The search for common ground: Part II. Nonlinguistic performance by linguistically diverse learners

Developmental Language Disorder Is Associated With Slower Processing Across Domains: A Meta-Analysis of Time-Based Tasks

PURPOSE

Individuals with developmental language disorder (DLD) often exhibit slower processing on time-based tasks in comparison with age-matched peers. Processing speed has been linked to various linguistic skills and might serve as a global indicator of individual differences in language abilities. Despite an extensive literature on processing speed in DLD, it remains unclear whether slower processing is domain general or restricted to linguistic and/or auditory tasks.

METHOD

This meta-analysis used robust variance estimation to compare response/reaction times (RTs) of DLD and age-matched groups (N = 812 DLD, 870 neurotypical; M _age [DLD] = 8.9 years, range: 4.3-22.7 years). Moderators included task (simple RT, choice RT, naming, congruent/baseline conditions of interference control tasks), stimulus type (linguistic/nonlinguistic), stimulus modality (auditory/nonauditory), and response modality (verbal/nonverbal). Age and publication year were covariates.

RESULTS

The overall effect based on 46 studies and 144 estimates indicated longer mean RTs in DLD groups (g = .47, p < .001, 95% CI [.38, .55]). Moderator analyses indicated larger effects when tasks required verbal as opposed to nonverbal responses. No other moderators approached significance. All subgroup analyses were significant, indicating longer mean RTs in DLD groups across tasks, stimulus types, stimulus modalities, and response modalities.

CONCLUSIONS

Individuals with DLD exhibit longer RTs across verbal and nonverbal tasks, which may contribute to observed difficulties in language, motor skills, and executive functioning. Simple processing speed measures should be included in screening for language delays but may not be suitable for differential diagnosis, given that slower processing may occur across multiple disorders.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.21809355.

Revisiting the Influences of Bilingualism and Developmental Language Disorder on Children's Nonverbal Processing Speed

Purpose This study examined the influences of bilingualism and developmental language disorder (DLD) on nonverbal processing speed. DLD is associated with slower processing speed, but the extent to which slowing extends to bilingual populations is not established. The possible presence of bilingual cognitive effects could also lead to faster processing speed among bilingual children. Method Participants included 108 children of ages 6-8 years, including 56 Spanish-English bilinguals (29 with DLD and 27 with typical development) and 52 English-only monolinguals (25 with DLD and 27 with typical development). Language testing (in both languages for bilingual children) was combined with parent and school report to classify children as having DLD or typical language development. Children with attention-deficit/hyperactivity disorder were excluded from the sample. Reaction time from a choice visual detection task was used to index nonverbal processing speed. Results Children with DLD demonstrated slower processing speed than their typically developing peers, whereas bilingual children demonstrated faster processing speed than monolinguals. The effects of DLD and bilingualism did not interact. Conclusions This study replicates prior findings of slowed processing speed among children with DLD in both monolingual and bilingual children. Evidence of faster processing speed among bilingual children contributes to the complex literature surrounding the circumstances of bilingual cognitive effects. Supplemental Material https://doi.org/10.23641/asha.15138747.

Non-linguistic cognitive measures as predictors of functionally defined developmental language disorder in monolingual and bilingual children

BACKGROUND & AIMS

Given that standardized language measures alone are inadequate for identifying functionally defined developmental language disorder (fDLD), this study investigated whether non-linguistic cognitive abilities (procedural learning, motor functions, executive attention, processing speed) can increase the prediction accuracy of fDLD in children in linguistically diverse settings.

METHODS & PROCEDURES

We examined non-linguistic cognitive abilities in mono- and bilingual school-aged children (ages 8-12) with and without fDLD. Typically developing (TD) children (14 monolinguals, 12 bilinguals) and children with fDLD (28 monolinguals, 12 bilinguals) completed tasks measuring motor functions, procedural learning, executive attention and processing speed. Children were assigned as fDLD based on parental or professional concerns regarding children's daily language functioning. If no concerns were present, children were assigned as TD. Standardized English scores, non-verbal IQ scores and years of maternal education were also obtained. Likelihood ratios were used to examine how well each measure separated the fDLD versus TD groups. A binary logistic regression was used to test whether combined measures enhanced the prediction of identifying fDLD status.

OUTCOMES & RESULTS

A combination of linguistic and non-linguistic measures provided the best distinction between fDLD and TD for both mono- and bilingual groups. For monolingual children, the combined measures include English language scores, functional motor abilities and processing speed, whereas for bilinguals, the combined measures include English language scores and procedural learning.

CONCLUSIONS & IMPLICATIONS

A combination of non-linguistic and linguistic measures significantly improved the distinction between fDLD and TD for both mono- and bilingual groups. This study supports the possibility of using non-linguistic cognitive measures to identify fDLD in linguistically diverse settings.

WHAT THIS PAPER ADDS

What is already known on the subject Given that standardized English language measures may fail to identify functional language disorder, we examined whether supplementing English language measures with non-linguistic cognitive tasks could resolve the problem. Our study is based on the hypothesis that non-linguistic cognitive abilities contribute to language processing and learning. This is further supported by previous findings that children with language disorder exhibit non-linguistic cognitive deficits. What this paper adds to existing knowledge The results indicated that a combination of linguistic and non-linguistic cognitive abilities increased the prediction of functional language disorder in both mono- and bilingual children. What are the potential or actual clinical implications of this work? This study supports the possibility of using non-linguistic cognitive measures to identify the risk of language disorder in linguistically diverse settings.

Identifying Bilingual Children at Risk for Language Impairment: The Implication of Children's Response Speed in Narrative Contexts

The purpose of the study was to examine whether monolingual adults can identify the bilingual children with LI on the basis of children’s response speed to the examiner. Participants were 37 monolingual English-speaking young adults. Stimuli were 48 audio clips from six sequential bilingual children (48 months) who were predominately exposed to Cantonese (L1) at home from birth and started to learn English (L2) in preschool settings. The audio clips for each child were selected from an interactive story-retell task in both Cantonese and English. Three of the children were typically developing, and three were identified as having a language impairment. The monolingual adult participants were asked to judge children’s response times for each clip. Interrater reliability was high (Kalpha = 0.82 for L1; Kalpha = 0.75 for L2). Logistic regression and receiver operating characteristic curves were used to examine the diagnostic accuracy of the task. Results showed that monolingual participants were able to identify bilingual children with LI based on children’s response speed. Sensitivity and specificity were higher in Cantonese conditions compared to English conditions. The results added to the literature that children’s response speed can potentially be used, along with other measures, to identify bilingual children who are at risk for language impairment.

Bilingualism and Processing Speed in Typically Developing Children and Children With Developmental Language Disorder

Purpose The aim of the current study was to investigate whether dual language experience modulates processing speed in typically developing (TD) children and in children with developmental language disorder (DLD). We also examined whether processing speed predicted vocabulary and sentence-level abilities in receptive and expressive modalities. Method We examined processing speed in monolingual and bilingual school-age children (ages 8-12 years) with and without DLD. TD children (35 monolinguals, 24 bilinguals) and children with DLD (17 monolinguals, 10 bilinguals) completed a visual choice reaction time task. The Clinical Evaluation of Language Fundamentals, the Peabody Picture Vocabulary Test, and the Expressive Vocabulary Test were used as language measures. Results The children with DLD exhibited slower response times relative to TD children. Response time was not modified by bilingual experience, neither in children with typical development nor children with DLD. Also, we found that faster processing speed was related to higher language abilities, but this relationship was not significant when socioeconomic status was controlled for. The magnitude of the association did not differ between the monolingual and bilingual groups across the language measures. Conclusions Slower processing speed is related to lower language abilities in children. Processing speed is minimally influenced by dual language experience, at least within this age range. Supplemental Material https://doi.org/10.23641/asha.12210311.

Including Nonlinguistic Processing Tasks in the Identification of Developmental Language Disorder

Purpose Accurate identification of developmental language disorder (DLD) remains challenging, particularly for children who speak different dialects, languages, or more than 1 language. Children with DLD, on average, have shown subtle deficits on nonlinguistic cognitive processing tasks, and performance on such tasks may be minimally influenced by language experience. This study explores whether nonlinguistic cognitive processing tasks can contribute to the identification of DLD in children from diverse linguistic backgrounds. Method Study 1 combined data from 4 U.S.-based investigations to yield a sample of 395 children, ages 6-10 years, who spoke only English or both Spanish and English. Study 2 consisted of an international sample of 55 kindergarten children living in Vietnam. Each study included children with DLD and children with typical development. Participants completed nonlinguistic cognitive tasks of processing speed, auditory working memory, and attentional control. Data analysis compared typically developing to DLD groups by age and language background. Then, we empirically derived cut-points to report diagnostic accuracy (sensitivity, specificity, and positive and negative likelihood ratios). Results For all 3 tasks, adequate sensitivity or specificity (but not both in most cases) was achieved in nearly all age groups. Likelihood ratios reached moderately to very informative levels in several instances. Diagnostic results were maintained when monolingual and bilingual samples were combined into a single group. Conclusions Nonlinguistic cognitive processing tasks may contribute to accurate identification of DLD in combination with other measures. Further research is needed to refine tasks, confirm cut-points established here, and extend findings to children from additional language backgrounds.

Assessment of communication abilities in multilingual children: Language rights or human rights?

Communication involves a sender, a receiver and a shared code operating through shared rules. Breach of communication results from disruption to any of these basic components of a communicative chain, although assessment of communication abilities typically focuses on senders/receivers, on two assumptions: first, that their command of features and rules of the language in question (the code), such as sounds, words or word order, as described in linguists' theorisations, represents the full scope of linguistic competence; and second, that languages are stable, homogeneous entities, unaffected by their users' communicative needs. Bypassing the role of the code in successful communication assigns decisive rights to abstract languages rather than to real-life language users, routinely leading to suspected or diagnosed speech-language disorder in academic and clinical assessment of multilingual children's communicative skills. This commentary reflects on whether code-driven assessment practices comply with the spirit of Article 19 of the Universal Declaration of Human Rights.

Pathways for learning two languages: lexical and grammatical associations within and across languages in sequential bilingual children

This study examines the strength and direction of lexical-grammatical associations within and between first and second languages (L1 and L2) in a longitudinal sample of sequential bilinguals. Thirty-three children who spoke Vietnamese (L1) and English (L2) completed picture-naming and story-telling tasks in each language at four yearly intervals. Hierarchical linear modeling across Years 1-4 revealed bidirectional within-language associations and a unidirectional cross-language association from the L1 to L2. Results suggest a conditional relationship between languages in which the L1 supports L2 growth, but not vice versa. Findings contribute to defining pathways for L1 and L2 learning across domains and languages.

Control of Auditory Attention in Children With Specific Language Impairment

PURPOSE

Children with specific language impairment (SLI) appear to demonstrate deficits in attention and its control. Selective attention involves the cognitive control of attention directed toward a relevant stimulus and simultaneous inhibition of attention toward irrelevant stimuli. The current study examined attention control during a cross-modal word recognition task.

METHOD

Twenty participants with SLI (ages 9-12 years) and 20 age-matched peers with typical language development (TLD) listened to words through headphones and were instructed to attend to the words in 1 ear while ignoring the words in the other ear. They were simultaneously presented with pictures and asked to make a lexical decision about whether the pictures and auditory words were the same or different. Accuracy and reaction time were measured in 5 conditions, in which the stimulus in the unattended channel was manipulated.

RESULTS

The groups performed with similar accuracy. Compared with their peers with TLD, children with SLI had slower reaction times overall and different within-group patterns of performance by condition.

CONCLUSIONS

Children with TLD showed efficient inhibitory control in conditions that required active suppression of competing stimuli. Participants with SLI had difficulty exerting control over their auditory attention in all conditions, with particular difficulty inhibiting distractors of all types.

Processing Speed Measures as Clinical Markers for Children With Language Impairment

PURPOSE

This study investigated the relative utility of linguistic and nonlinguistic processing speed tasks as predictors of language impairment (LI) in children across 2 time points.

METHOD

Linguistic and nonlinguistic reaction time data, obtained from 131 children (89 children with typical development [TD] and 42 children with LI; 74 boys and 57 girls) were analyzed in the 3rd and 8th grades. Receiver operating characteristic curve analyses and likelihood ratios were used to compare the diagnostic usefulness of each task. A binary logistic regression was used to test whether combined measures enhanced diagnostic accuracy.

RESULTS

In 3rd grade, a linguistic task, grammaticality judgment, provided the best discrimination between LI and TD groups. In 8th grade, a combination of linguistic and nonlinguistic tasks, rhyme judgment and simple response time, provided the best discrimination between groups.

CONCLUSIONS

Processing speed tasks were moderately predictive of LI status at both time points. Better LR+ than LR- values suggested that slow processing speed was more predictive of the presence than the absence of LI. A nonlinguistic processing measure contributed to the prediction of LI only at 8th grade, consistent with the view that nonlinguistic and linguistic processing speeds follow different developmental trajectories.

Information processing speed as a predictor of IQ in children with and without specific language impairment in grades 3 and 8

PURPOSE

This study investigated (1) whether nonlinguistic processing speed predicts nonverbal IQ in TD children and children with SLI and (2) if the proposed relationship is different at two time points.

METHOD

The participants consisted of a subset of a longitudinal dataset, 55 typically developing children and 55 children with SLI. Children completed four nonverbal speed tasks and four subtests of the WISC-III. The WISC-III subtests requiring timed and untimed responses were examined separately.

RESULTS

Linear mixed model analyses indicated that in both groups, processing speed predicted nonverbal IQ subtests that reward speedy responses, but not IQ subtests that do not. The relationships between processing speed and IQ with speed bonuses did not differ at grades 3 and 8, and these relationships also were not significantly different in children with SLI and their TD peers.

CONCLUSIONS

The results suggest that the presence of processing speed limitations in many children with SLI raises questions about the utility of timed nonverbal IQ measures as tools for diagnosis of SLI. Future studies should investigate other cognitive assessments that could be used as inclusionary criteria for SLI.

LEARNING OUTCOMES

The reader will be able to (1) describe the relationship between processing speed and nonverbal IQ in children with TD and SLI and (2) discuss problems using an IQ criterion to diagnose children as having SLI.

Bilingual children with primary language impairment: 3 months after treatment

BACKGROUND

Evidence on the treatment effectiveness for bilingual children with primary language impairment (PLI) is needed to advance both theory and clinical practice. Of key interest is whether treatment effects are maintained following the completion of short-term intense treatments.

AIMS

To investigate change in select language and cognitive skills in Spanish-English bilingual children with PLI 3 months after children have completed one of three experimental treatment conditions. There are two main study aims. First, to determine if skills in Spanish, English and cognitive processing decline, improve or are maintained after treatment has been completed. Second, to determine if differential rates of change are a function of the type of treatment children received.

METHODS & PROCEDURES

Participants were 48 children, aged 5:6-11:3, who spoke Spanish and English and were diagnosed with moderate to severe PLI. Participants received 6 weeks of treatment focused on English only (EO), bilingual skills in Spanish and English (BI) or nonlinguistic cognitive processing (NCP). Treatment effects reported in a previous study were determined by comparing pre- and post-treatment performance on a variety of language and cognitive measures. Here we re-administered each measure 3 months after completion of the experimental treatments. Hierarchical linear models were calculated for each measure using pre-, post- and follow-up testing scores to estimate change trajectories and compare outcomes between treatment conditions.

OUTCOMES & RESULTS

Participants in all three treatment conditions either maintained skills or showed improvement even after treatment was discontinued for 3 months. Main findings included (1) comparable, positive rates of change on all English language outcomes for EO and BI conditions; (2) maintenance of Spanish language skills, and (3) modest improvements in NCP following the discontinuation of treatment.

CONCLUSIONS & IMPLICATIONS

This study is the first to examine longer-term treatment effects for bilingual school-age children with PLI. Differences in rates of change between languages and between treatment conditions are discussed in terms of social and cognitive processes that impact children's language systems. The main findings have at least two implications for clinical practice: (1) therapy that emphasizes focused practice in language and cognitive processing skills may promote gains in children's language learning abilities; and (2) bilingual treatment does not detract from outcomes in English, the language of the majority community for study participants.

Three treatments for bilingual children with primary language impairment: examining cross-linguistic and cross-domain effects

PURPOSE

This study examines the absolute and relative effects of 3 different treatment programs for school-age bilingual children with primary or specific language impairment (PLI). It serves to expand the evidence base on which service providers can base treatment decisions. It also explores hypothesized relations between languages and cognition in bilinguals with PLI.

METHOD

Fifty-nine school-age Spanish–English bilingual children with PLI were assigned to receive nonlinguistic cognitive processing, English, bilingual (Spanish–English), or deferred treatment. Participants in each of the 3 active treatments received treatment administered by nationally certified speech-language pathologists. Pre- and posttreatment assessments measured change in nonlinguistic cognitive processing, English, and Spanish skills, and analyses examined change within and across both treatment groups and skill domains.

RESULTS

All active treatment groups made significant pre- to post-treatment improvement on multiple outcome measures. There were fewer significant changes in Spanish than in English across groups. Between-group comparisons indicate that the active treatment groups generally outperformed the deferred treatment control, reaching statistical significance for 2 tasks.

CONCLUSION

Results provide insight into cross-language transfer in bilingual children and advance understanding of the general PLI profile with respect to relationships between basic cognitive processing and higher level language skills.

Visual attentional engagement deficits in children with specific language impairment and their role in real-time language processing

In order to become a proficient user of language, infants must detect temporal cues embedded within the noisy acoustic spectra of ongoing speech by efficient attentional engagement. According to the neuro-constructivist approach, a multi-sensory dysfunction of attentional engagement - hampering the temporal sampling of stimuli - might be responsible for language deficits typically shown in children with Specific Language Impairment (SLI). In the present study, the efficiency of visual attentional engagement was investigated in 22 children with SLI and 22 typically developing (TD) children by measuring attentional masking (AM). AM refers to impaired identification of the first of two sequentially presented masked objects (O1 and O2) in which the O1-O2 interval was manipulated. Lexical and grammatical comprehension abilities were also tested in both groups. Children with SLI showed a sluggish engagement of temporal attention, and individual differences in AM accounted for a significant percentage of unique variance in grammatical performance. Our results suggest that an attentional engagement deficit - probably linked to a dysfunction of the right fronto-parietal attentional network - might be a contributing factor in these children's language impairments.

Nonlinguistic cognitive treatment for bilingual children with primary language impairment

Substantial evidence points to the presence of subtle weaknesses in the nonlinguistic cognitive processing skills of children with primary (or specific) language impairment (PLI). It is possible that these weaknesses contribute to the language learning difficulties that characterize PLI, and that treating them can improve language skills. To test this premise, we treated two nonlinguistic cognitive processing skills, processing speed and sustained selective attention, in two Spanish-English bilingual children with PLI. The study followed a single-subject multiple baseline design, with both repeated measures and standardized pre- and post-testing as outcome measures. Results from the repeated measures tasks showed that both participants made gains in nonlinguistic cognitive processing skills as well as in Spanish and English. These results both replicate and extend prior work showing that nonlinguistic cognitive processing treatment can positively affect language skills in children with PLI.

Cross-sectional study of phoneme and rhyme monitoring abilities in children between 7 and 13 years

We investigated phonemic competence in production in three age groups of children - 7 and 8 years, 10 and 11 years, 12 and 13 years-using rhyme and phoneme monitoring. Participants were required to name target pictures silently while monitoring covert speech for the presence or absence of a rhyme or phoneme match. Performance in the verbal tasks was compared to a nonverbal control task in which participants monitored tone sequence pairs for a pattern match. Repeated measures ANOVA revealed significant differences between the three age groups in phoneme monitoring while similar differences were limited to the younger age groups in rhyme monitoring. This finding supported early and on-going acquisition of rhyme- and later acquisition of segment-level units. In addition, the 7 and 8-year-olds were significantly slower in monitoring phonemes within consonant clusters compared to the 10 and 11-year-olds and in monitoring both singleton phonemes and phonemes within clusters compared to the 12 and 13-year-olds. Regression analysis revealed that age accounted for approximately 30% variance in the nonverbal and 60% variance in the verbal monitoring tasks. We attribute the observed differences to the emergence of cognitive processes such as segmentation skills that are critical to performing the verbal monitoring tasks.

Sustained Attention in Children with Primary Language Impairment: A Meta-Analysis

Purpose

This study provides a meta-analysis of the difference between children with primary or specific language impairment (LI) and their typically developing peers on tasks of sustained attention. The meta-analysis seeks to determine if children with LI demonstrate subclinical deficits in sustained attention and, if so, under what conditions.

Methods

Articles that reported empirical data from the performance of children with LI, in comparison to typically developing peers, on a task assessing sustained attention were considered for inclusion. Twenty-eight effect sizes were included in the meta-analysis. Two moderator analyses addressed the effects of stimulus modality and ADHD exclusion. In addition, reaction time outcomes and the effects of task variables were summarized qualitatively.

Results

The meta-analysis supports the existence of sustained attention deficits in children with LI in both auditory and visual modalities, as demonstrated by reduced accuracy compared to typically developing peers. Larger effect sizes are found in tasks that use auditory and linguistic stimuli than in studies that use visual stimuli.

Conclusions

Future research should consider the role that sustained attention weaknesses play in LI, as well as the implications for clinical and research assessment tasks. Methodological recommendations are summarized.

Assessment of English language learners: using parent report on first language development

PURPOSE

Obtaining information on both languages of English language learners for assessment can be a challenge in a multilingual context. It is often difficult or impossible to observe a child's first language directly due to the absence of resources available in every language spoken. The objectives of this study were (1) to develop a parent questionnaire on the first language development of English language learners that is not specific to a particular language/cultural group: the Alberta Language and Development Questionnaire (ALDeQ), and (2) to test how well scores on the ALDeQ differentiated between English language learners with typical development and those with language impairment.

METHOD

Participants were 139 typically developing children and 29 children with language impairment, aged 69 months with 18 months of exposure to English through preschool or school, on average. The ALDeQ consists of four sections: early milestones, current first language abilities, behaviour patterns and activity preferences, and family history. ALDeQ total scores are proportions calculated across all sections.

RESULTS

t-test analyses revealed robust between-group differences for ALDeQ total scores, and for each section score, with medium to very large effect sizes. Linear discriminant function analysis showed the ALDeQ total scores to be a significant and moderate discriminator between the typically developing and language impaired group, but with better specificity than sensitivity. The early milestones section scores emerged as the strongest discriminator among the four section scores. Parent responses showed that both the typically developing and language-impaired groups included children experiencing first language loss, but nevertheless, the current first language abilities section was the second strongest between-group discriminator.

CONCLUSION

The ALDeQ would be useful to speech-language pathologists for obtaining information on English language learners' first language development, in particular where the first language cannot be examined directly. The information provided by the ALDeQ could be used in conjunction with other measures in order to identify children with language impairment among English language learners. The complete ALDeQ and score interpretation information are given in Appendix A.

LEARNING OUTCOMES

Readers will (1) have a general understanding of how parent report could be useful for assessment in a multilingual context; (2) be aware of how first language loss in minority language children could impact assessment, and (3) have specific knowledge of a particular parent questionnaire and how it can be used to assist in identifying English language learners with language delay/impairment.

Bilingual children with primary language impairment: issues, evidence and implications for clinical actions

A clear understanding of how to best provide clinical serves to bilingual children with suspected or confirmed primary language impairment (PLI) is predicated on understanding typical development in dual-language learners as well as the PLI profile. This article reviews general characteristics of children learning two languages, including three that challenge the diagnosis and treatment of PLI; uneven distribution of abilities in the child's two languages, cross-linguistic associations within bilingual learners, and individual variation in response to similar social circumstances. The diagnostic category of PLI (also referred to in the literature as specific language impairment or SLI) is described with attention to how language impairment, in the face of otherwise typical development, manifests in children learning two languages. Empirical evidence related to differential diagnosis of PLI in bilingual children is then reviewed and issues related to the generalization of treatment gains in dual-language learners with PLI are introduced.

LEARNING OUTCOMES

As a result of this activity, the careful reader will be able to (1) describe general characteristics of typically developing dual-language learners, (2) explain how primary language impairment (PLI) manifests in bilingual children, and (3) identify key clinical issues and approaches to assessment and treatment on bilingual PLI.

Variation, implied pathology, social meaning, and the 'gay lisp': a response to Van Borsel et al. (2009)

This brief communication is a response to the article "The prevalence of lisping in gay men" (Van Borsel, J., De Bruyn, E., Lefebvre, E., Sokoloff, A., De Ley, S., & Baudonck, N. 2009. Journal of Communication Disorders, 42, 100-106). I argue aspects of that study's design, measurement, and interpretation limit the strength of its authors' conclusions that there is a higher incidence of lisping in gay men than in heterosexual men. Suggestions for further research are presented.

Primary or "specific" language impairment and children learning a second language

We review empirical findings from children with primary or "specific" language impairment (PLI) and children who learn a single language from birth (L1) and a second language (L2) beginning in childhood. The PLI profile is presented in terms of both language and nonlinguistic features. The discussion of L2 learners emphasizes variable patterns of growth and skill distribution in L1 and L2 which complicate the identification of PLI in linguistically diverse learners. We then introduce our research program, designed to map out common ground and potential fault lines between typically developing children learning one or two languages, as compared to children with PLI.

Comparison of performance on two nonverbal intelligence tests by adolescents with and without language impairment

Definitions of specific language impairment (SLI), for both research and clinical purposes, often state that nonverbal IQ scores must be within normal limits. This use of nonverbal IQ has been criticized on several grounds, including lack of equivalence between tests. In the current study, a sample of 204 adolescents with and without language impairment took two nonverbal IQ tests. Scores on the tests were compared, as was the classification of individuals into diagnostic categories according to the two tests. Results indicated that there were significant differences between test scores for clinical subgroups, and classification of individuals as having SLI varied substantially depending on the test used. The findings are interpreted as providing further evidence that nonverbal IQ should be used only cautiously, if at all, in defining SLI.

LEARNING OUTCOMES

Readers will (1) understand problems with the use of nonverbal IQ criteria in diagnosis of SLI and (2) be able to cite data showing that different nonverbal IQ tests can lead to different diagnoses.

The influence of semantic processing on phonological decisions in children and adults: a magnetoencephalography (MEG) study

PURPOSE

To examine the behavioral effects and neural activation patterns associated with implicit semantic processing influences on phonological judgments during reading in children and adults.

METHOD

Whole-head magnetoencephalography (MEG) recordings were obtained from 2 groups, children (9-13 years) and adults, performing a homophone judgment task. The stimuli consisted of pairs of sequentially presented written words that were either homophones, synonym foils, or unrelated control words.

RESULTS

The difference in the time taken to respond to synonym pairs relative to control pairs of stimuli, called the semantic interference effect (SIE), was, on average, 24 ms for adults and 86 ms for children. Source analysis of the MEG data using minimum-norm estimation (MNE) yielded less activation in the adults for the synonym condition compared with the control condition in right anterior temporal and inferior frontal cortex 300-500 ms after the onset of the 2nd word in a pair, suggestive of semantic priming as well as inhibition of the SIE. A similar priming effect was observed for the children in left-anterior temporal cortex.

CONCLUSION

The observed group differences in the magnitude of the SIE and brain activation patterns may reflect developmental differences in the effects of semantic information on phonological decisions during word processing.

Response time in 14-year-olds with language impairment

PURPOSE

To determine whether children with language impairment were slower than typically developing peers at age 14, and whether slowing, if present, was similar across task domains; whether differences in response time (RT) across domains were the same for children with specific language impairment (SLI) and nonspecific language impairment (NLI); and whether RT performance at age 9 predicted performance at age 14.

METHOD

Fourteen-year-old children with SLI (n = 20), NLI (n = 15), and typical development (NLD; n = 31) were administered several linguistic and nonlinguistic speeded tasks. The children had received the same tasks at age 9. RT performance was examined.

RESULTS

Both the SLI and the NLI groups were significantly slower than the NLD group in motor, nonverbal cognitive, and language task domains, and there was no significant difference among domains. Individual analyses showed that most, but not all, children with SLI and NLI were slower than the NLD group mean. Slowing at age 9 and age 14 were moderately correlated.

CONCLUSIONS

The results suggest that slow RT is a persistent characteristic of many children with language impairment; however, the nature of the relationship between RT and language performance requires further investigation.

Lexical-semantic organization in bilingual children: evidence from a repeated word association task

PURPOSE

This study examined lexical-semantic organization of bilingual children in their 2 languages and in relation to monolingual age-mates.

METHOD

Twelve Mandarin-English bilingual and 12 English monolingual children generated 3 associations to each of 36 words. Responses were coded as paradigmatic (dog-cat) or syntagmatic (dog-bark).

RESULTS

Within the bilingual group, word association performance was comparable and correlated between 1st and 2nd languages. Bilingual and monolingual children demonstrated similar patterns of responses, but subtle group differences were also revealed. When between-group comparisons were made on English measures, there was a bilingual advantage in paradigmatic responding during the 1st elicitation and for verbs.

CONCLUSION

Results support previous studies in finding parallel development in bilinguals' 1st- and 2nd-language lexical-semantic skills and provide preliminary evidence that bilingualism may enhance paradigmatic organization of the semantic lexicon.

Action naming in Spanish and English by sequential bilingual children and adolescents

PURPOSE

Verb processing in early sequential Spanish-English bilinguals was investigated. Primary study goals were to identify potential patterns of development in relative levels of verb processing efficiency in a 1st (L1) and 2nd (L2) language and to investigate factors influencing cognitive control of the dual-language system in developing bilinguals.

METHOD

Four age groups of early sequential Spanish-English bilinguals (5-7 years, 8-10 years, 11-13 years, and 14-16 years of age) named action pictures in single-language (Spanish or English) and mixed-language (alternating Spanish and English) conditions. Dependent variables were accuracy and response time (RT).

RESULTS

Action-naming proficiency improved in both L1 and L2 with age, with a shift from L1 to L2 dominance in accuracy. In comparison with the single-language condition, the mixed-language condition engendered slower RT for all age groups and lower accuracy for the 3 younger age groups. The oldest age group did not show accuracy difference between the conditions.

CONCLUSIONS

These general patterns of verb processing across age, language, and processing conditions replicated and enriched previous findings of noun processing in similar populations (K. J. Kohnert, E. Bates, & A. E. Hernandez, 1999). However, verb processing was considerably slower and less accurate than noun processing. Theoretical and applied implications of these findings are discussed.

The influence of vocabulary size, phonotactic probability, and wordlikeness on nonword repetitions of children with and without specific language impairment

Research has shown that children repeat high-probability phoneme sequences more accurately than low-probability ones. This effect attenuates with age, and its decrease is predicted by developmental changes in the size of the lexicon (J. Edwards, M. E. Beckman, & B. Munson, 2004; B. Munson, 2001; B. Munson, J. Edwards, & M. Beckman, 2005). This study expands on these findings by examining relationships between vocabulary size and repetition accuracy of nonwords varying in phonotactic probability by 16 children with specific language impairment (SLI), 16 chronological-age-matched (CA) peers with typical speech and language development, and 16 younger children matched with the children with SLI on vocabulary size (VS). As in previous research, children with SLI repeated nonwords less accurately than did CA children. The children with SLI and the VS children showed similar levels of nonword repetition accuracy. Phonotactic probability affected repetition accuracy more for children with SLI and VS children than for CA children. Regression analyses showed that measures of vocabulary size were the best predictor of the difference in repetition accuracy between high- and low-probability sequences. Analyses by items showed that measures of phonotactic probability were stronger predictors of repetition accuracy than judgments of wordlikeness. Taken together, the results support research demonstrating that vocabulary size mediates the influence of phonotactic probability on nonword repetition, perhaps due to its influence on the ongoing refinement of phonological categories.

Intervention With Linguistically Diverse Preschool Children

Purpose: This article addresses a series of questions that are critical to planning and implementing effective intervention programs for young linguistically diverse learners with primary language impairment (LI). Linguistically diverse learners in the United States include children whose families speak languages such as Spanish, Korean, Cantonese, Hmong, Vietnamese, or any language other than, or in addition to, English.

Method: A narrative review of the relevant literature addresses clinical questions including (a) Why support the home language when it is not the language used in school or the majority community? (b) Does continued support for the home language undermine attainment in a second language? (c) Should we support the home language when it includes the code switching or mixing of two traditionally separate languages? and (d) What are some strategies that can be used to support the home language when it is a language that the speech-language pathologist (SLP) does not speak?

Conclusion: SLPs should provide services to linguistically diverse preschool-age children with LI in a manner that effectively supports the development of the home language. Parent and paraprofessional training along with peer-mediated models of intervention are presented as two possible methods for facilitating the home language in children with LI.

Classroom Noise and Children Learning Through a Second Language

Purpose: Two studies were conducted to investigate the effects of classroom noise on attention and speech perception in native Spanish-speaking second graders learning English as their second language (L2) as compared to English-only-speaking (EO) peers.

Method: Study 1 measured children’s on-task behavior during instructional activities with and without soundfield amplification. Study 2 measured the effects of noise (+10 dB signal-to-noise ratio) using an experimental English word recognition task.

Results: Findings from Study 1 revealed no significant condition (pre/postamplification) or group differences in observations in on-task performance. Main findings from Study 2 were that word recognition performance declined significantly for both L2 and EO groups in the noise condition; however, the impact was disproportionately greater for the L2 group.

Clinical Implications: Children learning in their L2 appear to be at a distinct disadvantage when listening in rooms with typical noise and reverberation. Speech-language pathologists and audiologists should collaborate to inform teachers, help reduce classroom noise, increase signal levels, and improve access to spoken language for L2 learners.

The search for common ground: Part I. Lexical performance by linguistically diverse learners

This study examines lexical performance by 3 groups of linguistically diverse school-age learners: English-only speakers with primary language impairment (LI), typical English-only speakers (EO), and typical bilingual Spanish-English speakers (BI). The accuracy and response time (RT) of 100 8- to 13-year-old children in word recognition and picture-naming tasks were analyzed. Within each task, stimulus difficulty was manipulated to include very easy stimuli (words that were high frequency/had an early age of acquisition in English) and more difficult stimuli (words of low frequency/late age of acquisition [AOA]). There was no difference among groups in real-word recognition accuracy or RT; all 3 groups showed lower accuracy with low-frequency words. In picture naming, all 3 groups showed a longer RT for words with a late AOA, although AOA had a disproportionate negative impact on BI performance. The EO group was faster and more accurate than both LI and BI groups in conditions with later acquired stimuli. Results are discussed in terms of quantitative differences separating EO children from the other 2 groups and qualitative similarities linking monolingual children with and without LI.