Patterns of language and discourse comprehension skills in school‐aged children with autism spectrum disorders

Åsberg, J. (2010). Patterns of language and discourse comprehension skills in school‐aged children with autism spectrum disorders. Scandinavian Journal of Psychology 51, 534–539. The present study examined patterns of language and discourse comprehension skills in Swedish school‐aged children with autism spectrum disorders (ASD) (n = 16) as compared to a slightly younger group of typically developing children (n = 16) matched for non‐verbal cognitive ability. Results suggested significantly lower abilities in narrative discourse comprehension for the ASD group, but not in oral receptive vocabulary or reception of grammar. This difficulty with discourse‐level comprehension appeared to be of a general nature, as no evidence was found for the hypothesis that participants with ASD would find comprehension of inferential discourse information disproportionally more difficult than stated information, or for the hypothesis that discourse processing in ASD would be characterized by an elevated processing of explicitly stated narrative details. The study has clinical and educational implications, as the findings suggest that children with ASD would benefit from being offered specific support for discourse‐level comprehension.     

Receptive vocabulary and semantic knowledge in children with SLI and children with Down syndrome

Receptive vocabulary and associated semantic knowledge were compared within and between groups of children with specific language impairment (SLI), children with Down syndrome (DS), and typically developing children. To overcome the potential confounding effects of speech or language difficulties on verbal tests of semantic knowledge, a novel task was devised based on picture-based semantic association tests used to assess adult patients with semantic dementia. Receptive vocabulary, measured by word-picture matching, of children with SLI was weak relative to chronological age and to nonverbal mental age but their semantic knowledge, probed across the same lexical items, did not differ significantly from that of vocabulary-matched typically developing children. By contrast, although receptive vocabulary of children with DS was a relative strength compared to nonverbal cognitive abilities (p < .0001), DS was associated with a significant deficit in semantic knowledge (p < .0001) indicative of dissociation between word-picture matching vocabulary and depth of semantic knowledge. Overall, these data challenge the integrity of semantic-conceptual development in DS and imply that contemporary theories of semantic cognition should also seek to incorporate evidence from atypical conceptual development.     

Increasing Single‐Word Requests to Multiword Requests in Children with Autism and Related Disabilities

Initial language training with children with autism often focuses on the production of single‐word requests (i.e., mands). As a child progresses in treatment, it is desirable to increase the mean length of utterance (MLU) of requests. The present study examined treatment outcomes of behavioral intervention designed to increase the MLU of requests in a larger sample of children with language delays (n = 30). Intervention consisted of prompts and differential reinforcement for lengthier requests, and trials were conducted flexibly throughout the treatment session. A non‐concurrent multiple baseline across participants design was utilized to establish experimental control, and MLU intervention consisted of a baseline and treatment phase for each participant. Nonoverlap of all pairs (NAP) was employed to estimate an effect size. Overall treatment effects were medium to large (average NAP = 0.89; average d = 2.36), and the majority of the sample (70%) demonstrated strong treatment effects. Results suggest that targeted behavioral intervention to increase the length of requests can be effective for children with autism and associated language delays. Copyright © 2015 John Wiley & Sons, Ltd.     

Attentional focus moderates habituation–language relationships: slow habituation may be a good thing

An interesting paradox in the developmental literature has emerged in which fast‐habituating babies tend to be temperamentally difficult and fast language learners, even though temperamentally difficult babies tend to be slow language learners. The purpose of the present investigation was to examine whether the paradoxical relationships among habituation, temperamental difficulty, and language acquisition could be mediated partly or wholly by infant attentional focus, because the latter also tends to correlate with temperamental difficulty and vocabulary size. Forty mother–infant dyads were followed from child age 5–20‐months. Results replicated those of Tamis‐LeMonda and Bornstein (Child Develop 1989, 60, 738–751): measures of visual habituation at 5 months were related to 13‐month vocabulary. However, relationships between 5‐month habituation and 20‐month vocabulary were moderated by temperamental attentional focus. For children low in attentional focus, 5‐month habituation was related negatively to 20‐month productive vocabulary; whereas for children high in attentional focus, early habituation was positively related to later vocabulary. Results are consistent with a model of habituation in which volitional attentional focus overrides basic attentional mechanisms that occur during habituation. Copyright © 2008 John Wiley & Sons, Ltd.     

Multilingual assessment of early child development: Analyses from repeated observations of children in Kenya

In many low‐ and middle‐income countries, young children learn a mother tongue or indigenous language at home before entering the formal education system where they will need to understand and speak a country's official language(s). Thus, assessments of children before school age, conducted in a nation's official language, may not fully reflect a child's development, underscoring the importance of test translation and adaptation. To examine differences in vocabulary development by language of assessment, we adapted and validated instruments to measure developmental outcomes, including expressive and receptive vocabulary. We assessed 505 2‐to‐6‐year‐old children in rural communities in Western Kenya with comparable vocabulary tests in three languages: Luo (the local language or mother tongue), Swahili, and English (official languages) at two time points, 5–6 weeks apart, between September 2015 and October 2016. Younger children responded to the expressive vocabulary measure exclusively in Luo (44%–59% of 2‐to‐4‐year‐olds) much more frequently than did older children (20%–21% of 5‐to‐6‐year‐olds). Baseline receptive vocabulary scores in Luo (β = 0.26, SE = 0.05, p < 0.001) and Swahili (β = 0.10, SE = 0.05, p = 0.032) were strongly associated with receptive vocabulary in English at follow‐up, even after controlling for English vocabulary at baseline. Parental Luo literacy at baseline (β = 0.11, SE = 0.05, p = 0.045) was associated with child English vocabulary at follow‐up, while parental English literacy at baseline was not. Our findings suggest that multilingual testing is essential to understanding the developmental environment and cognitive growth of multilingual children.     

Effects of foreign mand training on the emergence of foreign tact and listener responses for Chinese-speaking children with autism spectrum disorder

In China, there is an increasing demand for preschool children with autism spectrum disorder (ASD) enrolled in general education to learn English vocabulary. The purpose of this study was to evaluate the effect of foreign mand training in English on the acquisition of mand responses, and the emergence of tact and listener responses for three Chinese-speaking preschool children (boys; 4–5 years of age) with ASD. Echoic-to-mand training was implemented to teach mands in English. The study employed a concurrent multiple-probe design across behaviors. The results of the study indicated that the training was effective in the acquisition of mand responses. Moreover, untaught tacts and listener responses for the same vocabulary emerged without explicit training. Implications for small-group mand training in foreign language acquisition were discussed.     

Behavior problems in children with pure speech disorders and in children with combined speech and language disorders

Forty-six children with pure speech disorders and 53 children with disorders of both speech and language were rated by parents and teachers for behavioral problems. Both parents and teachers rated the speech- and language-disordered children as having more severe and more frequent behavioral abnormalities,particularly hyperactive behaviors and developmental problems. Somatic complaints were more pronounced in the pure speech group. Conduct disorders,emotional problems, and poor relationships did not distinguish between the two groups. The importance of these findings for speech therapists and individuals working with speech- or language-impaired children is discussed.     

Spanish-English bilingual toddlers’ vocabulary skills: The role of caregiver language input and warmth

There is a well-documented link between bilingual language development and the relative amounts of exposure to each language. Less is known about the role of quality indicators of caregiver-child interactions in bilingual homes, including caregiver input diversity, warmth and sensitivity. This longitudinal study examines the relation between caregiver input (lexical diversity, amount), warmth and sensitivity and bilingual toddlers’ subsequent vocabulary outcomes. We video-recorded caregiver-child interactions in Spanish-English Latino homes when toddlers (n = 47) were 18 months of age (M = 18.32 months; SD = 1.02 months). At the 24-month follow-up, we measured children's vocabulary as total vocabulary (English, Spanish combined) as well as within language (Spanish, English). Results revealed that Spanish lexical diversity exposure at 18 months from caregivers was positively associated with children's Spanish and total vocabulary scores at 24 months, while English lexical diversity was positively associated with children's English scores; lexical diversity and amount were highly correlated. Additionally, caregivers’ warmth was positively associated with children's Spanish, English and total vocabulary scores. Together, these factors accounted for substantial variance (30–40%) in vocabulary outcomes. Notably, caregiver input accounted for more variance in single language outcomes than did caregiver warmth, whereas caregiver warmth uniquely accounted for more variance in total vocabulary scores. Our findings extend prior research findings by suggesting that children's dual language development may depend on their exposure to a diverse set of words, not only amount of language exposure, as well as warm interactions with caregivers. A video abstract of this article can be viewed at https://youtu.be/q1V_7fz5wog

Highlights

• Video-recorded observations of caregiver-child interactions revealed warmth and high sensitivity from Latino caregivers.
• Linguistically-detailed analyses of caregiver input revealed wide variation in the diversity of Spanish and English directed at 18-month-old bilingual toddlers.
• Bilingual toddlers’ vocabulary (single language, total) was positively associated with caregivers’ diverse input and warmth, thus extending prior findings on bilinguals’ amount of language exposure.
• Findings suggest that caregivers’ lexical diversity explains more variance in bilingual toddlers’ single language outcomes, whereas warmth explains more variance in total vocabulary scores.

     

Enhancing the language development of toddlers in foster care by promoting foster parents’ sensitivity: Results from a randomized controlled trial

Young children in foster care are at increased risk for problematic language development, making early intervention a critical tool in enhancing these children's foundational language abilities. This study examined the efficacy of an early preventative intervention, Attachment and Biobehavioral Catch‐up for Toddlers (ABC‐T), in improving the receptive vocabulary abilities of toddlers placed in foster care. All the children had been removed from their biological parents’ care and placed into foster care. When children were between 24 and 36 months old, foster parents were contacted by research staff and consented to participate. Parents were randomly assigned using a random number generator to receive either ABC‐T (n = 45), which aimed to promote sensitive parenting for children who have experienced early adversity, or a control intervention (n = 43). Foster children's receptive vocabulary skills were assessed post‐intervention using the Peabody Picture Vocabulary Test, Third Edition, when children were between 36 and 60 months old. Children whose foster parents received ABC‐T demonstrated more advanced receptive vocabulary abilities than children whose foster parents received the control intervention. The positive effect of ABC‐T on foster children's receptive vocabulary was mediated by increases in foster parents’ sensitivity during parent–child interactions. Trial registration: ClinicalTrials.gov NCT01261806.     

Effects of past language experience and present language context on the shape bias in Spanish–English bilingual children

English‐monolingual children develop a shape bias early in language acquisition, such that they more often generalize a novel label based on shape than other features. Spanish‐monolingual children, however, do not show this bias to the same extent (Hahn & Cantrell, 2012). Studying children who are simultaneously learning both Spanish and English presents a unique opportunity to further investigate how this word‐learning bias develops. Thus, we asked how Spanish–English bilingual children (M_age = 21.31 months) perform in a novel‐noun generalization (NNG) task, specifically examining how past language experience (i.e. language exposure and vocabulary size) and present language context (i.e. whether the NNG task was conducted in Spanish or English) influence the strength of the shape bias. Participants completed the NNG task either entirely in English (N = 16) or entirely in Spanish (N = 16), as well as language understanding tasks in both English and Spanish to ensure that they understood what the experimenter was asking them to do. Parents completed a language exposure survey and vocabulary checklists in Spanish and English. There was a significant interaction between condition and choice type: Bilingual children in the English condition showed a shape bias in the NNG task, but bilingual children in the Spanish condition showed no reliable biases. No measures of past language experience were related to NNG task performance. These results suggest that when learning new words, bilingual children are attuned to the regularities of the present language context, and prior language experiences may play a more secondary role.     

Spanish-speaking caregivers’ use of referential labels with toddlers is a better predictor of later vocabulary than their use of referential gestures

Variation in how frequently caregivers engage with their children is associated with variation in children's later language outcomes. One explanation for this link is that caregivers use both verbal behaviors, such as labels, and non-verbal behaviors, such as gestures, to help children establish reference to objects or events in the world. However, few studies have directly explored whether language outcomes are more strongly associated with referential behaviors that are expressed verbally, such as labels, or non-verbally, such as gestures, or whether both are equally predictive. Here, we observed caregivers from 42 Spanish-speaking families in the US engage with their 18-month-old children during 5-min lab-based, play sessions. Children's language processing speed and vocabulary size were assessed when children were 25 months. Bayesian model comparisons assessed the extent to which the frequencies of caregivers’ referential labels, referential gestures, or labels and gestures together, were more strongly associated with children's language outcomes than a model with caregiver total words, or overall talkativeness. The best-fitting models showed that children who heard more referential labels at 18 months were faster in language processing and had larger vocabularies at 25 months. Models including gestures, or labels and gestures together, showed weaker fits to the data. Caregivers’ total words predicted children's language processing speed, but predicted vocabulary size less well. These results suggest that the frequency with which caregivers of 18-month-old children use referential labels, more so than referential gestures, is a critical feature of caregiver verbal engagement that contributes to language processing development and vocabulary growth.

Research Highlights

• We examined the frequency of referential communicative behaviors, via labels and/or gestures, produced by caregivers during a 5-min play interaction with their 18-month-old children.
• We assessed predictive relations between labels, gestures, their combination, as well as total words spoken, and children's processing speed and vocabulary growth at 25 months.
• Bayesian model comparisons showed that caregivers’ referential labels at 18 months best predicted both 25-month vocabulary measures, although total words also predicted later processing speed.
• Frequent use of referential labels by caregivers, more so than referential gestures, is a critical feature of communicative behavior that supports children's later vocabulary learning.

     

Predictors of preschool language environments and their relations to children's vocabulary

Despite support for the importance of early language environments, little is known about the naturally occurring experiences children have in preschool settings. The current study sample included 91 children (M_age = 4.72 years; 56% male; 67% White) from 23 preschool classrooms and nearly 1500 h of language environment data from three waves throughout the preschool year. Of the sociodemographic characteristics, family income is most closely related to children's preschool language environments. A standard deviation increase in family income was related to children hearing approximately one million more adult words in their preschool classroom. However, conversational turns were the more robust predictor of vocabulary skills with effect sizes around 0.20, depending on model specification. Theoretical and policy implications of these findings are discussed.     

Predictors of early vocabulary growth in children born preterm and full term: A study of processing speed and medical complications

Delays in expressive vocabulary may be harbingers of long-term language difficulties. In toddlers born full term (FT), individual differences in language processing speed are associated with variation in expressive vocabulary growth. Children born preterm (PT) are at increased risk for persistent language deficits. Here, we evaluate predictors of early vocabulary growth in PT toddlers in relation to two sources of variability: language processing speed and medical complications of prematurity. Vocabulary growth from 16 to 30 months (adjusted for degree of prematurity) was modeled longitudinally using parent reports in English-speaking FT (n = 63; ≥37 weeks, ≥2495 g) and PT (n = 69; ≤32 weeks, <1800 g) children, matched on sex and socioeconomic status. Children were tested in the “looking-while-listening task” at 18 months to derive a measure of language processing speed. Each PT child was assessed for number of medical complications (13 maximum), based on medical chart reviews. PT and FT children displayed similar vocabulary trajectories; however, birth group disparities began to emerge by 30 months. PT children were slower in language processing speed than FT children. Critically, language processing speed predicted expressive vocabulary size at 30 months; interactions with birth group were not significant (all p > .20). In PT children, faster language processing speed predicted stronger outcomes regardless of number of medical complications; slower processing speed and more medical complications predicted poorer outcomes. Faster processing speed reflected favorable neuropsychological processes associated with faster expressive vocabulary growth that overrode the impact of medical complications on language outcomes in PT children.     

Taking parent personality and child temperament into account in child language development

Individual differences have become increasingly important in the study of child development and language. However, despite the important role parents play in children’s language, no work has examined how parent personality impacts language development. The current study examines the impact of parent personality as well as child temperament on language development in 460 16- to 30-month-old children and 328 31- to 42-month-old children. Findings from both groups suggest multiple aspects of children’s language abilities are correlated with their parent’s personality. Specifically, parent consciousness, openness, and agreeableness positively correlate with child vocabulary size and other language abilities. Results also replicate and expand research on child temperament and language – child effortful control and surgency were positively correlated, and negative affect negatively correlated with most language abilities even after controlling for parent personality. Critically, parent and child traits appear to impact a child’s language abilities above and beyond well-known predictors of language, such as age.     

Literacy programs efficacy for developing children’s early reading skills in familiar language in Zambia

This study investigated the comparative efficacy of a phonics-based reading program and a language experience approach based literacy program to develop reading skills among Zambian early childhood school learners. The learners (n = 1 986; Grade 2 level; females = 50.1%) took either the phonics-based reading program (n = 1 593) or the alternative language experience approach based program (n = 393). They were all assessed for reading skills utilising the Early Grade Reading Assessment test (EGRA) in four languages (Cinyanja, Icibemba, Kiikaonde, and Silozi). Results suggest that learners in phonics-based literacy program were significantly better in letter-sound knowledge in all the four languages. Additionally, they were significantly better in reading skills (non-word reading, oral passage reading, and reading comprehension), yet only in Icibemba and Silozi, as compared to those who took the alternative program. Results reveal that children in the Primary Literacy Program (PLP) had significantly better performance in most reading skills than in the Primary Reading Program (PRP). However, the effect sizes were small or medium. The high floor effect in all reading-related measures is an indication that by following either PRP or the recently implemented PLP, most children do not acquire basic reading skill of the transparently written language they are familiar with. Instruction of the sounds of letters requires special attention where digital training tools (such as GraphoGame) may provide the most effective help to both teachers and children.     

Narrative retelling in children with neurodevelopmental disorders: Is there a role for nonverbal temporal‐sequencing skills?

Oral narrative retelling is often problematic for children with communicative and neurodevelopmental disorders. However, beyond a suggested role of language level, little is known about the basis of narrative performance. In this study we examine whether oral narrative retelling might be associated not just with language level but also with skills related to nonverbal narrative temporal sequencing. A diagnostically heterogeneous sample of Swedish‐speaking children with a full scale IQ >70 was included in the study (N = 55; age 6–9 years). Narrative retelling skills were measured using the three subscores from the bus story test (BST). Independent predictors included (1) temporal sequencing skills according to a picture arrangement test and (2) a language skills factor consisting of definitional vocabulary and receptive grammar. Regression analyses show that language skills predicted BST Sentence Length and Subordinate Clauses subscores, while both temporal sequencing and language were independently linked with the BST Information subscore. When subdividing the sample based on nonverbal temporal sequencing level, a significant subgroup difference was found only for BST Information. Finally, a principal component analysis shows that temporal sequencing and BST Information loaded on a common factor, separately from the language measures. It is concluded that language level is an important correlate of narrative performance more generally in this diagnostically heterogeneous sample, and that nonverbal temporal sequencing functions are important especially for conveying story information. Theoretical and clinical implications are discussed.     

The relation between social engagement and pretend play in autism

The focus of this study is the nature and concomitants of pretend play among young children with autism. Age‐ and language‐matched children with autism (n= 27), autism spectrum disorder (n= 14), and developmental disorders without autism (n= 16) were administered the Test of Pretend Play (ToPP; Lewis & Boucher, 1997 ), with an additional rating of ‘playful pretence’. As predicted, children with autism showed less playful pretend than participants with developmental disorders who did not have autism. Across the groups, playful pretence was correlated with individual differences in communication and social interaction, even when scores on the ToPP were taken into account. Limitations in creative, playful pretend among children with autism relate to their restricted interpersonal communication and engagement.     

THE EFFECTS OF BEHAVIOR SKILLS TRAINING ON CORRECT TEACHER IMPLEMENTATION OF NATURAL LANGUAGE PARADIGM TEACHING SKILLS AND CHILD BEHAVIOR

Natural Language Paradigm (NLP) is a naturalistic teaching strategy for children with autism that increases immediate and delayed imitative utterances, spontaneous utterances and new words, and production of utterances. NLP includes increasing child choice, varying stimulus items, loose shaping contingencies for communicative attempts, and providing reinforcers with a direct relationship to the response. Only one previous study investigated the effects of behavioral skills training (BST) on staff acquisition and generalization of implementation of NLP and child behavior. A BST package of instructions, modeling rehearsal and feedback, was used to train teachers to implement NLP teaching procedures with three pre‐school children with autism spectrum disorder. Training increased correct teacher performance systematically across all three teachers during NLP teaching sessions and with children for whom teachers did not directly receive training. Correct teacher performance increased appropriate child vocalizations and decreased maladaptive behavior for four of six children. BST is effective in quickly training teachers in the generalized implementation of complex NLP teaching procedures across children. Copyright © 2012 John Wiley & Sons, Ltd.     

Sources of variability in children’s language growth

The present longitudinal study examines the role of caregiver speech in language development, especially syntactic development, using 47 parent–child pairs of diverse SES background from 14 to 46 months. We assess the diversity (variety) of words and syntactic structures produced by caregivers and children. We use lagged correlations to examine language growth and its relation to caregiver speech. Results show substantial individual differences among children, and indicate that diversity of earlier caregiver speech significantly predicts corresponding diversity in later child speech. For vocabulary, earlier child speech also predicts later caregiver speech, suggesting mutual influence. However, for syntax, earlier child speech does not significantly predict later caregiver speech, suggesting a causal flow from caregiver to child. Finally, demographic factors, notably SES, are related to language growth, and are, at least partially, mediated by differences in caregiver speech, showing the pervasive influence of caregiver speech on language growth.