Children's Narratives Following Traumatic Brain Injury: Linguistic Structure, Cohesion, and Thematic Recall

Narrative discourse and intellectual functioning were examined 3 years following traumatic brain injury (TBI) in children 1 to 8 years of age at the time of injury. The language-impaired TBI group (n= 9) had language deficits during the subacute stage of recovery; their performance was contrasted with that of a TBI comparison group equated on neurologic and demographic variables that did not show subacute language impairment (n= 8) and a sibling comparison group (n= 9). The language-impaired TBI group had lower Verbal and Full-Scale IQ scores and produced fewer words and utterances than the sibling group on a story retelling task; their stories were characterized by fewer complete referential and lexical ties and more referential errors, indicating difficulty conjoining meaning across sentences. The language-impaired TBI group recalled approximately one-third of the propositions needed to maintain the story theme and made more errors sequencing the propositions than either the TBI or the sibling comparison groups. Group differences were not obtained on the Performance IQ scores or on measures of rate or fluency of speech production, mazes, use of conjunctives, or naming errors. The discourse deficiencies of children with TBI and acute language impairment were most pronounced at the level of cognitive organization of the text reflecting text macrostructure and were least apparent at the level of lexical and sentential organization reflecting text microstructure. Results are discussed in terms of the vulnerability of developing language abilities to disruption by brain injury.     

Le développement des capacités de jugement des durées chez l'enfant

For several decades, since the work of Piaget, it has been believed that correct judgements of durations require sophisticated reasoning abilities that emerge at about 8 years of age. However, some researchers have demonstrated accurate temporal knowledge in young children and have explained their poor judgements on classical piagetian tasks not by their inability to correctly judge time, but by age-related attentional difficulties. Recently, researchers have thus reassessed the temporal behaviour in children with the experimental paradigms used in animals and humans adults in the framework of the temporal information processing models that assume the existence of an internal clock. Findings suggest that this type of clock is functional at an early age. Other findings allow us to better understand the role of the development of attention, memory and metacognitive processes in the development of the abilities to judge time. The aim of this article is to synthesize these recent findings.     

Confirmatory factor analysis of the WPPSI for language-impaired children

The present study used a maximum-likelihood confirmatory factor analysis (CFA) to test the hypothesis that a four-factor model is the most parsimonious explanation of the structure of the WPPSI for language-impaired children. Four separate maximum-likelihood confirmatory factor analyses were performed on a sample of 198 Norwegian language-impaired children tested with the WPPSI, and on the Norwegian (n = 563) and American (n = 1200) standardization samples. A one-factor (general), a two-factor (verbal and performance), three-factor (parallel to the WISC-R) and a four-factor solution composed of "processing dependent" ("knowing how" and "seeing how") and "knowledge dependent" ("knowing that" and "seeing that") were imposed on the average intercorrelation matrices of the 11 WPPSI subtests. Confirmatory factor analysis indicated that the four-factor latent construct model was the most parsimonious explanation of the structure of the WPPSI for language-impaired children, as well as for normally developing children.     

Verb inflection and verb diversity in three populations: agrammatic speakers, normally developing children, and children with specific language impairment (SLI)

The present study focuses on the relation between a grammatical and a lexical-semantic aspect of verb production. The spontaneous speech of three different populations (normally developing children, agrammatic aphasics, and children with a specific language impairment) has been analyzed with respect to the proportion of finite clauses and the diversity of the produced lexical verbs. The group results show that in the three populations both the proportion of finite verbs and the variability of the lexical verbs is low. When the individual scores are considered, differences between the normally developing children and the language-impaired subjects show up. Whereas in normally developing children verb finiteness and verb variability go hand-in-hand, the reverse relationship between these variables is observed in the agrammatic aphasics and the children with a specific language impairment. Given this reverse relationship, it is probable to assume two separate disorders. We therefore suggest an impairment at the interface level where lexical information and syntactic structure are integrated during sentence production.     

Confirmatory factor analysis of ITPA models with language-impaired children

The major objective of the current investigation was to provide an evaluation of the validity of the ITPA for language-impaired children using confirmatory factor analysis. In addition to an examination of the validity of the traditional ITPA models, a new model is tested. The new model is based on considerations of the structural complexity of the ITPA subtests. and allows one to interpret ITPA results in processing terms. The results suggest that four-factor models provided the best representation of the ITPA scores in language-impaired children. Compared with the traditional ITPA models, the new model showed either an improved or equal goodness of fit. Language-impaired children tested with the ITPA (n = 100) exhibited a profile pattern suggesting that subtests with low processing demands are "easier" than tests with high processing demands. Thus, the present study supports the contention that language-impaired children suffer from constraints on information processing.     

Psychiatric risk in children with speech and language disorders

Based on an initial community sample of 1,655 5-year-old children, this report utilized the risk statistic to estimate a child's risk for developing a psychiatric disturbance depending on his or her status as speech/language-impaired. Results showed that risk estimates varied as a function of gender and source of information (teacher, parent, psychiatric reports). Overall, speech- and language-impaired children had a higher risk for developing a psychiatric disturbance compared with normal language controls, with speech/language-impaired girls being at greater risk than boys.     

Case descriptions of nonfluency and loci Initial and follow-up conversations with three preschool children

It has been hypothesized that fluency development may be influenced by linguistic uncertainty, slow speech milestones, and language delay. The purpose of this study was to describe the nonfluent speech characteristics of a stuttering child, a language-impaired child, and a nonstuttering child. Initial assessment results revealed that the stutterer produced more stuttering, the language-impaired child emitted more normal disfluency, and the nonstutterer had only a few normal disfluencies. Six months after therapy, the stutterer had decreased stuttering behavior but increased in normal disfluency. Six months after the initial evaluation and without fluency intervention, the language-impaired child showed an overall decrease in nonfluent behaviors, especially in part-word, whole-word, and phrase repetitions. Both the stutterer and the language-impaired children revised. Minimal nonfluency was observed in the nonstutterer during the initial and postobservation periods. All children produced more nonfluencies on conjunctions and pronouns. Implications for language therapy will be presented.     

Language and motor abilities of preschool children who stutter: Evidence from behavioral and kinematic indices of nonword repetition performance

Stuttering is a disorder of speech production that typically arises in the preschool years, and many accounts of its onset and development implicate language and motor processes as critical underlying factors. There have, however, been very few studies of speech motor control processes in preschool children who stutter. Hearing novel nonwords and reproducing them engages multiple neural networks, including those involved in phonological analysis and storage and speech motor programming and execution. We used this task to explore speech motor and language abilities of 31 children aged 4–5 years who were diagnosed as stuttering. We also used sensitive and specific standardized tests of speech and language abilities to determine which of the children who stutter had concomitant language and/or phonological disorders. Approximately half of our sample of stuttering children had language and/or phonological disorders. As previous investigations would suggest, the stuttering children with concomitant language or speech sound disorders produced significantly more errors on the nonword repetition task compared to typically developing children. In contrast, the children who were diagnosed as stuttering, but who had normal speech sound and language abilities, performed the nonword repetition task with equal accuracy compared to their normally fluent peers. Analyses of interarticulator motions during accurate and fluent productions of the nonwords revealed that the children who stutter (without concomitant disorders) showed higher variability in oral motor coordination indices. These results provide new evidence that preschool children diagnosed as stuttering lag their typically developing peers in maturation of speech motor control processes.Educational objectives: The reader will be able to: (a) discuss why performance on nonword repetition tasks has been investigated in children who stutter; (b) discuss why children who stutter in the current study had a higher incidence of concomitant language deficits compared to several other studies; (c) describe how performance differed on a nonword repetition test between children who stutter who do and do not have concomitant speech or language deficits; (d) make a general statement about speech motor control for nonword production in children who stutter compared to controls.     

Preschool children's ability to visually represent relations

The developmental origins of mapping temporal relations onto space was investigated in N = 122 3- to 5-year-old children and adults. Spontaneous production and comprehension were investigated. Production was investigated in two conditions: an iconic condition (three-dimensional objects depicting the events or objects to be represented) and an abstract condition (plain discs). Consistent with findings by Tversky, Kugelmass and Winter (1991), 5-year-olds performed on an adult-like level. Developmental progress was observed between the ages of 3 and 4 years, with comprehension preceding production. Consistent with DeLoache's findings (2000), 4-year-olds' performance was better in abstract than in iconic conditions, indicating that dual representational demands may have affected task performance in the iconic condition. In sum, abilities to map temporal relations onto spatial relations appear to develop spontaneously, even before children have experience with conventional notational systems.     

The early acquisition of verb meaning in German by normally developing and language impaired children

The research reported here focuses on the early acquisition of event structure in German. Based on longitudinal studies from 5 normally developing (ND) and 6 language-impaired (LI) children, a model of "event structural bootstrapping" is presented that spells out how ND children log into the verb lexicon. They project a target-consistent event tree, depicting the head-of-event of transitions. Young LI children, failing to employ this bootstrapping strategy, resort to radically underspecified event representations. The results from a truth-value judgment experiment with 16 ND and 16 LI children showed that ND children perform correctly on transitional verbs, while LI children perform at chance level on the same tasks. These findings are accounted for by the model of event structural bootstrapping to the extent that LI children lack an explicit representation of the head-of-event.     

Behavioral correlates of developmental expressive language disorder

The association of behavior problems with preschool language disorders has been documented extensively. However, researchers have typically failed to differentiate subgroups of language-impaired children, to use observational data in documenting the behavior disorders, or to study children at the youngest ages. Using a multimodal assessment, this study examined parent-child interaction and behavior problems in a clearly defined subgroup of language-impaired children, those with developmental expressive language disorder (ELD). These children exhibit a delay in expressive language compared with receptive language and nonverbal cognitive skills. Subjects were identified and studied at the youngest age at which the disorder can be assessed. A group of ELD children, averaging 27 months of age, was contrasted with a group of normally developing children, matched for age, sex, and receptive language ability. Groups were compared on observed parent-child interactions as well as maternal responses on the Parenting Stress Index, the Eyberg Child Behavior Inventory, and a behavior-related structured interview. ELD children, when compared with normally developing children, exhibited higher levels of negative behavior and were perceived as different by their parents.Portions of these data were presented at the biennial meeting of the Society for Research in Child Development, Baltimore, April 1987, and at the annual meeting of the Society for Pediatrie Research, Anaheim, California, April 1987. This work has been supported by NIMH grant no. 1 R03 MH41603 to author Fischel, and by NICHD grant no. 1 ROI HD19245 to authors Whitehurst and Fischel. It has also been supported by grants of equipment from Commodore Business Machines, Inc., Koala Corporation, and NEC Telephones. We thank the Department of Pediatrics at the Nassau County Medical Center for the use of their facilities.     

Relationships between declarative pointing and theory of mind abilities in 3- to 4-year-olds

The current study explored the relationships between declarative pointing and theory of mind abilities in 30 children between 3 and 4 years of age. Measures used to examine theory of mind (ToM) included a parental questionnaire and the Scaling of Theory of Mind Tasks. Results showed a dissociation between expressive and informative pointing, which have been regarded as two subcategories of the declarative function. ToM abilities were significantly related to the production of informative pointing, but not to the production of expressive pointing. This distinction might be explained by special features associated with informative pointing, such as early signs of cooperation abilities. Our results might have key implications for psychologists, as they may help improve evaluation and intervention programs for the development of social skills in preschoolers.     

Developmental features of speech-sound production in language-impaired children

The speech-sound production of severely language-impaired children was monitored in a longitudinal study. In order to generalize findings, acoustical, phonemic, and clinical observation data were collected from 30 children. Results showed that speech-sound acquisition goes through a hierarchical sequence of development and that speech-sound production will deteriorate in a predictable manner depending on the pathology. The authors hypothesize a speech-sound acquisition model, SSAM, based on the development observed.This project was supported by the Swiss National Foundation for Scientific Research-Projects No. 3.237.69, 3.448.70, and 3.902.72-and by North Carolina State University Research and Development Grant 056.     

Auditory temporal processing deficits in children with periventricular brain injury

The present study investigated whether auditory temporal processing deficits are related to the presence and/or the severity of periventricular brain injury and the reading difficulties experienced by extremely low birthweight (ELBW: birthweight <1000 g) children. Results indicate that ELBW children with mild or severe brain lesions obtained significantly lower scores on a test requiring auditory temporal order judgments than ELBW children without periventricular brain injury or children who were full-term. Structural equation modeling indicated that a model in which auditory temporal processing deficits predicted speech sound discrimination and phonological processing ability provided a better fit for the data than did a second model, which hypothesized that auditory temporal processing deficits are associated with poor reading abilities through a working memory deficit. These findings suggest that an impairment in auditory temporal processing may contribute to the reading difficulties experienced by ELBW children.     

A structural equation modeling of executive functions,IQ and mathematical skills in primary students: Differential effects on number production,mental calculus and arithmetical problems

Though the relationship between executive functions (EFs) and mathematical skills has been well documented, little is known about how both EFs and IQ differentially support diverse math domains in primary students. Inconsistency of results may be due to the statistical techniques employed, specifically, if the analysis is conducted with observed variables, i.e., regression analysis, or at the latent level, i.e., structural equation modeling (SEM). The current study explores the contribution of both EFs and IQ in mathematics through an SEM approach. A total of 118 8- to 12-year-olds were administered measures of EFs, crystallized (Gc) and fluid (Gf) intelligence, and math abilities (i.e., number production, mental calculus and arithmetical problem-solving). Confirmatory factor analysis (CFA) offered support for the three-factor solution of EFs: (1) working memory (WM), (2) shifting, and (3) inhibition. Regarding the relationship among EFs, IQ and math abilities, the results of the SEM analysis showed that (i) WM and age predict number production and mental calculus, and (ii) shifting and sex predict arithmetical problem-solving. In all of the SEM models, EFs partially or totally mediated the relationship between IQ, age and math achievement. These results suggest that EFs differentially supports math abilities in primary-school children and is a more significant predictor of math achievement than IQ level.     

Rapid Automatized Naming and gesture by normal and language-impaired children

This study investigates whether language-impaired (LI) children show deficits in rapid automatized naming and whether RAN performance is specific to verbal output (or to rapid motor output in general). A total of 67 LI and 54 age-matched control children were tested with the Rapid Automatized Naming (RAN) test (Denckla & Rudel, 1976) and with a manual version of the RAN (RAN-manual) in which subjects were required to provide a nonverbal, pantomime response. Subjects also completed tests of rapid oral and manual sequencing skills and standardized tests of reading ability. Each subject was tested at 4, 6, and 8 years old. The results showed that LI children perform significantly poorer on both versions of the RAN than age-matched controls. Correlations between RAN scores and tests of reading ability were significant for normal and LI subjects and were particularly high for 8-year-old LI children. RAN-manual scores also correlated with 8-year-old LI children's reading scores. Further, RAN and RAN-manual scores for the LI children correlated significantly with these children's manual sequencing abilities, whereas this was not the case for the control subjects. These findings suggest that LI children's rapid sequential processing deficits are not limited to verbal output, but also generalize to other motoric domains.     

Temporal representation impairment in developmental dyslexia for unisensory and multisensory stimuli

Dyslexia has been associated with a problem in visual–audio integration mechanisms. Here, we investigate for the first time the contribution of unisensory cues on multisensory audio and visual integration in 32 dyslexic children by modelling results using the Bayesian approach. Non‐linguistic stimuli were used. Children performed a temporal task: they had to report whether the middle of three stimuli was closer in time to the first one or to the last one presented. Children with dyslexia, compared with typical children, exhibited poorer unimodal thresholds, requiring greater temporal distance between items for correct judgements, while multisensory thresholds were well predicted by the Bayesian model. This result suggests that the multisensory deficit in dyslexia is due to impaired audio and visual inputs rather than impaired multisensory processing per se. We also observed that poorer temporal skills correlated with lower reading skills in dyslexic children, suggesting that this temporal capability can be linked to reading abilities.     

Methodological issues in language acquisition research with very young children

It is suggested that the dominance of observational methods in child language research with very young children has limited progress in understanding the language acquisition process. Evidence is presented that, contrary to popular belief, naturalistic methods do not guarantee ecological validity, nor are they free of task biases. Furthermore, observational studies do not necessarily provide better measures of linguistic competence than do more structured methods. Instead, it is argued that new insights from cognitive developmental research are applicable in studying language production in children younger than 3 years. A number of structured techniques are reviewed that have been used or could be used to study language production. It is concluded that a combination of methods is necessary in order to disentangle and control the many variables that enter into the language acquisition process.     

Age of acquisition ratings score better on criterion validity than frequency trajectory or ratings “corrected” for frequency

From the very first studies on the effect of age of acquisition (AoA) on word processing, researchers have validated their AoA ratings by correlating them with other, more objective indices of the age at which children know words. Still, the ratings have been questioned, and alternative measures have been proposed. Two of these are differences in word frequency between language directed at young children and language directed at older children (frequency trajectory) and AoA ratings corrected for word frequency. Surprisingly, the criterion validity of these alternative measures has never been established, partly because one of the validation criteria (the age at which children are able to name pictures) has been questioned. In the present study, four databases are used that aimed to establish the order of English word acquisition, going from the very first words learned to words taught in secondary education. The criteria for word knowledge included word production, multiple-choice questions about the meaning of the words, and teacher judgments about when words should be taught in the school curriculum. For all databases, the frequency trajectory correlated substantially less with the criterion than AoA ratings. For all but one, the same was true for AoA ratings “corrected” for other variables. On the basis of these findings, researchers should be cautious interpreting null effects with the “improved” variables as evidence against a genuine AoA effect.     

Development of a microcomputer system for verbal interaction analysis

Verbal interaction analysis has been demonstrated to be a valuable procedure for research on temporal, noncontent variables in dyadic interviews. Temporal variables include durations of utterance, reaction time latency, initiative time latency, and overlap, which are recorded for both parties in the interview. Instruments for the measurement of these variables have been both complex and expensive. An Apple II microcomputer is programmed to record the four temporal variables in verbal interaction analysis, providing a portable, less expensive, and convenient instrument.