Sensitivity to Morphosyntactic Information in Preschool Children With and Without Developmental Language Disorder: A Follow-Up Study

Sources of Misinterpretation in the Input and Their Implications for Language Intervention With English-Speaking Children

PURPOSE

In English and related languages, many preschool-age children with developmental language disorder (DLD) have difficulties using tense and agreement consistently. In this review article, we discuss two potential input-related sources of this difficulty and offer several possible strategies aimed at circumventing input obstacles.

METHOD

We review a series of studies from English, supplemented by evidence from computational modeling and studies of other languages. Collectively, the studies show that instances of failures to express tense and agreement in DLD resemble portions of larger sentences in everyday input in which tense and agreement marking is appropriately absent. Furthermore, experimental studies show that children's use of tense and agreement can be swayed by manipulating details in fully grammatical input sentences.

RESULTS

The available evidence points to two particular sources of input that may contribute to tense and agreement inconsistency. One source is the appearance of subject + nonfinite verb sequences that appear in auxiliary-fronted questions (e.g., Is [the girl running]? Does [the boy like popcorn]?) and as dependent clauses in more complex sentences (e.g., Help [her wash the dishes]; We saw [the frog hopping]). The other source is the frequent appearance of bare stems in the input, whether nonfinite (e.g., go in Make him go fast) or finite (e.g., go in I go, you go).

CONCLUSIONS

Although the likely sources of input are a natural part of the language that all children hear, procedures that alter the distribution of this input might be used in the early stages of intervention. Subsequent steps can incorporate more explicit comprehension and production techniques. A variety of suggestions are offered.

Preliminary data on the development of emotion vocabulary in typically developing children (5-13 years) using an experimental psycholinguistic measure

Introduction

Vocabulary of emotion is integral to emotional development and emotional intelligence is associated with improved mental health outcomes. Many language disordered groups experience emotional difficulties; Developmental Language Disorders, Attention Deficit Hyperactivity Disorder and autism. However, (as in the case of autism) research tends to focus on assessing recognition of emotional states, rather than exploring labeling skills. Where labeling is assessed, measures have focused on early-acquired vocabulary (happy, sad, angry) or self/parent reporting. To date, no objective assessment has been made of vocabulary of emotion across childhood.

Methods

This study uses an experimental psycholinguistic measure, The Emotion Vocabulary: Expressive and Receptive ability measure (EVER) which includes two tasks (receptive vocabulary and word generation/expressive vocabulary). This measure has capacity to demonstrate vocabulary growth across age groups. 171 participants (5.0-13.11 years) completed The EVER Measure, alongside two closely matched standardized measures of basic language: BPVS (receptive vocabulary task) and CELF (word-association task). Assessments were completed online and en vivo (COVID testing restrictions dependent).

Results

As predicted, children's accuracy increased on both receptive and expressive emotion vocabulary tasks, in line with age at time of testing. EVER scores were significantly predicted by age and correlated with matched basic language scores. Secondary analysis provided preliminary findings on age of acquisition for specific emotion vocabulary items.

Discussion

The findings consequently demonstrate proof of concept for the use of The EVER Measure in assessing emotional vocabulary across childhood. This study provides important preliminary data on generating and recognizing emotion labels across typical child development. Critically, it extends current knowledge on emotion vocabulary acquisition into middle childhood, where linguistic ability is relatively mature. As such, findings have implications for research with potential clinical application in the assessment of older children, with either language or emotional differences or both. Findings demonstrate the need for a standardized tool, and its potential application in research and clinical practice is explored. A large-scale study offering proof of concept and reliability of The EVER Measure is indicated.

Classification accuracy of the Quick Interactive Language Screener for preschool children with and without developmental language disorder

INTRODUCTION

This research examined the classification accuracy of the Quick Interactive Language Screener (QUILS) for identifying preschool-aged children (3;0 to 6;9) with developmental language disorder (DLD). We present data from two independent samples that varied in prevalence and diagnostic reference standard.

METHODS

Study 1 included a clinical sample of children (54 with DLD; 13 without) who completed the QUILS and a standardized assessment of expressive grammar (Syntax subtest from the Diagnostic Evaluation of Language Variation-Norm Referenced; Structured Photographic Expressive Language Test-Preschool 2nd Edition; or Structured Photographic Expressive Language Test-3 rd Edition). Study 2 included a community sample of children (25 with DLD; 101 without) who completed the QUILS and the Auditory Comprehension subtest of the Preschool Language Scales-5th Edition (PLS-5; Zimmerman et al., 2011). Discriminant analyses were conducted to compare classification accuracy (i.e., sensitivity and specificity) using the normreferenced cut score (< 25th percentile) with empirically derived cut scores.

RESULTS

In Study 1, the QUILS led to low fail rates (i.e., high specificity) in children without impairment and statistically significant group differences as a function of children's clinical status; however, only 65% of children with DLD were accurately identified using the norm-referenced cutoff. In Study 2, 76% of children with DLD were accurately identified at the 25th percentile cutoff and accuracy improved to 84% when an empirically derived cutoff (<32nd percentile) was applied.

CONCLUSIONS

Findings support the clinical application of the QUILS as a component of the screening process for identifying the presence or absence of DLD in community samples of preschool-aged children.

Comprehension of Mandarin Aspect Markers by Preschool Children With and Without Developmental Language Disorder

Children with developmental language disorder (DLD) reportedly struggle with the comprehension of aspect. However, since aspect and tense are closely entangled in the languages spoken by the children with DLD in previous studies, it is unclear whether the difficulty stems from aspect, tense, or both. Mandarin Chinese, a language without morphological manifestations of tense, is ideal to investigate whether the comprehension of aspect is specifically affected in children with DLD, yet to date work on this is scarce and presents methodological limitations. In this study, we examined whether preschool Mandarin-speaking children with DLD have difficulty in comprehending perfective aspect (represented with the aspect marker -le) compared to imperfective aspect (represented with the aspect markers zai- and -zhe), whether performance can be explained in terms of the pre- vs. post-verbal realization of the aspect markers, and the potential role played by lexical aspect in the comprehension of grammatical aspect. Fourteen preschool children with DLD (mean age: 61.11 months old) and 14 TD children (mean age: 63.4 months old) matched for age and nonverbal intelligence participated in a sentence-picture matching task. Global results showed that, similar to their TD peers, children with DLD performed better on imperfective aspect than perfective aspect. Concerning specific aspect markers, while children with DLD indeed performed similarly to TD children on imperfective -zhe, they obtained significantly lower accuracy than TD children on perfective -le and imperfective zai-. However, considering verb types combined with these aspect markers, results revealed that children with DLD scored significantly higher on the prototypical combination(s) (e.g., zai- + Activity verbs) than on the non-prototypical combination(s) (e.g., zai- + Accomplishment verbs). The performance pattern suggests that the comprehension of aspect markers by children with DLD is particularly affected by lexical aspect. As this also affects younger TD children, children with DLD are arguably at an earlier stage of aspectual development than their age and nonverbal intelligence matched TD peers. Therefore, the aspectual development of children with DLD appears to be delayed rather than deviant. Given this, language programs addressing difficulties in DLD may need to incorporate training on the use of aspect markers, especially targeting their combination with non-prototypical verbs.

Artificial Grammar Learning in Children With Developmental Language Disorder

PURPOSE

The purpose of the study was to evaluate implicit learning in children with developmental language disorder (DLD) by employing a visual artificial grammar learning task.

METHOD

Thirteen children with DLD and 24 children with typical language development between the ages of 8 and 12 years completed a visual artificial grammar learning task. During the training phase of the task, participants were presented with strings of shapes that followed the underlying structure of a finite grammar. During the testing phase, participants were asked to judge whether new strings were grammatical or nongrammatical. Grammatical judgment of new strings served to measure generalization of the underlying grammatical structure. Endorsement based on chunk strength, or similarity to training exemplars, served to evaluate the extent to which children relied on surface features to guide their task performance.

RESULTS

As a group, children with typical development performed better on the artificial grammar learning task, compared with children with DLD, and accepted more grammatical strings regardless of their similarity to training exemplars. Task performance in both groups was not affected by surface features. Performance of children with DLD whose test accuracy exceeded the learning threshold of 0.5 was consistent with a generalization of the underlying grammatical structure that was unaffected by surface features.

CONCLUSIONS

The study found group differences in learning outcomes between children with and without DLD. Consistent with previous reports, children with typical development correctly endorsed more grammatical strings than children with DLD, suggesting a better acquisition of the grammatical structure. However, there was no evidence to suggest that children in the DLD group (learners and nonlearners) relied on surface features (i.e., familiarity to training exemplars) in their grammatical judgment. These results refute our hypothesis that children in the DLD group would show judgment based on familiarity.

The role of Function Words to build syntactic knowledge in French-speaking children

The question of how children learn Function Words (FWs) is still a matter of debate among child language researchers. Are early multiword utterances based on lexically specific patterns or rather abstract grammatical relations? In this corpus study, we analyzed FWs having a highly predictable distribution in relation to Mean Length Utterance (MLU) an index of syntactic complexity in a large naturalistic sample of 315 monolingual French children aged 2 to 4 year-old. The data was annotated with a Part Of Speech Tagger (POS-T), belonging to computational tools from CHILDES. While eighteen FWs strongly correlated with MLU expressed either in word or in morpheme, stepwise regression analyses showed that subject pronouns predicted MLU. Factor analysis yielded a bifactor hierarchical model: The first factor loaded sixteen FWs among which eight had a strong developmental weight (third person singular verbs, subject pronouns, articles, auxiliary verbs, prepositions, modals, demonstrative pronouns and plural markers), whereas the second factor loaded complex FWs (possessive verbs and object pronouns). These findings challenge the lexicalist account and support the view that children learn grammatical forms as a complex system based on early instead of late structure building. Children may acquire FWs as combining words and build syntactic knowledge as a complex abstract system which is not innate but learned from multiple word input sentences context. Notably, FWs were found to predict syntactic development and sentence complexity. These results open up new perspectives for clinical assessment and intervention.

The role of age and timing in bilingual assessment: non-word repetition, subject-verb agreement and case marking in L1 and eL2 children with and without SLI

Diagnostics in bilingual children is challenging, due to an overlap of production patterns in typically developing (TD) bilingual children and monolingual children with specific language impairment (SLI). To screen bilingual children effectively, the Language Impairment Testing in Multilingual Settings (LITMUS) tools were developed in an international project. The present study tests three of these tools for their suitability and diagnostic accuracy for early second language learners (eL2) of German, aged six to eight years. The study focuses on the timing in first language (L1) TD acquisition, investigating early and late acquisition phenomena of the morphosyntactic domain (subject-verb agreement [SVA], and case marking), combined with a non-word repetition (NWR) task targeting phonological complexity. The study aims at evaluating these three LITMUS-tools regarding their diagnostic accuracy, compared to a standardised assessment tool (LiSe-DaZ).To this end, forty-two children were tested using the LITMUS-tools, namely, contrastive case marking (CCM), supplemented by an elicitation task for the prepositional case, SVA and NWR. Four groups of children participated: eL2 children with SLI (mean age 7;6, mean age of onset 3;1), eL2 children with TD (mean age 7;10, mean age of onset 2;11), L1 TD children (mean age 7;3) and L1 SLI children (mean age 7;2). Results show NWR and SVA as suitable markers and the LITMUS-tools as suitable screenings. Conversely, CCM does not disentangle SLI from TD in the investigated bilingual population by this age.

Here come the nouns: Czech two-year-olds use verb number endings to predict sentence subjects

Two-year-old children can use gender or number agreement to predict upcoming words in phrases or sentences. However, most findings showed prediction from freestanding grammatical words, such as articles or copulas. While this shows knowledge of agreement relations, it might be limited to a narrow set of grammatical words. We examined the possibility that children at this age can use grammatical number agreement independently of specific closed-class words, testing whether they predict nouns from bound morphemes on lexical verbs. If this were the case, the emerging grammatical knowledge is unlikely to be lexically specific. Our first experiment replicated existing findings using number-marked copula, while the second experiment marked number on endings of four different verbs. Two-year-old children watched pairs of pictures showing single or multiple items while listening to sentences whose sentence-final subject referred to one of the two pictures. The grammatical Czech sentences contained a copula (Experiment 1: where is/are in the picture car/s?) or one of four number-marked lexical verbs (Experiment 2: Here jump/s the frog/s in the picture). Children in both experiments anticipated the subject from the verb or copula form. Children thus used number agreement predictively in the complex Czech copula system and lexical verbs marked by endings. This suggests that children understand grammatical number independently of specific grammatical words and supports the view that early knowledge of grammar is not lexically specific.

Morphology and Syntax in Arabic-Speaking Adolescents Who Are Deaf and Hard of Hearing

Purpose Diagnoses, assessments, and treatments, as well as social and language interventions, can be effective in identifying and interpreting specific linguistic features that present special challenges to the language abilities of individuals who are deaf and hard of hearing (DHH). This article reports on a study analyzing complex sentences and morphosyntactic error production by Arabic-speaking adolescents who are hearing and DHH. Method A total of 124 adolescents participated, all native speakers of Arabic in Grades 6-10 (63 hearing and 61 DHH). The participants were asked to provide an oral narrative about a dangerous experience. Results Both groups produced a low mean percentage of complex sentences out of the total number of clauses. However, adolescents who are DHH produced significantly fewer complex sentences and more morphosyntactic errors when compared with their hearing peers. The most common errors produced by both groups were clause errors including omission of subject or predicate and errors in word order. Determiner errors were produced significantly more often by adolescents who are DHH. Conclusions To our knowledge, this study is one of the first to investigate morphosyntactic aspects of complex sentences and morphosyntactic errors produced by Arabic-speaking adolescents who are hearing and DHH. This study therefore has significance for further research on language development among Arabic speakers and on definitions of vulnerable linguistic aspects in DHH.

Word Recognition and Word Prediction in Preschoolers With (a Suspicion of) a Developmental Language Disorder: Evidence From Eye Tracking

Purpose This study compares online word recognition and prediction in preschoolers with (a suspicion of) a developmental language disorder (DLD) and typically developing (TD) controls. Furthermore, it investigates correlations between these measures and the link between online and off-line language scores in the DLD group. Method Using the visual world paradigm, Dutch children ages 3;6 (years;months) with (a suspicion of) DLD (n = 51) and TD peers (n = 31) listened to utterances such as, "Kijk, een hoed!" (Look, a hat!) in a word recognition task, and sentences such as, "Hé, hij leest gewoon een boek" (literal translation: Hey, he reads just a book) in a word prediction task, while watching a target and distractor picture. Results Both groups demonstrated a significant word recognition effect that looked similar directly after target onset. However, the DLD group looked longer at the target than the TD group and shifted slower from the distractor to target pictures. Within the DLD group, word recognition was linked to off-line expressive language scores. For word prediction, the DLD group showed a smaller effect and slower shifts from verb onset compared to the TD group. Interestingly, within the DLD group, prediction behavior varied considerably, and was linked to receptive and expressive language scores. Finally, slower shifts in word recognition were related to smaller prediction effects. Conclusions While the groups' word recognition abilities looked similar, and only differed in processing speed and dwell time, the DLD group showed atypical verb-based prediction behavior. This may be due to limitations in their processing capacity and/or their linguistic knowledge, in particular of verb argument structure.

Number Dissimilarity Effects in Object-Initial Sentence Comprehension by German-Speaking Children With Specific Language Impairment

Purpose This study examines the contribution of number morphology to language comprehension abilities among children with specific language impairment (SLI) and age-matched controls. It addresses the question of whether number agreement facilitates the comprehension accuracy of object-initial declarative sentences. According to the predictions of the structural intervention account for German, number agreement should assist the correct interpretation of object-initial sentences. Method This study examines German-speaking children with SLI and a control group of age-matched typically developing children on their sentence comprehension skills for auditory presented subject-verb-object and object-verb-subject (OVS) sentences. The sentences were manipulated with respect to the number properties of the noun phrases (e.g., one plural and one singular, or both singular) and the number agreement of the verb. Results The group of children with SLI demonstrated poorer comprehension accuracy in comparison to controls. Comprehension difficulty was limited to OVS sentences among children with SLI. In addition, children with SLI comprehended OVS sentences in which number agreement (with plural subject and verb inflection) indicated the noncanonical word order more accurately than OVS sentences with two singular noun phrases and therein did not differ from controls. Conclusion The study suggests that number agreement helps alleviate the difficulty with OVS sentences and enhances comprehension accuracy, despite the finding that children with SLI exhibit lower comprehension accuracy and more heterogeneous interindividual differences, relative to controls. Supplemental Material https://doi.org/10.23641/asha.13718029.

Vowel Accuracy and Segmental Variability Differentiate Children With Developmental Language Disorder in Nonword Repetition

Purpose Poor nonword repetition accuracy is a hallmark of children with developmental language disorder (DLD). However, other diagnostic categories also show impaired nonword repetition performance relative to children with typical development (TD); therefore, this task is currently a sensitive but nonspecific index of DLD. In this study, we investigated segmental and kinematic aspects of nonword repetition performance to further specify the diagnostic utility of nonword repetition tasks (NRTs) in diagnosing DLD. Method Forty children, ages 48-86 months, participated, including children with DLD (n = 12), speech sound disorder (SSD; n = 14), and TD (n = 14). All children completed an assessment battery to determine group classification, a classic NRT (Dollaghan & Campbell, 1998), and an experimental NRT designed to measure segmental and articulatory (specifically lip aperture) variability. We assessed nonword repetition accuracy in the classic and experimental NRTs and segmental and kinematic variability in the experimental NRT. Results In both the classic and experimental NRTs, children with SSD and DLD produced nonwords with lower phoneme and consonant accuracy compared to children with TD. Children with DLD produced more vowel errors compared to children with TD in both tasks. In the experimental NRT, children with DLD produced nonwords with high levels of segmental variability compared to children with TD. Children with SSD did not differ from children with TD or children with DLD in the vowel accuracy or the segmental variability measures. The articulatory variability measure did not reveal any group differences. Conclusions In the presence of speech sound difficulties, low nonword repetition accuracy does not aid in the diagnosis of DLD. However, vowel accuracy and segmental variability appear specific to DLD status in NRTs.

Diagnosis of Developmental Language Disorder in Research Studies

Purpose The aim of this study was to investigate the extent to which researchers in the field of developmental language disorder are utilizing validated methods to diagnose their research participants. Method We examined 90 research articles published from 2015 to 2019 that included English-speaking participants from the United States who were identified as having a developmental language disorder or specific language impairment. From these articles, we identified the tests and measures used to identify participants and classify them as healthy or impaired. We then consulted the test manuals and the literature to find information on sensitivity and specificity of the test and the evidence-based cut score that maximized identification accuracy. Results Of the 90 articles examined, 38 (42%) were found to reflect validated diagnostic methods, and 51 (58%) did not. Conclusion Our results illustrate that validated methods are used less than half of the time even by those who should have a high level of expertise and despite calls for increasing scientific rigor in research practices.

Comprehension of the copula: preschoolers (and sometimes adults) ignore subject-verb agreement during sentence processing

Subject-verb (SV) agreement helps listeners interpret the number condition of ambiguous nouns (The sheep is/are fat), yet it remains unclear whether young children use agreement to comprehend newly encountered nouns. Preschoolers and adults completed a forced choice task where sentences contained singular vs. plural copulas (Where is/are the [novel noun(s)]?). Novel nouns were either morphologically unambiguous (tup/tups) or ambiguous (/geks/ = singular: gex / plural: gecks). Preschoolers (and some adults) ignored the singular copula, interpreting /ks/-final words as plural, raising questions about the role of SV agreement in learners' sentence comprehension and the status of is in Australian English.

Using Computerized Language Analysis to Evaluate Grammatical Skills

Purpose Conducting in-depth grammatical analyses based on language samples can be time consuming. Developmental Sentence Scoring (DSS) and the Index of Productive Syntax (IPSyn) analyses provide detailed information regarding the grammatical profiles of children and can be conducted using free computer-based software. Here, we provide a tutorial to support clinicians' use of computer-based analyses to aid diagnosis and develop and monitor treatment goals. Method We analyzed language samples of a 5-year-old with developmental language disorder and an adolescent with Down syndrome using computer-based software, Computerized Language Analysis. We focused on DSS and IPSyn analyses. The tutorial includes step-by-step procedures for conducting the analyses. We also illustrate how the analyses may be used to assist in diagnosis, develop treatment goals focused on grammatical targets, and monitor progress on these treatment goals. Conclusion Clinicians should consider using Computerized Language Analysis's IPSyn and DSS analyses to support grammatical language assessments used to aid diagnosis, develop treatment goals, and monitor progress on these treatment goals. Supplemental Material https://doi.org/10.23641/asha.12021141.

Subject-Aux Inversion in Children with SLI

An elicited production study investigated subject-aux inversion in 5-year-old children with specific language impairment (SLI) and 2 control groups, typically-developing 5-year-old children and 3-year-old children matched by mean length of utterance. The experimental findings showed that children with specific language impairment produced subject-aux inversion in yes/no questions significantly less often than either of the control groups. However, the fact that lack of inversion is reflected in the input led to the proposal that children with specific language impairment choose the most economical grammatical option. For main clause wh-questions, children with SLI carried out subject-aux inversion at a rate that was not significantly different from the control groups. This finding suggests that these children have access to hierarchical phrase structure representations for questions and the relevant movement operations. In embedded wh-questions, where subject-aux inversion is not permitted, children with SLI implemented SAI more frequently than the control groups. Our interpretation of this finding is that once children with SLI acquire the subject-aux inversion rule, that they are slower to learn that embedded clauses present an exception to the rule.