Sources of variability in the prospective relation of language to social, emotional, and behavior problem symptoms: Implications for developmental language disorder.
Sources of variability in the prospective relation of language to social, emotional, and behavior problem symptoms: Implications for developmental language disorder.
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DOI：
10.1037/abn0000691
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发表时间：
2021-08
影响因子：
4.6
通讯作者：
SCALES Team
中科院分区：
文献类型：
--
作者：
Goh SKY;Griffiths S;Norbury CF;SCALES Team
发育性语言障碍（DLD）儿童在整个发育过程中存在社会，情绪和行为（SEB）适应不良的风险，尽管目前尚不清楚语言能力差本身是否可以解释这种风险，因为语言和SEB之间的关联在典型语言儿童中表现出更多的变化。这项研究调查了语言水平非常低时语言与SEB问题之间的关系是否更强，并考虑了包括社会经济地位、性别和非语言智力在内的混杂因素。使用基于人群的调查设计对这些进行了检查，包括具有广泛语言和认知特征的儿童，并使用优势和困难问卷和六项标准化语言测量（n = 363，加权n = 6，451）进行评估。结构方程模型调整前水平的SEB显示，语言在5-6岁的SEB在7-9岁的关系是非线性的。相对于典型语言水平，语言在无序语言水平上更能预测SEB的所有集群，行为的标准化betas为-0.25 vs. 03，同伴的标准化betas为-0.31 vs. 04，亲社会问题的标准化betas为0.27 vs.03。这两对β之间的Wald检验产生的p值为0.049至0.014。性别调节语言和情绪症状之间的非线性关联。这些研究结果表明，临床需要支持语言发展，以减轻SEB的问题，并仔细监测DLD儿童的心理健康需求，特别是在多种可能的性别特异性风险的背景下。语言有明显缺陷的儿童在以后的生活中有更高的行为和情绪障碍率。然而，对发育正常的儿童的研究并不总是发现语言和情绪行为障碍症状之间的联系。这项研究支持不平等风险的概念，即语言水平非常低的儿童的风险被放大。
Children with developmental language disorder (DLD) are at risk for social, emotional, and behavioral (SEB) maladjustment throughout development, though it is unclear if poor language proficiency per se can account for this risk as associations between language and SEB appear more variable among typical-language children. This study investigated whether the relationship between language and SEB problems is stronger at very low levels of language and considered confounders including socioeconomic status, sex, and nonverbal intelligence. These were examined using a population-based survey design, including children with a wide range of language and cognitive profiles, and assessed using the Strengths and Difficulties Questionnaire and six standardized language measures (n = 363, weighted n = 6,451). Structural equation models adjusted for prior levels of SEB revealed that the relationship of language at age 5–6 years to SEB at 7–9 years was nonlinear. Language more strongly predicted all clusters of SEB at disordered language levels relative to typical language levels, with standardized betas of −.25 versus .03 for behavioral, −.31 versus −.04 for peer, and .27 versus .03 for prosocial problems. Wald tests between these pairs of betas yielded p values from .049 to .014. Sex moderated the nonlinear association between language and emotional symptoms. These findings indicate a clinical need to support language development in order to mitigate against problems of SEB and to carefully monitor the mental health needs of children with DLD, particularly in the context of multiple, and potentially sex-specific, risks. Children with a marked deficit in language have higher rates of behavioral and emotional disorders in later life. However, studies among typically developing children do not always find a link between language and symptoms of emotional behavioral disorders. This study supports the notion of unequal risk, where the risk is amplified for children with very low levels of language.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
7.6
作者：
Bishop, Dorothy V. M.;Snowling, Margaret J.;Whitehouse, Andrew
通讯作者：
Whitehouse, Andrew
影响因子：
4.6
作者：
Gooch, Debbie;Sears, Claire;Norbury, Courtenay F.
通讯作者：
Norbury, Courtenay F.
影响因子：
2
作者：
Adachi, Paul;Willoughby, Teena
通讯作者：
Willoughby, Teena
DOI：
10.1177/2167702613497473
发表时间：
2014-03
期刊：
Clinical psychological science : a journal of the Association for Psychological Science
影响因子：
--
作者：
Caspi A;Houts RM;Belsky DW;Goldman-Mellor SJ;Harrington H;Israel S;Meier MH;Ramrakha S;Shalev I;Poulton R;Moffitt TE
通讯作者：
Moffitt TE