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Tuohimaa K, Loukusa S, Löppönen H, Aarnisalo AA, Dietz A, Hyvärinen A, Laitakari J, Rimmanen S, Salonen J, Sivonen V, Tennilä T, Tsupari T, Vikman S, Virokannas N, Hautala J, Tolonen AK, Välimaa T, Kunnari S. Factors Associated With Social-Pragmatic Understanding in Deaf and Hard of Hearing and Typically Hearing 6-Year-Old Children. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2025; 68:808-826. [PMID: 39853163 DOI: 10.1044/2024_jslhr-23-00574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2025]
Abstract
PURPOSE Children develop social-pragmatic understanding with the help of sensory, cognitive, and linguistic functions by interacting with other people. This study aimed to explore (a) associations between auditory, demographic, cognitive, and linguistic factors and social-pragmatic understanding in children who use bilateral hearing aids (BiHAs) or bilateral cochlear implants (BiCIs) and in typically hearing (TH) children and (b) the effect of the group (BiHA, BiCI, TH) on social-pragmatic understanding when the effects of demographic, cognitive, and linguistic factors are controlled for. METHOD The Pragma test was used to assess social-pragmatic understanding in 119 six-year-old children: 25 children who use BiHAs, 29 who use BiCIs, and 65 TH children. The Pragma test is a standardized test that requires answering socially and contextually demanding questions with varying focuses and thus enables a comprehensive assessment of social-pragmatic understanding. Associations between auditory, demographic, cognitive, and linguistic factors and the Pragma test performance were analyzed. Between-groups differences in the Pragma test performance were analyzed while statistically controlling for the effects of factors that were associated with the Pragma test scores. RESULTS The BiHA users who had better unaided pure-tone average hearing thresholds had better social-pragmatic understanding. A higher level of maternal education and nonverbal intelligence were associated with a better social-pragmatic understanding in the BiHA and BiCI groups. Linguistic abilities correlated strongly with social-pragmatic understanding in all groups. The deaf and hard of hearing (DHH) groups differed from the TH children in social-pragmatic understanding even after the effects of maternal education, nonverbal intelligence, and linguistic skills were controlled for. CONCLUSIONS Despite early diagnosis of hearing loss and intervention, many DHH children are still at risk for social-pragmatic difficulties. Several factors may associate with social-pragmatic understanding in DHH children, which highlights the importance of a wide-ranging, multidisciplinary assessment, and the planning of focused, assessment-based interventions.
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Affiliation(s)
- Krista Tuohimaa
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
| | - Soile Loukusa
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
| | - Heikki Löppönen
- Department of Otorhinolaryngology-Head and Neck Surgery, Kuopio University Hospital, Finland
- Department of Otorhinolaryngology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio
| | - Antti A Aarnisalo
- University of Helsinki, Finland
- Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Finland
| | - Aarno Dietz
- Department of Otorhinolaryngology-Head and Neck Surgery, Kuopio University Hospital, Finland
| | - Antti Hyvärinen
- Department of Otorhinolaryngology-Head and Neck Surgery, Kuopio University Hospital, Finland
| | - Jaakko Laitakari
- Department of Otorhinolaryngology-Head and Neck Surgery, Oulu University Hospital, Finland
| | - Satu Rimmanen
- Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Finland
| | - Jaakko Salonen
- Department of Otorhinolaryngology-Head and Neck Surgery, Turku University Hospital, Finland
| | - Ville Sivonen
- Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Finland
| | - Tanja Tennilä
- Department of Otorhinolaryngology-Head and Neck Surgery, Oulu University Hospital, Finland
| | - Teija Tsupari
- Department of Otorhinolaryngology-Head and Neck Surgery, Kuopio University Hospital, Finland
| | - Sari Vikman
- Department of Otorhinolaryngology-Head and Neck Surgery, Tampere University Hospital, Finland
| | - Nonna Virokannas
- Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Finland
| | - Johanna Hautala
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
| | - Anna-Kaisa Tolonen
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
| | - Taina Välimaa
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
| | - Sari Kunnari
- Research Unit of Logopedics and the Child Language Research Center, University of Oulu, Finland
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Nyberg S, Dahlström Ö, Voinier D, Bergström K, Heimann M. No concurrent correlations between parental mental state talk and toddlers' language abilities. JOURNAL OF CHILD LANGUAGE 2025; 52:117-134. [PMID: 37869896 DOI: 10.1017/s0305000923000594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
Mental State Talk (MST) is utterances describing invisible mental aspects. The first aim of this study was to investigate the characteristics of Parental MST and Child MST and their concurrent association in a Swedish population, and the second aim was to relate these MST measures to the children's general language abilities. Seventy-seven dyads of parents and their 25-month-old toddlers participated. MST was assessed by videotaping the dyads during free-play sessions in a laboratory and general language abilities were based on parental reports. Forty-nine toddlers did not produce MST, while all parents used MST. Child MST was positively associated with vocabulary and grammar. Parental MST was not associated with Child MST nor the children's general language abilities. In exploratory analyses, Parental MST referred to another than the child was positively correlated with vocabulary and grammar. Further studies are needed to confirm these findings and continue studying MST in different linguistic contexts.
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Affiliation(s)
- Sandra Nyberg
- Infant and Child Lab, Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Örjan Dahlström
- Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Daniel Voinier
- Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Kerstin Bergström
- Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Mikael Heimann
- Infant and Child Lab, Department of Behavioural Sciences and Learning, Linköping University, Sweden
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Bambha VP, Surrain S, Zucker TA, Ahmed Y, Leyva D. The intersection of parent questions, child skills, and activity context in informal science, technology, engineering, and math learning. J Exp Child Psychol 2024; 246:106000. [PMID: 38972224 DOI: 10.1016/j.jecp.2024.106000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 05/22/2024] [Accepted: 05/22/2024] [Indexed: 07/09/2024]
Abstract
Adult verbal input occurs frequently during parent-child interactions. However, few studies have considered how parent language varies across informal STEM (science, technology, engineering, and math) activities. In this study, we examined how open and closed parent questions (a) differed across three STEM activities and (b) related to math, science, and vocabulary knowledge in their preschool-aged children. A total of 173 parents and their preschool children (Mage = 4 years) from lower socioeconomic households were video-recorded participating in three STEM-related activities: (a) a pretend grocery store activity, (b) a bridge-building challenge, and (c) a book read about a science topic. Parent questions were categorized as open or closed according to the presence of key question terms. Results indicate that the three activities elicited different frequencies of parent open and closed questions, with the grocery store activity containing the most open and closed questions. Children's science knowledge was predicted by the frequency and proportion of parent open questions during the book read. These results enhance our understanding of the role of parent questions in young children's language environments in different informal learning contexts.
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Affiliation(s)
- Valerie P Bambha
- Children's Learning Institute, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
| | - Sarah Surrain
- Children's Learning Institute, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Tricia A Zucker
- Children's Learning Institute, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Yusra Ahmed
- Children's Learning Institute, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA; Texas Institute for Measurement, Evaluation, and Statistics, University of Houston, Houston, TX 77204, USA
| | - Diana Leyva
- Department of Psychology, University of Pittsburgh, Pittsburgh, PA 15260, USA
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Væver MS, Roos CO, Smith-Nielsen J, Egmose I, Wendelboe KI, Stuart AC. Influence of introducing a story stem in an interactive play context on maternal and their four-year-old children's use of mental state language. PLoS One 2024; 19:e0311237. [PMID: 39348398 PMCID: PMC11441653 DOI: 10.1371/journal.pone.0311237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Accepted: 09/16/2024] [Indexed: 10/02/2024] Open
Abstract
Maternal and child mental state language is associated with improved socioemotional and cognitive child development. This study examined if introducing a story stem (a narrative playing out socioemotional conflicts) in a play situation facilitated maternal and child mental state language compared to a free-play (baseline) situation, and if mothers and children with low baseline mental state language profited more from the story stem situation. Participants were 101 four-year-old children and their mothers. Maternal and child mental state language correlated and providing the story stem increased both maternal and child mental state language. Providing a story stem increased mental state language more for mothers and children groups with lowest mental state language at baseline compared to a high mental state language group. The results indicate a validation of the use of story stems to increase maternal and child mental state language within a typical population.
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Affiliation(s)
| | | | | | - Ida Egmose
- Department of Psychology, University of Copenhagen, København, Denmark
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Stuart AC, Roos CO, Smith-Nielsen J, Egmose I, Vaever MS. Four-year-old children's pretend play complexity during free play and story stem play and associations with maternal sensitivity. Scand J Psychol 2023; 64:644-651. [PMID: 37035921 DOI: 10.1111/sjop.12920] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 03/09/2023] [Accepted: 03/20/2023] [Indexed: 04/11/2023]
Abstract
Theory and research have linked pretend play in early childhood with the development of language and theory of mind. In 102 mother-child dyads at 4.5 years, we examined whether (1) introducing a story stem (a play narrative with socioemotional dilemmas) in a mother-child play context increases pretend play complexity compared with mother-child free play; and (2) maternal sensitivity is associated with pretend play complexity. Further, we explored whether the story stem increased child pretend play complexity more in dyads with mothers with low sensitivity compared with highly sensitive mothers. Sensitivity was coded using Coding Interactive Behavior and pretend play complexity with a global, integrated measure of the developmental level and quantity of play. Using generalized estimating equations, we found that pretend play complexity was positively associated with introducing a story stem and maternal sensitivity. Mixed methods ancova showed no significant interaction between play situation and maternal sensitivity. The findings stress the importance of maternal sensitivity and participation for play and how introducing a story stem may help promote child pretend play complexity.
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Affiliation(s)
- Anne C Stuart
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Camilla O Roos
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | | | - Ida Egmose
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Mette S Vaever
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
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Lorenzo NE, Bahrick LE, Bagner DM. Examining the trajectory of parent emotion talk in mothers of toddlers: A predominantly Latine sample. Infant Behav Dev 2023; 70:101801. [PMID: 36525798 PMCID: PMC9870950 DOI: 10.1016/j.infbeh.2022.101801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 12/01/2022] [Accepted: 12/02/2022] [Indexed: 12/15/2022]
Abstract
Supportive parent emotion socialization has been associated with greater child emotion understanding and expression and lower levels of externalizing behavior problems, with limited understanding on parent emotion socialization in toddlerhood. The current study examined the developmental trajectory of emotion socialization via emotion talk in mothers of toddlers from a predominantly Latine sample. Participants were 101 mother-toddler dyads assessed over three time points from ages 12-25 months. Overall, maternal emotion talk remained relatively stable over time, although there was a significant decrease between the first and second assessments before returning to initial rates at the third assessment. Maternal emotion talk did not predict child externalizing behavior over time. Interestingly, however, greater toddler externalizing behavior problems was associated with an increase in maternal emotion talk over time. These findings suggest maternal emotion talk is relatively stable for parents of children who are low on externalizing behaviors and may fluctuate (i.e., slowly increase) for mothers of children who are high in externalizing behaviors. Understanding these mechanisms further could help inform how we implement and personalize parenting interventions.
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Affiliation(s)
- N E Lorenzo
- American University, 4400 Massachusetts Ave NW, Washington, DC 20016, United States.
| | - L E Bahrick
- Florida International University, 11200 SW 8th St. Miami, FL 33199, United States
| | - D M Bagner
- Florida International University, 11200 SW 8th St. Miami, FL 33199, United States
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Kong Q, Mulvihill A, Slaughter V, Fraser H, Cavanagh-Welch B, Elwina FC, Kang J, Ruffman T. Not just quantity but also quality of language: Cross-cultural comparisons of maternal mental state talk in New Zealand, Australia, and China. PLoS One 2023; 18:e0282480. [PMID: 36928220 PMCID: PMC10019639 DOI: 10.1371/journal.pone.0282480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 02/15/2023] [Indexed: 03/18/2023] Open
Abstract
Western mothers use more mental state talk with children than do Chinese mothers (e.g., "think", "like", "happy"). The present study aimed to examine whether Western mothers not only produced a greater amount of mental state talk, but also used a wider range of mental state terms (i.e., greater lexical variety) compared to Chinese mothers. We compared maternal mental state talk in 271 mother-child dyads from New Zealand, Australia and China, and coded both quantity (i.e., frequency) and quality (i.e., type, variety, valence) of mothers' mental state talk to their 2.5- to 5-year-olds. Western mothers produced more talk about cognitions and emotions, as well as modulations of assertions, but a similar amount of desire talk, compared to Chinese mothers, with the same patterns found in the variety of talk. Western mothers produced an overall higher amount of mental state talk and a greater variety of mental state terms, but crucially, still produced more MS talk after controlling for the variety. Neither the amount nor the variety of maternal MS talk was correlated with children's theory of mind. These findings shed light on the diverse ways that mothers construe and describe mental states in different cultures, and highlight the importance of examining different aspects of maternal mental state talk and their impact on children's theory of mind in future longitudinal studies.
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Affiliation(s)
- Qiuyi Kong
- Department of Psychology, The University of Otago, Dunedin, New Zealand
- * E-mail: (QK); (TR)
| | - Aisling Mulvihill
- School of Psychology, The University of Queensland, Brisbane, Australia
| | | | - Harry Fraser
- Department of Psychology, The University of Otago, Dunedin, New Zealand
| | | | | | - Jie Kang
- Department of Mathematics and Statistics, The University of Otago, Dunedin, New Zealand
| | - Ted Ruffman
- Department of Psychology, The University of Otago, Dunedin, New Zealand
- * E-mail: (QK); (TR)
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Roby E, Scott RM. Financial concern reduces child directed speech in a socioeconomically diverse sample. Sci Rep 2022; 12:9173. [PMID: 35654989 PMCID: PMC9163051 DOI: 10.1038/s41598-022-13177-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 05/18/2022] [Indexed: 11/09/2022] Open
Abstract
Socioeconomic status predicts the quantity and nature of child-directed speech that parents produce. However, the mechanisms underlying this relationship remain unclear. This study investigated whether the cognitive load imposed by resource scarcity suppresses parent talk by examining time-dependent variation in child-directed speech in a socioeconomically diverse sample. We predicted that child-directed speech would be lowest at the end of the month when Americans report the greatest financial strain. 166 parents and their 2.5 to 3-year-old children (80 female) participated in a picture-book activity; the number of utterances, word tokens, and word types used by parents were calculated. All three parent language measures were negatively correlated with the date of the month the activity took place, and this relationship did not vary with parental education. These findings suggest that above and beyond individual properties of parents, contextual factors such as financial concerns exert influence on how parents interact with their children.
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Affiliation(s)
- Erin Roby
- Department of Pediatrics, NYU Grossman School of Medicine, 550 First Ave., New York, NY, 10016, USA.
| | - Rose M Scott
- Psychological Sciences, University of California Merced, 5200 North Lake Road, Merced, CA, 95343, USA
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