Practitioner review: Early developmental language delay: What, if anything, should the clinician do about it?
Abstract
Abstract Early developmental language delay is characterized by slow development of language in preschoolers. The condition is frequent amoung tow‐and three‐year‐olds, causes concern among parents, and generates differences of opinion as to significance among informed professionals. Poorer long‐term outcomes are much more likely if language delay persists until the later preschool year, and if the dealy is not specific to language and/or includes problems in understanding. Specific language delay in the preschool period is better characterized as a risk factor than disorder, most children with specific language delay recover to the normal range by five years of age.
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The possibility of diagnostic bias is enhanced by ambiguity in the cut-offs used for diagnosis: 1 SD, 1.25 SDs, 1.5 SDs, or 2 SDs below the expected mean.
“The possibility of diagnostic bias is further enhanced by another ambiguity in the available literature that concerns different cut-offs used for the diagnosis: 1 standard deviation (SD), 1.25 SDs, 1.5 SDs, or 2 SDs below the expected mean [53,54,55,56,57,58].”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [58]
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- Authors
- Whitehurst, G. J., & Fischel, J. E.
- Affiliations
- Stony Brook University (US)
- Corresponding author
- Whitehurst, Grover J.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 1994-05
- Volume
- 35
- Issue
- 4
- Pages
- 613-648
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2021844046
- Cited by
- 206
- References
- 86
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 7 · 2020: 2 · 2019: 7 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 5 · 2013: 12 · 2012: 4
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hd019245-03, 1r03mh041603-01a1)
- National Institute of Mental Health (MH41603)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD19245)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- preschool children, language development, long-term outcomes, risk factors, language comprehension, clinical management
- MeSH terms
- Child, Child, Preschool, Combined Modality Therapy, Dyslexia, Female, Follow-Up Studies, Humans, Infant, Language Development Disorders, Language Therapy, Learning Disabilities, Male, Patient Care Team
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