Department of Psychology, University of Turin, Italy.
Pesaro Urbino Local Health Authority (AST Pesaro-Urbino), Italy.
J Speech Lang Hear Res. 2024 Aug 5;67(8):2620-2637. doi: 10.1044/2024_JSLHR-23-00368. Epub 2024 Jul 26.
This study examined the language and nonverbal inhibitory control skills of Italian monolingual and bilingual typically developing (TD) preschoolers with Italian as their second language and of age-matched monolingual and bilingual peers with developmental language disorder (DLD).
Four groups of preschoolers were enrolled: 30 TD Italian monolinguals, 24 TD bilinguals, 19 Italian monolinguals with DLD, and 19 bilinguals with DLD. All children were assessed in Italian on vocabulary, receptive morphosyntax, and morphological markers for DLD in the Italian language (i.e., third-person verb inflections, definite articles, third-person direct-object clitic pronouns, simple prepositions) and nonverbal inhibitory control skills. Group performance was compared using a series of one-way analyses of variance.
Monolingual and bilingual children with DLD achieved significantly lower performance in all language measures compared to both TD monolingual and bilingual children. However, TD bilinguals, although comprehensively showing better language skills than monolinguals with DLD, achieved a performance closer to that of monolinguals with DLD but significantly higher than that of bilinguals with DLD. Both TD monolinguals and bilinguals showed better results than both DLD groups in inhibitory control tasks, particularly in the interference suppression task.
This study provides a picture of language and inhibitory control characteristics of children with various language profiles and adds to the literature on potential markers of DLD among bilingual children. These results suggest that the assessment of nonlinguistic markers, which are associated with language impairment, could be a useful approach to better specify the diagnosis of DLD and reduce cases of misdiagnosis in the context of bilingualism.
本研究考察了意大利语单语和双语(第二语言为意大利语)的典型发展(TD)学龄前儿童以及具有语言发育障碍(DLD)的年龄匹配的单语和双语儿童的语言和非言语抑制控制技能。
共纳入四组学龄前儿童:30 名 TD 意大利语单语者、24 名 TD 双语者、19 名具有 DLD 的意大利语单语者和 19 名具有 DLD 的双语者。所有儿童均用意大利语接受词汇、接受性形态句法以及意大利语 DLD 形态标记(即第三人称动词屈折、定冠词、第三人称直接宾语代词、简单介词)和非言语抑制控制技能的评估。使用一系列单因素方差分析比较组间表现。
与 TD 单语和双语儿童相比,具有 DLD 的单语和双语儿童在所有语言测试中的表现均显著较低。然而,TD 双语者尽管在语言技能方面全面优于具有 DLD 的单语者,但表现更接近具有 DLD 的单语者,但显著优于具有 DLD 的双语者。在抑制控制任务中,TD 单语者和双语者的表现均优于两个 DLD 组,特别是在干扰抑制任务中。
本研究提供了具有不同语言特征的儿童的语言和抑制控制特征的图像,并为双语儿童中 DLD 的潜在标志物增加了文献。这些结果表明,评估与语言障碍相关的非语言标志物可能是一种有用的方法,可以更好地确定 DLD 的诊断并减少双语环境下的误诊病例。