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Phonological processing and decoding abilities in early elementary school-aged children with speech sound disorders
1Graduate Program in Speech Language Pathology, Hallym University, Chuncheon, Korea.
Journal of Communication Disorders
|March 19, 2026
Summary
Children with co-occurring speech sound disorders and developmental dyslexia show significant deficits in phonological processing and decoding. This highlights the need for integrated assessments to identify reading risks early.
Area of Science:
- Linguistics
- Developmental Psychology
- Education
Background:
- Phonological processing and decoding are crucial for literacy.
- Children with speech sound disorders (SSD) often face challenges in phonological skills, impacting decoding.
- Developmental dyslexia (DD) can co-occur with SSD, leading to varied outcomes.
Purpose of the Study:
- To investigate distinct phonological processing and decoding profiles in children with SSD only, SSD with DD (SSD+DD), and DD.
- To understand the impact of comorbid SSD and DD on literacy-related skills.
Main Methods:
- Forty-seven Korean children were assessed using standardized measures.
- Evaluated phonological awareness, phonological memory, rapid automatized naming, and decoding abilities.
- Included real and nonword decoding, and consistent/inconsistent phoneme-grapheme correspondence tasks.
Main Results:
- The SSD+DD group exhibited significantly lower performance across phonological awareness, memory, and retrieval compared to other groups.
- SSD+DD demonstrated reduced decoding accuracy and lacked a real-word advantage.
- All groups performed better on consistent phoneme-grapheme items, but SSD+DD remained significantly weaker.
Conclusions:
- Comorbid SSD+DD is linked to widespread phonological deficits and severe decoding impairments.
- These deficits distinguish SSD+DD from SSD alone or DD alone.
- Findings emphasize the interconnectedness of phonological and decoding skills, advocating for integrated assessments.
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