Joint Attention in the Context of Hearing Loss: A Meta-Analysis and Narrative Synthesis.

Joint attention is important for children's language development. We report two meta-analyses that demonstrate that the congruency in hearing status between parent and child affects the establishment and maintenance of joint attention. Dyads consisting of hearing parents and children with hearing loss, achieve fewer and briefer moments of joint attention in comparison to dyads of hearing parents and hearing children and dyads of deaf parents and deaf children. The theoretical and practical implications of these differences are discussed and placed in the context of two narrative syntheses. The first one focusing on parental strategies used to achieve and maintain moments of joint attention and the second one on the relation between joint attention and spoken language proficiency. We also expect that this review may serve as the start of quest towards a more detailed description (taxonomy) and operationalization of joint attention in the context of hearing loss.

Beyond the Senses: How Self-Directed Speech and Word Meaning Structure Impact Executive Functioning and Theory of Mind in Individuals With Hearing and Language Problems.

Many individuals with developmental language disorder (DLD) and individuals who are deaf or hard of hearing (D/HH) have social-emotional problems, such as social difficulties, and show signs of aggression, depression, and anxiety. These problems can be partly associated with their executive functions (EFs) and theory of mind (ToM). The difficulties of both groups in EF and ToM may in turn be related to self-directed speech (i.e., overt or covert speech that is directed at the self). Self-directed speech is thought to allow for the construction of non-sensory representations (i.e., representations that do not coincide with direct observation). Such non-sensory representations allow individuals to overcome the limits set upon them by the senses. This ability is constrained by the development of word meaning structure (i.e., the way words are understood). We argue that the greater ability to construct non-sensory representations may result in more enhanced forms of EF and ToM. We conclude that difficulties in EF, ToM, and social-emotional functioning in those with hearing and language problems may be accounted for in terms of word meaning impairments. We propose that word meaning structure and self-directed speech should be considered in assigning EF and ToM treatments to individuals with DLD and those who are D/HH.

The Interplay Between Theory of Mind and Social Emotional Functioning in Adolescents With Communication and Language Problems.

Adolescents with developmental language disorders (DLDs) and adolescents who are deaf or hard of hearing (D/HH) are at greater risk of social emotional problems. These problems may not only be attributed to communication and language problems but, at least in part, to Theory of Mind (ToM) deficits as well. In this mini review, an overview is provided of studies on social emotional functioning and ToM performance in adolescents with DLD and D/HH adolescents. A possible interplay between social emotional functioning and Theory of Mind is discussed. There is empirical evidence for social emotional problems and ToM problems in both adolescents with DLD and D/HH. We hypothesized that language deficits as seen in adolescents with DLD and impoverished exposure to language and communication, as seen in adolescents who are D/HH can explain differences in social emotional functioning and ToM performance. The present mini review provides a possible framework for the relation between ToM and social emotional functioning in adolescents with communication and language problems, which is mediated by their limited linguistic ability or restricted language exposure and gives suggestions for future research.

Effects of Signs on Word Learning by Children With Developmental Language Disorder.

Purpose This study investigated the effects of signs on word learning by children with developmental language disorder (DLD), in comparison with typically developing (TD) children, and the relation between a possible sign effect and children's linguistic and cognitive abilities. Method Nine- to 11-year-old children with DLD ( n = 40) and TD children ( n = 26) participated in a word learning experiment. Half of the spoken pseudowords were taught with a pseudosign with learning outcomes being assessed in accuracy and speed. To investigate whether sign effects would hold for children with varying linguistic and cognitive abilities, we measured children's linguistic (vocabulary, syntax) and cognitive (divided attention, working memory [WM], lexical access) skills. Results The children with DLD showed a positive sign effect in both accuracy and speed. For the TD children, there was no effect of signs on word learning. Principal component analyses of the linguistic and cognitive measures evidenced a 4-component solution (language skills, visual WM, verbal WM, and executive attention). Repeated-measures analyses of covariance with the component scores as covariates yielded no significant interactions with the linguistic and cognitive components. Conclusions Our results suggest that children with DLD benefit from signs for word learning, regardless of their linguistic and cognitive abilities. This implies that using sign-supported speech as a means to improve the vocabulary skills of children with DLD is effective, even still at the age of 9-11 years.

Executive control in language production by children with and without language impairment.

BACKGROUND: Accumulating evidence suggests that the updating, inhibiting and shifting abilities underlying executive control are important for spoken language production in adults. However, little is known about this in children. AIMS: To examine whether children with and without language impairment differ in all or only some of these executive abilities, and whether they show corresponding differences when these abilities are engaged in language production. METHODS & PROCEDURES: Thirty-three children with specific language impairment (SLI) and 41 typically developing (TD) children (age matched, aged 8-12 years) completed standard executive control tests that measure the updating, inhibiting and shifting abilities. All children were native speakers of Dutch. Moreover, they performed a noun-phrase production task involving picture description within a picture-word interference paradigm. We measured their production accuracy and speed to assess length, distractor and switch effects, which reflect the updating, inhibiting and shifting abilities underlying executive control. OUTCOMES & RESULTS: Compared with TD children, the children with SLI had lower scores on all executive control tests. Moreover, they were overall slower and made more errors in the noun-phrase production task. Additionally, the magnitude of the distractor and switch effects was larger for the SLI than for the TD group. CONCLUSIONS & IMPLICATIONS: The results suggest that children with SLI have impaired language production and executive control abilities, and that some of the differences in the executive control abilities between SLI and TD groups were reflected in their language production.

Hypertext comprehension of deaf and hard-of-hearing students and students with specific language impairment.

This paper provides insight into the reading comprehension of hierarchically structured hypertexts within D/HH students and students with SLI. To our knowledge, it is the first study on hypertext comprehension in D/HH students and students with SLI, and it also considers the role of working memory. We compared hypertext versus linear text comprehension in D/HH students and students with SLI versus younger students without language problems who had a similar level of decoding and vocabulary. The results demonstrated no difference in text comprehension between the hierarchically structured hypertext and the linear text. Text comprehension of D/HH students and students with SLI was comparable to that of the students without language problems. In addition, there was a similar positive predictive value of visuospatial and not verbal working memory on hypertext comprehension for all three groups. The findings implicate that educational settings can make use of hierarchically structured hypertexts as well as linear texts and that children can navigate in the digital world from young age on, even if language or working memory problems are present.

Benefits of augmentative signs in word learning: Evidence from children who are deaf/hard of hearing and children with specific language impairment.

BACKGROUND: Augmentative signs may facilitate word learning in children with vocabulary difficulties, for example, children who are Deaf/Hard of Hearing (DHH) and children with Specific Language Impairment (SLI). Despite the fact that augmentative signs may aid second language learning in populations with a typical language development, empirical evidence in favor of this claim is lacking. AIMS: We aim to investigate whether augmentative signs facilitate word learning for DHH children, children with SLI, and typically developing (TD) children. METHODS AND PROCEDURES: Whereas previous studies taught children new labels for familiar objects, the present study taught new labels for new objects. In our word learning experiment children were presented with pictures of imaginary creatures and pseudo words. Half of the words were accompanied by an augmentative pseudo sign. The children were tested for their receptive word knowledge. OUTCOMES AND RESULTS: The DHH children benefitted significantly from augmentative signs, but the children with SLI and TD age-matched peers did not score significantly different on words from either the sign or no-sign condition. CONCLUSIONS AND IMPLICATIONS: These results suggest that using Sign-Supported speech in classrooms of bimodal bilingual DHH children may support their spoken language development. The difference between earlier research findings and the present results may be caused by a difference in methodology.

Electrophysiology of executive control in spoken noun-phrase production: Dynamics of updating, inhibiting, and shifting.

Previous studies have provided evidence that updating, inhibiting, and shifting abilities underlying executive control determine response time (RT) in language production. However, little is known about their electrophysiological basis and dynamics. In the present electroencephalography study, we assessed noun-phrase production using picture description and a picture-word interference paradigm. We measured picture description RTs to assess length, distractor, and switch effects, which have been related to the updating, inhibiting, and shifting abilities. In addition, we measured event-related brain potentials (ERPs). Previous research has suggested that inhibiting and shifting are associated with anterior and posterior N200 subcomponents, respectively, and updating with the P300. We obtained length, distractor, and switch effects in the RTs, and an interaction between length and switch. There was a widely distributed switch effect in the N200, an interaction of length and midline site in the N200, and a length effect in the P300, whereas distractor did not yield any ERP modulation. Moreover, length and switch interacted in the posterior N200. We argue that these results provide electrophysiological evidence that inhibiting and shifting of task set occur before updating in phrase planning.

Executive control in spoken noun-phrase production: Contributions of updating, inhibiting, and shifting.

The present study examined how the updating, inhibiting, and shifting abilities underlying executive control influence spoken noun-phrase production. Previous studies provided evidence that updating and inhibiting, but not shifting, influence picture-naming response time (RT). However, little is known about the role of executive control in more complex forms of language production like generating phrases. We assessed noun-phrase production using picture description and a picture-word interference procedure. We measured picture description RT to assess length, distractor, and switch effects, which were assumed to reflect, respectively, the updating, inhibiting, and shifting abilities of adult participants. Moreover, for each participant we obtained scores on executive control tasks that measured verbal and nonverbal updating, nonverbal inhibiting, and nonverbal shifting. We found that both verbal and nonverbal updating scores correlated with the overall mean picture description RTs. Furthermore, the length effect in the RTs correlated with verbal but not nonverbal updating scores, while the distractor effect correlated with inhibiting scores. We did not find a correlation between the switch effect in the mean RTs and the shifting scores. However, the shifting scores correlated with the switch effect in the normal part of the underlying RT distribution. These results suggest that updating, inhibiting, and shifting each influence the speed of phrase production, thereby demonstrating a contribution of all three executive control abilities to language production.

Executive functioning in preschoolers with specific language impairment.

The pathogenesis of Specific Language Impairment (SLI) is still largely beyond our understanding. In this review, a neuropsychological perspective on language impairments in SLI is taken, focusing specifically on executive functioning (EF) in preschoolers (age range: 2.6-6.1 years) with SLI. Based on the studies described in this review, it can be concluded that similar to school-aged children with SLI, preschoolers with SLI show difficulties in working memory, inhibition and shifting, as revealed by both performance based measures and behavioral ratings. It seems plausible that a complex, reciprocal relationship exists between language and EF throughout development. Future research is needed to examine if, and if yes how, language and EF interact in SLI. Broad neuropsychological assessment in which both language and EF are taken into account may contribute to early detection of SLI. This in turn can lead to early and tailored treatment of children with (suspected) SLI aimed not only at stimulating language development but also at strengthening EF.

Directionality effects in simultaneous language interpreting: the case of sign language interpreters in The Netherlands.

The quality of interpretations produced by sign language interpreters was investigated. Twenty-five experienced interpreters were instructed to interpret narratives from (a) spoken Dutch to Sign Language of The Netherlands (SLN), (b) spoken Dutch to Sign Supported Dutch (SSD), and (c) SLN to spoken Dutch. The quality of the interpreted narratives was assessed by 5 certified sign language interpreters who did not participate in the study. Two measures were used to assess interpreting quality: the propositional accuracy of the interpreters' interpretations and a subjective quality measure. The results showed that the interpreted narratives in the SLN-to-Dutch interpreting direction were of lower quality (on both measures) than the interpreted narratives in the Dutch-to-SLN and Dutch-to-SSD directions. Furthermore, interpreters who had begun acquiring SLN when they entered the interpreter training program performed as well in all 3 interpreting directions as interpreters who had acquired SLN from birth.

Semantic categorization and reading skill across Dutch primary grades: development yes, relationship no.

In the present study, the development of semantic categorization and its relationship with reading was investigated across Dutch primary grade students. Three Exemplar-level tasks (Experiment 1) and two Superordinate-level tasks (Experiment 2) with different types of distracters (phonological, semantic and perceptual) were administered to assess semantic categorization skills. Reading was measured with a standardized word-reading test. Results of both experiments demonstrated that children in the higher grades had shorter reaction times and fewer errors than children in the lower grades. Reading skill, however, was not related to semantic categorization performance. Moreover, neither grade level nor reading skill was related to the effect of distracter type on error percentages. Based on the results of this study, we suggest a substantial development of semantic categorization skills over time, and reject the notion that Dutch poor readers have less advanced semantic categorization skills than typical readers.

Phonological activation during visual word recognition in deaf and hearing children.

PURPOSE: Phonological activation during visual word recognition was studied in deaf and hearing children under two circumstances: (a) when the use of phonology was not required for task performance and might even hinder it and (b) when the use of phonology was critical for task performance. METHOD: Deaf children mastering written Dutch and Sign Language of the Netherlands were compared with hearing children. Two word-picture verification experiments were conducted, both of which included pseudohomophones. In Experiment 1, the task was to indicate whether the word was spelled correctly and whether it corresponded to the picture. The presence of pseudohomophones was expected to hinder performance only when phonological recoding occurred. In Experiment 2, the task was to indicate whether the word sounded like the picture, which now made phonological recoding essential in order to enable the acceptance of pseudohomophones. RESULTS: The hearing children showed automatic activation of phonology during visual word recognition, regardless of whether they were instructed to focus on orthographic information (Experiment 1) or phonological information (Experiment 2). The deaf children showed little automatic phonological activation in either experiment. CONCLUSION: Deaf children do not use phonological information during word reading.

Semantic categorization: a comparison between deaf and hearing children.

UNLABELLED: Learning to read is a major obstacle for children who are deaf. The otherwise significant role of phonology is often limited as a result of hearing loss. However, semantic knowledge may facilitate reading comprehension. One important aspect of semantic knowledge concerns semantic categorization. In the present study, the quality of the semantic categorization of both deaf and hearing children was examined for written words and pictures at two categorization levels. The deaf children performed better at the picture condition compared to the written word condition, while the hearing children performed similarly at pictures and written words. The hearing children outperformed the deaf children, in particular for written words. In addition, the results of the deaf children for the written words correlated to their sign vocabulary and sign language comprehension. The increase in semantic categorization was limited across elementary school grade levels. LEARNING OUTCOMES: Readers will be able to: (1) understand several semantic categorization differences between groups of deaf and hearing children; (2) describe factors that may affect the development of semantic categorization, in particular the relationship between sign language skills and semantic categorization for deaf children.

Assessment of sign language development: the case of deaf children in the Netherlands.

In this article, we will describe the development of an assessment instrument for Sign Language of the Netherlands (SLN) for deaf children in bilingual education programs. The assessment instrument consists of nine computerized tests in which the receptive and expressive language skills of deaf children at different linguistic levels (phonology, vocabulary, morphosyntax, and narration) are assessed. We will describe how the instrument was developed and normed, and present some psychometric properties of the instrument.

The role of sign phonology and iconicity during sign processing: the case of deaf children.

To investigate the influence of sign phonology and iconicity during sign processing in deaf children, the roles of these sign features were examined using an experimental sign-picture verification paradigm. Participants had to make decisions about sign-picture pairs, manipulated according to phonological sign features (i.e., hand shape, movement, and location) and iconic sign features (i.e., transparent depiction of meaning or not). We found that phonologically related sign pairs resulted in relatively longer response latencies and more errors whereas iconic sign pairs resulted in relatively shorter response latencies and fewer errors. The results showed that competing lexical sign candidates (neighbor signs) were activated during sign processing by deaf children. In addition, deaf children exploit the iconicity of signs during sign recognition.

The relationship between the reading and signing skills of deaf children in bilingual education programs.

This paper reports on one experiment in which we investigated the relationship between reading and signing skills. We administered a vocabulary task and a story comprehension task in Sign Language of the Netherlands and in written Dutch to a group of 87 deaf children from bilingual education programs. We found a strong and positive correlation between the scores obtained in the sign vocabulary task and the reading vocabulary task when age, short-term memory scores, and nonverbal intelligence scores were controlled for. In addition, a correlation was observed between the scores in the story comprehension tasks in Sign Language of the Netherlands and written Dutch but only when vocabulary scores for words and signs were not taken into account. The results are briefly discussed with reference to a model we recently proposed to describe lexical development for deaf children in bilingual education programs (Hermans, D., Knoors, H., Ormel, E., & Verhoeven, L., 2008). In addition, the implications of the results of the present study for previous studies on the relationship between reading and signing skills are discussed.

Modeling reading vocabulary learning in deaf children in bilingual education programs.

The acquisition of reading vocabulary is one of the major challenges for deaf children in bilingual education programs. Deaf children have to acquire a written lexicon that can effectively be used in reading. In this paper, we present a developmental model that describes reading vocabulary acquisition of deaf children in bilingual education programs. The model is inspired by Jiang's model of vocabulary development in a second language (N. Jiang, 2000, 2004a) and the hierarchical model of lexical representation and processing in bilinguals (J. F. Kroll & E. Stewart, 1988). We argue that lexical development in the written language often fossilizes and that many words deaf readers acquire will not reach the final stage of lexical development. We argue that this feature is consistent with many findings reported in the literature. Finally, we discuss the pedagogical implications of the model.