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Although language delays are common in children with sex chromosome trisomies [SCT], no studies have analysed their prosodic abilities. Considering the importance of prosody in communication, this exploratory study aims to analyse the prosodic features of the narratives of 4-year-old children with SCT. Participants included 22 children with SCT and 22 typically developing [TD] children. The Narrative Competence Task was administered to elicit the child's narrative. Each utterance was prosodically analysed considering pitch and timing variables. Considering pitch, the only difference was the number of movements since the utterances of children with SCT were characterised by a lower speech modulation. However, considering the timing variables, children with SCT produced a faster speech rate and a shorter final syllable duration than TD children. Since both speech modulation and duration measures have important syntactic and pragmatic functions, further investigations should deeply analyse the prosodic skills of children with SCT in interaction with syntax and pragmatics.

Purpose: Describing language development in children with sex chromosome trisomies (SCT) and testing the predictive value of early language measures on later outcomes. Method: Thirteen children with SCT were followed longitudinally. Their developmental profile was assessed, with particular attention to language, at 2 and 4 years. The predictive value of direct (spontaneous speech analysis) and indirect (communicative development inventory) language measures at 2 on performances at 4 was tested. Results: Language performances at both ages were lower than non-verbal development. At 2, more than 50% of the group produced less than 50 words. At 4, impaired performances were observed in speech sound development and expressive morpho-syntax. Direct measures of Pre-syntactic development predicted later global language outcomes and Sentence Repetition. The number of consonants used at 2 was significantly related to Nonword Repetition at 4. Conclusions: The study highlights the importance of early detection and careful follow-up for children with SCT.