Human Communication, Development and Hearing (HCDH), School of Health Sciences, The University of Manchester and Manchester Academic Health Science Centre, Ellen Wilkinson Building, Oxford Road, Manchester, M13 9PL, UK.
University of Strathclyde, Glasgow, UK.
Eur Child Adolesc Psychiatry. 2019 Jul;28(7):993-1004. doi: 10.1007/s00787-018-1261-6. Epub 2018 Dec 5.
Children and adolescents with developmental language disorder (DLD) are, overall, vulnerable to difficulties in emotional adjustment and in peer relations. However, previous research has shown that different subgroups follow different trajectories in respect to the quality of peer relations. Less is known about the trajectories of emotional development. We consider here the possibility that development in these two domains is interrelated: that is, the trajectories of emotional and peer problems will proceed in parallel. We conducted longitudinal joint trajectories analyses of emotional and peer relations in a sample of young people identified as having DLD at the age of 7 years and seen at intervals up to 16 years. Potential influences on joint trajectory group membership were examined. Findings revealed five distinct joint trajectories. Emotional and peer difficulties do occur together from childhood to adolescence for just over half of the sample, but not all. The variables most clearly associated with group membership were pragmatic language ability, prosociality and parental mental health. This is the first study to examine joint longitudinal trajectories of emotional and peer difficulties in individuals with DLD. We demonstrate that development in individuals with DLD is heterogeneous and identify three key variables associated with personal and social adjustment from childhood to adolescence. Theoretical and clinical implications of these findings are discussed.
患有发育性语言障碍 (DLD) 的儿童和青少年总体上容易出现情绪调节和同伴关系方面的困难。然而,先前的研究表明,不同的亚组在同伴关系质量方面遵循不同的轨迹。关于情绪发展的轨迹知之甚少。我们在这里考虑这两种领域的发展是否相互关联的可能性:即情绪和同伴问题的轨迹将并行发展。我们对在 7 岁时被确定为患有 DLD 的年轻人样本中进行了情绪和同伴关系的纵向联合轨迹分析,并在 16 岁之前进行了随访。检查了对联合轨迹组归属的潜在影响。研究结果揭示了五个不同的联合轨迹。对于超过一半的样本来说,从儿童期到青春期,情绪和同伴困难确实会同时发生,但并非所有人都是如此。与群体成员身份最密切相关的变量是语用语言能力、亲社会行为和父母的心理健康。这是第一项研究个体 DLD 中情绪和同伴困难的联合纵向轨迹。我们证明了 DLD 个体的发展是异质的,并确定了与从儿童期到青春期的个人和社会适应相关的三个关键变量。讨论了这些发现的理论和临床意义。