as "Trouble going to school" and "Suddenly feels really scared" and depression symptoms, such as "Could never be as good" and "Hated self." Additionally, the shortest path network suggested the existence of different possible pathways of connection between anxiety and depression symptoms. Overall, these findings help to understand the complexity of the anxiety-depression comorbidity. It suggests the existence of central and bridge symptoms that complement previous studies, which may be potential targets for interventions to prevent and treat childhood anxiety and depression.