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Consonant Error Profiles and Short-Term Memory Deficits in Chinese School-Age Children with Speech Sound Disorders
Qi Xu1, Nan Peng1,2, Xihan Li3
1Department of Child Health Care, Capital Center for Children's Health, Capital Medical University, Capital Institute of Pediatrics, Beijing 100020, China.
Behavioral Sciences (Basel, Switzerland)
|May 4, 2026
Summary
School-age children with speech sound disorder (SSD) exhibit specific consonant errors and poorer short-term memory (STM). Backward digit span uniquely predicts consonant accuracy, suggesting combined speech and cognitive interventions for SSD.
Area of Science:
- Linguistics and Psychology
- Child Development and Communication Disorders
Background:
- Speech sound disorder (SSD) is prevalent in children, potentially impacting language, literacy, and social skills.
- Characterizing consonant errors and short-term memory (STM) in school-age children with SSD, especially non-English speakers, is crucial but underexplored.
- The link between STM and SSD severity in school-aged children requires further investigation.
Purpose of the Study:
- To profile consonant errors and assess STM in Mandarin-speaking school-age children with SSD.
- To investigate the relationship between STM and SSD severity.
- To identify potential STM predictors of SSD severity for targeted intervention development.
Main Methods:
- Recruited 142 Mandarin-speaking school-age children with SSD and 70 typically developing controls for STM analysis.
- Assessed speech via a word-level picture-naming task to analyze consonant accuracy and error patterns.
- Measured STM using the WISC-IV Digit Span (forward and backward).
Main Results:
- Consonant errors, primarily substitutions, were observed across phonemes, often co-occurring.
- Children with SSD demonstrated significantly impaired STM compared to controls.
- Backward digit span positively correlated with consonant accuracy and independently predicted it.
Conclusions:
- Consonant error patterns in school-age Chinese children with SSD are identifiable and linked to STM deficits.
- Poorer STM, particularly backward digit span, is associated with reduced consonant accuracy in children with SSD.
- Interventions integrating speech therapy with cognitive training may improve outcomes for children with SSD.

