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Does Phonological Complexity Provide a Good Index of Language Disorder in Children with Cochlear Implants?

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Title: Does Phonological Complexity Provide a Good Index of Language Disorder in Children with Cochlear Implants?
Language: English
Authors: David, Céline, Tuller, Laurice, Schweitzer, Elisabeth, Lescanne, Emmanuel, Bonnet-Brilhault, Frédérique, Gomot, Marie, Ferré, Sandrine (ORCID 0000-0002-4925-0006)
Source: Journal of Speech, Language, and Hearing Research. Nov 2021 64(11):4271-4286.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 16
Publication Date: 2021
Document Type: Journal Articles
Reports - Research
Descriptors: Deafness, Hearing Impairments, Language Impairments, Children, Assistive Technology, Phonological Awareness, Developmental Delays, Disability Identification, Foreign Countries, Language Processing, Phonology, Correlation, Syntax, Morphology (Languages), Expressive Language, Receptive Language
Geographic Terms: France, France (Paris)
DOI: 10.1044/2021_JSLHR-20-00642
ISSN: 1092-4388
Abstract: Purpose: Phonological complexity is known to be a good index of developmental language disorder (DLD) in normal-hearing children, who have major difficulties on some complex structures. Some deaf children with cochlear implants (CIs) present a profile that evokes DLD, with persistent linguistic difficulties despite good audiological and environmental conditions. However, teasing apart what is related to auditory deficit or to language disorder remains complex. Method: We compared the performance of three groups of school-age children, 33 children with CI, 22 with DLD, and 24 with typical development, on a nonword repetition (NWR) task based on phonological complexity. Children with CI were studied regarding their linguistic profile, categorized in four subgroups ranging from excellent to very poor performance. Influence of syllable length and phonological structures on the results of all the children were explored. Results: The NWR task correctly distinguished children with DLD from typically developing children, and also children with CI with the poorest linguistic performance from other children with CI. However, most complex phonological structures did not reliably identify children with CI displaying a profile similar to that of children with DLD because these structures were difficult for all of the children with CI. The simplest phonological structures were better at detecting persistent language difficulties in children with CI, as they were challenging only for the children with the poorest language outcomes. Conclusions: The most complex phonological structures are not good indices of language disorder in children with CI. Phonological complexity represents a gradient of difficulty that affects normal-hearing and deaf children differently.
Abstractor: As Provided
Entry Date: 2022
Accession Number: EJ1320694
Database: ERIC
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  Data: Does Phonological Complexity Provide a Good Index of Language Disorder in Children with Cochlear Implants?
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  Data: <searchLink fieldCode="AR" term="%22David%2C+Céline%22">David, Céline</searchLink><br /><searchLink fieldCode="AR" term="%22Tuller%2C+Laurice%22">Tuller, Laurice</searchLink><br /><searchLink fieldCode="AR" term="%22Schweitzer%2C+Elisabeth%22">Schweitzer, Elisabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Lescanne%2C+Emmanuel%22">Lescanne, Emmanuel</searchLink><br /><searchLink fieldCode="AR" term="%22Bonnet-Brilhault%2C+Frédérique%22">Bonnet-Brilhault, Frédérique</searchLink><br /><searchLink fieldCode="AR" term="%22Gomot%2C+Marie%22">Gomot, Marie</searchLink><br /><searchLink fieldCode="AR" term="%22Ferré%2C+Sandrine%22">Ferré, Sandrine</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-4925-0006">0000-0002-4925-0006</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Nov 2021 64(11):4271-4286.
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
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  Data: 16
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  Data: <searchLink fieldCode="DE" term="%22Deafness%22">Deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+Impairments%22">Hearing Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Impairments%22">Language Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+Technology%22">Assistive Technology</searchLink><br /><searchLink fieldCode="DE" term="%22Phonological+Awareness%22">Phonological Awareness</searchLink><br /><searchLink fieldCode="DE" term="%22Developmental+Delays%22">Developmental Delays</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+Identification%22">Disability Identification</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Processing%22">Language Processing</searchLink><br /><searchLink fieldCode="DE" term="%22Phonology%22">Phonology</searchLink><br /><searchLink fieldCode="DE" term="%22Correlation%22">Correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Syntax%22">Syntax</searchLink><br /><searchLink fieldCode="DE" term="%22Morphology+%28Languages%29%22">Morphology (Languages)</searchLink><br /><searchLink fieldCode="DE" term="%22Expressive+Language%22">Expressive Language</searchLink><br /><searchLink fieldCode="DE" term="%22Receptive+Language%22">Receptive Language</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22France%22">France</searchLink><br /><searchLink fieldCode="DE" term="%22France+%28Paris%29%22">France (Paris)</searchLink>
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  Data: 10.1044/2021_JSLHR-20-00642
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  Data: 1092-4388
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  Data: Purpose: Phonological complexity is known to be a good index of developmental language disorder (DLD) in normal-hearing children, who have major difficulties on some complex structures. Some deaf children with cochlear implants (CIs) present a profile that evokes DLD, with persistent linguistic difficulties despite good audiological and environmental conditions. However, teasing apart what is related to auditory deficit or to language disorder remains complex. Method: We compared the performance of three groups of school-age children, 33 children with CI, 22 with DLD, and 24 with typical development, on a nonword repetition (NWR) task based on phonological complexity. Children with CI were studied regarding their linguistic profile, categorized in four subgroups ranging from excellent to very poor performance. Influence of syllable length and phonological structures on the results of all the children were explored. Results: The NWR task correctly distinguished children with DLD from typically developing children, and also children with CI with the poorest linguistic performance from other children with CI. However, most complex phonological structures did not reliably identify children with CI displaying a profile similar to that of children with DLD because these structures were difficult for all of the children with CI. The simplest phonological structures were better at detecting persistent language difficulties in children with CI, as they were challenging only for the children with the poorest language outcomes. Conclusions: The most complex phonological structures are not good indices of language disorder in children with CI. Phonological complexity represents a gradient of difficulty that affects normal-hearing and deaf children differently.
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      – SubjectFull: Hearing Impairments
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