San Diego State University, CA.
Harvard University, Cambridge, MA.
J Speech Lang Hear Res. 2019 May 21;62(5):1452-1467. doi: 10.1044/2019_JSLHR-L-18-0305.
Purpose Developmental language disorder (DLD), defined by low language performance despite otherwise normal development, can negatively impact children's social and academic outcomes. This study is the 1st to examine DLD in Vietnamese. To lay the foundation, we identified cases of DLD in Vietnam and explored language-specific characteristics of the disorder. Method Teacher ratings of 1,250 kindergarteners living in Hanoi, Vietnam, were used to recruit children with and without risk for DLD. One hundred four children completed direct measures of vocabulary and language sampling, and their parents completed in-depth surveys. We examined convergence and divergence across tasks to identify measures that could serve as reliable indicators of risk. Then, we compared performance on direct language measures across ability levels. Results There were positive associations between teacher and parent report and between report and direct language measures. Three groups were identified based on convergence across measures: DLD, some risk for DLD, and no risk. The DLD group performed lowest on measures of receptive and expressive vocabulary, mean length of utterance, and grammaticality. Although children with DLD exhibited a greater number of errors, the types of errors found were similar across DLD and No Risk groups. Conclusions Similar to rates found globally, 7% of the kindergarten population in Vietnam exhibited risk for DLD. Results highlight the importance of parent and teacher report and the value of multiple measures to identify DLD. We discuss potential clinical markers for DLD in the Vietnamese language and outline future directions.
目的
尽管发育正常,但语言表现较低的发育性语言障碍 (DLD) 会对儿童的社交和学业成绩产生负面影响。本研究首次在越南研究 DLD。为了奠定基础,我们在越南确定了 DLD 病例,并探讨了该障碍的语言特异性特征。
方法
我们使用居住在越南河内的 1250 名幼儿园儿童的教师评定来招募有和无 DLD 风险的儿童。104 名儿童完成了词汇和语言抽样的直接测量,他们的父母完成了深入的调查。我们检查了任务之间的收敛和发散,以确定可作为风险可靠指标的测量方法。然后,我们比较了不同能力水平的直接语言测量的表现。
结果
教师和家长报告之间以及报告与直接语言测量之间存在正相关。根据测量方法的收敛性,确定了三个组:DLD、有一些 DLD 风险和无风险。DLD 组在接受性和表达性词汇、平均话语长度和语法方面的表现最低。尽管 DLD 儿童表现出更多的错误,但在 DLD 和无风险组中发现的错误类型相似。
结论
与全球发现的比率相似,越南幼儿园人口中有 7%有 DLD 风险。结果强调了家长和教师报告以及使用多种方法识别 DLD 的重要性。我们讨论了越南语中 DLD 的潜在临床标志物,并概述了未来的方向。