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Outcome of toddlers with specific expressive language delay

Published online by Cambridge University Press:  28 November 2008

Leslie Rescorla*
Affiliation:
Bryn Mawr College
Ellen Schwartz
Affiliation:
Bryn Mawr College
*
Leslie Rescorla, Department of Human Development, Bryn Mawr College, Bryn Mawr, PA 19010

Abstract

This article describes a follow-up of 25 boys diagnosed as having specific expressive language delay (SELD) in the 24- to 31-month age period. At the time of diagnosis, all subjects had Bayley MDI scores above 85, Reynell Receptive Language Age scores within 4 months of their chronological age, and Reynell Expressive Language Age scores at least 5 months below chronological age; most had vocabularies of fewer than 50 words and few if any word combinations. At follow-up, 16 boys were 3 years old, 7 were 3½, and 2 were 4 years of age. When seen for follow-up, half the 25 boys still had very poor expressive language. These boys were speaking at best in short, telegraphic sentences, and many had moderately severe articulation disorders with quite poor intelligibility. The 12 boys with better outcome had a range of language skills. All spoke in sentences to some extent, and each displayed some mastery of early morphemes (prepositions, plurals, articles, progressive tense, and possessives). However, few if any of the children spoke in completely fluent, syntactically complex, and morphologically correct language. Problems with copula and auxiliary verbs, with past tense inflections, and with pronouns seemed especially common. This research suggests that children with SELD at 24 to 30 months are at considerable risk for continuing language problems.

Type
Articles
Copyright
Copyright © Cambridge University Press 1990

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References

REFERENCES

Aram, D. M., Ekelman, B. L., & Nation, J. E. (1984). Preschoolers with language disorders: 10 years later. Journal of Speech and Hearing Research, 27, 232244.CrossRefGoogle ScholarPubMed
Bax, M., Hart, H., & Jenkins, S. (1980). Assessment of speech and language development in the young child. Pediatrics, 66, 350354.CrossRefGoogle ScholarPubMed
Beitchman, J. H., Nair, R., Clegg, M., & Patel, P. G. (1986). Prevalence of speech and language disorders in 5-year-old kindergarten children in the Ottowa-Carleton region. Journal of Speech and Hearing Disorders, 51, 98110.CrossRefGoogle ScholarPubMed
Bishop, D. V. M., & Edmundson, A. (1987). Language-impaired 4-year-olds: Distinguishing transient from persistent impairment. Journal of Speech and Hearing Disorders, 52, 156173.CrossRefGoogle ScholarPubMed
Brown, R. (1973). A first language: The early stages. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Cantwell, D., & Baker, L. (1987). Developmental speech and language disorders. New York: Guilford.Google Scholar
Fischel, J., Whitehurst, G., Caulfield, M., & DeBaryshe, B. (1988). Language growth in children with expressive language delay. Pediatrics, 82(2), 218227.Google Scholar
Fundudis, T, Kolvin, I., & Garside, R. F. (1980). A follow-up of speech retarded children. In C. A. Hersov & M. Berger (Eds.), Language and language disorder in childhood (book supplement to the Journal of Child Psychology and Psychiatry, 2).Google Scholar
Hecht, B. F. (1986). Language disorders in preschool children. Advances of Special Education, 5,95119.Google Scholar
Hrncir, E., Goldfarb, A., Scarr, S., & McCartney, K. (1985). Report of a screening, assessment and treatment programme for high-risk two-year-olds in Bermuda. In Frankenberg, W. M. & Emde, R. (Eds.), Early identification of children at risk: An international perspective. New York: Plenum.Google Scholar
Johnston, J. R. (1982). The language disordered child. In Lass, N., Northern, J., Yoder, D., & McReynolds, L., (Eds.), Speech, language and hearing. Philadelphia: W. B. Saunders.Google Scholar
Johnston, J. R. (1988). Specific language disorders in the child. In Lass, N., McReynolds, L., Northern, J., & Yoder, D. (Eds.), Handbook of speech language pathology and audiology. Philadelphia: B. Decker.Google Scholar
Johnston, J. R., & Kamhi, A. G. (1984). Syntactic and semantic aspects of the utterances of language-impaired children: The same can be less. Merrill-Palmer Quarterly, 30(1), 6585.Google Scholar
Johnston, J. R., & Schery, T. K. (1976). The use of grammatical morphemes by children with communication disorders. In Morehead, D. & Morehead, A. (Eds.), Normal and deficient child language. Baltimore, MD: University Park Press.Google Scholar
Klackenberg, G. (1980). What happens to children with delayed speech at 3? Ada Paediatrica Scandinavica, 69, 681685.CrossRefGoogle Scholar
Leonard, L., Bolders, J., & Miller, J. (1976). An examination of the semantic relations reflected in the language usage of normal and language impaired children. Journal of Speech and Hearing Research, 19, 371392.CrossRefGoogle Scholar
Leonard, L. B., Schwartz, R. G., Chapman, K., Rowan, L. E., Prelock, P. A., Terrell, B. Y., Weiss, A. L., & Messick, C. K. (1982). Early lexical acquisition in children with specific language impairment. Journal of Speech and Hearing Research, 25, 554563.CrossRefGoogle ScholarPubMed
MacWhinney, B., & Snow, C. (1985). The child language data exchange system. Journal of Child Language, 12, 271296.CrossRefGoogle ScholarPubMed
Miller, J. F. (1981). Assessing language production in children: Experimental procedures. Baltimore, MD: University Park Press.Google Scholar
NINCDS. (1979). The neurological bases of language disorders in children (Monograph No. 22). Washington, DC: U.S. Government Printing Office.Google Scholar
Padget, S. Y. (1988). Speech- and language-impaired three- and four-year-olds: A five-year follow-up study. In Masland, R. L. & Masland, M. W. (Eds.), Preschool prevention of reading failure. Parkton, MD: York.Google Scholar
Paul, R. (1989). Profiles of toddlers with delayed expressive language. Paper presented at Biennial Meeting of the Society for Research in Child Development, Kansas City, MO.Google Scholar
Rescorla, L. (1989). The Language Development Survey: A screening tool for delayed language in toddlers. Journal of Speech and Hearing Disorders, 54, 587599.CrossRefGoogle ScholarPubMed
Rescorla, L., & Schwartz, E. (1989). Outcome of toddlers with specific expressive language delay. Paper presented at Biennial Meeting of Society for Research in Child Development, Kansas City, MO.Google Scholar
Richman, N., Stevenson, J., & Graham, P. J. (1975). Prevalence of behaviour problems in 3-year-old children: An epidemiological study in a London borough. Journal of Child Psychology and Psychiatry, 16, 277287.CrossRefGoogle Scholar
Scarborough, H. S. (1990). Index of Productive Syntax. Applied Psycholinguistics, 11, 122.CrossRefGoogle Scholar
Silva, P. A. (1980). The prevalence, stability and significance of developmental language delay in preschool children. Developmental Medicine and Child Neurology, 22, 768777.CrossRefGoogle ScholarPubMed
Silva, P. A., McGee, R., & Williams, S. M. (1983). Developmental language delay from three to seven and its significance for low intelligence and reading difficulties at seven. Developmental Medicine and Child Neurology, 25, 783793.CrossRefGoogle ScholarPubMed
Silva, P. A., Williams, S. M., & McGee, R. (1987). A longitudinal study of children with developmental language delay at age three: Later intelligence, reading, and behavior problems. Developmental Medicine and Child Neurology, 29, 630640.CrossRefGoogle Scholar
Stevenson, J., & Richman, N. (1976). The prevalence of language delay in a population of three-year-old children and its association with general retardation. Developmental Medicine and Child Neurology, 18, 431441.CrossRefGoogle Scholar
Strominger, A. Z., & Bashir, A. S. (1977). A nine-year follow-up of 50 language-delayed children. Paper presented at the annual meeting of the American Speech and Hearing Association, Chicago, IL.Google Scholar
Tallal, P. (1988). Developmental language disorders. In Kavanaugh, J. F. & Truss, T. J. Jr., (Eds.), Learning disabilities: Proceedings of the National Conference. Parkton, MD: York Press.Google Scholar
Wyke, M. (1978). Developmental dysphasia. New York: Academic.Google Scholar