Impaired Audiovisual Representation of Phonemes in Children with Developmental Language Disorder

Language Skills in Children with Attention Deficit Hyperactivity Disorder and Developmental Language Disorder: A Systematic Review

(1) Background: Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Language Disorder (DLD) are neurodevelopmental disorders that affect various areas of children's development, such as language. It exists an emerging idea that ADHD is characterised by the presence of language difficulties, which can be explained by the high comorbidity between ADHD and DLD. The aim of this review is to analyse the empirical evidence of language competence in children aged 6-17 years old, diagnosed with ADHD and/or DLD. (2) Method: Fifteen studies with experimental designs were identified from Scopus, PsycINFO, and WoS databases, reporting on language skills in children diagnosed with ADHD and/or DLD. Studies relating executive functioning to language skills in this target population were also included. (3) Results: The literature is heterogeneous and different components of language are also examined. Even though the results are contradictory, they convincingly demonstrate there are overlapping symptoms between ADHD and DLD, such as language skills and executive functions. (4) Conclusions: The differences in the samples limit the generalisability of the results. Therefore, this review highlights the importance of considering language skills when designing individualised interventions for the population with ADHD and DLD, both in comorbidity and in isolation.

Long-term phonemic representations become audiovisual by mid-childhood

In earlier work with adults, we showed that long-term phonemic representations are audiovisual, meaning that they contain information on typical mouth shape during articulation. Many aspects of audiovisual processing have a prolonged developmental course, often not reaching maturity until late adolescence. In this study, we examined the status of phonemic representations in two groups of children - 8-9-year-olds and 11-12-year-olds. We used the same audiovisual oddball paradigm as in the earlier study with adults (Kaganovich and Christ, 2021). On each trial, participants saw a face and heard one of two vowels. One vowel occurred frequently (standard), while another occurred rarely (deviant). In one condition (neutral), the face had a closed, non-articulating mouth. In the other condition (audiovisual violation), the mouth shape matched the frequent vowel. Although stimuli were audiovisual in both conditions, we hypothesized that identical auditory changes would be perceived differently by participants. Namely, in the neutral condition, deviants violated only the audiovisual pattern specific to each experimental block. By contrast, in the audiovisual violation condition, deviants additionally violated long-term representations for how a speaker's mouth looks during articulation. We compared the amplitude of MMN and P3 components elicited by deviants in the two conditions. In the 11-12-year-old group, the pattern of neural responses was similar to that in adults - namely, they had a larger MMN component in the audiovisual compared to neutral condition, with no major difference in the P3 amplitude. In contrast, in the 8-9-year-old group, we saw a posterior MMN in the neutral condition only and a larger P3 in the audiovisual violation compared to the neutral condition. The larger P3 in the audiovisual violation condition suggests that younger children did perceive deviants as being more attention-grabbing when they violated the typical combination of sound and mouth shape. Yet, at this age, the earlier, more automatic stages of phonemic processing indexed by the MMN component may not yet encode visual speech elements the same way they do in older children and adults. We conclude that phonemic representations do not become audiovisual until 11-12 years of age.

Audiovisual multisensory integration in individuals with reading and language impairments: A systematic review and meta-analysis

Differences in sensory function have been documented for a number of neurodevelopmental conditions, including reading and language impairments. Prior studies have measured audiovisual multisensory integration (i.e., the ability to combine inputs from the auditory and visual modalities) in these populations. The present study sought to systematically review and quantitatively synthesize the extant literature on audiovisual multisensory integration in individuals with reading and language impairments. A comprehensive search strategy yielded 56 reports, of which 38 were used to extract 109 group difference and 68 correlational effect sizes. There was an overall difference between individuals with reading and language impairments and comparisons on audiovisual integration. There was a nonsignificant trend towards moderation according to sample type (i.e., reading versus language) and publication/small study bias for this model. Overall, there was a small but non-significant correlation between metrics of audiovisual integration and reading or language ability; this model was not moderated by sample or study characteristics, nor was there evidence of publication/small study bias. Limitations and future directions for primary and meta-analytic research are discussed.

Event-related potentials evidence for long-term audiovisual representations of phonemes in adults

The presence of long-term auditory representations for phonemes has been well-established. However, since speech perception is typically audiovisual, we hypothesized that long-term phoneme representations may also contain information on speakers' mouth shape during articulation. We used an audiovisual oddball paradigm in which, on each trial, participants saw a face and heard one of two vowels. One vowel occurred frequently (standard), while another occurred rarely (deviant). In one condition (neutral), the face had a closed, non-articulating mouth. In the other condition (audiovisual violation), the mouth shape matched the frequent vowel. Although in both conditions stimuli were audiovisual, we hypothesized that identical auditory changes would be perceived differently by participants. Namely, in the neutral condition, deviants violated only the audiovisual pattern specific to each block. By contrast, in the audiovisual violation condition, deviants additionally violated long-term representations for how a speaker's mouth looks during articulation. We compared the amplitude of mismatch negativity (MMN) and P3 components elicited by deviants in the two conditions. The MMN extended posteriorly over temporal and occipital sites even though deviants contained no visual changes, suggesting that deviants were perceived as interruptions in audiovisual, rather than auditory only, sequences. As predicted, deviants elicited larger MMN and P3 in the audiovisual violation compared to the neutral condition. The results suggest that long-term representations of phonemes are indeed audiovisual.