Response time in 14-year-olds with language impairment.

PURPOSE: To determine whether children with language impairment were slower than typically developing peers at age 14, and whether slowing, if present, was similar across task domains; whether differences in response time (RT) across domains were the same for children with specific language impairment (SLI) and nonspecific language impairment (NLI); and whether RT performance at age 9 predicted performance at age 14. METHOD: Fourteen-year-old children with SLI (n = 20), NLI (n = 15), and typical development (NLD; n = 31) were administered several linguistic and nonlinguistic speeded tasks. The children had received the same tasks at age 9. RT performance was examined. RESULTS: Both the SLI and the NLI groups were significantly slower than the NLD group in motor, nonverbal cognitive, and language task domains, and there was no significant difference among domains. Individual analyses showed that most, but not all, children with SLI and NLI were slower than the NLD group mean. Slowing at age 9 and age 14 were moderately correlated. CONCLUSIONS: The results suggest that slow RT is a persistent characteristic of many children with language impairment; however, the nature of the relationship between RT and language performance requires further investigation.     

False belief understanding in children with specific language impairment

Children's understanding that people's beliefs may differ from reality is an important milestone in cognitive development. Yet the tasks usually used to assess this understanding rely on the comprehension of complex syntax. Children with specific language impairment (SLI) have language abilities that are below age expectations, but their nonlinguistic cognitive abilities--crucial to false belief understanding--are closer to age level. Four conditions of a standard false belief task were administered to 10 children with SLI, 10 children of the same age, and 9 younger children whose language comprehension ability was similar to the children with SLI. The four conditions varied as to their linguistic complexity. The SLI group performed similarly to same-age peers when linguistic complexity was low, but similarly to younger children when linguistic complexity was high. These findings provide evidence that linguistic competence serves as a limiting factor in false belief performance for children with SLI. Educational objectives: Readers will be able to (1) describe different hypotheses regarding the relationship between language and theory of mind development, (2) discuss how linguistic complexity impacts false belief performance for children with SLI, and (3) apply the language/theory of mind relationship when planning intervention.     

Basic numeracy in children with specific language impairment: heterogeneity and connections to language.

PURPOSE: This study examined basic numerical skills in children with specific language impairment (SLI) and how well linguistic factors explain the variance in these children's number skills. METHOD: The performance of children with SLI (n=29) was compared with that of typically developing children along a continuum ranging from preschool to 3rd grade (n=20, 47, 40, and 33). This facilitated both linguistic and educational age comparisons. To study number skills within the SLI group more closely, this group was divided into subgroups on the basis of their performance in verbal and nonverbal numerical skills. The performance of the different SLI subgroups on the linguistic and nonverbal reasoning task was analyzed. RESULTS: As a single group, the children with SLI lagged behind their educational age controls in both verbal and nonverbal numerical skills. Subgroup analyses revealed that the ability to retrieve arithmetic facts from the memory was connected to naming fluency, whereas the differences in nonverbal numerical skills were not explained by the cognitive skills measured (nonverbal reasoning skill, verbal short-term memory, vocabulary, comprehension, and naming fluency). CONCLUSIONS: This study demonstrates that children with SLI form a very heterogeneous group in their numerical skills, and thus specific hypotheses concerning the influence of linguistic deficits on developing numerical skills are required. The cognitive components of serial naming speed present a promising domain for further exploration.     

Testing the generalized slowing hypothesis in specific language impairment.

This study investigated the proposition that children with specific language impairment (SLI) show a generalized slowing of response time (RT) across tasks compared to chronological-age (CA) peers. Three different theoretical models consistent with the hypothesis of generalized slowing--a proportional, linear, and nonlinear model--were examined using regression analyses of group RT data. Each model was an excellent fit with the RT data. The most parsimonious model indicated that the SLI group was proportionally slower than the CA group. Mean RTs of the SLI group were about one fifth slower across tasks than the CA group's mean RTs. Less slowing was evident for a subgroup of young children with expressive SLI than for children with mixed (expressive and receptive) SLI. Although the mean RT data reflected many individual SLI children's RT performance, not all SLI children showed generalized slowing.     

Sustained selective attention skills of preschool children with specific language impairment: evidence for separate attentional capacities.

PURPOSE: The present study was designed to investigate the performance of preschool children with specific language impairment (SLI) and their typically developing (TD) peers on sustained selective attention tasks. METHOD: This study included 23 children diagnosed with SLI and 23 TD children matched for age, gender, and maternal education level. The children's sustained selective attention skills were assessed with different types of stimuli (visual, nonverbal-auditory, linguistic) under 2 attentional load conditions (high, low) using computerized tasks. A mixed design was used to compare children across groups and performance across tasks. RESULTS: The SLI participants exhibited poorer performance than their peers on the sustained selective attention tasks presented in the auditory modality (linguistic and nonverbal-auditory) under the high attentional load conditions. Performance was comparable with their peers under the low attentional load conditions. The SLI group exhibited similar performance to their peers on the visual tasks regardless of attentional load. CONCLUSION: These results support the notion of attention difficulties in preschool children with SLI and suggest separate attentional capacities for different stimulus modalities.     

Beyond capacity limitations: determinants of word recall performance on verbal working memory span tasks in children with SLI.

Reduced verbal working memory capacity has been proposed as a possible account of language impairments in specific language impairment (SLI). Studies have shown, however, that differences in strength of linguistic representations in the form of word frequency affect list recall and performance on verbal working memory tasks. This suggests that verbal memory capacity and long-term linguistic knowledge may not be distinct constructs. It has been suggested that linguistic representations in SLI are weak in ways that result in a breakdown in language processing on tasks that require manipulation of unfamiliar material. In this study, the effects of word frequency, long-term linguistic knowledge, and serial order position on recall performance in the competing language processing task (CLPT) were investigated in 10 children with SLI and 10 age-matched peers (age 8 years 6 months to 12 years 4 months). The children with SLI recalled significantly fewer target words on the CLPT as compared with their age-matched controls. The SLI group did not differ, however, in their ability to recall target words having high word frequency but were significantly poorer in their ability to recall words on the CLPT having low word frequency. Differences in receptive and expressive language abilities also appeared closely related to performance on the CLPT, suggesting that working memory capacity is not distinct from language knowledge and that degraded linguistic representations may have an effect on performance on verbal working memory span tasks in children with SLI.     

Processing and linguistic markers in young children with specific language impairment (SLI).

Thirty-two 5-year-old children with specific language impairment (SLI) and 32 chronological age (CA) controls completed 4 tasks that were considered potential positive markers for SLI. Children's performance on 2 linguistic tasks (past tense and noun plurals task) and 2 processing tasks (nonword repetition and digit recall) were examined. This approach allowed the examination of more than 1 type of marker simultaneously, facilitating both comparisons between markers and also the evaluation of combinations of markers in relation to identifying SLI. Children with SLI performed significantly worse than CA controls in all 4 marker tasks. Specificity/sensitivity analysis of the 4 marker tasks revealed nonword repetition and the past tense task to have the best overall accuracy at the 25th and 16th percentile. Finally, stepwise discriminant analysis revealed nonword repetition and past tense marking to be the best markers for identifying young children with SLI.     

Simulating SLI: general cognitive processing stressors can produce a specific linguistic profile.

This study attempted to model specific language impairment (SLI) in a group of 6-year-old children with typically developing language by introducing cognitive stress factors into a grammaticality judgment task. At normal speech rate, all children had near-perfect performance. When the speech signal was compressed to 50% of its original rate, to simulate reduced speed of processing, children displayed the same pattern of errors that is reported in SLI: good performance on noun morphology (plural -s) and very poor performance on verb morphology (past tense -ed and 3rd-person singular -s). A similar pattern was found when memory load was increased by adding redundant verbiage to sentence stimuli. The finding that an SLI-like pattern of performance can be induced in children with intact linguistic systems by increasing cognitive processing demands supports the idea that a processing deficit may underlie the profile of language difficulty that characterizes SLI.     

Factors that influence lexical and semantic fast mapping of young children with specific language impairment.

PURPOSE: This purpose of this study was to investigate the lexical and semantic fast mapping ability of young children with specific language impairment (SLI) and normal language (NL), with a specific emphasis on the influence of phonological factors. METHOD: The study included 46 children (mean age 58 months), half with SLI and half with NL. Children were asked to fast map visual information only, visual-plus-nonlinguistic-auditory information, and visual-plus-linguistic-auditory information. A mixed design was used to compare children across and within groups. RESULTS: Children with SLI performed worse than children with NL overall. The SLI group showed specific deficits in semantic fast mapping when they saw visual information only. This condition may have disrupted encoding because it varied from the expected auditory and visual pattern. The children with SLI also performed poorly when they were asked to map phonotactically infrequent linguistic information and when the difficulty of the task increased. A nonword repetition task was correlated with both semantic and lexical fast mapping. CONCLUSIONS: The findings are discussed in the light of their support for a limited capacity model of processing, as well as the impact of phonology on word learning.     

Language-specific effects of task demands on the manifestation of specific language impairment: a comparison of English and Icelandic

PURPOSE: Previous research has indicated that the manifestation of specific language impairment (SLI) varies according to factors such as language, age, and task. This study examined the effect of task demands on language production in children with SLI cross-linguistically. METHOD: Icelandic- and English-speaking school-age children with SLI and normal language (NL) peers (n = 42) were administered measures of verbal working memory. Spontaneous language samples were collected in contexts that vary in task demands: conversation, narration, and expository discourse. The effect of the context-related task demands on the accuracy of grammatical inflections was examined. RESULTS: Children with SLI in both language groups scored significantly lower than their NL peers in verbal working memory. Nonword repetition scores correlated with morphological accuracy. In both languages, mean length of utterance (MLU) varied systematically across sampling contexts. Context exerted a significant effect on the accuracy of grammatical inflection in English only. Error rates were higher overall in English than in Icelandic, but whether the difference was significant depended on the sampling context. Errors in Icelandic involved verb and noun phrase inflection to a similar extent. CONCLUSIONS: The production of grammatical morphology appears to be more taxing for children with SLI who speak English than for those who speak Icelandic. Thus, whereas children with SLI in both language groups evidence deficits in language processing, cross-linguistic differences are seen in which linguistic structures are vulnerable when processing load is increased. Future research should carefully consider the effect of context on children's language performance.     

Production of English finite verb morphology: a comparison of SLI and mild-moderate hearing impairment.

The performance on production of finite verb morphology of 19 children (ages 5;9-10;7) with mild-moderate sensorineural hearing impairment (SNH) was compared with that of 14 children with specific language impairment (SLI) (ages 7;2-10;9) and age-matched and language-matched control groups. On average, the SNH group outperformed the SLI group and was comparable to controls. However, a subset of the SNH group (n = 6) was impaired on one or both of these tasks. Degree of hearing loss or age of receiving hearing aids was not directly related to performance, but other language measures were. The subset was also significantly younger than the rest of the SNH group, suggesting that acquisition of finite verb morphology may be delayed in children with hearing impairments. Verb regularity had no effect on performance of any group, but word frequency and phonological complexity did exert an influence. The findings are discussed in relation to causative theories of SLI.     

Declarative and procedural memory in Danish speaking children with specific language impairment

It has been proposed that the language problems in specific language impairment (SLI) arise from basal ganglia abnormalities that lead to impairments with procedural and working memory but not declarative memory. In SLI, this profile of memory functioning has been hypothesized to underlie grammatical impairment but leave lexical knowledge relatively unaffected. The current study examined memory and language functioning in 13 Danish-speaking children with SLI and 20 typically developing (TD) children. Participants were administered tasks assessing declarative, procedural and verbal working memory as well as knowledge of past tense and vocabulary. The SLI group performed significantly poorer than the TD group on the measure of verbal working memory. Non-significant differences between groups were observed on the measure of declarative memory, after controlling for verbal working memory. The groups were found to perform at comparable levels on the procedural memory task. On the language measures, the SLI group performed significantly poorer than the TD group on the past tense and vocabulary tasks. However, the magnitude of the difference was larger on the task assessing past tense. These results indicate grammatical knowledge is relatively more affected than lexical knowledge in Danish speaking children with SLI. However, the results were not consistent with the proposal linking impaired grammar to impairments with procedural memory. At the same time, the study does not rule out that other aspects of procedural learning and memory contribute to the language problems in SLI. Learning outcomes: The reader will be introduced to (1) different memory systems, in particular the declarative, procedural and working memory systems and (2) also research examining the relationship between these different memory systems and language in children with SLI.     

A functional magnetic resonance imaging investigation of verbal working memory in adolescents with specific language impairment.

This study used neuroimaging and behavioral techniques to examine the claim that processing capacity limitations underlie specific language impairment (SLI). Functional magnetic resonance imaging (fMRI) was used to investigate verbal working memory in adolescents with SLI and normal language (NL) controls. The experimental task involved a modified listening span measure that included sentence encoding and recognition of final words in prior sets of sentences. The SLI group performed significantly poorer than the NL group for both encoding and recognition and displayed slower reaction times for correct responses on high complexity encoding items. fMRI results revealed that the SLI group exhibited significant hypoactivation during encoding in regions that have been implicated in attentional and memory processes, as well as hypoactivation during recognition in regions associated with language processing. Correlational analyses indicated that adolescents with SLI exhibited different patterns of coordinating activation among brain regions relative to controls for both encoding and recognition, suggesting reliance on a less functional network. These findings are interpreted as supporting the notion that constraints in nonlinguistic systems play a role in SLI.     

Is processing speed related to severity of language impairment?

Children with specific language impairment (SLI) typically respond more slowly on many tasks than do their typically developing peers. This paper addresses the question of whether speed of response is linearly related to severity of language impairment as measured by standardized test score. To address this question, we performed post hoc analyses of data from a study on lexical processing involving 66 children with SLI (mean age 6 years 9 months) and 66 typically developing children matched for age and nonverbal IQ. Response times derived from a series of tasks were correlated with language test scores. None of the Pearson correlations reached significance when corrected for number of correlations run, nor did a canonical correlation analysis reach significance. If these results are replicated in other studies, then they suggest that there is no direct linear relation between speed of processing and severity of language impairment as it is estimated from scores on standardized tests of language.     

Working memory capacity and language processes in children with specific language impairment.

This study examined the interaction between working memory and language comprehension in children with specific language impairment (SLI), focusing on the function of the central executive component and its interaction with the phonological loop (A. D. Baddeley, 1986) in complex working memory tasks. Thirteen children with SLI and 13 age-matched (age range = 7;0 [years;months] to 10;0) children with typical language development participated. The tasks combined traditional nonword repetition tests and sentence comprehension by using sentences that differed in length and syntactic complexity. The children with SLI exhibited larger processing and attentional capacity limitations than their age-matched peers. Increased word length and syntactic complexity resulted in a large performance decrease in nonword repetition in both groups. There were some variations in the error pattern, which may indicate qualitative differences between the 2 groups. The performance of the children with SLI in nonword repetition, across the different tasks, indicated a limitation in simultaneous processing rather than difficulty in encoding and analyzing the phonological structure of the nonwords. Furthermore, syntactic complexity had a greater effect on performance accuracy than did sentence length.     

Verbal and spatial information processing constraints in children with specific language impairment.

A dual-processing paradigm was used to investigate information processing limitations underlying specific language impairment (SLI). School-age children with and without SLI were asked to recall verbal and spatial stimuli in situations that varied the number of tasks that were required and the speed at which stimuli were presented. Children recalled digits or locations of X's that were presented on a computer screen. In some conditions, they were asked to name or point to the color of the stimuli before completing the recall task. In comparison to their typically developing peers, children with SLI had generally poorer recall of digits and locations across all conditions. Typically developing children derived greater benefit than the children with SLI under conditions that enabled them to disperse processing efforts across verbal and spatial response modalities. It appears that limitations in general cognitive capacity and central executive functions in working memory work synergistically with response modality to constrain information processing in children with SLI.     

Pragmatische Kommunikationsstörungen bei Kindern

When a child's language development does not follow the normal developmental course for no known reasons specific language impairment (SLI) is diagnosed. In contrast, pragmatic language impairment (PLI) refers to children who experience significant difficulties with the use of language. Clinical accounts of PLI have suggested that unlike children with more typical SLI, children with PLI have adequate syntax and phonology and are often verbally fluent. However, they may exhibit a range of linguistic and communicative deficits such as comprehension deficits for connected speech, conversational inadequacies, poor turn-taking, atypical word choices, literal interpretation of figurative language, and poor topic maintenance. There also may be fundamental deficits in social cognition, such as appreciating the thoughts and feelings of others. PLI may be found in SLI children, children with learning disabilities, autism and traumatic brain injuries. Here we review aspects of pragmatic communication skills, the development of emotion recognition, and diagnostic and therapeutic procedures. Otolaryngologists have to be aware of PLI in case children with communication problems are referred to them. This may enable a timely diagnosis and early intervention.     

Understanding conservation delays in children with specific language impairment: task representations revealed in speech and gesture.

PURPOSE: The authors investigated mental representations of Piagetian conservation tasks in children with specific language impairment (SLI) and typically developing peers. Children with SLI have normal nonverbal intelligence; however, they exhibit difficulties in Piagetian conservation tasks. The authors tested the hypothesis that conservation difficulties may be due to the degree to which children with SLI rely on external perceptual features of the task as opposed to internal cognitive knowledge about transformation. METHOD: Twenty-nine children participated, 12 children with SLI (ages 7;0-10;5) and 17 typically developing peers (ages 5;4-10;9) who were matched either on chronological age (CA) task or on judgments on the conservation task (conservation matched [CM]). Children solved conservation tasks and then explained their reasoning. Explanations produced in speech and gesture were analyzed. RESULTS: In speech, children in the SLI group expressed proportionately fewer internal explanations than the CA group, but a similar proportion of internal explanations as compared with the younger CM group. In gesture, children with SLI did not differ from either CA or CM children. CONCLUSIONS: Children with SLI have weak internal representations of the concept of conservation, similar to those of younger children. Conservation representations appear to be closely related to language skills and verbal working memory.     

Behavioral profiles associated with auditory processing disorder and specific language impairment

PurposeTo describe and compare behavioral profiles associated with auditory processing disorder (APD) and specific language impairment (SLI) in school-age children.MethodThe participants in this cross-sectional observational study were 64 children (mean age 10.1 years) recruited through clinician referrals. Thirty-five participants had a clinical diagnosis of APD and 29 were receiving services for language impairment. Participants completed 18 behavioral measures of spoken language, auditory processing, reading, memory, and motor speed. Responses were used to classify children as affected/not affected with APD, and affected/not affected with SLI. Comparisons were made between children with and without an APD diagnosis, and between children assigned to the APD/not APD and SLI/not SLI groups. Agreement between clinical status and test-based classifications is also reported.ResultsThere were no group mean differences between children with and without a clinical diagnosis of APD. Group mean differences on Cube Design and reading fluency were observed for children classified as APD/not APD; and group mean differences on nonword repetition, spatial working memory, and two auditory processing tests were observed for children classified as SLI/not SLI.ConclusionsThe behavioral profiles of children with APD and SLI were very similar. Although group mean differences were found, they were difficult to interpret in terms of current theories.Learning outcomes: The reader will be able to: (1) describe similarities and differences found between children with SLI and children with APD and (2) discuss assessment problems posed by overlapping behavioral characteristics of SLI and APD.     

The contribution of processing impairments to SLI: Insights from attention-deficit/hyperactivity disorder

Slowed speed of processing and impaired rapid temporal processing (RTP) have been proposed to underlie specific language impairment (SLI), but it is not clear that these dysfunctions are unique to SLI. We considered the contribution of attention-deficit/hyperactivity disorder (ADHD), which frequently co-occurs with language impairments, to performances on processing tasks. School-aged children who had SLI without concurrent ADHD (n = 14), ADHD without concurrent SLI (n = 14), and typical development (TD, n = 28) performed two nonverbal speeded tasks and one auditory RTP task. RTP impairments were found in many children with SLI and ADHD, and some children with TD. Children with ADHD demonstrated slower processing speed than children with SLI or TD. Overall, findings questioned the uniqueness of these processing dysfunctions to language impairments and the validity of the behavioural paradigms traditionally used to estimate processing dysfunctions. Accounts of SLI should be further scrutinized by considering the influence of other disorders.Learning outcomes: Readers will (1) become familiar with areas of overlap between SLI and ADHD, (2) understand some of the confounds associated with behavioural measures of processing speed in children, and (3) recognize the value in testing models of language disorders by including participants with other types of disorders.