Which linguistic measures distinguish transient from persistent language problems in Late Talkers from 2 to 4 years? A study on Italian speaking children
Abstract
Background In spite of the large literature on Late Talkers (LTs) it's still unclear which factors predict outcome in children younger than 3 years old.Aims To identify the early language characteristics of LTs whose outcome was either a transient delay or a Developmental Language Disorder (DLD).Methods and procedures 50 LTs were assessed both by indirect and direct measures of expressive and receptive language at three time points between 2 and 4 years of age.Outcomes and results At the first evaluation, all LTs had an expressive language delay; 61% also had delayed early syntactic comprehension. Three different linguistic outcomes emerged: children who caught up with their peers ("Late Bloomers") at age 3; children with slow language recovery ("Slow Learners") at age 4 and children at risk of DLD. The linguistic measures that differentiated the groups changed with age. By 28 months, impaired syntactic comprehension differentiated children at risk of DLD at 4 years of age, from the other two groups. By 36 months, the discrepancy between vocabulary size and age was larger in children with persistent language difficulties compared to both "Late Bloomers" and "Slow Learners". Expressive grammar differentiated the groups significantly by age 3 with difficulties in this domain still persisting in children with DLD at age 4.Conclusions An early syntactic comprehension delay was a predictive index of DLD in LTs, suggesting the importance of evaluating this language component when assessing LT toddlers.Implications LTs with receptive-expressive language delay around 24-30 months could benefit from an early language intervention.
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A third group, "Children with DLD," had impaired syntactic comprehension and severe expressive delay at 28 months, difficulties in expressive grammar at 36 months, and was diagnosed as DLD at 48 months.
“A third group (i.e., “Children with DLD”) had impaired syntactic comprehension and severe expressive delay at 28 months and difficulties in expressive grammar at 36 months and was diagnosed as DLD at 48 months.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [88]
A second group, "Slow Learners," had mild expressive delay at 28 months that persisted up to 36 months and showed slow language recovery within 48 months.
“A second group (i.e., “Slow Learners”) had mild expressive delay at 28 months that persisted up to 36 months and showed a slow language recovery within 48 months.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [88]
An early syntactic comprehension delay may predict a future diagnosis of DLD in late talkers, and measures of grammar comprehension should be included in late talkers.
“These findings suggest that an early syntactic comprehension delay may predict a future diagnosis of DLD in late talkers and confirm the need to include measures of grammar comprehension in late talkers.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [88]
A first group of children, "Late Bloomers," was characterized by a mild expressive delay at 28 months and caught up with their peers at 36 months.
“A first group of children (i.e., “Late Bloomers”) was characterized by a mild expressive delay at 28 months and caught up with their peers at 36 months.”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [88]
Some investigations on predictors of persistent language delay were general population studies, while others referred to late talkers or children at risk of language delay.
“Additionally, some of the investigations on the predictors of persistent language delay were general population studies (e.g., [75]), while others referred to late talkers (e.g., [72,86,88]) or children at risk of language delay (e.g., [79,80,81]).”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [88]
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- Authors
- Chilosi, A. M., Pfanner, L., Pecini, C., Salvadorini, R., Casalini, C., Brizzolara, D., & Cipriani, P.
- Affiliations
- University of Florence (IT)
- Corresponding author
- Chilosi, A.M.
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 89
- Pages
- 59-68
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W2926460920
- Cited by
- 49
- References
- 66
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 9 · 2023: 7 · 2022: 4 · 2021: 9 · 2020: 4 · 2019: 1
- FWCI
- 8.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Funders
- Current Research of the Italian Ministry of Health
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- late talkers, specific language impairment, expressive language delay, receptive language, syntactic comprehension, vocabulary size, language outcome prediction, toddlers, early language intervention, Italian-speaking children
- MeSH terms
- Child, Preschool, Female, Humans, Language Development, Language Development Disorders, Language Tests, Linguistics, Male, Predictive Value of Tests, Prognosis, Speech, Verbal Behavior, Comprehension
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