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Trajectories of language delay from age 3 to 5: persistence, recovery and late onset.
- Source :
- International Journal of Language & Communication Disorders; May2014, Vol. 49 Issue 3, p304-316, 13p, 8 Charts, 1 Graph
- Publication Year :
- 2014
-
Abstract
- Background Knowledge is scarce on what contributes to whether children with early language delay (LD) show persistent, recovering or sometimes late-onset LD without a prior history of early LD in subsequent preschool years. Aims To explore whether an integrative model of vital risk factors, including poor early communication skills, family history of language-related difficulties and male gender, predicts the development of persistent, recovering or late-onset LD trajectories from 3 to 5 years quantitatively and qualitatively differently. Methods & Procedures LD was assessed by maternal reports on the Ages and Stages Questionnaire at 3 and 5 years for 10 587 children in The Norwegian Mother and Child Cohort Study. Children were classified across time as having no, late onset, transient or persistent LD. Multinomial logistic regression analyses included the integrative model of vital risk factors and covariates. Outcome & Results Across time, 3%, 5% and 6.5% of the children displayed persistent, transient and late-onset LD, respectively. The odds for persistent LD were doubled for boys and children with low language comprehension at 1.5 years; and tripled by late-talking familial risk. These same odds decreased for transient LD, and even further for late-onset LD. Familial risk for writing and reading difficulties especially increased the odds for late-onset and persistent LD, while familial risk of unintelligible speech increased the odds for transient LD. Although girls had on average far better language comprehension than boys, low language comprehension was a stronger risk factor for persistent LD in girls. Conclusions & Implications Preschool LD trajectories were uniquely predicted from the integrative risk model of poor early communicative skills, family history and male gender. This might benefit identification of different LD trajectories by supporting broader severe vulnerability for persistent LD, milder vulnerability for transient LD, and possibly a specific risk for reading and learning difficulties for children with late-onset LD. [ABSTRACT FROM AUTHOR]
- Subjects :
- PRESCHOOL children
LANGUAGE disorders
APGAR score
COMMUNICATIVE competence
CONFIDENCE intervals
EPIDEMIOLOGY
LANGUAGE acquisition
QUESTIONNAIRES
RESEARCH funding
SEX distribution
LOGISTIC regression analysis
DATA analysis
FAMILY history (Medicine)
DATA analysis software
DESCRIPTIVE statistics
CHILDREN
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 13682822
- Volume :
- 49
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Language & Communication Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 95788293
- Full Text :
- https://doi.org/10.1111/1460-6984.12073