Association of sibling presence with language development before early school age among children with developmental delays: A longitudinal study

BACKGROUND/PURPOSE

Having siblings is a crucial ecological factor in children's language development. Whether siblings play a role in the language development of children with developmental delays remains unknown. This study therefore aimed to assess the association between sibling presence and changes in language trajectories of children with developmental delays before reaching early school age.

METHODS

This retrospective cohort-sequential longitudinal study analyzed data from an institution designated by Taiwan's Ministry of Health and Welfare for assessing and identifying young children with developmental delays between December 2008 and February 2016. We included 174 children, aged 10-58 months (mean [standard deviation (SD)], 31.74 [10.15] months), with developmental delays who underwent at least three waves of evaluation. The final evaluation occurred at 37-90 months of age. Data collection spanned over an age from 10 to 90 months. The primary outcome was language delays as determined by board-certified speech-language pathologists.

RESULTS

Of the 174 participants (131 boys), 64.94 % (n = 113) had siblings. The likelihood of both receptive language delay and expressive language delay for participants with siblings increased gradually from 10 to 90 months and exceeded that of participants without siblings, respectively (adjusted odds ratios [aOR], 1.04, 1.04; 95 % confidence interval [CI], 1.01-1.07, 1.01-1.07; P = 0.014, 0.020).

CONCLUSIONS

Having siblings does not necessarily positively associate with language development in children with developmental delays. Clinicians should consider the association of sibling presence with language development for these children in a broader familial-ecological context before they reach early school age.

Lexical-semantic variables affecting picture and word naming in Chinese: a mixed logit model study in aphasia

Lexical-semantic variables (such as word frequency, imageability and age of acquisition) have been studied extensively in neuropsychology to address the structure of the word production system. The evidence available on this issue is still rather controversial, mainly because of the very complex interrelations between lexical-semantic variables. Moreover, it is not clear whether the results obtained in Indo-European languages also hold in languages with a completely different structure and script, such as Chinese. The objective of the present study is to investigate this specific issue by studying the effect of word frequency, imageability, age of acquisition, visual complexity of the stimuli to be named, grammatical class and morphological structure in word and picture naming in Chinese. The effect of these variables on naming and reading accuracy of healthy and brain-damaged individuals is evaluated using mixed-effect models, a statistical technique that allows to model both fixed and random effects; this feature substantially enhances the statistical power of the technique, so that several variables–and their complex interrelations–can be handled effectively in a unique analysis. We found that grammatical class interacts consistently across tasks with morphological structure: all participants, both healthy and brain-damaged, found simple nouns significantly easier to read and name than complex nouns, whereas simple and complex verbs were of comparable difficulty. We also found that imageability was a strong predictor in picture naming, but not in word naming, whereas the contrary held true for age of acquisition. These results are taken to indicate the existence of a morphological level of processing in the Chinese word production system, and that reading aloud may occur along a non-semantic route (either lexical or sub-lexical) in this language.

Respiratory changes during reading in Mandarin-speaking adolescents with prelingual hearing impairment

OBJECTIVE

Most people with severe to profound hearing impairment (SHI) exhibit speech breathing changes, but little is known about the breath group (BG) structure for this population. The purposes of this study were to investigate, compared to speakers with normal hearing, if Mandarin-speaking adolescents with prelingual SHI take inspirations more often at syntactically inappropriate positions and exhibit a difference in the temporal BG characteristics.

PATIENTS AND METHODS

Forty participants, 20 speakers with prelingual SHI and 20 normal-hearing controls matched for age, sex and education level were recruited. While wearing a circumferentially vented mask connected to a pneumotachograph, the subjects read three passages. The airflow signal was used to locate inspiratory loci in the speech samples. Temporal parameters of BG structure were derived from the acoustic signal.

RESULTS

The SHI group, compared to the control group, had significantly (1) more inspiratory loci at inappropriate and minor syntactic boundaries; (2) fewer syllables per BG, slower speaking rate, longer inter-BG pauses, and longer noninspiratory pauses, but comparable inspiratory duration, expiration duration, and BG duration.

CONCLUSION

The slower speaking rate within BGs and longer inter-BG pauses mainly account for the respiratory changes in Mandarin-speaking adolescents with prelingual SHI.