SLPOtherJournal of speech, language, and hearing research : JSLHR2019

Attention in Bilingual Children With Developmental Language Disorder.

Kerry Danahy Ebert, Diane Rak, Caitlyn M Slawny and 1 others

PMID 30969901

WHAT IT FOUND

Spanish-English bilingual children did not outperform monolingual peers on nonlinguistic visual attention tasks.

Children with DLD had poorer sustained attention and poorer attentional control, whether they spoke one or two languages.

Key findings

01Bilingualism did not predict attentional control or sustained attention in the final models.

02Children with DLD showed poorer attentional control, indicated by larger flanker effects.

03Children with DLD showed poorer sustained attention, indicated by lower first-half d' scores.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study was cross-sectional, so it cannot show that DLD causes attention problems or that bilingualism changes attention over time. The groups differed in nonverbal intelligence and maternal education, and the authors note that these differences may not have been fully captured in the models. Bilingualism was defined mainly from current language environment, and other factors, such as age of English exposure, may have confounded the comparison. Language grouping was difficult because the English test was normed for monolingual children and not for bilingual children, and the authors note that equating language ability across groups may be impossible. The sample was limited to children aged 6 to 8 years 11 months in the Chicago area, with no ADHD, sensory loss, brain injury, or other neurodevelopmental conditions, so findings may not apply to children with those histories. The final analysis included 109 children, and the DLD effects explained only 6.5 percent of variance for attentional control and 7.3 percent of variance for sustained attention. The study used one outcome score for each attention task, and the authors note that this may limit task reliability.

Declared interests

The funding statement reports National Institutes of Health Grant R03 DC013760 awarded to K. Ebert. The supplied text does not report a commercial sponsor or author conflicts of interest.

The easy way to misread this

Do not conclude that bilingualism worsens attention or that these attention scores can diagnose DLD in one child. The study found no significant effect of bilingualism, no interaction between bilingualism and DLD, and only modest group-level differences for DLD. It was cross-sectional, so it cannot establish cause.

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