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Hahn LE, Hirschfelder A, Mürbe D, Männel C. How Do Enriched Speech Acoustics Support Language Acquisition in Children With Hearing Loss? A Narrative Review. Ear Hear 2025; 46:551-562. [PMID: 39654098 PMCID: PMC11984552 DOI: 10.1097/aud.0000000000001606] [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: 01/17/2024] [Accepted: 09/24/2024] [Indexed: 04/12/2025]
Abstract
Language outcomes of children with hearing loss remain heterogeneous despite recent advances in treatment and intervention. Consonants with high frequency, in particular, continue to pose challenges to affected children's speech perception and production. In this review, the authors evaluate findings of how enriched child-directed speech and song might function as a form of early family-centered intervention to remedy the effects of hearing loss on consonant acquisition already during infancy. First, they review the developmental trajectory of consonant acquisition and how it is impeded by permanent pediatric hearing loss. Second, they assess how phonetic-prosodic and lexico-structural features of caregiver speech and song could facilitate acquisition of consonants in the high-frequency range. Last, recommendations for clinical routines and further research are expressed.
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Affiliation(s)
- Laura E. Hahn
- Department of Audiology and Phoniatrics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Anke Hirschfelder
- Department of Audiology and Phoniatrics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Dirk Mürbe
- Department of Audiology and Phoniatrics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Claudia Männel
- Department of Audiology and Phoniatrics, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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Persici V, Castelletti G, Guerzoni L, Cuda D, Majorano M. The role of lexical and prosodic characteristics of mothers' child-directed speech for the early vocabulary development of Italian children with cochlear implants. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2024; 59:2367-2382. [PMID: 38978277 DOI: 10.1111/1460-6984.13087] [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] [Received: 02/14/2023] [Accepted: 06/18/2024] [Indexed: 07/10/2024]
Abstract
BACKGROUND Variability in the vocabulary outcomes of children with cochlear implants (CIs) is partially explained by child-directed speech (CDS) characteristics. Yet, relatively little is known about whether and how mothers adapt their lexical and prosodic characteristics to the child's hearing status (before and after implantation, and compared with groups with normal hearing (NH)) and how important they are in affecting vocabulary development in the first 12 months of hearing experience. AIMS To investigate whether mothers of children with CIs produce CDS with similar lexical and prosodic characteristics compared with mothers of age-matched children with NH, and whether they modify these characteristics after implantation. In addition, to investigate whether mothers' CDS characteristics predict children's early vocabulary skills before and after implantation. METHODS & PROCEDURES A total of 34 dyads (17 with NH, 17 with children with CIs; ages = 9-32 months), all acquiring Italian, were involved in the study. Mothers' and children's lexical quantity (tokens) and variety (types), mothers' prosodic characteristics (pitch range and variability), and children's vocabulary skills were assessed at two time points, corresponding to before and 1 year post-CI activation for children with CIs. Children's vocabulary skills were assessed using parent reports; lexical and prosodic characteristics were observed in semi-structured mother-child interactions. OUTCOMES & RESULTS Results showed that mothers of children with CIs produced speech with similar lexical quantity but lower lexical variety, and with increased pitch range and variability, than mothers of children with NH. Mothers generally increased their lexical quantity and variety and their pitch range between sessions. Children with CIs showed reduced expressive vocabulary and lower lexical quantity and variety than their peers 12 months post-CI activation. Mothers' prosodic characteristics did not explain variance in children's vocabulary skills; their lexical characteristics predicted children's early vocabulary and lexical outcomes, especially in the NH group, but were not related to later language development. CONCLUSIONS & IMPLICATIONS Our findings confirm previous studies on other languages and support the idea that the lexical characteristics of mothers' CDS have a positive effect on children's early measures of vocabulary development across hearing groups, whereas prosodic cues play a minor role. Greater input quantity and quality may assist children in the building of basic language model representations, whereas pitch cues may mainly serve attentional and emotional processes. Results emphasize the need for additional longitudinal studies investigating the input received from other figures surrounding the child and its role for children's language development. WHAT THIS PAPER ADDS What is already known on the subject Mothers' CDS is thought to facilitate and support language acquisition in children with various language developmental trajectories, including children with CIs. Because children with CIs are at risk for language delays and have acoustic processing limitations, their mothers may have to produce a lexically simpler but prosodically richer input, compared to mothers of children with NH. Yet, the literature reports mixed findings and no study to our knowledge has concurrently addressed the role of mothers' lexical and prosodic characteristics for children's vocabulary development before implantation and in the first 12 months of hearing experience. What this study adds to the existing knowledge The study shows that mothers of children with CIs produce input of similar quantity but reduced variety, and with heightened pitch characteristics, compared to mothers of children with NH. There was also a general increase in mothers' lexical quantity and variety, and in their pitch range, between sessions. Only their lexical characteristics predicted children's early vocabulary skills. Their lexical variety predicted children's expressive vocabulary and lexical variety only in the NH group. What are the practical and clinical implications of this work? These findings expand our knowledge about the effects of maternal input and may contribute to the improvement of early family-centred intervention programmes for supporting language development in children with CIs.
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Affiliation(s)
- Valentina Persici
- Department of Human Sciences, University of Verona, Verona, Italy
- Department of Humanities, University of Urbino 'Carlo Bo', Urbino, Italy
| | | | - Letizia Guerzoni
- Otorhinolaryngology Unit, 'Guglielmo da Saliceto' Hospital, Piacenza, Italy
| | - Domenico Cuda
- Otorhinolaryngology Unit, 'Guglielmo da Saliceto' Hospital, Piacenza, Italy
- University of Parma, Parma, Italy
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Menn KH, Männel C, Meyer L. Does Electrophysiological Maturation Shape Language Acquisition? PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:1271-1281. [PMID: 36753616 PMCID: PMC10623610 DOI: 10.1177/17456916231151584] [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] [Indexed: 02/10/2023]
Abstract
Infants master temporal patterns of their native language at a developmental trajectory from slow to fast: Shortly after birth, they recognize the slow acoustic modulations specific to their native language before tuning into faster language-specific patterns between 6 and 12 months of age. We propose here that this trajectory is constrained by neuronal maturation-in particular, the gradual emergence of high-frequency neural oscillations in the infant electroencephalogram. Infants' initial focus on slow prosodic modulations is consistent with the prenatal availability of slow electrophysiological activity (i.e., theta- and delta-band oscillations). Our proposal is consistent with the temporal patterns of infant-directed speech, which initially amplifies slow modulations, approaching the faster modulation range of adult-directed speech only as infants' language has advanced sufficiently. Moreover, our proposal agrees with evidence from premature infants showing maturational age is a stronger predictor of language development than ex utero exposure to speech, indicating that premature infants cannot exploit their earlier availability of speech because of electrophysiological constraints. In sum, we provide a new perspective on language acquisition emphasizing neuronal development as a critical driving force of infants' language development.
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Affiliation(s)
- Katharina H. Menn
- Research Group Language Cycles, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- International Max Planck Research School on Neuroscience of Communication: Function, Structure, and Plasticity, Leipzig, Germany
| | - Claudia Männel
- Department of Neuropsychology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Department of Audiology and Phoniatrics, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Lars Meyer
- Research Group Language Cycles, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Clinic for Phoniatrics and Pedaudiology, University Hospital Münster, Münster, Germany
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Cox C, Dideriksen C, Keren-Portnoy T, Roepstorff A, Christiansen MH, Fusaroli R. Infant-directed speech does not always involve exaggerated vowel distinctions: Evidence from Danish. Child Dev 2023; 94:1672-1696. [PMID: 37307398 DOI: 10.1111/cdev.13950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 03/10/2023] [Accepted: 04/11/2023] [Indexed: 06/14/2023]
Abstract
This study compared the acoustic properties of 26 (100% female, 100% monolingual) Danish caregivers' spontaneous speech addressed to their 11- to 24-month-old infants (infant-directed speech, IDS) and an adult experimenter (adult-directed speech, ADS). The data were collected between 2016 and 2018 in Aarhus, Denmark. Prosodic properties of Danish IDS conformed to cross-linguistic patterns, with a higher pitch, greater pitch variability, and slower articulation rate than ADS. However, an acoustic analysis of vocalic properties revealed that Danish IDS had a reduced or similar vowel space, higher within-vowel variability, raised formants, and lower degree of vowel discriminability compared to ADS. None of the measures, except articulation rate, showed age-related differences. These results push for future research to conduct theory-driven comparisons across languages with distinct phonological systems.
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Affiliation(s)
- Christopher Cox
- School of Communication and Culture, Aarhus University, Aarhus, Denmark
- Interacting Minds Centre, Aarhus University, Aarhus, Denmark
- Department of Language and Linguistic Science, University of York, Vanbrugh College, York, UK
| | - Christina Dideriksen
- School of Communication and Culture, Aarhus University, Aarhus, Denmark
- Interacting Minds Centre, Aarhus University, Aarhus, Denmark
| | - Tamar Keren-Portnoy
- Department of Language and Linguistic Science, University of York, Vanbrugh College, York, UK
| | - Andreas Roepstorff
- School of Communication and Culture, Aarhus University, Aarhus, Denmark
- Interacting Minds Centre, Aarhus University, Aarhus, Denmark
| | - Morten H Christiansen
- School of Communication and Culture, Aarhus University, Aarhus, Denmark
- Interacting Minds Centre, Aarhus University, Aarhus, Denmark
- Department of Psychology, Cornell University, New York, Ithaca, USA
| | - Riccardo Fusaroli
- School of Communication and Culture, Aarhus University, Aarhus, Denmark
- Interacting Minds Centre, Aarhus University, Aarhus, Denmark
- Linguistic Data Consortium, University of Pennsylvania, Philadelphia, USA
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A systematic review and Bayesian meta-analysis of the acoustic features of infant-directed speech. Nat Hum Behav 2023; 7:114-133. [PMID: 36192492 DOI: 10.1038/s41562-022-01452-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 08/23/2022] [Indexed: 02/03/2023]
Abstract
When speaking to infants, adults often produce speech that differs systematically from that directed to other adults. To quantify the acoustic properties of this speech style across a wide variety of languages and cultures, we extracted results from empirical studies on the acoustic features of infant-directed speech. We analysed data from 88 unique studies (734 effect sizes) on the following five acoustic parameters that have been systematically examined in the literature: fundamental frequency (f0), f0 variability, vowel space area, articulation rate and vowel duration. Moderator analyses were conducted in hierarchical Bayesian robust regression models to examine how these features change with infant age and differ across languages, experimental tasks and recording environments. The moderator analyses indicated that f0, articulation rate and vowel duration became more similar to adult-directed speech over time, whereas f0 variability and vowel space area exhibited stability throughout development. These results point the way for future research to disentangle different accounts of the functions and learnability of infant-directed speech by conducting theory-driven comparisons among different languages and using computational models to formulate testable predictions.
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Piazza G, Martin CD, Kalashnikova M. The Acoustic Features and Didactic Function of Foreigner-Directed Speech: A Scoping Review. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:2896-2918. [PMID: 35914012 DOI: 10.1044/2022_jslhr-21-00609] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
PURPOSE This scoping review considers the acoustic features of a clear speech register directed to nonnative listeners known as foreigner-directed speech (FDS). We identify vowel hyperarticulation and low speech rate as the most representative acoustic features of FDS; other features, including wide pitch range and high intensity, are still under debate. We also discuss factors that may influence the outcomes and characteristics of FDS. We start by examining accommodation theories, outlining the reasons why FDS is likely to serve a didactic function by helping listeners acquire a second language (L2). We examine how this speech register adapts to listeners' identities and linguistic needs, suggesting that FDS also takes listeners' L2 proficiency into account. To confirm the didactic function of FDS, we compare it to other clear speech registers, specifically infant-directed speech and Lombard speech. CONCLUSIONS Our review reveals that research has not yet established whether FDS succeeds as a didactic tool that supports L2 acquisition. Moreover, a complex set of factors determines specific realizations of FDS, which need further exploration. We conclude by summarizing open questions and indicating directions and recommendations for future research.
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Affiliation(s)
- Giorgio Piazza
- Basque Center on Cognition, Brain and Language (BCBL), Donostia-San Sebastián, Spain
- Department of Social Sciences and Law, Universidad del País Vasco/Euskal Herriko Unibertsitatea, Donostia-San Sebastián, Spain
| | - Clara D Martin
- Basque Center on Cognition, Brain and Language (BCBL), Donostia-San Sebastián, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, Spain
| | - Marina Kalashnikova
- Basque Center on Cognition, Brain and Language (BCBL), Donostia-San Sebastián, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, Spain
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Lovcevic I, Burnham D, Kalashnikova M. Language development in infants with hearing loss: Benefits of infant-directed speech. Infant Behav Dev 2022; 67:101699. [PMID: 35123319 DOI: 10.1016/j.infbeh.2022.101699] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 01/25/2022] [Accepted: 01/27/2022] [Indexed: 11/28/2022]
Abstract
The majority of infants with permanent congenital hearing loss fall significantly behind their normal hearing peers in the development of receptive and expressive oral communication skills. Independent of any prosthetic intervention ("hardware") for infants with hearing loss, the social and linguistic environment ("software") can still be optimal or sub-optimal and so can exert significant positive or negative effects on speech and language acquisition, with far-reaching beneficial or adverse effects, respectively. This review focusses on the nature of the social and linguistic environment of infants with hearing loss, in particular others' speech to infants. The nature of this "infant-directed speech" and its effects on language development has been studied extensively in hearing infants but far less comprehensively in infants with hearing loss. Here, literature on the nature of infant-directed speech and its impact on the speech perception and language acquisition in infants with hearing loss is reviewed. The review brings together evidence on the little-studied effects of infant-directed speech on speech and language development in infants with hearing loss, and provides suggestions, over and above early screening and external treatment, for a natural intervention at the level of the carer-infant microcosm that may well optimize the early linguistic experiences and mitigate later adverse effects for infants born with hearing loss.
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Affiliation(s)
- Irena Lovcevic
- International Research Center for Neurointelligence (IRCN), The University of Tokyo, 7-3-1 Hongo Bunkyo-ku, Tokyo 113-0033, Japan.
| | - Denis Burnham
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
| | - Marina Kalashnikova
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; BCBL. Basque Center for Cognition, Brain and Language, Paseo Mikeletegi 69, San Sebastian-Donostia, Guipuzcoa 2004, Spain; IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
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