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Language Outcomes at 7 Years: Early Predictors and Co-Occurring Difficulties.

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Title: Language Outcomes at 7 Years: Early Predictors and Co-Occurring Difficulties.
Authors: McKean, Cristina, Reilly, Sheena, Bavin, Edith L., Bretherton, Lesley, Cini, Eileen, Conway, Laura, Cook, Fallon, Eadie, Patricia, Prior, Margot, Wake, Melissa, Mensah, Fiona
Source: Pediatrics. Mar2017, Vol. 139 Issue 3, p1-10. 10p.
Subjects: Confidence intervals, Factor analysis, Language acquisition, Language disorders, Longitudinal method, Psychology of mothers, Probability theory, Questionnaires, Regression analysis, Research funding, Comorbidity, Data analysis software, Descriptive statistics, Odds ratio, Children, Psychology
Geographic Terms: Australia
Abstract: OBJECTIVE: To examine at 7 years the language abilities of children, the salience of early life factors and language scores as predictors of language outcome, and co-occurring difficulties METHODS: A longitudinal cohort study of 1910 infants recruited at age 8 to 10 months. Exposures included early life factors (sex, prematurity, birth weight/order, twin birth, socioeconomic status, non-English speaking background,family history of speech/ language difficulties); maternal factors (mental health, vocabulary, education, and age); and child language ability at 2 and 4 years. Outcomes were 7-year standardized receptive or expressive language scores (low language: ≥1.25 SD below the mean), and co-occurring difficulties (autism, literacy, social, emotional, and behavioral adjustment, and health-related quality of life). RESULTS: Almost 19% of children (22/1204;18.9%) met criteria for low language at 7 years. Early life factors explained 9-13% of variation in language scores, increasing to 39-58% when child language scores at ages 2 and 4 were included. Early life factors moderately discriminated between children with and without low language (area under the curve: 0.68-0.72), strengthening to good discrimination with language scores at ages 2 and 4 (area under the curve: 0.85-0.94). Low language at age 7 was associated with concurrent difficulties in literacy, social-emotional and behavioral difficulties, and limitations in school and psychosocial functioning. CONCLUSIONS: Child language ability at 4 years more accurately predicted low language at 7 than a range of early child, family, and environmental factors. Low language at 7 years was associated with a higher prevalence of co-occurring difficulties. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Language Outcomes at 7 Years: Early Predictors and Co-Occurring Difficulties.
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  Data: <searchLink fieldCode="AR" term="%22McKean%2C+Cristina%22">McKean, Cristina</searchLink><br /><searchLink fieldCode="AR" term="%22Reilly%2C+Sheena%22">Reilly, Sheena</searchLink><br /><searchLink fieldCode="AR" term="%22Bavin%2C+Edith+L%2E%22">Bavin, Edith L.</searchLink><br /><searchLink fieldCode="AR" term="%22Bretherton%2C+Lesley%22">Bretherton, Lesley</searchLink><br /><searchLink fieldCode="AR" term="%22Cini%2C+Eileen%22">Cini, Eileen</searchLink><br /><searchLink fieldCode="AR" term="%22Conway%2C+Laura%22">Conway, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Cook%2C+Fallon%22">Cook, Fallon</searchLink><br /><searchLink fieldCode="AR" term="%22Eadie%2C+Patricia%22">Eadie, Patricia</searchLink><br /><searchLink fieldCode="AR" term="%22Prior%2C+Margot%22">Prior, Margot</searchLink><br /><searchLink fieldCode="AR" term="%22Wake%2C+Melissa%22">Wake, Melissa</searchLink><br /><searchLink fieldCode="AR" term="%22Mensah%2C+Fiona%22">Mensah, Fiona</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Mar2017, Vol. 139 Issue 3, p1-10. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Language+acquisition%22">Language acquisition</searchLink><br /><searchLink fieldCode="DE" term="%22Language+disorders%22">Language disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+mothers%22">Psychology of mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
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  Data: OBJECTIVE: To examine at 7 years the language abilities of children, the salience of early life factors and language scores as predictors of language outcome, and co-occurring difficulties METHODS: A longitudinal cohort study of 1910 infants recruited at age 8 to 10 months. Exposures included early life factors (sex, prematurity, birth weight/order, twin birth, socioeconomic status, non-English speaking background,family history of speech/ language difficulties); maternal factors (mental health, vocabulary, education, and age); and child language ability at 2 and 4 years. Outcomes were 7-year standardized receptive or expressive language scores (low language: ≥1.25 SD below the mean), and co-occurring difficulties (autism, literacy, social, emotional, and behavioral adjustment, and health-related quality of life). RESULTS: Almost 19% of children (22/1204;18.9%) met criteria for low language at 7 years. Early life factors explained 9-13% of variation in language scores, increasing to 39-58% when child language scores at ages 2 and 4 were included. Early life factors moderately discriminated between children with and without low language (area under the curve: 0.68-0.72), strengthening to good discrimination with language scores at ages 2 and 4 (area under the curve: 0.85-0.94). Low language at age 7 was associated with concurrent difficulties in literacy, social-emotional and behavioral difficulties, and limitations in school and psychosocial functioning. CONCLUSIONS: Child language ability at 4 years more accurately predicted low language at 7 than a range of early child, family, and environmental factors. Low language at 7 years was associated with a higher prevalence of co-occurring difficulties. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1542/peds.2016-1684
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        Text: English
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Factor analysis
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      – SubjectFull: Language acquisition
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      – TitleFull: Language Outcomes at 7 Years: Early Predictors and Co-Occurring Difficulties.
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