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Nonword Repetition and Child Language Impairment
Abstract
A brief, processing-dependent, nonword repetition task, designed to minimize biases associated with traditional language tests, was investigated. In Study 1, no overlap in nonword repetition performance was found between a group of 20 school-age children enrolled in language intervention (LI) and a group of 20 age-matched peers developing language normally (LN). In Study 2, a comparison of likelihood ratios for the nonword repetition task and for a traditional language test revealed that nonword repetition distinguished between children independently identified as LI and LN with a high degree of accuracy, by contrast with the traditional language test. Nonword repetition may have considerable clinical utility as a screening measure for language impairment in children. Information on the likelihood ratios associated with all diagnostic tests of language is badly needed.
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“as for non-word repetition, the results were not sufficiently consistent across different studies, so it cannot be considered as an accurate diagnostic tool if used individually”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [158]
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“The Nonword Repetition Task (NWR , Dollaghan & Campbell, 1998) Children repeated 16 nonwords, four each being one, two, three, or four syllables in length.”
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“A short-term memory assessment for Maya might include a nonword repetition task; her accuracy in repeating nonwords of increasing complexity could be compared with age-level normative information.(11,12) In the speech domain, long-term memory involves storage and retrieval of phonological representations that are nece…”
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Rouhizadeh, M. (2015) · doi:10.6083/m4h70ds5 · Cited by 3
“The Nonword Repetition Task (NRT) was administered and scored based on Dollaghan and Campbell (1998).”
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“[4] Chris Dollaghan and Thomas F Campbell, “Nonword repetition and child language impairment,” Journal of Speech, Language, and Hearing Research, vol. 41, no. 5, pp. 1136–1146, 1998.”
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“Non-word repetition tasks have been used to detect language impairment in children [8, 9, 10, 11] and word/sentence repetition tasks have been used to distinguish healthy controls from patients with various forms of Primary Progressive Aphasia (PPA) and Alzheimer’s Disease [12, 13, 14, 15, 16].”
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“To address the effect of confounding variables nonword stimuli have been devised so as to consist of phonemes acquired early and to avoid the inclusion of real word components (Dollaghan & Campbell, 1998).”
BackgroundTalli, I., Kotsoni, P., Stavrakaki, S., & Sprenger-Charolles, L. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.904268 · Cited by 4
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“Trained filler stimuli adapted from McNeil et al. (2005), Roy and Chiat (2004), and Dollaghan and Campbell (1998) were included in motorclass training to control for response bias in the old/new judgment task.”
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“…children with language disorders, whose poor language performance re ects fundamental psycholinguistic de cits, and children with language differences attributable to differing experiential backgrounds (see for example Gaulin & Campbell, 1994; Campbell et al., 1997; Dollaghan and Campbell, 1998).”
BackgroundSiu, E. K.-L., & Man, D. W. K. (2006) · International Journal of Rehabilitation Research · doi:10.1097/01.mrr.0000210058.06989.f6 · Cited by 3
“This deficit can be measured by the task of non-word repetition (Gathercole and Baddeley, 1990), which has been found to be a reliable index of phonological working memory in different studies (Montgomery, 1995; Adams and Gathercole, 1996; Dollaghan and Campbell, 1998).”
The Use of Nonlinguistic Statistical Learning as a Clinical Marker in Bilingual Children
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“…of developmental language disorder (DLD) (Archibald & Joanisse, 2009; Bedore & Leonard, 1998; Bishop et al., 2016; Conti-Ramsden et al., 2001; Dollaghan & Campbell, 1998; Leonard, 2014; Pawlowska, 2014; Peña et al., 2014; Poll et al., 2010; Rice & Wexler, 1996; Schwob et al., 2021;…”
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L'épreuve de répétition de non-mots LITMUS-NWR-FR évalue-t-elle la phonologie ?
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“Dans d’autres épreuves de RNM, les items peuvent être manipulés de sorte que les performances obtenues soient moins déterminées par l’expérience langagière antérieure, les connaissances linguistiques, le contexte socio-économique ou la MCT verbale (Dollaghan & Campbell, 1998 ; Ferré & Santos, 2015)”
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InfluentialParigger, E., & Rispens, J. (2010) · Stem- Spraak- en Taalpathologie · Cited by 2
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“Besides being a reliable task, which taps many language processes especially in children (eg, sublexical phonological processing, programming, and output execution; Dollaghan & Campbell, 1998 ), the NWR test has also shown clinical utility as the single best phenotypic heritable risk-marker in differentiating affected…”
BackgroundInfluentialYoon, S.-Y. (2014) · Eon'eo cheong'gag jang'ae yeon'gu/Communication sciences & disorders · doi:10.12963/csd.14125 · Cited by 1
“Parental or participant’s report alone is not sufficient to determine one’s language proficiency, or language dominance (Goldstein et al., 2005), and the standardized tests are biased toward mainstream English speakers (Dollaghan & Campbell, 1998).”
BackgroundNonword Repetition Performance of Early School-Age Children in Korea: A Preliminary Study
Park, H., & Schwarz, I. E. (2012) · Asia Pacific Journal of Speech Language and Hearing · doi:10.1179/136132812805253569 · Cited by 2
“Dollaghan and Campbell (1998) suggested that NRTs may have considerable clinical utility as “a processing dependent measure designed to tap fundamental psycholinguistic processing operations,” and as such, may be a better predictor of the need for language intervention than a knowledgedependent measure of spoken langu…”
BackgroundMethodInfluentialA Pilot Study Comparing Two Nonword Repetition Tasks for Use in a Formal Test Battery
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“The set of lower wordlike nonword items without true morphemes was constructed following the guidelines established by Dollaghan and Campbell (1998) for their 16-item Nonword Repetition Test (NRT).”
BackgroundMethodBases genéticas del trastorno específico del lenguaje
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“예를 들어 비 단어 /두넘몽뎅/을 제시하였을 때 자극어와 음운적으로 유사하지 는 않으나 의미를 가진 ‘부침개’라는 단어로 바꾸어 말한 경우, 동 일한 자극어에 대해 10초 후 음운적으로 유사한 ‘두부’로 말하였다 가 5분 후에는 그것을 ‘두더지’라는 단어로 바꾼 경우 등이 그 예이 다. 이러한 오류는 음운정보에 대해 의미와 빠르게 연결시키고 그 것을 유지하는 것의 어려움(Dollaghan & Campbell, 1998) 및 일정 시간 동안 음운정보를 유지하는 능력의 결함 등 입력자극의 상향 적(bottom-up) 처리능력의…”
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“이와 같은 이중언어 아동 언어 평가의 문제점을 보완하기 위해, 아동의 표면적 언어 능력만을 평가하는 것이 아닌 언어발달 기제 를 평가하기 위한 ‘인지 처리 과제(cognitive processing tasks)’ 연구 가 진행 되고 있는데(Dollaghan & Campbell, 1998; Welsh & Pennington, 1998; Yim, 2011), 인지 정보 처리 능력으로는 집행기능 (executive function), 작업기억(working memory), 선택적 주의집 중(sustained selective…”
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Developmental Patterns of Nonword Repetition in Preschool Children
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“무의미 낱말 따라말하기는 아동의 말-언어 처리 과정에서 여러 관련 영역의 발달 상황과 견고함을 반영하는 과제이기 때문에 언 어, 읽기, 말소리장애 분야에서 활발하게 연구되고 있으며, 영어권 국가에서는 진단검사 도구로 사용되고 있다(Bishop et al., 1996; Conti-Ramsden, Botting, Faragher, 2001; Conti-Ramsden & Hesketh, 2003; Dollaghan & Campbell, 1998; Shriberg et al., 2009).”
Yim, D., Shin, H., Lim, N., Jung, Y., Han, J., & Yang, Y. (2021) · Eon'eo cheong'gag jang'ae yeon'gu/Communication sciences & disorders · doi:10.12963/csd.20770 · Cited by 2
“즉, 일반 아동 집단에 비해 단순언어장애 아동 집단이 유의하게 낮은 수행을 보였는데, 이는 비단어 따라말하기 가 언어장애 아동을 선별하는 검사도구로 사용할 수 있다는 선행 연구와 일치하는 결과이다(Dollaghan & Campbell, 1998; Gathercole & Baddely, 1990; Hwang, 2015; Oh & Yim, 2013; Roy & Chiat, 2004; Stokes & Klee, 2009).”
Crosslinguistic nonword repetition and narrative performance over time
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Verbal Imitation in 1 to 2-Year-Old Children
Ha, S., Kwon, J., & Jeong, Y. (2023) · Eon'eo cheong'gag jang'ae yeon'gu/Communication sciences & disorders · doi:10.12963/csd.23979 · Cited by 2
“…Jung & Ha, 2017), 일반 아동의 수행력과 비교하여 언어장애나 말소리장애 , 말 늦은 아동의 특성 을 제시하고 있다 (Oh & Yim, 2013; Ha, 2020b; Pi & Ha, 2021 (Hodges et al., 2016; Masur, 1995; Ma-sur & Eichorst, 2002; Roy & Chiat, 2004 (Archibald & Gathercole, 2006; Dollaghan & Campbell, 1998; Gathercole, 2006; Gathercole & Bad-deley, 1996).”
Marshall, C. R. (2012) · Language and Cognitive Processes · doi:10.1080/01690965.2012.659670 · Cited by 2
“Many studies have shown that repeating nonwords is very difficult for children with Specific Language Impairment (SLI; e.g., Bishop, North, & Donlan, 1996; Conti-Ramsden & Hesketh, 2003; Dollaghan & Campbell, 1998; Edwards & Lahey, 1998; Gathercole & Baddely, 1990; inter alia).”
BackgroundŠto mjerimo pseudoriječima i kako mjerimo pseudoriječi
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West, G. (2018) · UCL Discovery (University College London) · Cited by 2
Marcotte, A. K. (2019) · Journal of Speech Language and Hearing Research · doi:10.1044/2019_jslhr-s-17-0437 · Cited by 2
A Meta-Analytical Review of Executive Function Skills in Adults who StutterPreprint
Ofoe, L. C., Ntourou, K., Clifton, S. C., & Coalson, G. A. (2025) · medRxiv · doi:10.1101/2025.09.02.25334917 · Cited by 2
Mueller, K. L., Murray, J. C., Duff, M., Pennington, B. F., Zubrowski, P., & Tomblin, J. B. (2012) · doi:10.17077/etd.dfynfxnz · Cited by 2
“NWR has also been found to be a reliable indicator of language impairment (Bishop, North, & Donlan, 1996; Dollaghan & Campbell, 1998; Ellis Weismer, et al., 2000; Gathercole & Baddeley, 1990a; Graf Estes, Evans, & Else-Quest, 2007).”
BackgroundMethodVanDrie, A. (2022) · Digital Archive @ GSU · doi:10.57709/1061182 · Cited by 2
Kleeck, A. E. V., Gillam, R. B., & Hoffman, L. M. (2009) · The Journal of Speech and Language Pathology – Applied Behavior Analysis · doi:10.1037/h0100255 · Cited by 1
Ebert, K. D., & Pham, G. T. (2017) · Literacy studies · doi:10.1007/978-3-319-53646-0_9 · Cited by 1
Nonword Repetition in Bilingual Assessment: A Guide to Clinical Application
Ortiz, J. A. (2021) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2021_persp-21-00165 · Cited by 1
Mettler, H. M., Alt, M., Kapa, L. L., & Plante, E. (2025) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2025.106405 · Cited by 1
Yeung, E., Alsulaiman, R., Yang, Z., & Howell, P. (2026) · Journal of Speech Language and Hearing Research · doi:10.1044/2025_jslhr-25-00206 · Cited by 1
Kueser, J. B., Outzen, C., Borovsky, A., Deevy, P., & Leonard, L. B. (2026) · Journal of Speech Language and Hearing Research · doi:10.1044/2026_jslhr-25-00121 · Cited by 1
McGregor, K. K., Eden, N. M., Arbisi‐Kelm, T., & Oleson, J. (2026) · Autism & Developmental Language Impairments · doi:10.1177/23969415261448861 · Cited by 2
“Phonological short-term memory was measured with the Nonword Repetition Test (Dollaghan & Campbell, 1998) and scored as the proportion of phonemes correctly produced (maximum of 96).”
van Zelst, A. L., & Earle, F. S. (2026) · Clinical Linguistics & Phonetics · doi:10.1080/02699206.2026.2713447 · Cited by 1
Gulpen, P., & Maassen, B. (2005) · Stem- Spraak- en Taalpathologie · Cited by 1
오소정, & KIMYOUNGTAE (2014) · Journal of speech-language & hearing disorders · doi:10.15724/jslhd.2014.23.1.004 · Cited by 1
Dubreuil-Piché, S., Lachance, J., & Mayer-Crittenden, C. (2017) · Diversity of Research in Health Journal · doi:10.28984/drhj.v1i0.19 · Cited by 1
“When completing nonword repetition tasks, children with PLI show deficits that are not connected to the varying levels of language knowledge (Dollaghan & Campbell, 1998).”
BackgroundBae, K., & Yim, D. (2018) · Eon'eo cheong'gag jang'ae yeon'gu/Communication sciences & disorders · doi:10.12963/csd.18506 · Cited by 1
“이는 음운기억 용량의 제한(Dollaghan & Campbell, 1998) 등으로 손상된 기저의 처리 기제를 가진 단순언어장애 아동이 일반아동에 비해 들은 정 보를 즉각적으로 따라말하는 데 더 낮은 수행을 보였던 선행연구 의 결과와 일치한다(Weismer et al., 2000).”
InfluentialIntroduction to the Immigrant Experience
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6. Sign-Communication Intervention in Adults and Children with Aphasia
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Evaluating Language Assessments with Members of the Travelling Community
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“The Non-Word Repetition Task (NRT) consists of 16 phonotactically legal nonsense words, four each at different syllable lengths (1–4 syllables long), defining different levels of difficulty.”
InfluentialKim, S., Chae, M., & Yim, D. (2020) · THE KOREAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY · doi:10.35574/kjdp.2020.9.33.3.89 · Cited by 1
Practical Methodology of Cognitive Tasks Within a Navigational Assessment
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Identifying the Latent Profiles of Language Ability in 5- to 7-Year-Old Children
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Mednova, M. E. (2023) · Pedagogy Theory & Practice · doi:10.30853/ped20230036 · Cited by 1
Long-term phonemic representations become audiovisual by mid-childhood
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Howell, P., Sorger, C., Alsulaiman, R., Yoshikawa, K., Harris, J., & Tang, K. (2023) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.12954 · Cited by 1
“Several studies cross-referred to Dollaghan and Campbell (1998) and indicated that they followed their procedures rather than included details in reports.”
BackgroundResultChoi, E., & Kover, S. T. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06396-1 · Cited by 1
“Nonword repetition, a measure of phonological memory (Dollaghan & Campbell, 1998; Hoff et al., 2008; Torrington Eaton et al., 2015) is closely associated with vocabulary size and highly relevant to vocabulary acquisition in children with developmental language disorder (DLD) and children with…”
Speech Perception and Phonological Representation in 5 to 6 Year-Old Typically Developing Children
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Gordon, K. R., Lewis, D. E., Lowry, S., Smith, M., Stecker, G. C., & McCreery, R. W. (2024) · Language Speech and Hearing Services in Schools · doi:10.1044/2024_lshss-24-00018 · Cited by 2
“During the second visit, children completed a nonword repetition test (Dollaghan & Campbell, 1998) to assess verbal working memory abilities and the sentence repetition task.”
Metadata
- Authors
- Dollaghan, C., & Campbell, T. F.
- Affiliations
- University of Pittsburgh (US)
- ORCID
- Campbell, Thomas F.
- Venue
- Journal of Speech, Language, and Hearing Research
- Published
- 1998-10
- Volume
- 41
- Issue
- 5
- Pages
- 1136-1146
- ISSN
- 1092-4388 (ISSN-L)
- 1558-9102
- OpenAlex
- W1986346898
- Cited by
- 1,006
- References
- 34
- Citations by year
- 2026: 22 · 2025: 15 · 2024: 23 · 2023: 51 · 2022: 41 · 2021: 43 · 2020: 58 · 2019: 49 · 2018: 46 · 2017: 60 · 2016: 49 · 2015: 44 · 2014: 52 · 2013: 48 · 2012: 53
- FWCI
- 12.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Speech Language and Hearing Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29dc001858-05)
- National Institute on Deafness and Other Communication Disorders (R29DC01858)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Keywords
- non-word repetition, language impairment, children, language screening, likelihood ratios, language intervention, diagnostic test validity, language assessment
- MeSH terms
- Adolescent, Child, Child, Preschool, Female, Humans, Language Disorders, Language Tests, Male, Phonetics, Speech Disorders
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