Sound discrimination and explicit mapping of sounds to meanings in preschoolers with and without developmental language disorder.
Carolyn Quam, Holly Cardinal, Celeste Gallegos and 1 others
PMID 32619107WHAT IT FOUND
Preschoolers with developmental language disorder were worse than typical peers at matching pitch sounds to objects and at telling sounds apart.
They were not worse for duration sounds. Discrimination and mapping were linked for pitch, but not firmly.
Key findings
01Children with developmental language disorder were less accurate than typical peers at mapping pitch-differentiated sounds to objects, but not duration-differentiated sounds.
02Children with typical language development were better at discriminating sounds than children with developmental language disorder.
03Better sound discrimination was associated with better sound-meaning mapping overall and for pitch sounds, but not duration sounds.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study used laboratory tasks with synthetic vowels and toy objects, not real words or everyday communication. The sample was 52 children, and the authors' power analysis indicated the overall association between discrimination and mapping needed 58 children for 80% power. The groups were not balanced for maternal education; mothers of children with typical language development averaged 1.6 years more education than mothers of children with developmental language disorder. The groups also differed on vocabulary and non-verbal IQ measures, not only expressive language. Speech articulation testing was done only when concerns were reported, so speech-production differences could not be fully examined. Intervention history was not collected in detail; the 4 children from an intensive language preschool had higher means, but this cannot be treated as evidence of intervention effects. Two children from the typical language group were excluded for language concerns and two because software failed, so recruitment and data loss may affect the sample. The implicit mapping task was not reported, so the full learning picture is incomplete. Duration findings may be limited by the lack of natural speech context.
Declared interests
The authors declared no financial or non-financial conflicts of interest.
The easy way to misread this
Do not conclude that poor pitch discrimination causes developmental language disorder or that pitch-based training will improve language. This study did not test treatment, and the association between discrimination and mapping was not firm.