Early language processing efficiency predicts later receptive vocabulary outcomes in children born preterm

As rates of prematurity continue to rise, identifying which preterm children are at increased risk for learning disabilities is a public health imperative. Identifying continuities between early and later skills in this vulnerable population can also illuminate fundamental neuropsychological processes that support learning in all children. At 18 months adjusted age, we used socioeconomic status (SES), medical variables, parent-reported vocabulary, scores on the Bayley Scales of Infant and Toddler Development (third edition) language composite, and children’s lexical processing speed in the looking-while-listening (LWL) task as predictor variables in a sample of 30 preterm children. Receptive vocabulary as measured by the Peabody Picture Vocabulary Test (fourth edition) at 36 months was the outcome. Receptive vocabulary was correlated with SES, but uncorrelated with degree of prematurity or a composite of medical risk. Importantly, lexical processing speed was the strongest predictor of receptive vocabulary (r = ?.81), accounting for 30% unique variance. Individual differences in lexical processing efficiency may be able to serve as a marker for information processing skills that are critical for language learning.     

Tonic and phasic orientation in full-term and preterm infants

Thirty-three full-term infants and thirty-eight preterm infants (on average born at 30 weeks gestation) were tested for their latency to turn toward checkered stimulus patterns (phasic orienting or "attention-getting") and for the duration of their initial fixation (tonic orienting or "attention-holding"). Plotted against the logarithm of the subjects' postconceptional age, turning latency fell linearly between 36 and 120 weeks, while fixation time fell abruptly at 53 weeks. Preterm and full-term infants showed the same developmental trends, implying that both of these attentional behaviors are biologically timetabled and that neither is greatly affected by premature extrauterine experience. Unexpectedly, phasic orientation in the first 30 postnatal days was significantly faster in preterm than in full-term infants, and fixation times failed to differ. Despite the necessary functional integration of phasic and tonic orienting in mature visual scanning and attention, the present results suggest an independence in their early postnatal development and that neither is mature at birth.     

Joint attention abilities in Brazilian preterm and full-term infants

Joint attention abilities of preterm and full-term Brazilian infants were assessed at 12- and 18-months, age corrected for prematurity. Results showed that preterm infants displayed significantly lower levels of correct responses to others’ bids for joint attention at both time-points, compared to full-term infants. Both groups improved their responding to joint attention from 12 to 18 months of age. Contrastingly, prematurity did not impact infants’ initiating joint attention behaviors, which remained stable over time for both groups. Findings were discussed in terms of the specific mental processes involved in distinct behavioural dimensions of joint attention.     

Expressive and receptive language skills of temperamentally shy preschoolers

Although shy children speak less in social situations, the extent to which their language skills fall behind those of their more outgoing peers remains unclear. We selected 22 temperamentally shy and 22 non‐shy children from a larger group of 400 4‐year‐old children who were prescreened for temperamental shyness by maternal report, using the Colorado Childhood Temperament Inventory (CCTI). We then compared the two groups on widely used measures that index expressive and receptive language skills. We found that, although the temperamentally shy children scored lower on both expressive and receptive language skills compared with their non‐shy counterparts, they were nonetheless performing at their age equivalency. The non‐shy children, however, were performing significantly above their age level on expressive and receptive language skills. These findings suggest that the development of normal language skills is not compromised in temperamentally shy preschoolers. Copyright © 2004 John Wiley & Sons, Ltd.     

Object-centered attention in 8-month-old infants

We examined the extent to which visual orienting in 8-month-old infants shows evidence of being guided by object-based representations. Infants’ preferences to look at conspicuous targets presented on one of two stationary objects were measured following an event (cue) which directed their covert attention to one of the objects. The results indicate that by 8 months of age a cue presented on one part of an object directs attention to the whole object (object-centered attention). This then affects responses to targets that appear elsewhere on the cued object.     

Visual attention control differences in 12-month-old preterm infants

There have been few previous attempts to assess the development of early markers of executive function in infants born preterm despite well-established deficits reported for older preterm children that have been closely linked to poorer academic functioning. The present study investigates early attention control development in healthy 12-month-old age-corrected pre-term infants who were born less than 30 weeks and compares their performance to full-term infants. Eye-tracking methodology was used to measure attention control. Preterm Infants spent less time focused on the target and were slower to fixate attention, with lower gestational age associated with poorer target fixation and slower processing speed. There were no significant group differences observed for inhibition of return or interference control. These findings suggest that specific emerging deficits in attention control may be observed using eye tracking methodology in very preterm infants at this early stage of development, despite scores within the average range on the Bayley Scales of Infant Development.     

Shyness–anxiousness and receptive language skills development in Spanish- and English-speaking preschoolers

The present study utilized a short-term longitudinal research design to model the relationship between shyness–anxiousness and receptive language skills. Hypotheses regarding the direction of the causal relationship, mediation, and moderation were evaluated. Subjects included 340 Head Start attendees from primarily English- and Spanish-speaking homes. Results suggest that a unidirectional relationship between shyness–anxiousness and receptive language skills emerges in preschool. Shyness–anxiousness impacted receptive language skills and this relationship was mediated by communication competence. Neither gender nor native language moderated the indirect relationship from shyness–anxiousness to receptive language through communication competence. These results are discussed with respect to elucidating the nature of the bidirectional relationship between shyness–anxiousness and language skills and identifying intervention targets to improve language outcomes for shy–anxious preschoolers.     

An analysis of individual differences in generalization between receptive and productive language in retarded children

Retarded subjects were taught generative pluralization rules concurrently in both the receptive and productive modalities of language. Receptive training established correct pointing to either one or a pair of objects, in response to a spoken singular or plural label of the object(s); productive training established correct spoken labels of one or a pair of objects presented visually. However, these pluralization rules were established in each modality only for a specific class of plurals: those ending in -s for one modality, those ending in -es for the other modality. This training was successful in establishing generative, or rule-governed behaviors, such that untrained examples of singulars and plurals were usually responded to correctly. Nevertheless, despite this concurrent, generative behavior, probes revealed little generalization between modalities: three of four subjects did not generalize clearly from receptive training with one class of plurals to correct productive use of that class, nor did they generalize from productive training of the other class of plurals to correct receptive response to that class. The fourth subject, however, did show strong generalization of both these types. It was concluded that automatic generalization between receptive and productive language is not necessarily an inevitable result of language training in such subjects, and therefore may require explicit, if temporary, programming, such as by direct reinforcement.     

Visual orienting and attention deficits in 5- and 10-month-old preterm infants

Cognitive outcomes for children born prematurely are well characterized, including increased risk for deficits in memory, attention, processing speed, and executive function. However, little is known about deficits that appear within the first 12 months, and how these early deficits contribute to later outcomes. To probe for functional deficits in visual attention, preterm and full-term infants were tested at 5 and 10 months with the Infant Orienting With Attention task (IOWA; Ross-Sheehy, Schneegans and Spencer, 2015). 5-month-old preterm infants showed significant deficits in orienting speed and task related error. However, 10-month-old preterm infants showed only selective deficits in spatial attention, particularly reflexive orienting responses, and responses that required some inhibition. These emergent deficits in spatial attention suggest preterm differences may be related to altered postnatal developmental trajectories. Moreover, we found no evidence of a dose-response relation between increased gestational risk and spatial attention. These results highlight the critical role of postnatal visual experience, and suggest that visual orienting may be a sensitive measure of attentional delay. Results reported here both inform current theoretical models of early perceptual/cognitive development, and future intervention efforts.     

Effects of receptive language training on receptive and expressive language development

The effects of a six-month training program in receptive language on receptive and expressive language development were investigated. Developmentally retarded preschoolers were pretested and posttested on one standardized test of receptive language and two tests of expressive language. Both the training and control groups participated in a preschool program. In addition, the training group received a two-sequence training program: (1) reinforcement for matching responses to modeling cues and accompanying verbal requests, and (2) reinforcement for appropriate responses to verbal requests alone. The training group demonstrated a significant increase in appropriate responses to verbal request over base-rate performance after the training and also demonstrated a significantly improved posttest performance on one test of expressive language as compared to the control group.The authors wish to thank Mrs. Helen Huggins and the staff of the Aid to Retarded Children's Preschool Training Center, San Francisco, California, for their assistance in this study. A modified version of this paper was presented at the Gatlinburg Conference on Mental Retardation, March, 1974, Gatlinburg, Tennessee.     

Cognitive development in 7- to 24-month-old extremely/very-to-moderately/late preterm and full-term born infants: The mediating role of focused attention

The present study analyzed the links between prematurity, attention, and global cognitive performance in infancy and early childhood. At 7 months, focused attention (FA) was examined with an object examination task in 93 preterm infants (39 of them born extremely/very preterm, 54 born moderately/late preterm, and 38 infants born full-term). Global cognition was assessed at 7 and 24 months with the Bayley-II cognitive scale. Groups did not differ with respect to global cognitive performance but FA of infants born extremely/very preterm was significantly lower than in infants born moderately/late preterm. FA correlated significantly with both prematurity and cognitive performance at 7 months of age but not with global cognition in childhood. Findings point to a subtle adverse effect of prematurity on early attention and reveal evidence for the mediating role of FA on the effect of prematurity on cognition.     

A functional analysis of receptive language and productive speech: acquisition of the plural morpheme

Operant conditioning procedures were applied to two retardates to establish receptive auditory plurals: correct pointing to single or paired objects was reinforced after hearing singular or plural labels. This training proceeded until an errorless (generative) criterion of correct performance was achieved. Unreinforced probes measuring expressive use of singulars and plurals were interspersed in this receptive training. Neither subject generalized from this receptive training to expressive plurals, in that each used singulars when labeling pairs. Then, both subjects were directly trained in conventional expressive plurals to an errorless (generative) criterion. The previous design was then repeated, but the receptive repertoire was reversed: pointing at pairs in response to singular labels was reinforced, and vice-versa. Unreinforced probes of expressive plural usage again showed its independence of the current receptive repertoire in that conventional (unreversed) plural usage was displayed. Thus, the independence of the expressive repertoire (even when unreinforced) from the reinforced patterns of the receptive repertoire was demonstrated.     

Audiovisual matching of lips and non-canonical sounds in 8-month-old infants

Japanese 8-month-olds were tested to investigate the matching of particular lip movements to corresponding non-canonical sounds, namely a bilabial trill (BT) and a whistle (WL). The results showed that the infants succeeded in lip-voice matching for the bilabial trill, whereas they failed to do so for the whistle.     

Automated gaze-contingent objects elicit orientation following in 8-month-old infants

The current study tested whether the purely amodal cue of contingency elicits orientation following behavior in 8-month-old infants. We presented 8-month-old infants with automated objects without human features that did or did not react contingently to the infants' fixations recorded by an eye tracker. We found that an object's occasional orientation toward peripheral targets was reciprocated by a congruent visual orientation following response by infants only when it had displayed gaze-contingent interactivity. Our finding demonstrates that infants' gaze-following behavior does not depend on the presence of a human being. The results are consistent with the idea that, in 8-month-old infants, the detection of contingent reactivity, like other communicative signals, can itself elicit the illusion of being addressed.     

Emotional and neuroendocrine regulation in very preterm and full-term infants at six months of age

Emotional and neuroendocrine regulation have been shown to be associated. However, results are inconsistent. This paper explores the functioning and relationships between these two systems in 54 healthy preterm and 25 full-term born infants at six months of age. Results showed significant differences between very preterm and full-term children in emotional intensity and regulation, as well as in neuroendocrine regulation. No evidence of an association between neuroendocrine and emotional regulations was found. Results suggest a possible delay in the maturation of the neuroendocrine system as well as in emotional regulation in very preterm infants.     

Early language and the development of children's reading skills

There is considerable agreement that vocabulary plays a central role in reading acquisition, but there is less agreement about whether this association is direct or indirect through phonological and print-related knowledge. Longitudinal data from 77 African-American children were analyzed to examine the relationship between language skills, phonological knowledge and print processing skills at pre-kindergarten and kindergarten with reading at pre-kindergarten through second grade. Analyses indicated that home and child care experiences were related to reading indirectly through language and that language and phonological knowledge were both directly related to acquisition of reading skill. This study of African-American children and previous studies of lower- and middle-income children indicate both language and phonological skills play an important role in children becoming successful readers, and that experiences at home and in child care during in early childhood play a role in the acquisition of reading through their enhancement of early language and phonological skills.     

Hormonal sensitivity of preterm versus full-term infants to the effects of maternal depression

Comparisons were made of differences in the hormonal sensitivity of preterm versus full-term infants to maternal depression, as reflected in children's cortisol levels. In Study 1 (N=25), a comparison was made between preterm versus healthy full-term children. In Study 2 (N=80), a comparison was made between preterm infants and full-term infants with mild or moderate medical problems. Preterm infants were found to be highly reactive to maternal depression (as measured by the Beck Depression Inventory). That is, they demonstrated higher cortisol levels when paired with depressed mothers and lower cortisol levels when paired with non-depressed mothers. No equivalent effects were found for children who were full-term, even when they had experienced other medical problems at birth. It was concluded that premature infants are exceptionally sensitive to the "emotional climate" in their home environment. As a result, they may manifest very different hormonal outcomes--with implications for their later development.