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1.
Psychiatr Danub ; 32(Suppl 1): 88-92, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890370

RESUMO

BACKGROUND: The present study reports preliminary results from the multicentre project on the approbation of the Russian language version of the "The Communication Checklist-Self Report" (RL-CC-SR) and its first use in schizophrenia (SZ), aiming to evaluate the contribution of language disturbances in the pathogenesis of this heterogeneous disorder. SUBJECTS AND METHODS: The study evaluated patients' clinical state with the Diagnostic Interview for Psychoses (DIP), and assessed language and communication disturbances (LCD) with the RL-CC-SR in all participants (213 healthy controls (HC), 83 SZ patients, 31 SZ first-degree relatives). Data from the current sample of SZ (n=50), and HC (n=213) was analysed to calculate the relationships between LCD, social and clinical variables using descriptive statistics methods, T-test and Pearson's correlations (SPSS-26, 2019). RESULTS: The quotient scores (<6) and raw scores on all three CC-SR subscales demonstrated prominent LCD in SZ: (i) language structure (LS) (SZ:11.92±8.01, HC:7.54±5.91; p<0.001), (ii) pragmatic skills (PS) (SZ:11.30±10.07, HC:8.71±7.39; p=0.040), (iii) social engagement (SE) (SZ:31.94±11.76, HC:19.42±10.35; p<0.001). In SZ, Pearson correlations of LS scores were significant for the DIP-items Odd Speech (p=0.033), and Social Engagement - Blunted Affect (p=0.042). PS was related to early disease onset (p=0.027), poor premorbid work adjustment (p=0.003), along with LS (p=0.005), and was also linked to poor premorbid social adjustment (p=0.005). CONCLUSIONS: SZ patients are aware of their LCD at all levels of language structure, pragmatics, and nonverbal communication, but are unable to compensate. Disturbances of LS and PS in SZ patients relate to their poor social adjustment and functioning, and may prove to be associated with the primary negative symptoms domain of the disorder and its generally poor outcome.


Assuntos
Lista de Checagem , Transtornos do Desenvolvimento da Linguagem , Esquizofrenia , Autorrelato , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Esquizofrenia/complicações , Esquizofrenia/diagnóstico , Ajustamento Social
2.
An. psicol ; 36(2): 295-303, mayo 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192066

RESUMO

Este estudio compara las estrategias para leer oraciones utilizadas por un grupo de escolares con dislexia (n = 107) y un grupo con sordera e implante coclear (n = 61) de lengua castellana. Los resultados indican que solo los participantes con sordera adoptan la estrategia de palabras clave (EPC), que consiste en identificar algunas de las palabras de la oración con contenido semántico propio, e ignorar las palabras funcionales. Se observa además que el uso de la EPC está asociado con un déficit sintáctico. Por otra parte, cuando los dos grupos se emparejan en el nivel lector con niños con desarrollo típico en lectura (Grupo Control, n = 785), las diferencias entre los Grupos Disléxico y Control desaparecieron. Sin embargo, los niños con sordera mantenían su tendencia a usar la EPC y seguían presentando dificultades para procesar las palabras funcionales. Estos resultados excluyen la hipótesis de que la EPC sea un procedimiento utilizado de forma general para compensar los déficits de lectura, pareciendo depender, más específicamente, de dificultades en la capacidad sintáctica


The present study compares the strategies to read sentences used by Spanish-speaking children with dyslexia (n = 107) and cochlear-implanted children with deafness (n = 61). The results show that children with deafness, but not with dyslexia, adopt the key-word-strategy (KWS), which consists of identifying some content words of the sentence while ignoring the function words. Furthermore, it appeared that the KWS was associated with poor syntactic ability. Moreover, when Dyslexic and Deaf Groups were carefully matched at reading level with normally developing children (Control Group, n = 785) all of the differences between dyslexics and normally developing children disappeared. Children with hearing loss however were still poor at dealing with function words and consequently maintained their tendency to use the KWS. These results exclude the hypothesis that the KWS is a broadly used procedure to compensate for reading deficits but seems, rather, to depend on poor syntactic ability


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Dislexia/psicologia , Leitura , Surdez/psicologia , Estratégias , Estudantes/psicologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Implantes Cocleares , Deficiências da Aprendizagem/psicologia
3.
PLoS One ; 15(5): e0232839, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32384118

RESUMO

BACKGROUND/OBJECTIVE: The effects of otitis media on the function of the central auditory nervous system in different populations is unknown. Understanding how the history of otitis media affects children from different nations will guide health professionals worldwide on the importance of adequate auditory stimulus in childhood. For this reason, the aim of the present study was to investigate the long-term auditory effects of middle ear disease on temporal processing and P300 in two different populations of children: Australian and Brazilian. METHODS: Temporal processing tests (Frequency Pattern Tests-FPT and Gaps in noise-GIN) and P300 were measured in 68 Brazilian and Australian children, aged between 8 to 14 years. The Brazilian otitis media group (BrOM) and Australian otitis media group (AusOM) consisted of 20 children each who had a documented history of otitis media. Control groups of 14 children (BrControl and AusControl) were also recruited from each country, all with no documented history of otitis media. RESULTS: The BrOM group showed significantly poorer performance (p<0.001) for FPT and the GIN compared to BrControl. The P300 response showed significantly longer mean latencies (p = 0.02) compared to BrControls. The AusOM group also showed significant delayed latency of P300 (p = 0.04) compared to the AusControl. The FPT showed significantly poorer performance (p = 0.04) compared to AusControls. The two otitis media groups showed no significant differences between each other on P300. Significant differences were seen however in temporal processing tests performance between the two cohorts for the otitis media groups. The BrOM group had significantly poorer responses (p<0.001) for FPT and GIN compared to the AusOM group. CONCLUSIONS: These findings support that although differences exist between BrOM and AusOM groups, otitis media can be demonstrated to affect the underlying mechanisms of the P300 measures and behavioral auditory responses in two different populations of children.


Assuntos
Potencial Evocado P300 , Transtornos do Desenvolvimento da Linguagem/etiologia , Otite Média com Derrame/fisiopatologia , Percepção do Tempo/fisiologia , Estimulação Acústica , Adolescente , Córtex Auditivo/fisiopatologia , Limiar Auditivo , Austrália , Brasil , Criança , Estudos Transversais , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos do Desenvolvimento da Linguagem/fisiopatologia , Transtornos do Desenvolvimento da Linguagem/psicologia , Masculino , Testes Neuropsicológicos , Otite Média com Derrame/psicologia , Desempenho Psicomotor , Recidiva , Estudos Retrospectivos , Tálamo/fisiopatologia
4.
PLoS One ; 15(3): e0230678, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32196539

RESUMO

PURPOSE: The purpose of this study was to evaluate neurodevelopmental outcomes in 18-month old (corrected age) preterm infants who received an intravitreal bevacizumab (IVB) injection for the treatment of type 1 retinopathy of prematurity (ROP). METHODS: In this ten-year retrospective study, we reviewed the medical records of patients who underwent ROP screening at Kyushu University Hospital. Among the patients who received IVB or laser photocoagulation (LPC) for the treatment of type 1 ROP, we included infants whose neurodevelopmental examination (the Kyoto Scale of Psychological Development [KSPD]) results at 18 months corrected age were available. Then, the effect of IVB on the developmental quotient (DQ) in each KSPD domain (Postural-Movement, Cognitive-Adaptive, or Language-Social domain) or the overall DQ was investigated by performing linear regression analysis. RESULTS: Out of the 513 patients reviewed, 53 were included in the study. IVB and LPC were performed for 14 and 39 patients, respectively. Administration of IVB was significantly associated with neurodevelopmental delay in the Language-Social domain (p = 0.01). The observed association remained even after adjusting for gestational age and birth weight (p = 0.03). CONCLUSIONS: Administration of IVB may introduce a risk of developmental impairment of interpersonal relationships, socializations, and/or verbal abilities of preterm children. We recommended that preterm infants who received IVB undergo a neurodevelopmental reassessment during their school years or in adulthood.


Assuntos
Inibidores da Angiogênese/efeitos adversos , Bevacizumab/efeitos adversos , Deficiências do Desenvolvimento/etiologia , Retinopatia da Prematuridade/patologia , Inibidores da Angiogênese/uso terapêutico , Bevacizumab/uso terapêutico , Idade Gestacional , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Injeções Intravítreas , Japão , Transtornos do Desenvolvimento da Linguagem/etiologia , Fotocoagulação a Laser , Análise Multivariada , Retinopatia da Prematuridade/tratamento farmacológico , Retinopatia da Prematuridade/cirurgia , Estudos Retrospectivos , Índice de Gravidade de Doença
5.
J Nerv Ment Dis ; 208(2): 143-146, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31929463

RESUMO

The aim of this study was to identify major risk factors and sociodemographic characteristics responsible for speech and language delay/disorders. Two hundred twenty-eight children (aged 24-72 months) with speech and language delay/disorders participated in this study. The Ankara Developmental Screening Inventory and The Peabody Picture Vocabulary Test were used to assess language profiles and developmental stages of children. Low income, nonattendance in preschool education, low maternal education, having two or more siblings, later birth order (order of siblings), family history of speech and language delay/disorders, preterm birth, low birth weight, and birth complications or the need for intensive care support during neonatal period were identified as risk factors (all p < 0.005). Both sociodemographic and biologic factors were associated with speech and language delay/disorders. Awareness of these factors may provide a chance for earlier diagnosis and intervention. Identification of risk factors of these children would contribute to our knowledge in this field.


Assuntos
Transtornos do Desenvolvimento da Linguagem/etiologia , Peso ao Nascer , Criança , Pré-Escolar , Escolaridade , Características da Família , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Masculino , Testes Neuropsicológicos , Fatores de Risco , Fatores Socioeconômicos
6.
J Music Ther ; 57(1): 66-90, 2020 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-31815286

RESUMO

While there are numerous descriptions of the use of music and its therapeutic potential by music therapists working with nonverbal children on the autism spectrum, only limited literature focuses on exploring how music therapists use music and perceive its therapeutic potential when working with children on the spectrum who have verbal skills. This qualitative study aimed to explore music therapists' descriptions of the use of music and its therapeutic potential in their work with children on the autism spectrum who have verbal skills. Semi-structured interviews were conducted with six qualified music therapists from Israel and then analyzed according to the principles of interpretative phenomenological analysis (IPA). Three main themes were identified: (a) musical infrastructure, which describes how the music therapists facilitated musical experiences to support the children's ability to regulate their arousal, attention and emotions; (b) the meeting point between musical and verbal playfulness, which reflects the music therapists' beliefs about how musical experiences add vitality and support the development of both verbal and nonverbal imaginative play; and (c) musical responses, which describes the different ways music therapists use their voice and songs to interact musically with verbal children. The experiences described by the participants emphasize the importance of the therapist musically attuning to the child's emotional, physiological, creative, and playful qualities, even when the child has verbal skills. These musical interactions help to create a shared experience between the child and therapist that are perceived to help the child's different forms of regulation, continuity, and vitality within the play.


Assuntos
Transtorno do Espectro Autista/reabilitação , Transtornos Globais do Desenvolvimento Infantil/reabilitação , Transtornos do Desenvolvimento da Linguagem/terapia , Musicoterapia/métodos , Música , Atenção , Criança , Emoções , Feminino , Humanos , Entrevistas como Assunto , Desenvolvimento da Linguagem , Transtornos do Desenvolvimento da Linguagem/etiologia , Masculino , Pesquisa Qualitativa , Resultado do Tratamento
7.
Muscle Nerve ; 61(2): 156-162, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31650559

RESUMO

INTRODUCTION: Becker muscular dystrophy (BMD) results in decreased dystrophin with implications for mental health. METHODS: This is a retrospective case series of neurodevelopmental, behavioral, and emotional symptoms and respective pharmacotherapies of 70 patients with BMD. RESULTS: Fifty-four (77.1%) patients exhibited at least one symptom, and 19 (27.1%) patients exhibited four or more symptoms. The most prevalent symptoms were specific learning disabilities or special education needs (31.4%), inattention/hyperactivity (35.7%), language/speech delays (35.7%), and emotional or behavioral dysregulation (38.6%). Fisher's exact tests indicated that anxiety was more prevalent with mutations upstream of exon 30 (P = .049), but the prevalence of other symptoms did not differ with respect to mutation sites. Similarly, the number of symptoms individual patients with BMD exhibited did not differ with respect to mutation sites. Seventeen (24.3%) patients required pharmacotherapy to manage symptoms. DISCUSSION: Neurodevelopmental, behavioral, and emotional symptoms are prevalent in patients with BMD regardless of dystrophin gene mutation site.


Assuntos
Sintomas Afetivos/etiologia , Deficiências do Desenvolvimento/etiologia , Distrofina/genética , Distrofia Muscular de Duchenne/complicações , Adolescente , Sintomas Afetivos/patologia , Sintomas Afetivos/psicologia , Ansiedade/etiologia , Ansiedade/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Pré-Escolar , Deficiências do Desenvolvimento/psicologia , Feminino , Humanos , Lactente , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/psicologia , Deficiências da Aprendizagem/etiologia , Deficiências da Aprendizagem/psicologia , Masculino , Distrofia Muscular de Duchenne/genética , Distrofia Muscular de Duchenne/psicologia , Mutação , Prevalência , Estudos Retrospectivos , Adulto Jovem
8.
Int J Pediatr Otorhinolaryngol ; 130 Suppl 1: 109837, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31883704

RESUMO

OBJECTIVE: To summarize recent advances in knowledge on otitis media (OM) and quality of life (QoL) and development by synthesizing relevant research in this field published between June 1., 2015 until June 1., 2019. DATA SOURCES: Systematic searches of PubMed, Embase and the Cochrane Library using predefined database-specific syntaxes. REVIEW METHODS: Articles selected were randomized controlled trials and observational studies with an adequate control group estimating treatment effects of OM including acute OM (AOM), recurrent AOM (RAOM), OM with effusion (OME), chronic OM (COM) and chronic suppurative OM (CSOM). Items included were Health Status, Health Status Indicators, Quality of Life, Functional Status, Specific Learning Disorder, Developmental Disabilities, Language Development Disorders, and Problem Behavior. RESULTS: The electronic database searches yielded a total of 699 records. After screening titles and abstracts, we identified 34 potentially eligible articles. Of these, 18 were excluded. This left 15 articles suitable for inclusion. CONCLUSIONS: Although evidence is accumulating that OM may significantly impair children's QoL and development as well as caregiver's QoL, studies on this topic are relatively scarce and vary substantially in terms of methodological quality and outcome measurement instruments (OMI) used. In this review, studies have used 10 different OMIs capturing a wide range of OM symptoms as well as generic and disease-specific QoL outcomes. OM was associated with negative effects on auditory processing, language and speech development, school readiness, social competence, psychosocial wellbeing, and sleep. We found only four relevant randomized controlled trials, which mostly failed to demonstrate superiority of interventions in terms of QoL improvement and reports on reversibility are lacking. This underpins the urgent need for high quality studies in this field using validated and uniform OMIs. To facilitate interpretation and harmonization of study findings, we suggest and support the development of a core outcome set for the various OM entities that should include the most reliable and meaningful QoL and developmental OMIs.


Assuntos
Desenvolvimento Infantil , Otite Média , Qualidade de Vida , Criança , Deficiências do Desenvolvimento/etiologia , Indicadores Básicos de Saúde , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Otite Média/complicações , Avaliação de Resultados em Cuidados de Saúde , Habilidades Sociais
9.
J Genet ; 982019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31767822

RESUMO

Primary progressive aphasia (PPA) is a progressive neurodegenerative disease that disrupts the language capacity of an individual by selectively affecting the language network of brain. Although aphasic literature is replete with reports of brain damage responsible for various types of PPA, it does not provide a comprehensive understanding of whether PPA is an independent pathological condition or an atypical syndrome of neurodegenerative diseases (NDD). To address this ambiguity, we provide a detailed description of PPA, its variants and their brain anatomy. Subsequently, we unravel the relationship between PPA and NDDs like Alzheimer's, Parkinson's and Dyslexia. To substantiate the relationship further, we also provide a brief account of their genetic aetiology. In the final section, we offer an exhaustive approach towards the treatment of PPA by combining the existing language the rapies with clinical and pharmacological interventions.


Assuntos
Afasia Primária Progressiva/etiologia , Afasia Primária Progressiva/genética , Predisposição Genética para Doença/genética , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/genética , Doenças Neurodegenerativas/complicações , Doenças Neurodegenerativas/genética , Doença de Alzheimer , Afasia Primária Progressiva/terapia , Encéfalo/anatomia & histologia , Mapeamento Encefálico , Dislexia , Humanos , Idioma , Doença de Parkinson , Transtorno Específico de Linguagem/genética
10.
Prog Community Health Partnersh ; 13(3): 283-291, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31564669

RESUMO

BACKGROUND: High-quality, early caregiver-child interaction facilitates language, cognitive, and health outcomes. Children in low socioeconomic status households experience less frequent and lower-quality language interactions on average than their middle to high socioeconomic status peers. Early caregiver-implemented intervention may help to improve outcomes for these children. OBJECTIVES: This article describes how we used community-based participatory research (CBPR) to develop and implement a community-based, caregiver-implemented early language intervention, including the challenges, solutions, and lessons learned in the process of CBPR. METHODS: We adopted an ethnographic approach to document and analyze our CBPR experiences in multiple phases of the project, including intervention design, training, implementation, and evaluation. LESSONS LEARNED: Developing the CBPR partnership, co-designing and implementing the study, and managing systems- level concerns like obtaining funding were central challenges for the researcher-community team. CONCLUSIONS: The CBPR model enhances early language intervention research by facilitating understanding of families in underserved communities and increasing the cultural relevancy of intervention materials.


Assuntos
Pesquisa Participativa Baseada na Comunidade/métodos , Transtornos do Desenvolvimento da Linguagem/prevenção & controle , Desenvolvimento da Linguagem , Antropologia Cultural/métodos , Cuidadores/educação , Pré-Escolar , Competência Cultural , Humanos , Lactente , Transtornos do Desenvolvimento da Linguagem/etiologia , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Fatores de Risco , Fatores Socioeconômicos
11.
Codas ; 31(4): e20180212, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31483042

RESUMO

This study aimed to measure the effects of a Computer-based Auditory Training Program (CBATP) on an adolescent diagnosed with Autism Spectrum Disorder (ASD) and Central Auditory Processing Disorder (CAPD). This is the case report of a male, 14-year-old adolescent diagnosed with ASD. The individual was submitted to basic audiological evaluation, central auditory processing assessment and hearing electrophysiology (EP), pre- and post-therapeutic intervention. Central auditory processing (CAP) was assessed by means of the following instruments: Time-compressed Speech Test (TCST), Random Gap Detection Test (RGDT), Staggered Spondaic Word Test (SSWT), Frequency (Pitch) Pattern Sequence Test (FPST), and Duration Pattern Test (DPT). The P300 component of the Event-related Potential (ERP) was used in the hearing EP. Pre-intervention assessment of CAP showed changes in the auditory skills of closure, figure-ground and temporal ordering, but normal temporal resolution ability. Post-intervention evaluation of CAP showed improvement in all previously mentioned auditory skills, except for the figure-ground ability, which remained unchanged. Regarding the findings of the hearing EP, a decrease in the latency of the P300 component was observed pre- and post-intervention. This study demonstrated that the use of a CBATP resulted in improvement in the hearing abilities assessed in an adolescent diagnosed with ASD.


Assuntos
Transtorno do Espectro Autista/complicações , Transtornos do Desenvolvimento da Linguagem/reabilitação , Adolescente , Transtorno do Espectro Autista/fisiopatologia , Potencial Evocado P300/fisiologia , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/fisiopatologia , Estudos Longitudinais , Masculino
12.
Int J Lang Commun Disord ; 54(6): 940-953, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31407447

RESUMO

BACKGROUND: Children with autism spectrum disorder (ASD) show substantial variability in their language development. Language problems are highly prevalent in these children. In addition, the quality of early language abilities contributes to the overall development of these children and is highly predictive of their adult outcome. Yet, little is known about language development in children at risk of ASD during the first years of life. AIMS: To compare early receptive language (RL) and expressive language (EL) development in children at risk of ASD and determine predictors of language development. METHODS & PROCEDURES: Developmental trajectories of RL and EL were investigated from 10 to 36 months of age in younger siblings of typically developing children (LR-sibs, N = 30) and in younger siblings of children with ASD (HR-sibs, N = 31) using the Mullen Scales of Early Learning. Furthermore, both child and demographic characteristics were examined as possible predictors of language development. OUTCOMES & RESULTS: Both groups showed similar growth curves for RL and EL and the majority of the children showed average (within ±1.5 SD of the mean) or above-average language abilities. Nevertheless, the mean growth of EL was lower and the variation in growth of both RL and EL was higher in HR-sibs than in LR-sibs. Furthermore, early child characteristics were predictive of language development in both groups. Yet, some child characteristics seemed to be of more importance in HR-sibs than in LR-sibs. Consequently, lower non-verbal abilities at 10 months in both groups and a higher degree of ASD characteristics at 14 months in HR-sibs may be indicative of difficulties in language development. CONCLUSIONS & IMPLICATIONS: HR-sibs show more variation in their language development than LR-sibs during the first 3 years of life. The majority of HR-sibs, however, did not present with below-average language abilities. Yet, early characteristics of ASD may be a red flag for difficulties in the language development of HR-sibs.


Assuntos
Transtorno do Espectro Autista/complicações , Linguagem Infantil , Transtornos do Desenvolvimento da Linguagem/etiologia , Desenvolvimento da Linguagem , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/genética , Desenvolvimento Infantil/fisiologia , Diagnóstico Precoce , Feminino , Predisposição Genética para Doença , Humanos , Lactente , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Testes de Linguagem , Masculino , Irmãos/psicologia , Classe Social
13.
J Autism Dev Disord ; 49(10): 4109-4122, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31267282

RESUMO

Symbolic play skills are important in language acquisition and child development. Children with autism spectrum disorder (ASD) often have difficulties demonstrating such play behaviors. Imaginary objects symbolic play refers to play behavior in which children perform play actions without actual objects. Three boys with ASD (3-7 years) participated in this study. A multiple-probe across three participants and two settings design was employed to evaluate the effects of intraverbal training on the acquisition and generalization of imaginary objects symbolic play. Results indicated that all children acquired and maintained target imaginary objects play activities. Generalization to untaught activities occurred in one child. All three children' symbolic play emerged or increased in free play after the instruction.


Assuntos
Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/psicologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/psicologia , Ensino , Criança , Pré-Escolar , Feminino , Humanos , Desenvolvimento da Linguagem , Masculino
14.
Indian Pediatr ; 56(6): 481-484, 2019 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-31278228

RESUMO

OBJECTIVES: To screen for language delay in very low birth weight (VLBW) children between 6 months to 3 years using Language Evaluation Scale Trivandrum, 0-3 years. METHODS: VLBW inborn neonates at a corrected age of 6 months to 3 years visiting follow-up clinic were enrolled. Children with hearing loss were excluded. Prevalence and predictors of language delay were ascertained. RESULTS: Of 200 enrolled subjects, out of the 1400 VLBW discharged, 64 (32%) had language delay. On multivariate analysis, late onset sepsis, patent ductus arteriosus and poor socioeconomic status were significant predictors of language delay. Abnormal neurological examination and suspect development were also associated with language delay. CONCLUSIONS: In VLBW children, the frequency of language delay is quite high. These children should be screened for language delay.


Assuntos
Doenças do Prematuro/diagnóstico , Recém-Nascido de muito Baixo Peso , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Testes de Linguagem , Programas de Rastreamento , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/epidemiologia , Doenças do Prematuro/etiologia , Transtornos do Desenvolvimento da Linguagem/epidemiologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Modelos Logísticos , Masculino , Prevalência , Fatores de Risco
15.
Am J Speech Lang Pathol ; 28(2S): 807-817, 2019 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-31306596

RESUMO

Objective Early diagnosis of speech disorders in children with cerebral palsy (CP) is of critical importance. A key problem is differentiating those with borderline or mild speech motor deficits from those who are within an age-appropriate range of variability. We sought to quantify how well functional speech measures differentiated typically developing (TD) children from children with CP. Method We studied speech production in 45 children with CP (26 with clinical speech motor impairment [SMI] and 19 with no evidence of speech motor impairment [NSMI]) and in 29 TD children of the same age. Speech elicitation tasks were used. Intelligibility, speech rate, and intelligible words per minute were examined. Results All measures differentiated between all 3 groups of children with considerable precision based on area under the receiver operating characteristic curve (AUC) data. AUC was highest for overall intelligibility, which ranged from .88 to .99. Intelligible words per minute also yielded very strong AUCs, ranging from .81 to .99. In each of the receiver operating characteristic models, discrimination between groups was highest for children with speech motor impairment versus TD children. Data indicated that 90% of TD children had overall intelligibility above 87% at 5 years of age, but that no child was 100% intelligible. Furthermore, 90% children with SMI had intelligibility below 72%. Conclusion Findings suggest that functional speech measures differentiate very clearly between children with and without CP and that even children who do not show evidence of speech motor impairment have functional differences in their speech production ability relative to TD peers.


Assuntos
Paralisia Cerebral/complicações , Disartria/diagnóstico , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Inteligibilidade da Fala , Medida da Produção da Fala/métodos , Estudos de Casos e Controles , Paralisia Cerebral/classificação , Pré-Escolar , Disartria/etiologia , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Estudos Longitudinais , Masculino , Sensibilidade e Especificidade
16.
Am J Speech Lang Pathol ; 28(2): 501-514, 2019 05 27.
Artigo em Inglês | MEDLINE | ID: mdl-31136229

RESUMO

Purpose Pragmatic language is important for social communication across all settings. Children adopted internationally (CAI) may be at risk of poorer pragmatic language because of adverse early care, delayed adopted language development, and less ability to inhibit. The purpose of this study was to compare pragmatic language performance of CAI from Asian and Eastern European countries with a nonadopted group of children who were of the same age and from similar socioeconomic backgrounds as well as explore the relationship among emotion identification, false belief understanding, and inhibition variables with pragmatic language performance. Method Using a quasi-experimental design, 35 four-year-old CAI (20 Asian, 15 Eastern European) and 33 children who were not adopted were included in this study. The children's pragmatic language, general language, and social communication (emotion identification of facial expressions, false belief understanding, inhibition) were measured. Comparisons by region of origin and adoption experience were completed. We conducted split-half correlation analyses and entered significant correlation variables into simple and backward regression models. Results Pragmatic language performance differed by adoption experience. The adopted and nonadopted groups demonstrated different correlation patterns. Language performance explained most of the pragmatic language variance. Discussion Because CAI perform less well than their nonadopted peers on pragmatic communication measures and different variables are related to their pragmatic performance, speech-language pathologists may need to adapt assessment and intervention practices for this population.


Assuntos
Adoção , Comportamento Infantil , Linguagem Infantil , Criança Adotada/psicologia , Internacionalidade , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtorno de Comunicação Social/etiologia , Comportamento Verbal , Fatores Etários , Pré-Escolar , Compreensão , Emoções , Expressão Facial , Relações Familiares , Feminino , Humanos , Inibição Psicológica , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos do Desenvolvimento da Linguagem/psicologia , Testes de Linguagem , Masculino , Fatores de Risco , Comportamento Social , Transtorno de Comunicação Social/diagnóstico , Transtorno de Comunicação Social/psicologia
17.
Int J Lang Commun Disord ; 54(5): 767-778, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31045304

RESUMO

BACKGROUND: Submucous cleft palate (SMCP) has a heterogeneous presentation and is often identified late or misdiagnosed. Diagnosis is prompted by speech, resonance or feeding symptoms associated with velopharyngeal insufficiency. However, the broader impacts of SMCP on communication have rarely been examined and therefore are poorly understood. AIM: To describe the communicative profile of individuals with non-syndromic SMCP by examining speech, language and pragmatics (social language). METHODS & PROCEDURES: Fifteen participants with SMCP aged 5;1-12;8, without a genetic diagnosis, participated in the study. Participants completed standardized assessments examining language, resonance, speech and non-verbal intellect. Parents also completed the Children's Communication Checklist (CCC-2), which provided a measure of overall communicative ability, including pragmatic skills. Formal language outcomes were compared with two cohorts: 36 individuals with overt non-syndromic clefts and 129 individuals with no history of clefting. OUTCOMES & RESULTS: Speech intelligibility was reduced secondary to hypernasality, disordered articulation and/or impaired phonology (n = 7) in children with SMCP. Poorer overall language outcomes were observed for children with SMCP compared with both those with overt clefts and no history of clefting (p < 0.001). Language scores for children with SMCP ranged from impaired (n = 6) to above the standardized mean (n = 4). Receptive and expressive language performance were independently correlated with non-verbal IQ (p < 0.01). Those with severe language impairment (n = 4) also had borderline or impaired non-verbal IQ. Parents reported that speech and semantics were the most affected sub-domains of communication, while scores were the highest for the initiation domain. Speech and language skills were correlated strongly with pragmatics (r = 0.877, p < 0.01). CONCLUSIONS & IMPLICATIONS: Overall, performance was variable within the SMCP group across speech, language and pragmatic assessments. In addition to well-documented speech difficulties, children with SMCP may have language or pragmatic impairments, suggesting that further neurodevelopmental influences may be at play. As such, for individuals with SMCP, additional clinical screening of language and pragmatic abilities may be required to ensure accurate diagnosis and guide both cleft and non-cleft related therapy programmes.


Assuntos
Fissura Palatina/psicologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Distúrbios da Fala/etiologia , Transtornos da Articulação/etiologia , Transtornos da Articulação/psicologia , Criança , Pré-Escolar , Transtornos da Comunicação/etiologia , Transtornos da Comunicação/psicologia , Feminino , Humanos , Inteligência , Transtornos do Desenvolvimento da Linguagem/psicologia , Testes de Linguagem , Masculino , Sistema de Registros , Semântica , Distúrbios da Fala/psicologia , Inteligibilidade da Fala
18.
Biomed Res Int ; 2019: 8930904, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31032365

RESUMO

Objectives: To analyze the central auditory nervous system function through behavioral and electrophysiological tests in children with a history of otitis media and subsequent bilateral tubes placement surgery. Methods: The participants were divided into two groups between eight and 14 years old: control group (CG) consisted of 40 children with no history of otitis media; experimental group (EG) consisted of 50 children with documented history of otitis media and undertook a surgery for bilateral tubes placement. All children completed audiological evaluation (audiometry, speech audiometry, and immittance audiometry), behavioral evaluation (tests: dichotic digits, synthetic sentence identification with ipsilateral competing message, gaps-in-noise, frequency pattern), and electrophysiological evaluation (Auditory Brainstem Response, ABR, Frequency Following Response, FFR (verbal), and Long Latency Auditory Evoked Potential, LLAEP). Results: The EG group showed significantly poorer performance (p<0.001) than the CG for all auditory abilities studied. The results revealed significant latency delays and reduced amplitude (p<0.05) of waves III and V for ABR; significant latency delay was seen of potentials P2, N2, and P300 for LLAEP; significant latency delays and reduced amplitude (p<0.05) were observed for FFR in children with a history of otitis media. Conclusion: The results demonstrate negative effect of otitis media in the auditory abilities and electrophysiological measures in children with a history of otitis media.


Assuntos
Doenças do Sistema Nervoso Autônomo/fisiopatologia , Sistema Nervoso Central/fisiopatologia , Transtornos do Desenvolvimento da Linguagem/fisiopatologia , Otite Média/fisiopatologia , Adolescente , Audiometria de Tons Puros , Audiometria da Fala , Doenças do Sistema Nervoso Autônomo/etiologia , Doenças do Sistema Nervoso Autônomo/cirurgia , Criança , Tuba Auditiva/fisiopatologia , Tuba Auditiva/cirurgia , Potenciais Evocados Auditivos , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/cirurgia , Masculino , Otite Média/complicações , Otite Média/cirurgia
19.
Eur J Paediatr Neurol ; 23(3): 491-499, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30954376

RESUMO

This longitudinal study aims to describe the trajectory of language development in children with CHD aged 12-24 months assessed through an early monitoring and individualized intervention program. We also sought to determine whether early language performances, at 12 months of age, predict 24-month language abilities. We conducted developmental assessments of 49 children with CHD using the Bayley Scales of Infant and Toddler Developmental, third edition (Bayley-III) at 12 and 24 months, and the MacArthur-Bates Communicative Development Inventories (MBCDI) at 12, 18 and 24 months. Compared to normative populations, CHD patients showed significantly lower mean scores in both receptive and expressive language scales of the Bayley-III and the MBCDI at 12 months, whereas at 18 and 24 months only expressive language scores were reduced. No differences were found in the cognitive scale. Communicative gestures at 12 months were significantly predictive of language skills at 24 months of age. Our findings indicate specific vulnerability of language outcome, especially in expressive skills, rather than a global cognitive impairment in our patients with CHD. We recommend using communicative gestures as an early marker of language development to improve our ability to detect language delays in this population.


Assuntos
Cardiopatias Congênitas/complicações , Transtornos do Desenvolvimento da Linguagem/epidemiologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Desenvolvimento da Linguagem , Pré-Escolar , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino
20.
Int J Pediatr Otorhinolaryngol ; 120: 100-107, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30772612

RESUMO

OBJECTIVES: Many studies examining early bilingualism in migrant populations focus on the development of the first language. As language acquisition is closely related to the hearing development, there is a critical need to investigate language development in hearing-impaired children being raised bilingually who were fitted with cochlear implants and/or hearing aids. Therefore, this research project aimed to study the linguistic development of hearing-impaired children being raised with German as a second language who were provided with hearing aids or cochlear implants. Further, the language development of these children is compared with that of hearing-impaired children being raised in a monolingual environment and with normal-hearing children being raised bilingually. METHODS: In this prospective study, we analyzed data from 95 typically developing children with hearing loss (43 bilingual and 52 monolingual) aged 3;0 to 10;11 (years; months) on four language measures in German: receptive vocabulary, productive vocabulary, receptive grammar, productive grammar (sentence repetition). Additionally, 30 bilingual children with normal hearing were included in this study. RESULTS: 44 children were provided with hearing aids in both ears; 34 used cochlear implants bilaterally and 17 were fitted bimodally. Statistical analysis showed that bilingual hearing-impaired children scored significantly poorer than monolingual hearing-impaired children. CONCLUSION: Hearing-impaired children being raised bilingually should have speech and language examinations on a regular basis. An examination of both languages would be desirable in order to be able to fully assess speech and language acquisition.


Assuntos
Perda Auditiva/fisiopatologia , Transtornos do Desenvolvimento da Linguagem/etiologia , Desenvolvimento da Linguagem , Multilinguismo , Fala/fisiologia , Audiometria/métodos , Criança , Pré-Escolar , Implante Coclear , Implantes Cocleares/estatística & dados numéricos , Feminino , Alemanha , Audição , Auxiliares de Audição/estatística & dados numéricos , Perda Auditiva/reabilitação , Humanos , Idioma , Transtornos do Desenvolvimento da Linguagem/epidemiologia , Testes de Linguagem/estatística & dados numéricos , Masculino , Pessoas com Deficiência Auditiva/reabilitação , Estudos Prospectivos , Percepção da Fala
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