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Including Nonlinguistic Processing Tasks in the Identification of Developmental Language Disorder
Kerry Danahy Ebert1, Giang Pham2
1Department of Communication Disorders and Sciences, Rush University, Chicago, IL.
American Journal of Speech-Language Pathology
|August 10, 2019
Summary
Nonlinguistic cognitive tasks show potential for identifying developmental language disorder (DLD) in diverse children. While not fully diagnostic alone, these tasks offer valuable insights when used with other assessments.
Area of Science:
- Linguistics
- Developmental Psychology
- Cognitive Science
Background:
- Accurate identification of developmental language disorder (DLD) is difficult, especially in multilingual children.
- Children with DLD often exhibit subtle deficits in nonlinguistic cognitive processing.
- Language experience may minimally affect performance on these cognitive tasks.
Purpose of the Study:
- To investigate if nonlinguistic cognitive processing tasks can aid in identifying DLD in children from varied linguistic backgrounds.
- To assess the diagnostic accuracy of these tasks in diverse populations.
Main Methods:
- Combined data from 4 U.S. studies (395 children, ages 6-10, English/Spanish bilinguals) and 1 Vietnamese study (55 children).
- Administered nonlinguistic cognitive tasks measuring processing speed, auditory working memory, and attentional control.
- Analyzed data comparing DLD and typically developing groups, deriving diagnostic accuracy metrics.
Main Results:
- Tasks demonstrated adequate sensitivity or specificity for identifying DLD across most age groups.
- Likelihood ratios indicated moderately to very informative diagnostic potential.
- Findings remained consistent when combining monolingual and bilingual participants.
Conclusions:
- Nonlinguistic cognitive tasks may support DLD identification as part of a comprehensive assessment strategy.
- Further research is necessary to refine tasks, validate diagnostic cut-points, and expand to more language groups.
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