Specific Language Impairment Group Research Articles

Comorbid motor deficits in a clinical sample of children with specific language impairment

The aim of the present study was to compare the motor function of a clinical sample of children with specific language impairment (SLI) to a language-matched comparison group that had not been referred for SLI assessment. A typical language comparison group with similar nonverbal IQ was also included. There were approximately 35 children in each group, aged 9- to 10-years-old, and the children completed a range of standardised language, motor and literacy measures. The results showed that the SLI group scored significantly lower than the language-matched and typical language comparison groups on all of the motor and literacy measures. We conclude that language factors alone are insufficient to explain the extensive comorbid motor and literacy deficits shown by the children with SLI in this study. We suggest that the clinical diagnosis of SLI may be influenced by the presence of additional developmental difficulties, which should be made explicit in assessment procedures, and that intervention strategies, which address the broad range of difficulties experienced by children with a clinical diagnosis of SLI, should be prioritised.

Speech perception and lexical effects in specific language impairment

Using an identification task, we examined lexical effects on the perception of vowel duration as a cue to final consonant voicing in 12 children with specific language impairment (SLI) and 13 age-matched (6;6–9;6) peers with typical language development (TLD). Naturally recorded CV/t/sets [word–word (WW), nonword–nonword (NN), word–nonword (WN) and nonword–word (NW)] were edited to create four 12-step continua. Both groups used duration as an identification cue but it was a weaker cue for children with SLI. For NN, WN and NW continua, children with SLI demonstrated certainty at shorter vowel durations than their TLD peers. Except for the WN continuum, children with SLI demonstrated category boundaries at shorter vowel durations. Both groups exhibited lexical effects, but they were stronger in the SLI group. Performance on the WW continuum indicated adequate perception of fine-grained duration differences. Strong lexical effects indicated reliance on familiar words in speech perception.

ERPs reveal atypical processing of subject versus object Wh‐questions in children with specific language impairment

Children with specific language impairment (SLI) show particular difficulty comprehending and producing object (Who did the bear follow?) relative to subject (Who followed the tiger?) wh-questions. To determine if school-age children with SLI, relative to children with typical development (TD), show a more distinct unevenness, or asymmetry, in the comprehension of these questions. In addition, this study examined whether the sustained left-anterior negativity (LAN) in event-related potentials (ERP) could be used as a marker for atypical processing of these questions in children with SLI. The LAN effect signals the greater working memory processes for maintaining in memory the dislocated object in object wh-questions and reflects working memory capacity in adults. It was predicted that the amplitude of the LAN would be greater in children with SLI, reflecting the characteristic low working memory capacity in this population. The concomitance of these behavioural and electrophysiological effects would suggest that the subject-object asymmetry in SLI should be investigated in relation to poor working memory skills. Groups including 13 children with SLI, 17 same-age TD children and 18 normal adults completed an auditory sentence comprehension task requiring button responses while continuous electroencephalography (EEG) was collected. Accuracy for subject and object questions was calculated. The mean amplitude values of the ERP data for the wh-questions were examined to identify differential processing of subject and object questions. TD children demonstrated asymmetrical comprehension of subject and object wh-questions, whereas children with SLI comprehended both question types poorly and adults did not show subject-object asymmetry. ERP waveforms spanning the wh-dependency revealed a large and widespread sustained anterior positivity for object relative to subject questions in the TD group, indicating differential processing of these questions. This effect was attenuated and non-significant in the SLI group. The adults' grand average waveforms showed the expected LAN effect, which was opposite in polarity relative to the children, although it only approached significance. The finding of less differential processing of subject and object wh-questions in SLI relative to TD children suggests inefficient maintenance of sentential information in working memory for object questions in SLI. Whereas behavioural methods did not identify subject-object asymmetry in SLI, the more fine-grained method of ERPs elucidated this effect. Further analysis of working memory as the basis for the subject-object asymmetry in SLI is critical for identifying appropriate intervention targets for this population.

Phonological processing skills in specific language impairment

In order to provide effective intervention for children with specific language impairment (SLI), it is crucial that there is an understanding of the underlying deficit in SLI. This study utilized a battery of phonological processing tasks to compare the phonological processing skills of children with SLI to typically-developing peers matched for age or language. The children with SLI had significantly poorer performance than age-matched peers on measures of phonological representations, phonological awareness, rapid automatized naming, phonological short-term memory, and one measure of working memory. Of particular significance, the SLI group also demonstrated significantly weaker performance than language-matched peers on one measure of phonological representations, and one measure of working memory. The findings provide some support for a phonological processing account of SLI and highlight the utility of using tasks that draw on a comprehensive model of speech processing to profile and consider children's phonological processing skills in detail.

Relação entre pausas silentes e classe gramatical em narrativas de crianças com distúrbio específico de linguagem

To determine whether word class has any influence on the mean duration of silent pauses in the spoken narratives of children with specific language impairment (SLI) and in those with typical language development (TLD). The study sample consisted of 60 children in the age range from 7 to 10 years: 20 with SLI; and 40 with TLD. Each child produced 15 narratives, each based on a set of four pictures (scenes) and each set of pictures being more complex than the last. The narratives were analyzed, and nouns, adjectives, verbs, conjunctions, prepositions, and pronouns were identified. A computer program was used in order to determine the duration (in milliseconds) of the silent pauses preceding words of each class. In both groups, silent pauses were shortest before nouns and longest before conjunctions. For all word classes, the mean duration of silent pauses was longer in the SLI group than in the TLD group. Word class influences the duration of silent pauses, which are shorter before nouns and longer before conjunctions. Children with SLI produce longer silent pauses, possibly because of their language processing difficulties.

Frequency of educational computer use as a longitudinal predictor of educational outcome in young people with specific language impairment.

Computer use draws on linguistic abilities. Using this medium thus presents challenges for young people with Specific Language Impairment (SLI) and raises questions of whether computer-based tasks are appropriate for them. We consider theoretical arguments predicting impaired performance and negative outcomes relative to peers without SLI versus the possibility of positive gains. We examine the relationship between frequency of computer use (for leisure and educational purposes) and educational achievement; in particular examination performance at the end of compulsory education and level of educational progress two years later. Participants were 49 young people with SLI and 56 typically developing (TD) young people. At around age 17, the two groups did not differ in frequency of educational computer use or leisure computer use. There were no associations between computer use and educational outcomes in the TD group. In the SLI group, after PIQ was controlled for, educational computer use at around 17 years of age contributed substantially to the prediction of educational progress at 19 years. The findings suggest that educational uses of computers are conducive to educational progress in young people with SLI.

Plural noun inflection in Kuwaiti Arabic-speaking children with and without Specific Language Impairment

This study examined the production of three types of noun plural inflections, feminine sound plural (FSP), masculine sound plural (MSP), and broken plural (BP) in Kuwaiti Arabic-speaking children with and without language impairment. A total of thirty-six Kuwaiti participants - twelve adults, twelve children with specific language impairment (SLI), and twelve typically developing age-matched controls (TD) were presented with twenty-seven pictured stimuli of real and nonsense words. The results showed that the TD children were significantly more accurate in using the required noun plural inflections than the SLI group. The TD children's preferred overgeneralization strategy was to substitute FSP for the regular MSP and irregular BP contexts much more than their peers with SLI. The performance of the SLI group also differed from that of their age-matched counterparts in the number of errors and their distribution across categories. The results are discussed in the light of relevant theories of atypical language development.

Developmental Coordination Disorder in children with specific language impairment: Co-morbidity and impact on quality of life

Co-morbidity of Developmental Coordination Disorder (DCD) in children with specific language impairment (SLI) and the impact of DCD on quality-of-life (QOL) was investigated in 65 5-8 year old children with SLI (43 boys, age 6.8±0.8; 22 girls, age 6.6±0.8). The prevalence of DCD was assessed using DSM-IV-TR criteria (American Psychiatric Association (APA), 2000) operationally defined in the clinical practice guideline (CPG): movement ABC scores below 15th percentile, scores on DCDQ and/or MOQ-T below 15th percentile, absence of medical condition according to paediatric-neurological exam. Quality of life (QOL) was measured with the TNO-AZL-Child-Quality-Of-Life (TACQOL) Questionnaire filled out by parents for the SLI group with and without DCD, and compared to a reference group (N=572; age 6.9±0.9). The TACQOL covers 7 QOL domains: physical, motor, cognitive and social functioning, autonomy, positive and negative moods. Prevalence of DCD in children with SLI was 32.3%. In children with SLI, mean QOL scores were significantly lower in the autonomy, cognitive, social and positive moods domains compared to the reference group. Children with SLI and DCD differed from children with SLI without DCD by significantly lower mean overall-, motor-, autonomy-, and cognitive domain-QOL scores. Clinicians should be aware that about one third of children with SLI can also be diagnosed with DCD. Assessment of QOL is warranted in order to assess which domains are affected in children with SLI with or without DCD.

Non‐word repetition performance in Slovak‐speaking children with and without SLI: novel scoring methods

Non-word repetition (NWR) tasks have been found to correlate with language skills and to discriminate between groups of typically developing (TD) children and children with specific language impairment (SLI) across languages. The main aim was to develop an easily-administered NWR screening test that could discriminate between Slovak-speaking TD children and children with SLI. The second aim was to establish if the novel scoring methods for NWR tasks were equally effective at differentiating between the TD versus SLI groups. As Slovak vowels are not reduced in unstressed syllables, it was also sought to establish whether scoring vowels (in addition to the consonants usually assessed in English language tests) would be informative. The paper evaluated the performance of a new NWR task for Slovak-speaking children. Study 1 compared the performance of 60 TD children in three age groups: 3-year-olds (N = 20), 4-your-olds (N = 20) and 5-year-olds (N = 20). Five types of scoring methods were examined: whole-item, number of syllables, syllable structure, consonants, and vowels. Study 2 compared performance on the NWR task administered in Study 1 across three groups of child participants: an SLI group (N = 16), a TD age-matched group (N = 16), and a TD language-matched group (N = 14). Study 1 found an age effect in the TD sample for three out of five of the scoring methods tested (number of syllables, syllable structure, and consonants). Study 2 showed that all five of the scoring methods discriminated between: (1) the group of children with SLI and the TD language-matched (TDLM) sample and (2) the group of children with SLI and the TD age-matched (TDAM) group. The novel NWR tool reliably differentiated between children with SLI and TD children. Scoring cut-off points which demonstrated high rates of success at verifying true-positives (93.75%) and true-negatives (100%) are provided. The most informative scoring methods for Slavic languages (whole-item scoring and vowels correct) are identified and discussed.

Tense Marking and Spontaneous Speech Measures in Spanish Specific Language Impairment: A Discriminant Function Analysis

To test the proposal that the tense deficit that has been demonstrated for children with specific language impairment (SLI) in other languages is also found in child Spanish and that low performance on tense-related measures can distinguish Spanish-speaking children with SLI from those without. The authors evaluated evidence from existing spontaneous production, elicited production, and grammaticality judgment studies of finiteness in child Spanish. They measured the relationship of 7 spontaneous speech measures with previous receptive and expressive measures of finiteness and performed a discriminant function analysis, using tense as the target variable, to classify monolingual child Spanish (n = 55) as representing SLI or as typically developing (TD). Spontaneous speech measures correlated with the results of previous receptive and expressive measures of child Spanish that show a tense deficit. The SLI group was shown to have statistically lower scores than the TD group on 6 of 7 spontaneous speech measures. Multiple discriminant functions, including tense measures by themselves and in combination with spontaneous speech measures, were shown to provide fair to good sensitivity and specificity in the classification of children as having SLI vs. TD. The findings support the contention that the tense-marking deficit is a plausible clinical marker of SLI for Spanish-speaking children.

Sentence Comprehension in Specific Language Impairment: A Task Designed to Distinguish Between Cognitive Capacity and Syntactic Complexity

This study examined sentence comprehension in children with specific language impairment (SLI) in a manner designed to separate the contribution of cognitive capacity from the effects of syntactic structure. Nineteen children with SLI, 19 typically developing children matched for age (TD-A), and 19 younger typically developing children (TD-Y) matched according to sentence comprehension test scores responded to sentence comprehension items that varied in either length or their demands on cognitive capacity, based on the nature of the foils competing with the target picture. The TD-A children were accurate across all item types. The SLI and TD-Y groups were less accurate than the TD-A group on items with greater length and, especially, on items with the greatest demands on cognitive capacity. The types of errors were consistent with failure to retain details of the sentence apart from syntactic structure. The difficulty in the more demanding conditions seemed attributable to interference. Specifically, the children with SLI and the TD-Y children appeared to have difficulty retaining details of the target sentence when the information reflected in the foils closely resembled the information in the target sentence.

Alternative Tense and Agreement Morpheme Measures for Assessing Grammatical Deficits During the Preschool Period

P. A. Hadley and H. Short (2005) developed a set of measures designed to assess the emerging diversity and productivity of tense and agreement (T/A) morpheme use by 2-year-olds. The authors extended 2 of these measures to the preschool years to evaluate their utility in distinguishing children with specific language impairment (SLI) from their typically developing (TD) peers. Spontaneous speech samples from 55 children (25 with SLI, 30 TD) at 2 different age levels (4;0-4;6 [years;months] and 5;0-5;6) were analyzed, using a traditional T/A morphology composite that assessed accuracy, and the Hadley and Short measures of Tense Marker Total (assessing diversity of T/A morpheme use) and Productivity Score (assessing productivity of major T/A categories). All 3 measures showed acceptable levels of sensitivity and specificity. In addition, similar differences in levels of productivity across T/A categories were seen in the TD and SLI groups. The Tense Marker Total and Productivity Score measures seem to have considerable utility for preschool-age children, in that they provide information about specific T/A morphemes and major T/A categories that are not distinguished using the traditional composite measure. The findings are discussed within the framework of the gradual morphosyntactic learning account.

An evaluation of the written texts of children with SLI: the contributions of oral language, reading and phonological short-term memory

In this study, we performed a fine grained analysis of writing by children with a specific language impairment (SLI) and examined the contribution of oral language, phonological short-term memory (STM), nonverbal ability, and word reading to three writing constructs (productivity, complexity and accuracy). Forty-six children with SLI were compared with 42 children matched for chronological age, receptive vocabulary (N = 46) and reading decoding (N = 46) on a measure of narrative writing. The SLI group performed worse on all measures compared to children of a similar chronological age. The SLI group produced a greater proportion of orthographic spelling errors than children with similar receptive vocabularies, but were comparable to children matched for reading decoding. The children with SLI showed specific difficulties in the omission of whole words (e.g. auxiliary verbs and subject nouns) and omissions of grammatical morphology (e.g. past tense—ed) reflecting the difficulties shown in their oral language. Receptive grammar made a significant contribution to writing complexity and accuracy. Phonological fluency contributed to writing productivity, such as the production of diverse vocabulary, ideas and content and writing fluency. Phonological STM and word reading explained additional variance in writing accuracy over and above the SLI group’s oral language skills.

Interpretation of compound nouns by adolescents with specific language impairment and autism spectrum disorders: An investigation of phenotypic overlap

The study aimed to investigate (i) whether adolescents with Specific Language Impairment (SLI) and Autism plus Language Impairment (ALI) experience word-formation difficulties, and (ii) whether these two groups present with a similar language phenotype. The study investigated four groups using a 2 (language status) ×2 (autism status) design; adolescents with SLI (n = 14), ALI (n = 16), Autism Language-Typical (ALT; n = 14), and language matched controls (n = 17), with all groups presenting with typical non-verbal skills. Mean age was 14;10. Comprehension of conventional Noun–Noun lexical compounds (e.g., snowman), synthetic compounds (SCs, e.g., cat chaser), and novel root compounds (RCs, e.g., sheep socks), was assessed using a forced-choice picture selection task. The SLI and ALI participants frequently mis-parsed the SCs, interpreting the first noun as the agent. Those with poorer vocabularies and non-word repetition had greater difficulties. Reaction time (RT) profiles were flatter in the ASD groups, with similar RTs across different compounds. Language difficulties in the SLI and ALI groups extend to word-formation processes; for example, comprehension of SCs. This may reflect difficulties making analogies with stored lexical items. Overall the results support the hypothesis of a phenotypic overlap between SLI and ALI.

How Children With Specific Language Impairment View Social Situations: An Eye Tracking Study

Children with specific language impairment (SLI) face risks for social difficulties. However, the nature and developmental course of these difficulties remain unclear. Gaze behaviors have been studied by using eye tracking among those with autism spectrum disorders (ASDs). Using this method, we compared the gaze behaviors of children with SLI with those of individuals with ASD and typically developing (TD) children to explore the social perception of children with SLI. The eye gazes of 66 children (16 with SLI, 25 with ASD, and 25 TD) were studied while viewing videos of social interactions. Gaze behaviors were summarized with multidimensional scaling, and participants with similar gaze behaviors were represented proximally in a 2-dimensional plane. The SLI and TD groups each formed a cluster near the center of the multidimensional scaling plane, whereas the ASD group was distributed around the periphery. Frame-by-frame analyses showed that children with SLI and TD children viewed faces in a manner consistent with the story line, but children with ASD devoted less attention to faces and social interactions. During speech scenes, children with SLI were significantly more fixated on the mouth, whereas TD children viewed the eyes and the mouth. Children with SLI viewed social situations in ways similar to those of TD children but different from those of children with ASD. However, children with SLI concentrated on the speaker's mouth, possibly to compensate for audiovisual processing deficits. Because eyes carry important information, this difference may influence the social development of children with SLI.

Delayed magnetic mismatch negativity field, but not auditory M100 response, in specific language impairment

Recent studies show that electrophysiological markers of auditory processing such as the cortical 100 ms response (M100) and the mismatch field, derived from magnetoencephalography, might be used to identify children with autism spectrum disorders--M100 peak latency--and to stratify children with autism according to the degree of language impairment--mismatch field peak latency. The present study examined the latency of right superior temporal gyrus M100 and mismatch field in a cohort of children and young adolescents with specific language impairment (n=17), in comparison with age-matched and nonverbal intelligence quotient-matched typically developing controls (n=21). Neither group showed symptoms associated with autism. Although M100 latency (reflecting early auditory processing) did not distinguish controls from children with specific language impairment, the later 'change detection' mismatch field response was significantly delayed (by >50 ms) in the specific language impairment group. Linear discriminant analysis confirmed the role of mismatch field latency (92%) but not M100 latency (8%) in distinguishing groups. The present results lend support to the claim that a delayed M100 is specific to autism spectrum disorders (with relative independence of degree of language impairment) and that a delayed mismatch field reflects an abnormality more generally associated with language impairment, suggesting that mismatch field delay in the present specific language impairment group and previously reported in autistic children with language impairment may be indicative of a common neural system dysfunction.

Sentence repetition in children with specific language impairment: an investigation of underlying mechanisms

Sentence repetition (SR) is a reliable clinical marker of specific language impairment (SLI). However, little is known about cognitive processes underpinning SR, or areas of breakdown in children with SLI. The study investigated which cognitive mechanisms were most closely involved in SR performance: syntactic knowledge, phonological short-term memory (STM) and working memory (WM). Twenty-three children with SLI (mean age = 6;7), 18 age-matched (mean age = 6;5) and 21 language-matched children (mean age = 4;8) repeated 180 sentences of varying length and complexity. Total words omitted, added or substituted were counted. Assessments of syntactic knowledge using a structural priming task, and assessments of WM, and phonological STM, were conducted. Twenty sentences were presented in a delayed repetition condition to investigate the role of phonological STM. The children with SLI made more SR errors than controls and found delayed repetition especially difficult. Their SR errors were qualitatively similar to errors on other production tasks. In the SLI group, all assessments were good predictors, though the priming task was the strongest. In the control groups WM tasks were the best predictors, but the phonological STM task was a poor predictor. The data support a multifaceted view of SR with a role for syntactic knowledge, WM and STM. 'Redintegration', whereby long-term memory representations are used to maintain information in short-term memory, is likely to be a key process. Specific errors in the SLI group are likely to reflect difficulties with underlying syntactic representations. Children with SLI may be more dependent on phonological STM than typically developing children.

Children With Specific Language Impairment and Resolved Late Talkers: Working Memory Profiles at 5 Years

The evidence of a deficit in working memory in specific language impairment (SLI) is of sufficient magnitude to suggest a primary role in developmental language disorder. However, little research has investigated memory in late talkers who recover from their early delay. Drawing on a longitudinal, community sample, this study compared the memory profiles of 3 groups of 5-year-olds: children with SLI who had been identified as late talkers, resolved late talkers (RLTs), and children with typical language development (TLD). Participants were 25 children with SLI, 45 RLTs, and 32 children with TLD. Subtests from the Working Memory Test Battery for Children and the Children's Memory Scale plus recalling sentences and nonword repetition tasks were administered to test the components of Baddeley's working memory model. The SLI group showed significantly poorer performance than the RLT and TLD groups on measures of the phonological loop and episodic buffer. The RLT and TLD groups scored similarly on all memory measures. The results support previous findings that sentence recall and nonword repetition are markers of SLI. Although residual effects of late-talking status may emerge over time, RLTs do not necessarily show memory deficits at 5 years of age despite delayed early vocabulary development.

Phonological representations in children with SLI

It has been hypothesized that children with specific language impairment (SLI) have difficulty processing sound-based information, including storing and accessing phonological representations in the lexicon. Tasks are emerging in the literature that provide a measure of the quality of stored phonological representations, without requiring a verbal response. This article describes the performance of children with specific language impairment (SLI) ( n = 21), typically developing children matched for age ( n = 21), and typically developing children matched for language ( n = 21) on two measures of phonological representations – the Quality of Phonological Representations (QPR) and the Silent Deletion of Phonemes (SDOP) – and a measure of phonological awareness, the Sutherland Phonological Awareness Test: Revised (SPAT-R). As predicted the age-matched (AM) group demonstrated significantly better performance on all tasks than the SLI group. The AM group performed significantly better than the language-matched (LM) group on the SDOP and SPAT tasks, but not significantly differently on the QPR task. The SLI group performed significantly better than the LM group on both the SDOP and SPAT, but their performance on the QPR was significantly weaker than the LM group. The findings of this study provide support for the notion of lower quality phonological representations in children with SLI thus placing them at increased risk of ongoing language and literacy difficulties.

Language Profiles and Mental Health Problems in Children With Specific Language Impairment and Children With ADHD

Objective: This study aimed to explore whether children with specific language impairment (SLI) and children with ADHD can be differentiated from each other in terms of their language profiles, and also to investigate whether these two clinical groups differ regarding mental health problems. Method: A total of 59 children in the age range 6 to 12 years participated in the study. The parents completed the Children’s Communication Checklist–Second Edition and the Strengths and Difficulties Questionnaire. Results: Communication impairments were as prominent in the ADHD group as in the SLI group; however, the groups were separable from each other in terms of their language profiles. Furthermore, the ADHD group experienced significantly more mental health problems compared with the SLI group. Conclusion: Language should be assessed in children with ADHD and instruments sensitive to ADHD should be included when assessing children with SLI. Mental health should be an area of concern to be addressed in both groups.