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Stable associations between behavioral problems and language impairments across childhood - the importance of
Wenche Andersen Helland1, Astri J Lundervold2, Mikael Heimann3
1Department of Psychiatry, Helse Fonna HF, Stord Hospital, 5414 Stord, Norway; Department of Biological and Medical Psychology, University of Bergen, P.O. Box 7800, 5020 Bergen, Norway; Department of Speech and Language Disorders, Statped vest, P.O. Box 6039, 5892 Bergen, Norway.
Abstract:
This study investigated language function associated with behavior problems, focusing on pragmatics. Scores on the Children's Communication Checklist Second Edition (CCC-2) in a group of 40 adolescents (12-15 years) identified with externalizing behavior problems (BP) in childhood was compared to the CCC-2 scores in a typically developing comparison group (n=37). Behavioral, emotional and language problems were assessed by the Strengths and Difficulties Questionnaire (SDQ) and 4 language items, when the children in the BP group were 7-9 years (T1). They were then assessed with the SDQ and the CCC-2 when they were 12-15 years (T2). The BP group obtained poorer scores on 9/10 subscales on the CCC-2, and 70% showed language impairments in the clinical range. Language, emotional and peer problems at T1 were strongly correlated with pragmatic language impairments in adolescence. The findings indicate that assessment of language, especially pragmatics, is vital for follow-up and treatment of behavioral problems in children and adolescents.
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