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Published on: June 12, 2020
''Language profile among Arabic-speaking children with attention deficit hyperactive disorder"
Mona Sameeh Khodeir1, Sarah Mosaad Mohamed2, Mona Abdel-Fattah Hegazi1
1Unit of Phoniatrics, Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Abbassia, Lotfy Elsayed Street, Cairo, 11566, Egypt.
Children with Attention Deficit Hyperactivity Disorder (ADHD) often exhibit pragmatic language challenges, not significant delays in other language areas. These pragmatic difficulties correlate with ADHD symptoms, impacting everyday communication for affected children.
Area of Science:
- Linguistics
- Developmental Psychology
- Pediatrics
Background:
- Children with Attention Deficit Hyperactivity Disorder (ADHD) frequently experience language impairments, particularly affecting pragmatic language use in daily life.
- Early identification and intervention for language difficulties in children with ADHD are crucial for effective rehabilitation.
Purpose of the Study:
- To investigate the relationship between hyperactivity/impulsivity and inattention with various language domains in Egyptian children diagnosed with ADHD.
- To inform better intervention strategies by assessing language skills in children with ADHD.
Main Methods:
- The study included 30 Egyptian Arabic-speaking children aged 4 to 7 years diagnosed with ADHD according to DSM-V criteria.
- Language abilities were assessed using the Pre-school Language Scale (PLS-4, Arabic version), Arabic articulation test, and Egyptian Arabic Pragmatic Language Test.
- Evaluations covered receptive, expressive, phonological, and pragmatic language skills, alongside ADHD symptom severity using the Conners' Parent Rating Scale-Revised.
Main Results:
- ADHD children showed non-significant language delays on the modified PLS-4 test compared to norms.
- 70% of ADHD children scored below the 5th percentile on pragmatic language tests, and 50% had difficulties mastering specific sounds.
- A significant negative correlation was found between ADHD symptom scores (inattention, hyperactivity/impulsivity) and receptive, expressive, and pragmatic language scores.
Conclusions:
- Children with ADHD in this cohort did not exhibit major language difficulties beyond expected norms, except for pragmatic aspects.
- Pragmatic language impairments were prevalent in children with ADHD and positively correlated with ADHD symptom severity.
- Half of the children with ADHD struggled with age-appropriate phonological sound acquisition.
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