Acoustic-Lexical Characteristics of Child-Directed Speech Between 7 and 24 Months and Their Impact on Toddlers' Phonological Processing.

Speech-language input from adult caregivers is a strong predictor of children's developmental outcomes. But the properties of this child-directed speech are not static over the first months or years of a child's life. This study assesses a large cohort of children and caregivers (n = 84) at 7, 10, 18, and 24 months to document (1) how a battery of phonetic, phonological, and lexical characteristics of child-directed speech changes in the first 2 years of life and (2) how input at these different stages predicts toddlers' phonological processing and vocabulary size at 2 years. Results show that most measures of child-directed speech do change as children age, and certain characteristics, like hyperarticulation, actually peak at 24 months. For language outcomes, children's phonological processing benefited from exposure to longer (in phonemes) words, more diverse word types, and enhanced coarticulation in their input. It is proposed that longer words in the input may stimulate children's phonological working memory development, while heightened coarticulation simultaneously introduces important sublexical cues and exposes them to challenging, naturalistic speech, leading to overall stronger phonological processing outcomes.

Investigating the causal relationship between maltreatment and cognition in children: A systematic review.

BACKGROUND: Cognitive impairment (i.e. lower IQ/cognitive development) in individuals who have experienced childhood maltreatment is well documented in the literature. It is not yet clear whether maltreatment itself causes cognitive impairment, or whether reduced cognitive functioning pre-dates maltreatment exposure and places children at risk of maltreatment. OBJECTIVE: This systematic review critically evaluated the evidence for a causal association between child maltreatment and impaired cognition in children under 12 years. METHODS: Following PRISMA guidelines, databases were searched and articles extracted according to inclusion criteria. Quality rating of articles was conducted independently by two reviewers and the evidence for a causal association was evaluated using guidelines based on the Hill criteria for causation in epidemiological and public health research. RESULTS: 31 articles were included in the review, with results that suggested lower IQ/cognitive development in maltreated children compared to controls, and a dose-response relationship between timing and duration of maltreatment and impaired cognition. Assessment of causality indicated strong evidence for a causal association between maltreatment and reduced overall cognitive performance in institutionalised children. Findings were less robust for non-institutionalised samples. Evidence regarding specific cognitive functions was mixed. CONCLUSIONS: Extreme maltreatment may lead to reduced cognitive functioning in children under 12 years. More research is required to determine the impact of the nature and timing of maltreatment, as well as additional heritable and social factors, on specific profiles of cognition in this population.

Early Phonological Predictors of Toddler Language Outcomes.

PURPOSE: Several studies have explored relationships between children's early phonological development and later language performance. This literature has included a more recent focus on the potential for early phonological profiles to predict later language outcomes. METHODS: The present study longitudinally examined the nature of phonetic inventories and syllable structure patterns of 48 typically developing children at 7, 11, and 18 months, and related them to expressive language outcomes at 2 years of age. RESULTS: Findings provide evidence that as early as 11 months, phonetic inventory and mean syllable structure level are related to 24-month expressive language outcomes, including mean length of utterance and vocabulary diversity in spontaneous language samples, and parent-reported vocabulary scores. Consonant inventories in particular differed at 11 and 18 months for 2-year-olds with lower versus higher language skills. CONCLUSION: Limited inventories and syllable repertoires may add to risk profiles for later language delays.

Heart and ____ or Give and ____? An Exploration of Variables That Influence Binomial Completion for Individuals With and Without Aphasia.

Purpose: The goal of this research was to institute an evidence base behind commonly used elicitation materials known as binomials (e.g., "day and night") that are commonly used for persons with aphasia (PWAs). The study explored a number of linguistic variables that could influence successful binomial completion in nonaphasic adults and PWAs. Method: Thirty nonaphasic adults and 11 PWAs were asked to verbally complete 128 binomials; responses were scored by accuracy and reaction time. Binomials were coded according to the following independent variables: frequency of usage, phonological (e.g., alliteration, rhyme) and semantic (i.e., antonymy) relationships, grammatical category of the response, and number of plausible binomial completions. Results: Regression analyses demonstrated that, for both groups, greater accuracy was predicted by presence of antonymy and absence of a phonological relationship. Though reaction time models differed between groups, items that elicited a greater number of response options led to longer latencies across participants. Conclusion: Findings suggest that clinicians consider antonymy as well as the number of plausible responses for a given prompt when adapting the level of difficulty for their clients. Results also contribute to broader interdisciplinary research on how automatic language is processed in adults with and without neurogenic communication disorder. Supplemental Material: https://doi.org/10.23641/asha.6030806.

Error Consistency in Acquired Apraxia of Speech With Aphasia: Effects of the Analysis Unit.

Purpose: Diagnostic recommendations for acquired apraxia of speech (AOS) have been contradictory concerning whether speech sound errors are consistent or variable. Studies have reported divergent findings that, on face value, could argue either for or against error consistency as a diagnostic criterion. The purpose of this study was to explain discrepancies in error consistency results based on the unit of analysis (segment, syllable, or word) to help determine which diagnostic recommendation is most appropriate. Method: We analyzed speech samples from 14 left-hemisphere stroke survivors with clinical diagnoses of AOS and aphasia. Each participant produced 3 multisyllabic words 5 times in succession. Broad phonetic transcriptions of these productions were coded for consistency of error location and type using the word and its constituent syllables and sound segments as units of analysis. Results: Consistency of error type varied systematically with the unit of analysis, showing progressively greater consistency as the analysis unit changed from the word to the syllable and then to the sound segment. Consistency of error location varied considerably across participants and correlated positively with error frequency. Conclusions: Low to moderate consistency of error type at the word level confirms original diagnostic accounts of speech output and sound errors in AOS as variable in form. Moderate to high error type consistency at the syllable and sound levels indicate that phonetic error patterns are present. The results are complementary and logically compatible with each other and with the literature.

An exploration of the role of executive functions in preschoolers' phonological development.

There is limited yet compelling evidence that domain-general processes may contribute to speech sound change. This study explored whether executive functions contribute to the achievement of adult-like speech production. Children who are 4 to 5 years old, 42 with high-average speech production skills, 11 with low-average and nine with speech sound disorder (SSD), participated in a battery of executive function and speech production tasks. Performance accuracy was compared across groups and also correlated with speech sound accuracy from a single-word naming task. Children with SSD demonstrated poorer performance than other groups on forward digit span, whereas children with low-average speech skills underperformed their peers on the Flexible Item Selection Task (FIST). These preliminary results suggest that children with speech errors may have less mature working memory than peers who have mastered phonological targets earlier in development.

Cognitive Factors and Residual Speech Errors: Basic Science, Translational Research, and Some Clinical Frameworks.

This article explores the theoretical and empirical relationships between cognitive factors and residual speech errors (RSEs). Definitions of relevant cognitive domains are provided, as well as examples of formal and informal tasks that may be appropriate in assessment. Although studies to date have been limited in number and scope, basic research suggests that cognitive flexibility, short- and long-term memory, and self-monitoring may be areas of weakness in this population. Preliminary evidence has not supported a relationship between inhibitory control, attention, and RSEs; however, further studies that control variables such as language ability and temperament are warranted. Previous translational research has examined the effects of self-monitoring training on residual speech errors. Although results have been mixed, some findings suggest that children with RSEs may benefit from the inclusion of this training. The article closes with a discussion of clinical frameworks that target cognitive skills, including self-monitoring and attention, as a means of facilitating speech sound change.

Non-word repetition in 2-year-olds: Replication of an adapted paradigm and a useful methodological extension.

Accurate non-word repetition (NWR) has been largely attributed to phonological memory, although the task involves other processes including speech production, which may confound results in toddlers with developing speech production abilities. This study is based on Hoff, Core and Bridges' adapted NWR task, which includes a real-word repetition (RWR) condition. We tested 86 typically developing 2-year-olds and found relationships between NWR and both receptive and expressive vocabulary using a novel measure that controls for speech production by comparing contextually matched targets in RWR. Post hoc analyses demonstrated the influence of lexical and sublexical factors in repetition tasks. Overall, results illustrate the importance of controlling for speech production differences in young children and support a useful methodological approach for testing NWR.

Rate and phonological variation in preschool children: effects of modeling and directed influence.

PURPOSE: To explore the effect of modeling and explicit elicitation of slow and accurately produced speech in typically developing preschool children. Optional phonological reductions (e.g., deleted final stops) and changes in speech rate were examined in response to an adult conversational speaker's speech style. METHOD: Forty 3- and 4-year-olds (20 each) were tested in 3 tasks: (a) immediate repetition of a model, (b) spontaneous speech, and (c) directed speech style (cueing to correct "sloppy" speech). In Task 1, half of each group heard fast and hypoarticulated versus slow and hyperarticulated speech for a between-group response-to-model comparison. Tasks 2 and 3 were compared within subjects. RESULTS: Task 1 demonstrated that both age groups aligned with the speaker's rate and phonological variants usage when repeating a model. Tasks 2 and 3 revealed that 4-year-olds varied phonological reduction patterns according to the task demands, whereas 3-year-olds maintained consistent patterns of usage. In addition, neither group successfully realigned with the rapid speech rate in Task 3. CONCLUSIONS: These results contribute to an evidence base supporting the practice of modeling slow and clear speech to children with various production disorders. Further research is needed to explore the cognitive-linguistic processes underlying alignment before findings are applied to clinical populations.