Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional

As part of an ongoing clinical service program for children with developmental delay in morphosyllabic Chinese-speaking Taiwan, we investigated the late childhood cognitive, functional and psychiatric outcomes of a specific cohort of preschool children with developmental language delay comorbi d wi...

Full description

Bibliographic Details
Main Authors: Pinchen Yang, For-Wey Lung, Chen-Lin Chang, Hsiu-Yi Hsu, Yuh-Jyh Jong
Format: Article
Language:English
Published: Rajanagarindra Institute of Child Development 2014-01-01
Series:International Journal of Child Development and Mental Health
Subjects:
Online Access:https://www.tci-thaijo.org/index.php/cdmh/article/view/66616
_version_ 1811344649758965760
author Pinchen Yang
For-Wey Lung
Chen-Lin Chang
Hsiu-Yi Hsu
Yuh-Jyh Jong
author_facet Pinchen Yang
For-Wey Lung
Chen-Lin Chang
Hsiu-Yi Hsu
Yuh-Jyh Jong
author_sort Pinchen Yang
collection DOAJ
description As part of an ongoing clinical service program for children with developmental delay in morphosyllabic Chinese-speaking Taiwan, we investigated the late childhood cognitive, functional and psychiatric outcomes of a specific cohort of preschool children with developmental language delay comorbi d wi th behavi oral-emoti onal problems. The institutional database of a developmental clinic was reviewed and preschoolers meeting the inclusion criteria were invited to be subjects. Follow-up evaluations included Wechsler Intelligence tests, parents’ version of the Child Behavioral Checklist and psychiatric interview of the adolescents themselves. Of the eligible subjects (initial preschool visit at average of 3.8 ± 1.3 years old), 44 individuals completed follow-up evaluations at average of 11.8 ± 1.5 years old. The follow-up results showed that 75% of the late childhood children still had problems in language and 38.6% had problems in academic performance. The mean nonverbal cognitive score at follow-up was 83.9 ± 15.4 while the mean verbal cognitive measure was 83 ±17.3. Total 75% of the subjects had current psychiatric disorders and the most frequent di agnosi s was attenti on defici t/hyperactivity disorder, which was noted to be increased from 50% in the preschool period to 70.5% in late childhood. We concluded that the majority of Chinese-speaking preschoolers with language delay and behavioral-emotional problems turned out to have communication and psychiatric conditions when they reached late childhood. Western researches on developmental course of preschool children with alphabetic language impairment could be extended to morphosyllabic Chinese. Specialized services are warranted for this group of preschool children to lessen prolonged vulnerabilities. Our findings may be helpful in the context of an Asian developing country, so that priorities can be established for the allocation of finite resources for intervention.
first_indexed 2024-04-13T19:50:19Z
format Article
id doaj.art-af0ee96020eb449da6b1b3d316c41542
institution Directory Open Access Journal
issn 2286-7481
2586-887X
language English
last_indexed 2024-04-13T19:50:19Z
publishDate 2014-01-01
publisher Rajanagarindra Institute of Child Development
record_format Article
series International Journal of Child Development and Mental Health
spelling doaj.art-af0ee96020eb449da6b1b3d316c415422022-12-22T02:32:34ZengRajanagarindra Institute of Child DevelopmentInternational Journal of Child Development and Mental Health2286-74812586-887X2014-01-0121404866616Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotionalPinchen Yang0For-Wey Lung1Chen-Lin Chang2Hsiu-Yi Hsu3Yuh-Jyh Jong4Department of Psychiatry,National Defense Medical Center.Graduate Institute of Medicine. Kaohsiung Armed Forces General Hospital.Kaohsiung Medical University and Kaohsiung Medical University Hospital.Kaohsiung Medical University and Kaohsiung Medical University Hospital.As part of an ongoing clinical service program for children with developmental delay in morphosyllabic Chinese-speaking Taiwan, we investigated the late childhood cognitive, functional and psychiatric outcomes of a specific cohort of preschool children with developmental language delay comorbi d wi th behavi oral-emoti onal problems. The institutional database of a developmental clinic was reviewed and preschoolers meeting the inclusion criteria were invited to be subjects. Follow-up evaluations included Wechsler Intelligence tests, parents’ version of the Child Behavioral Checklist and psychiatric interview of the adolescents themselves. Of the eligible subjects (initial preschool visit at average of 3.8 ± 1.3 years old), 44 individuals completed follow-up evaluations at average of 11.8 ± 1.5 years old. The follow-up results showed that 75% of the late childhood children still had problems in language and 38.6% had problems in academic performance. The mean nonverbal cognitive score at follow-up was 83.9 ± 15.4 while the mean verbal cognitive measure was 83 ±17.3. Total 75% of the subjects had current psychiatric disorders and the most frequent di agnosi s was attenti on defici t/hyperactivity disorder, which was noted to be increased from 50% in the preschool period to 70.5% in late childhood. We concluded that the majority of Chinese-speaking preschoolers with language delay and behavioral-emotional problems turned out to have communication and psychiatric conditions when they reached late childhood. Western researches on developmental course of preschool children with alphabetic language impairment could be extended to morphosyllabic Chinese. Specialized services are warranted for this group of preschool children to lessen prolonged vulnerabilities. Our findings may be helpful in the context of an Asian developing country, so that priorities can be established for the allocation of finite resources for intervention.https://www.tci-thaijo.org/index.php/cdmh/article/view/66616developmental language disorderattention-deficit hyperactivity disorderpreschool
spellingShingle Pinchen Yang
For-Wey Lung
Chen-Lin Chang
Hsiu-Yi Hsu
Yuh-Jyh Jong
Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
International Journal of Child Development and Mental Health
developmental language disorder
attention-deficit hyperactivity disorder
preschool
title Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
title_full Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
title_fullStr Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
title_full_unstemmed Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
title_short Outcomes at late childhood of Chinese-speaking preschoolers with developmental language disorders comorbid with behavioral-emotional
title_sort outcomes at late childhood of chinese speaking preschoolers with developmental language disorders comorbid with behavioral emotional
topic developmental language disorder
attention-deficit hyperactivity disorder
preschool
url https://www.tci-thaijo.org/index.php/cdmh/article/view/66616
work_keys_str_mv AT pinchenyang outcomesatlatechildhoodofchinesespeakingpreschoolerswithdevelopmentallanguagedisorderscomorbidwithbehavioralemotional
AT forweylung outcomesatlatechildhoodofchinesespeakingpreschoolerswithdevelopmentallanguagedisorderscomorbidwithbehavioralemotional
AT chenlinchang outcomesatlatechildhoodofchinesespeakingpreschoolerswithdevelopmentallanguagedisorderscomorbidwithbehavioralemotional
AT hsiuyihsu outcomesatlatechildhoodofchinesespeakingpreschoolerswithdevelopmentallanguagedisorderscomorbidwithbehavioralemotional
AT yuhjyhjong outcomesatlatechildhoodofchinesespeakingpreschoolerswithdevelopmentallanguagedisorderscomorbidwithbehavioralemotional