Index of subjects

This paper describes early language development in a deaf Spanish child fitted with a cochlear implant (CI) when she was 1;6 years old. The girl had been exposed to Cued Speech (CS) since that age. The main aim of the research was to identify potential areas of slow language development as well as the potential benefit of CI and CS. At the beginning of this research the child was 2;6 years (she had been using the CI for 12 months). Adult–child 30‐minute sessions were videotaped every week for 1 year (13–24 months of CI use), and transcribed according to CHAT norms. Measures of phonemic inventory, intelligibility, lexicon, and grammar development were obtained. Part of the data were compared with data from two normally hearing (NH) children with the same mean length of utterance (MLU). In order to confirm trends observed during these 12 months of observation, an extra set of data was obtained in the next 3 months (25–27 months of CI use). Results in the initial 12 month period (13–24 months of CI use) showed irregular language development in the deaf child. The development of her phonemic inventory and lexicon progressed at a rate that was similar to, or faster than, that of NH children. However, the slow acquisition of articles and also the slow development of MLU suggested that the child might have problems with grammar. Data from the next 3 months (25–27 months of CI use) confirmed this trend. Results are discussed in relation to similar studies in other languages. Potential benefits of CS are also discussed.     

Auditory and verbal memory predictors of spoken language skills in children with cochlear implants

BackgroundLarge variability in individual spoken language outcomes remains a persistent finding in the group of children with cochlear implants (CIs), particularly in their grammatical development.AimsIn the present study, we examined the extent of delay in lexical and morphosyntactic spoken language levels of children with CIs as compared to those of a normative sample of age-matched children with normal hearing. Furthermore, the predictive value of auditory and verbal memory factors in the spoken language performance of implanted children was analyzed.Methods & proceduresThirty-nine profoundly deaf children with CIs were assessed using a test battery including measures of lexical, grammatical, auditory and verbal memory tests. Furthermore, child-related demographic characteristics were taken into account.Outcomes & resultsThe majority of the children with CIs did not reach age-equivalent lexical and morphosyntactic language skills. Multiple linear regression analyses revealed that lexical spoken language performance in children with CIs was best predicted by age at testing, phoneme perception, and auditory word closure. The morphosyntactic language outcomes of the CI group were best predicted by lexicon, auditory word closure, and auditory memory for words.ConclusionsQualitatively good speech perception skills appear to be crucial for lexical and grammatical development in children with CIs. Furthermore, strongly developed vocabulary skills and verbal memory abilities predict morphosyntactic language skills.     

Early lexicon and language skills at 42 months

Previous studies have shown that early lexical development is associated with later language development. It is less clear which language domains early receptive/expressive lexicons are associated with. This study analyses these associations. The study also investigates whether children with slow/typical/fast developing early receptive/expressive lexical skills differed in their language skills at three and a half years (42 months) and the predictive value of early receptive/expressive lexical skills for later language skills.

The participants of this longitudinal study were 68 healthy, monolingual Finnish-speaking children whose language development was measured using the Finnish, short-form-version of the Communicative Development Inventories at 12, 15, 18 and 24 months. At 42 months, language skills of the participants were assessed using tests measuring lexical, phonological, morphological and general receptive/expressive language skills.

Early receptive lexicon was associated with later morphological skills from 15 months and onwards and with other language domains at 24 months. Early expressive lexicon was associated with later morphological skills at 15 months and onwards but with other language domains from 18 months. A trend was found that children with different early lexical growth rates differed in their language skills at 42 months. The best models for predicting later receptive/expressive language skills included variables from both early receptive and expressive lexicons. These models worked well to explain receptive/expressive language skills at 42 months (63/78% of the variance).

This study provides novel information on the specific associations between receptive and expressive lexicon growth and later language skills. For clinicians, measuring both receptive and expressive lexicons provides the most representative information on children’s language development.     

Early development in children that are later diagnosed with disorders of attention and activity: a longitudinal study in the Danish National Birth Cohort

Not much is known about the early development in children that are later diagnosed with disorders of attention and activity (ADHD). Using prospective information collected from mothers in the Danish National Birth Cohort (DNBC), we investigated if developmental deviations in the first years of life are associated with later ADHD. In the DNBC 76,286 mothers were interviewed about their child’s development and behaviour at age 6 and 18 months. At the end of follow-up, when the children were 8–14 years of age, 2034 were registered in Danish health registers with a clinical diagnosis of ADHD. The Hazard Ratio of ADHD was estimated using Cox regression model. At 6 months of age deviations in development showed associations with the child later being diagnosed with ADHD such as duration of breastfeeding, motor functioning, and incessant crying. At 18 months, many observations clearly associated with ADHD as for example the child not being able to fetch things on request [HR 3.0 (95 % CI 2.4; 3.7)], or the child being significantly more active than average [HR 2.0 (95 % CI 1.8; 2.2)]. An association to ADHD was shown, especially at 18 months, if the mother found it difficult to handle the child [HR 2.9 (95 % CI 2.4–3.5)]. However, it goes for all observations that the positive predictive values were low. Many children with ADHD showed signs of developmental deviations during the first years of their life. In general, however, ADHD cannot be identified solely on basis of the questions in DNBC.     

From 1-word to 2-words with cochlear implant and cued speech: a case study

This paper describes early language development in a deaf Spanish child fitted with a cochlear implant (CI) when she was 1;6 years old. The girl had been exposed to Cued Speech (CS) since that age. The main aim of the research was to identify potential areas of slow language development as well as the potential benefit of CI and CS. At the beginning of this research the child was 2;6 years (she had been using the CI for 12 months). Adult-child 30-minute sessions were videotaped every week for 1 year (13-24 months of CI use), and transcribed according to CHAT norms. Measures of phonemic inventory, intelligibility, lexicon, and grammar development were obtained. Part of the data were compared with data from two normally hearing (NH) children with the same mean length of utterance (MLU). In order to confirm trends observed during these 12 months of observation, an extra set of data was obtained in the next 3 months (25-27 months of CI use). Results in the initial 12 month period (13-24 months of CI use) showed irregular language development in the deaf child. The development of her phonemic inventory and lexicon progressed at a rate that was similar to, or faster than, that of NH children. However, the slow acquisition of articles and also the slow development of MLU suggested that the child might have problems with grammar. Data from the next 3 months (25-27 months of CI use) confirmed this trend. Results are discussed in relation to similar studies in other languages. Potential benefits of CS are also discussed.     

Lexical diversity and productivity in French preschoolers: developmental,gender and sociocultural factors

In this study, we examined the influence of child gender and sociocultural (SCL) factors in language production. Subjects were French Parisian children in nine age groups (24, 27, 30, 33, 36, 39, 42, 45 and 48 months). A total of 316 language samples were recorded during a 20‐min standardized play session. Measures of grammatical and lexical development included Mean Length of Utterance (MLU) and word type and token—specifically, grammatical words such as determiners, prepositions and pronouns as well as verbs. ANOVAs revealed strong influences of SCL, with children from high SCL families showing more complex lexical productions and a higher rate of development. These observations suggest that amount of exposure to language accounts for this differential rate of acquisition. Analyses also revealed a general effect of gender, showing a small advantage in language production for girls over boys until 36 months of age.     

Validating the psycholinguistic aspects of LITMUS-CLT: Evidence from Polish and Norwegian

ABSTRACT

The novel assessment tool Cross-Linguistic Lexical Tasks (LITMUS-CLT) aims for comparable cross-linguistic assessment of multilingual children’s lexical skills by basing each language version on two language-specific variables: age of acquisition (AoA) and complexity index (CI), a novel measure related to phonology, morphology, exposure and etymology. This article investigates the validity of this methodology, asking whether the underlying properties are robust predictors of children’s performance. The Polish and Norwegian CLTs were used to assess 32 bilingual Polish–Norwegian, 34 monolingual Norwegian and 36 monolingual Polish children. The effects of AoA and CI were contrasted with frequency in child directed speech (CDS) and imageability, two known predictors of lexical development. AoA was a reliable predictor of performance within all parts of CLT, in contrast to CI. Apart from AoA, only exposure and CDS frequency had a significant effect within both monolinguals and bilinguals. These results indicate that CLT assesses lexical skills in a cross-linguistically comparable manner, but suggest a revision of the CI measure.     

Lexical diversity and productivity in French preschoolers: developmental, gender and sociocultural factors

In this study, we examined the influence of child gender and sociocultural (SCL) factors in language production. Subjects were French Parisian children in nine age groups (24, 27, 30, 33, 36, 39, 42, 45 and 48 months). A total of 316 language samples were recorded during a 20-min standardized play session. Measures of grammatical and lexical development included Mean Length of Utterance (MLU) and word type and token - specifically, grammatical words such as determiners, prepositions and pronouns as well as verbs. ANOVAs revealed strong influences of SCL, with children from high SCL families showing more complex lexical productions and a higher rate of development. These observations suggest that amount of exposure to language accounts for this differential rate of acquisition. Analyses also revealed a general effect of gender, showing a small advantage in language production for girls over boys until 36 months of age.     

The development of intonation in young children with cochlear implants: a preliminary study of the influence of age at implantation and length of implant experience

This study describes the development of emerging intonation in six children who had received a cochlear implant (CI) before the age of 3 years. At the time their implant was activated, the children ranged in age from 11–37 months. Spontaneous longitudinal speech samples were recorded from 30‐minute sessions in which the child interacted with his or her mother. Data were collected 2 months before activation of each child's CI and at monthly intervals after activation for 6 months. The findings were compared to the typical pattern of early intonation development in children with normal hearing (NH). The results suggested that young CI recipients progress through stages similar to those observed in children with NH. However, the intonation development of children with a CI reflects a marked interaction between chronological age at implantation and amount of CI experience. That is, after 2 months of CI‐assisted hearing experience, the older children demonstrated a later stage of intonation development than younger children. These preliminary results support the idea that children acquire some foundations or prerequisites of intonation production through maturation, as measured by chronological age, even without robust auditory experience.     

Writing Kanji without semantics in a case with probable Alzheimer's disease]

We examined a patient (NM) with probable Alzheimer's disease who showed phonologically plausible errors in kanji (logogram) writing. In semantic tasks, she showed no deficits in pointing or naming but had difficulty in more complex tasks such as proverb comprehension. In reading aloud of kanji words, she could read most kanji words correctly and showed little phonologically plausible reading errors. She performed poorly in lexical decision and on-reading of one-letter kanji (Sino-Japanese pronunciation derived from the Chinese language at the time of borrowing). Writing to dictation demonstrated no mistakes in kana letters and words, but many errors in kanji, which were phonologically equivalent but semantically inappropriate. To explore the relationship between the writing errors in kanji words and comprehension of the word meanings, we selected 33 words that she made phonologically plausible writing errors. We gave her the following five tasks using these words; 1) to ask meanings of the words, 2) to dictate the words, 3) to dictate sentences including these words, 4) to discriminate appropriate target words from distracters including her own erroneous responses, and 5) to write these words again. She showed no consistent errors in these tasks. In some occasions, she could write correct kanji words without understanding word meanings. She also showed phonologically plausible writing errors in spite of describing correct word meanings. In Japanese, word meaning deficits like Gogi aphasia were thought to cause phonologically plausible writing errors. As the impairments of word meanings in NM are comparatively mild, the underpinning of her kanji agraphias might be different from that of phonologically plausible errors in Gogi aphasia. It would be suggested that she frequently wrote phonologically equivalent errors because of her lexical deficits in spite that her phonological processing was preserved. Furthermore, she would not necessarily use the semantics (word meanings) of kanji words during dictation.     

A New Perspective of Attention Deficit Hyperactivity Disorder Associated With Delayed Language Development: An Egyptian Sample

Objective The current study aimed to get an easy objective method to detect attention deficit hyperactivity disorder (ADHD) by investigating the simple inflammatory blood ratios platelet/lymphocyte ratio (PRL), neutrophil/lymphocyte ratio (NLR) & the monocyte/lymphocyte ratio (MLR), for the sake of receiving early management to such cases and overcoming language affection as a comorbid symptom. Methods This study was conducted on two groups: Group 1 (SG) consisted of 70 ADHD children who had delayed language development (DLD), freshly diagnosed, according to DSM-V criteria, and those patients were not on medical treatment. Group 2 healthy group (HG) consisted of 44 healthy control normal children that were both physically and mentally free of the same socio-demographic characters of the first group. Results The PLR, NLR and MLR, were significantly higher in the ADHD group than the healthy control group (HG) group, although the simple blood indices were average. Conclusion Inflammation has a role as a comorbid cause of ADHD. Simple blood inflammatory mediators may be used as comorbid factors in ADHD. This study explained that the language abilities must be taken in consideration when assessing children with ADHD. The screening tools for inflammatory markers are important when dealing with ADHD children with/ without delayed language development (DLD). Also, working memory assessment is mandatory in ADHD with DLD to assign a special program in language therapy for each child.     

Beyond Pragmatics: Morphosyntactic Development in Autism

Language acquisition research in autism has traditionally focused on high-level pragmatic deficits. Few studies have examined grammatical abilities in autism, with mixed findings. The present study addresses this gap in the literature by providing a detailed investigation of syntactic and higher-level discourse abilities in verbal children with autism, age 5 years. Findings indicate clear language difficulties that go beyond what would be expected based on developmental level; specifically, syntactic delays, impairments in discourse management and increased production of non-meaningful words (jargon). The present study indicates a highly specific pattern of language impairments, and importantly, syntactic delays, in a group of children with autism carefully matched on lexical level and non-verbal mental age with children with developmental delays and typical development.     

Atypical language lateralization and early linguistic development in children with focal brain lesions

The effects of congenital, unilateral, focal brain lesions on early linguistic development and hemispheric lateralization for language were investigated longitudinally in 24 preschool children with hemiplegia (14 males, 10 females), 12 with left hemisphere damage (LHD) and 12 with right hemisphere damage (RHD). A comprehensive linguistic assessment was performed at 2 and 3 years of life; cerebral lateralization for language was measured by the Fused Dichotic Words Listening Test. An early left-side specificity for language was indicated by the presence of lexical and grammatical delay in most children with LHD. In the dichotic listening test all 12 children with LHD showed a shift of language lateralization from the left to the right hemisphere. Atypical lateralization coefficients (lambda), i.e. values falling more than two standard deviations from the mean of a normative sample, were associated with a delay in lexical and grammatical development, especially after LHD. In addition, cortical-subcortical-periventricular lesions rather than solely periventricular damage, and larger lesions rather than small, were associated with the most atypical lateralization coefficients, irrespective of lesion side. Results of this study suggest that language and lateralization data are closely related and that reallocation of language functions in alternative regions of the brain has a cost in terms of a slow rate of language acquisition.     

Conversational profiles of children with ADHD, SLI and typical development

Conversational indices of language impairment were used to investigate similarities and differences among children with Attention-Deficit/Hyperactivity Disorder (ADHD), children with Specific Language Impairment (SLI) and children with typical development (TD). Utterance formulation measures (per cent words mazed and average number of words per maze) differentiated the ADHD group from the SLI and TD groups (ADHD>TD=SLI). In contrast, measures of lexical diversity, average sentence length and morphosyntactic development (number of different words, MLU, and composite tense) differentiated the SLI group from the ADHD and TD groups (SLI 相似文献   

Assessing Homework Problems in Children with ADHD: Validation of a Parent-Report Measure and Evaluation of Homework Performance Patterns

The factor structure of a parent-report measure of child homework problems, the Homework Problems Checklist (HPC), was examined in a geographically and ethnically diverse sample of children with attention-deficit/hyperactivity disorder (ADHD). This measure was completed by the parents of 579 children ages 7.0–9.9 diagnosed with ADHD Combined Type as part of the multimodal treatment study of children with ADHD (MTA). Results replicated previous work showing two salient factors that measure homework completion behaviors (Factor I) and homework management behaviors (Factor II). This two-factor solution remained consistent when examined across child sex and ethnicity subgroups. Analysis of patterns revealed that homework problems are greater for children in higher grades and that children with ADHD and comorbid learning disabilities experience significantly more homework problems than children with ADHD alone. This study also replicated previous work showing that homework problems and ADHD inattentive symptoms are highly correlated whereas correlations between homework problems and hyperactivity and impulsivity are low to moderate. Implications of the findings for the assessment of homework problems in children with ADHD and for intervention are discussed.     

Conversational profiles of children with ADHD,SLI and typical development

Conversational indices of language impairment were used to investigate similarities and differences among children with Attention‐Deficit/Hyperactivity Disorder (ADHD), children with Specific Language Impairment (SLI) and children with typical development (TD). Utterance formulation measures (per cent words mazed and average number of words per maze) differentiated the ADHD group from the SLI and TD groups (ADHD>TD=SLI). In contrast, measures of lexical diversity, average sentence length and morphosyntactic development (number of different words, MLU, and composite tense) differentiated the SLI group from the ADHD and TD groups (SLI<ADHD=TD). High levels of within group variation were observed in children's speaking rate (words per minute). Implications for differential diagnosis and the establishment of phenotypes for developmental language disorders are discussed.     

Some evidence for distinctive language use by children with Attention Deficit Hyperactivity Disorder

This paper reports early findings from a wider study that sought to test the hypothesis that differences in language use exist between children who have a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) and their non-ADHD peers. Twenty-two, 8 to 12 year-old children (11 with a diagnosis of ADHD and 11 matched peers) comprised the community-based sample. There were nine boys and two girls in each group. All the children were ranked at least average for their language ability on standardised language testing. This case-control study used an approach derived from Systemic Functional Linguistics (SFL) to examine and then compare spoken and written elicited language samples. SFL was thought to be particularly suitable because of its potential to richly describe language in use while taking contextual variation into account. Statistically significant overall differences between the subject and the control groups were found for the measure of grammatical intricacy (GI). Further analyses revealed these differences to be largely attributed to differences between group scores for written material. Discussion explores the potential relevance of these findings to the clinical evaluation of language ability in young school-aged children who have been diagnosed with ADHD.     

Grammaticality and complexity of sentences in monolingual Spanish-speaking children with specific language impairment

This study examined grammaticality and complexity of sentences in monolingual Spanish-speaking children with specific language impairment (SLI). A group of SLI children (n = 13), mean age 6, was compared to a control group (CCG) matched by age (n = 11), and a younger control group (LCG) with similar linguistic development (n = 13). Grammaticality and complexity of sentences were analysed including identification and counting of: a) simple and complex sentences, b) grammatical and ungrammatical sentences, and c) types of grammatical errors. SLI children were found to be more ungrammatical than CCG in both simple and complex sentences. Considering the number of errors in all sentences produced, SLI children commit more errors than both control groups. Complexity of sentences did not show statistical differences among groups. Future research should explore in further detail the types of errors made by monolingual Spanish-speaking SLI children.     

Meta-analysis of quality of life in children and adolescents with ADHD: By both parent proxy-report and child self-report using PedsQL™

Attention deficit hyperactivity disorder (ADHD) is a prevalent developmental disorder that seriously and negatively impacts a child's health-related quality of life (HRQOL). However, no meta-analysis has been conducted to examine the magnitude of impact, domains affected and factors moderating the impact. This review included nine studies that compared HRQOL of children or adolescents with ADHD with those with typical development using both child self-reports and parent proxy-reports. Seven among nine studies were meta-analytically synthesized to examine the degree of impact of ADHD on children and adolescents, parent–child discrepancy, and the moderators. The results indicate that ADHD impact a child's or adolescent's HRQOL negatively with a moderate effect in physical and a severe effect in psychosocial (i.e., emotional, social, and school) domains. Parental ratings of overall HRQOL in children or adolescents with ADHD were not significantly different from child's ratings when compared with typically developing children and adolescents. Age was negatively associated with all domains of HRQOL in children and adolescents with ADHD both by parent- and child-ratings, and the strongest effect was found in parental ratings of child's emotional HRQOL, with a moderate correlation. This meta-analysis suggests that HRQOL may be assessed in children and adolescents with ADHD both by parent proxy- and child self-reports, and that interventions may be planned accordingly. Future meta-analysis may explore how measures of HRQOL and other factors including child, parental, familiar and school characteristics influence the impact of ADHD and the parent–child agreement in children and adolescents.