Trajectories of Prosociality from Early to Middle Childhood in Children at Risk of Developmental Language Disorder

Longitudinal research into the development of prosociality during childhood contributes to our understanding of individual differences in social and emotional outcomes. There is a dearth of literature on the development of prosociality in children with Developmental Language Disorder (DLD). Data from the UK based Millennium Cohort Study was used to investigate prosociality from age 5 to 11 years in 738 children at risk of Developmental Language Disorder (r-DLD) and 12,972 children in a general population (GP) comparison group. Multilevel mixed effects regression models were run to investigate the mean change in prosociality and latent class growth analysis was used to identify heterogeneous groups of children who shared similar patterns of development. Overall, children at risk of DLD were less prosocial at age 5 and, although they did become more prosocial by the age of 11, they did not reach the same levels of prosociality as those in the GP group. Subsequent sub group analysis revealed four distinct developmental trajectories: stable high (19%), stable slightly low (36%), decreasing to slightly low (5%), and increasing to high (40%). Children at risk of DLD were less likely than those in the GP group to be in the stable high class and more likely to be in the stable slightly low class. For children at risk of DLD, being prosocial was protective against concurrent social and emotional difficulties. But being prosocial in early childhood was not protective against later social and emotional difficulties nor did the absence of prosociality in early childhood make social and emotional difficulties in middle childhood inevitable. Rather, the presence of prosociality in middle childhood was the key protective factor, regardless of prosociality in early childhood. Prosociality is not a key area of concern for children at risk of DLD. Instead, it is an area of relative strength, which can be nurtured to mitigate social and emotional difficulties in children at risk of DLD, particularly in middle childhood

An interactive technology-based emotion recognition intervention for children with developmental language disorder:a longitudinal mixed-method study

Recent studies have shown that children with developmental language disorder (DLD) often face challenges in emotion recognition (ER) skills, which impacts their social and behavioural outcomes. This study aims to evaluate the effectiveness of a flexible online intervention in meeting the individual needs of children with DLD, focusing on ER skills. The study also sought to explore the impact of the ER intervention on the emotional well-being of children with DLD. A longitudinal mixed-method design was conducted with 10 children with DLD, employing a weekly assessment and comprehensive pre- and post-assessments to pinpoint specific ER challenges and changes. Weekly phone calls (WPC) were also used to follow-up on participants’ progress and understanding of changes in ER skills. Individual analysis revealed that varied use of intervention phases and degrees of improvement were identified as families were flexible in this program. The intervention results highlighted significant improvements in basic vocal ER skills and emotional problems among children with DLD. Clinical implications include integrating targeted ER interventions into DLD intervention programs and identifying specific areas of difficulty for individualised support

The influence of early familial adversity on adolescent risk behaviors and mental health:Stability and transition in family adversity profiles in a cohort sample

Although familial adversity is associated with poorer outcomes in childhood and adulthood, little research has looked at the influence of stability or transition between distinct familial adversity subgroups or the impact in adolescence. Using data from the 9-month, 3-, 5-, and 14-year time waves of the Millennium Cohort Study (n > 18,000), we used latent class analysis to identify distinct classes of early familial adversity (marital instability/conflict, “suboptimal” parenting, economic disadvantage, and parental mental health problems) and the impact of these adversity classes on adolescent (a) mental health (including self-harm), (b) risk taking, (c) criminality, and (d) victimization. Four profiles were identified largely differing on economic hardship, family composition, and parental conflict. Across the first three time points, 72% of the sample remained stable, with the remainder transitioning between classes. Adolescents in the higher risk groups (particularly categorized by economic hardship or high parental conflict) had poorer outcomes in adolescence. Transitioning to a higher adversity group at any time in the first 5 years was associated with poorer outcomes but was particularly pronounced when the transition occurred when the child was under 3 years. These findings demonstrate the broad consequences of early familial adversity and the need for targeted early support for at-risk families

Language structure and language acquisition: grammatical categorization using phonological and distributional information

This thesis addresses the question of how words are grouped according to their grammatical categories during language acquisition. Over the past 20. years a general consensus has developed that distributional and phonological cues are important cues that language learners utilize in the grammatical categorization process (e.g., Kelly, 1992; Redington, Chater, & Finch, 1998). The combination ofthese cues was investigated with artificial language learning experiments, which combined two categories of. phonologically coherent words with co-occurring distributional cues, and corpus analysis techniques. Experiments I to 4 indicated that both phonological and distribution cues are necessary for the categorization of high and low frequency words. Additionally, these experiments indicated that distributional information alone was sufficient to categorize high frequency words, but that phonological cues were necessary for low frequency words. It was also found that succeeding bigram distribution cues induced more grammatical categorization than the preceding bigram cues. This is explained by the Rescorla-'\yagner (1972) model of associative learning; associations were stronger between the category words and succeeding cues as a single succeeding cue followed all category words. Associations were weaker with preceding cues as numerous category words followed the preceding cues. Experiments 5, 6 and 7 also found that the effectiveD~ss of the distributional cues was influenced by prior linguistic experience, resulting in higher learning with distributional cues which were phonologically consistent with distributional cues found in the participants' native language (English). This thesis also investigated the debate as to what type of distributional cue is most useful in the categorization process, with some researchers advocating trigram cues (Mintz, 2002) while others advocate bigram cues (Monaghan & Christiansen, 2004; Valian & Coulson, 1988). The results of a corpus analysis and two experiments provided evidence that trigram cues (aXb) are very effective at categorization, but preliminary evidence suggests that this categorization may simply be due to the combined influence of the beginning and ending bigrams (aX and Xb). Overall, this thesis indicates that phonological and distributional cues are key to grammatical categorization, which occurs through associative learning principles; grammatical categorization progresses .faster with succeeding cues; and bigram distribution cues may be the initial source of distributional information in the grammatical categorization process

Social functioning as a mediator between Developmental Language Disorder (DLD) and emotional problems in adolescents

Adolescents with Developmental Language Disorder (DLD) are at risk for increased feelings of anxiety and depression compared to their typically developing (TD) peers. However, the underlying pathways involved in this relationship are unclear. In this initial study of the ‘social mediation hypothesis’ we examine social functioning as a mediator of emotional problems in a cross-sectional sample of adolescents with DLD and age- and sex-matched controls. Preliminary data from twenty-six participants with DLD and 27 participants with typical language development (TLD, 11-17 years) were compared on self- and parent-reported measures of social functioning and emotional outcomes. There was little evidence of group differences in self-reported social functioning and emotional outcomes, but parent-report of SDQ Peer Problems and Emotional Problems in the DLD group was significantly higher than in the TLD group. Parent-reported peer problems mediated parent-reported emotional problems, accounting for 69% of the relationship between DLD status and emotional problems. Parents of adolescents with DLD, but not adolescents themselves, report significantly higher peer and emotional problems compared to TLD peers. The hypotheses generated from these novel data suggest further investigation into adolescents’ perceptions of socioemotional difficulties and friendships should be examined

Zoti’s Social Toolkit:Developing and piloting novel animated tasks to assess emotional understanding and conflict resolution skills in childhood

Current methods used to investigate emotional inference and conflict resolution knowledge are limited in their suitability for use with children with language disorders due to a reliance on language processing. This is problematic, as nearly 8% of the population are estimated to have developmental language disorder (DLD). In this paper, we present ‘Zoti's Social Toolkit’, a set of animated scenarios that can be used to assess emotion inferencing and conflict resolution knowledge. All animated scenarios contain interpersonal situations centred around a gender-neutral alien named Zoti. Four studies investigated the face and construct validity of the stimuli. The final stimulus set can be used with children, who may or may not have language difficulties and is openly available for use in research

What is the nature of peer interactions in children with language disorders? A qualitative study of parent and practitioner views

Background and aims: Children with Language Disorders (LDs) can exhibit increased levels of social withdrawal, aggression and problems managing social conflicts. The reasons underlying this pattern of social interaction profiles remain unclear. This qualitative study aimed to document the nature of social interactions between children with LDs and their peers, and to evaluate explanations for their social behaviour, as understood by parents and practitioners. Methods: This study focused on children with LDs who spend school hours with other children with LDs. Three parent focus groups (n ¼ 8) and three practitioner focus groups (n ¼ 10) were conducted with parents of children aged 4–12 attending specialist language schools and practitioners working at these schools. This was a mixed clinical sample. All children of participating parents had LD as their primary area of need, which was the reason they required specialist schooling. Focus groups were conducted across two specialist schools in the UK between March and June 2018. Results: An inductive reflective thematic analysis of the data identified three themes; social knowledge, coping strategies, and emotional competence. Parents and school staff reported that children with LDs experience difficulties managing peer interactions due to a combination of challenges including difficulties with understanding and regulating emotions, and difficulties understanding social situations. Some of the children with LDs were described as having developed strategies to cope with their challenges, for example imposing structure on their social interactions to manage uncertainty, which has implications for their social interactions with peers. Conclusions: Children with LDs have difficulties understanding emotions, difficulties understanding their peer’s intentions and difficulties resolving conflict situations independently according to their parents and practitioners working with these children. Participants proposed a novel explanation that social withdrawal may be used adaptively by children with LDs to process information. This study demonstrates the complexity of the relationship between Language Disorders and peer interaction profiles. Implications: Suggestions are offered regarding future research directions, such as investigating the specific contribution language skills make to children’s emotion understanding, to better understand the reasons for peer interaction difficulties in children with Language Disorders

Social Cognition in Adolescents with Developmental Language Disorder (DLD): Evidence from the Social Attribution Task

Social cognition impairments may explain social, emotional and behavioural difficulties (SEBD) in individuals with Developmental Language Disorder (DLD). In a novel approach, the Social Attribution Task (SAT) was used to examine this association. SAT narratives were coded from 53 participants [n = 26 DLD; n = 27 typical language development (TLD)] matched on age (Mage = 13;6) and gender (35.9% female). Parents reported SEBD. Adolescents with DLD performed worse than their TLD peers on the majority of SAT indices and had higher peer (d = 1.09) and emotional problems (d = .75). There was no association between social cognition abilities and SEBD. These exploratory findings suggest social cognition should be further examined in this population

Adolescents leaving mental health or social care services: predictors of mental health and psychosocial outcomes one year later.

BACKGROUND: UK service structure necessitates a transition out of youth services at a time of increased risk for the development and onset of mental disorders. Little is currently known about the mental health and psychosocial outcomes of leaving services at this time. The aim of this study was to determine predictors of mental health and social adjustment in adolescents leaving mental health or social care services. METHODS: A cohort (n = 53) of 17 year olds were interviewed and assessed when preparing to leave adolescent services and again 12 months later. Their mental health and psychosocial characteristics were compared to a same-age community sample group (n = 1074). RESULTS: At discharge 34 (64%) met DSM IV criteria for a current psychiatric diagnosis and only 3 (6%) participants met operational criteria for successful outcomes at follow-up. Impairments in mental health, lack of employment, education or training and low preparedness were associated with poor outcomes. CONCLUSIONS: The findings suggest the current organisation of mental health and care services may not be fit for purpose and even unwittingly contribute to persistent mental illness and poor psychosocial outcomes. A redesign of services should consider a model where the timing of transition does not fall at the most hazardous time for young people, but is sufficiently flexible to allow young people to move on when they are personally, socially and psychologically most able to succeed. Assessment of a young person's readiness to transition might also be useful. A youth focused service across the adolescent and early adult years may be better placed to avoid young people falling through the service gap created by poor transitional management.This work was completed within the NIHR Collaborations for Leadership in Applied Health Research and Care (CLAHRC) for Cambridgeshire and Peterborough (now CLAHRC East of England). The CLAHRC is hosted by the University of Cambridge and the Cambridge and Peterborough NHS Foundation Trust. This work was partially supported by a Wellcome Trust programme grant (grant no. 74296) for the ROOTS data collection awarded to Ian Goodyer.This is the final version of the article. It first appeared from BioMed Central via http://dx.doi.org/10.1186/s12913-015-0853-