Case History Risk Factors for Specific Language Impairment: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 26 (3) ◽  
pp. 991-1010 ◽  
Author(s):  
Johanna M. Rudolph
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
At Risk ◽  
Clinical Significance ◽  
Case History ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Early Identification ◽  
Specific Language ◽  
Late Talker

Purpose Research suggests that the best approach to early identification of children with specific language impairment (SLI) should include assessment of risk factors. However, previous attempts to develop a list for this purpose have been unsuccessful. In this study, systematic review and meta-analytic procedures were used to determine whether any case history factors can be used to identify toddlers at risk of developing SLI. Method Epidemiological studies that examined the association between risk factors and SLI were identified. Results across studies were aggregated to determine more precisely the strength of association between each risk factor and the development of SLI. The clinical significance of these factors was established via comparison to late talker status. Results Eleven risk factors were found to be statistically significant predictors of SLI. Among these, maternal education level, 5-min Apgar score, birth order, and biological sex met criteria for clinical significance. Conclusions At least 4 case history factors are as predictive as late talker status in the context of early identification of toddlers at risk for SLI. The findings of this review highlight the importance of taking a child's genetic and environmental context into consideration when deciding whether further evaluation and early intervention services are warranted. Supplemental Materials https://doi.org/10.23641/asha.5150122

scholarly journals Children with deficit in executive abilities have risk for emerging weakness in grammar understanding

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Kiselev
Keyword(s):  
Risk Factors ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Longitudinal Research ◽  
Control Group ◽  
Specific Language ◽  
Specific Language Impairments ◽  
Design Fluency ◽  
Experimental Group ◽  
Executive Abilities

Abstract Background Children with specific language impairment have difficulties producing and understanding language (Bishop, 1997). Specifically, these children have deficit in grammar understanding. The goal of this research was to examine the hypothesis that children at the age of 5-6 with deficit in executive abilities have a risk for emerging weakness in grammar understanding at the age of 8-9. Methods 136 children at the age of 5-6 were assessed using 5 subtests from NEPSY (Tower, Auditory Attention and Response Set, Visual Attention, Statue, Design Fluency), which are designed to assess executive abilities in children. We have revealed 27 children with deficit in executive abilities. These children were included in the experimental group. The control group included 27 children with no deficit in executive abilities. In the framework of longitudinal research children at the age of 8-9 from both groups were assessed by Grammar Understanding Test from Luria's neuropsychological assessment technique. Results One-way ANOVA has revealed significant differences (p<.05) between groups for scores in Grammar Understanding Test. Children from experimental group had low level of grammar understanding. Conclusions This research has shown that deficit in executive abilities can predict the delay in development of grammar understanding in children. These results provided insight into cognitive mechanisms in typically developing and the underlying nature of specific language impairments, helping to elucidate the nature of impaired mechanism in this disorder. It can be assumed that deficit in executive abilities is one of the risk factors for emerging weakness in grammar understanding in children. Key messages Deficit in executive abilities is one of the risk factors for emerging weakness in grammar understanding in children. There is relationship between grammar understanding and executive abilities in children.

scholarly journals Risk Factors Associated With Language in Autism Spectrum Disorder: Clues to Underlying Mechanisms

2016 ◽  
Vol 59 (1) ◽  
pp. 143-154 ◽  
Author(s):  
Helen Tager-Flusberg
Keyword(s):  
Risk Factors ◽  
Autism Spectrum Disorder ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Risk Markers ◽  
Specific Language ◽  
Factors Associated ◽  
Wide Range

Purpose Identifying risk factors associated with neurodevelopmental disorders is an important line of research, as it will lead to earlier identification of children who could benefit from interventions that support optimal developmental outcomes. The primary goal of this review was to summarize research on risk factors associated with autism spectrum disorder (ASD). Method The review focused on studies of infants who have older siblings with ASD, with particular emphasis on risk factors associated with language impairment that affects the majority of children with ASD. Findings from this body of work were compared to the literature on specific language impairment. Results A wide range of risk factors has been found for ASD, including demographic (e.g., male, family history), behavioral (e.g., gesture, motor) and neural risk markers (e.g., atypical lateralization for speech and reduced functional connectivity). Environmental factors, such as caregiver interaction, have not been found to predict language outcomes. Many of the risk markers for ASD are also found in studies of risk for specific language impairment, including demographic, behavioral, and neural factors. Conclusions There are significant gaps in the literature and limitations in the current research that preclude direct cross-syndrome comparisons. Future research directions are outlined that could address these limitations.

Social Skills of Children With Specific Language Impairment

1993 ◽  
Vol 24 (4) ◽  
pp. 206-215 ◽  
Author(s):  
Holly K. Craig
Keyword(s):  
At Risk ◽  
Social Skills ◽  
Peer Relationships ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Clinical Case ◽  
Social Problems ◽  
Specific Language ◽  
The Social

Children with specific language impairment are at risk for social problems. This article discusses the available literature pertinent to understanding their peer relationships. In addition, a clinical case is provided to illustrate some of the social-interactional difficulties described.

Two Grammatical Tasks for Screening Language Abilities in Spanish-Speaking Children

2018 ◽  
Vol 27 (2) ◽  
pp. 690-705 ◽  
Author(s):  
Alejandra Auza Benavides ◽  
Maria Kapantzoglou ◽  
Chiharu Murata
Keyword(s):  
At Risk ◽  
Language Impairment ◽  
Specific Language Impairment ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Children At Risk ◽  
Likelihood Ratios ◽  
Language Abilities ◽  
Specific Language ◽  
Spanish Speaking

Purpose This study assessed concurrent validity evidence for 2 grammatical tasks of a new screener, the Tamiz de Problemas de Lenguaje, for identifying monolingual Spanish-speaking children at risk for specific language impairment with grammatical deficits. Method A total of 770 4- to 6-year-old monolingual, Spanish-speaking children with and without language impairment were sampled from 3 different states in Mexico. Multiple logistic regression and receiver operating characteristic curve analyses were conducted to assess the predictive utility of the model and the classification accuracy of the tasks. The criterion was diagnosis of specific language impairment with grammatical deficits on the basis of a comprehensive language assessment. Results Results indicated that sensitivity estimates ranged from .90 to .94 and specificity estimates from .83 to .92. Overall, there was a good balance between sensitivity and specificity estimates with moderate to large positive and negative likelihood ratios. Conclusion Results suggested that the 2 grammatical tasks are suitable for identifying 4- to 6-year-old monolingual Spanish-speaking children at risk for grammatical deficits.

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