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Portable Intermodal Preferential Looking (IPL): Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism
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Pragmatic language impairment and associated behavioural problems.

Mieke P Ketelaars1, Juliane Cuperus, Kino Jansonius

  • 1Department of Special Education, Radboud University Nijmegen, Nijmegen, the Netherlands. M.Ketelaars@pwo.ru.nl

International Journal of Language & Communication Disorders
|July 4, 2012
PubMed
Summary

Children with pragmatic language impairment (PLI) often exhibit externalizing behavioral issues like hyperactivity. Early assessment of pragmatic skills can help identify children at risk for these problems and related disorders like ADHD.

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Area of Science:

  • Developmental Psychology
  • Linguistics
  • Child Psychiatry

Background:

  • Pragmatic language impairment (PLI) involves difficulties using language in context, distinct from specific language impairment (SLI).
  • Limited research exists on the link between pragmatic competence and behavioral issues, especially in non-clinical populations.
  • The specific types of behavioral problems associated with PLI are not well understood.

Purpose of the Study:

  • To investigate the incidence and nature of behavioral problems in children with PLI within a mainstream educational setting.
  • To clarify the relationship between pragmatic language skills and various behavioral problems using a prognostic design.

Main Methods:

  • Teacher-completed Strengths and Difficulties Questionnaire (SDQ) and Children's Communication Checklist (CCC).
  • Data collected from a community sample of 1364 four-year-old children.
  • Prognostic research design employed in mainstream education.

Main Results:

  • Pragmatic competence strongly correlates with behavioral problems in the community sample.
  • Pragmatic competence, not structural language ability, predicts behavioral problems.
  • Children with PLI frequently display externalizing behaviors, notably hyperactivity and low prosocial behavior, often reaching clinical levels.

Conclusions:

  • Young children with PLI exhibit diverse behavioral problems, with hyperactivity and lack of prosocial behavior being prominent.
  • Early assessment of pragmatic competence can aid in identifying children at risk for behavioral issues.
  • Assessing pragmatic competence may serve as an early marker for detecting autism or ADHD due to its links with behavioral problems.