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Linguistic profile of children with language and speech disorders and family participation in the therapeutic process: an integrative literature review

Perfil linguístico de crianças com transtornos de linguagem  e fala e participação da família no processo terapêutico:  revisão integrativa de literatura

Tatiana Bagetti; Viviane Santos do Nascimento; Gisele Gouvea da Silva; Renato Sampaio Lima

http://dx.doi.org/10.1590/1982-0216/20232532623 Revista CEFAC, vol.25, n3, e2623, 2023
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Abstract

Purpose: to investigate the linguistic profile (linguistic symptoms and risk factors) of children with communication, language, and speech disorders and verify their family’s participation in the therapeutic process.

Methods: an integrative literature review including studies on linguistic symptoms of children with developmental language disorder (DLD), autism spectrum disorder (ASD), and phonological disorders (PD), published in Portuguese in the last 10 years (2012 to 2022) in the PubMed, SciELO, and VHL databases.

Literature Review: 24 studies were included, according to the eligibility criteria, the children having different linguistic symptoms. In PD, there were more phonological processes, slower speech, and difficulties in auditory perception and morphosyntactic and semantic development. In DLD, there were changes in nominal morphology, morphosyntactic comprehension, greater use of intransitive verbs, omission of verb objects, and difficulties in solving conflicts. In ASD, there were difficulties in social interaction, imitation, prosodic changes, and decreased responsiveness. The main risk factor was prematurity, and the family was considered crucial as a support network in the therapeutic process. The family’s attitudes were facilitators or barriers to the patients’ improvement, depending on how they responded to the therapists’ instructions.

Conclusion: the linguistic profile depends on the various language/speech disorders. Each child’s singularities must be considered, and the family’s participation is crucial to the therapeutic process.

Keywords

Child Language; Signs and Symptoms; Speech Therapy; Family

Resumo

Objetivo: investigar o perfil linguístico (sintomas linguísticos e fatores de risco) de crianças com transtornos de comunicação, linguagem e fala e verificar a participação da família no processo terapêutico.

Métodos: foi realizada uma revisão integrativa da literatura. Foram incluídos estudos sobre sintomas linguísticos de crianças com Transtorno do Desenvolvimento da Linguagem (TDL), TEA (Transtorno do Espectro Autista) e Transtornos Fonológicos (TF), publicados nos últimos 10 anos (2012 a 2022) em língua portuguesa nas bases de dados: PubMed, Scielo e BVS.

Revisão da Literatura: aplicando os critérios de elegibilidade, foram incluídos 24 estudos. As crianças apresentaram diferentes sintomas linguísticos. No TF verificaram-se quantidade maior de processos fonológicos, menor velocidade de fala, dificuldades na percepção auditiva e no desenvolvimento morfossintático e semântico. No TDL verificaram-se alterações na morfologia nominal, na compreensão morfossintática, maior utilização de verbos intransitivos, omissões de complementos verbais e dificuldade em resolução de conflitos. No TEA observaram-se dificuldades na interação social, imitação, alterações prosódicas e diminuição na responsividade. O principal fator de risco foi a prematuridade e a família foi considerada crucial como rede de apoio no processo terapêutico. As atitudes da família foram facilitadoras ou barreiras para a melhora do paciente, dependendo da forma como as famílias correspondiam às orientações terapêuticas.

Conclusão: o perfil linguístico depende dos diferentes transtornos de linguagem/fala, as singularidades de cada criança devem ser consideradas e a participação da família é crucial no processo terapêutico.

Palavras-chave

Linguagem Infantil; Sinais e Sintomas; Fonoterapia; Família

References

1. Prathanee B, Thinkhamrop B, Dechongkit S. Factors associated with specific language impairment and later language development during early life: a literature review. Clin Pediatr (Phila). 2007;46(1):22-9. https://doi.org/10.1177/0009922806297153. PMID: 17164505.

2. Seiger-Gardner L, Schwartz RG. Lexical access in children with and without specific language impairment: a cross-modal picture-word interference study. Int J Lang Commun Disord. 2008;43(5):528-51. https://doi.org/10.1080/13682820701768581. PMID: 22612630.

3. APA: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). American Psychiatric Association; 2014.

4. Fey M, Leonard L. Pragmatic skills in children with specific language impairment. In: Gallagher T, Prutting C, editors. Pragmatic assessment and intervention issues in language. San Diego: College-Hill Press; 1983. p.65-82.

5. Bishop DVM, Snowling MJ, Thompson PA, Greenhalgh T, and the CATALISE-2 consortium. Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: terminology. J Child Psychol Psychiatry. 2017;58(10):1068-80. https://doi.org/10.1111/jcpp.12721. Epub 2017 Mar 30.

6. Cavalheiro LG, Brancalioni AR, Keske-Soares M. Prevalence of phonological disorders in children from Salvador, Bahia, Brazil. Rev. Soc. Bras. Fonoaudiol. 2012;17(4):441-6. https://doi.org/10.1590/S1516-80342012000400013.

7. Norbury CF, Gooch D, Wray C, Baird G, Charman T, Simonoff E et al. The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study. J Child Psychol Psychiatry. 2016;57(11):1247-57. https://doi.org/10.1111/jcpp.12573.

8. Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z et al. Prevalence of Autism Spectrum Disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ. 2018;67(6):1-23. https://doi.org/10.15585/mmwr.ss6706a1. PMID: 29701730.

9. Grunwell P. Os desvios fonológicos numa perspectiva linguística. In: YAVAS M, editor. Desvios fonológicos em crianças: teoria, pesquisa e tratamento. Porto Alegre: Mercado Aberto; 1990. p. 53-77.

10. Bishop DV, Hayiou-Thomas ME. Heritability of specific language impairment depends on diagnostic criteria. Genes Brain Behav. 2008;7(3):365-72. https://doi.org/10.1111/j.1601-183X.2007.00360.x. PMID: 17919296. PMCID: PMC2324210.

11. Whitehouse AJO, Maybery MT, Durkin K. Evidence against poor semantic encoding in individuals with autism. Autism. 2007;11(3):241-54. https://doi.org/10.1177/1362361307076860.

12. Minuchin S. Famílias, funcionamento e tratamento. Porto Alegre: Artes Médicas; 1988.

13. Befi-Lopes DM, Bacchin LB, Pedott PR, Cáceres-Assenço AM. Story's complexity and silent pauses in children with and without specific language impairment. CoDAS. 2013;25(4):325-9. https://doi.org/10.1590/S2317-17822013000400005. PMID: 2440848.

14. Paula EM, Befi-Lopes DM. Conflict resolution abilities in children with Specific Language Impairment. CoDAS. 2013;25(2):102-9. https://doi.org/10.1590/s2317-17822013000200003. PMID: 24408237.

15. Befi-Lopes DM, Pedott PR, Bacchin LB, Cáceres AM. Word class and silent pauses in spoken narratives of children with specific language impairment. CoDAS. 2013;25(1):64-9. https://doi.org/10.1590/s2317-17822013000100012 . PMID: 24408173.

16. Befi-Lopes DM, Cáceres-Assenço AM, Marques SF, Vieira M. School-age children with specific language impairment produce more speech disfluencies than their peers. CoDAS. 2014;26(6):439-43. https://doi.org/10.1590/2317-1782/20142014095. PMID: 25590904.

17. Andrade CRF, Befi-Lopes DM, Juste FS, Cáceres-Assenço AM, Fortunato-Tavares TM. Aspects of speech fluency in children with specific language impairment. Audiol., Commun. Res. 2014;19(3):252-7. https://doi.org/10.1590/S2317-64312014000300008.

18. Puglisi ML, Befi-Lopes DM. Impact of specific language impairment and type of school on different language subsystems. CoDAS. 2016;28(4):388-94. https://doi.org/10.1590/2317-1782/2016201524. PMID: 27652925.

19. Verreschi MQ, Cáceres-Assenço AM, Befi-Lopes DM. Nouns and verbs used by preschoolers with language impairment. CoDAS. 2016;28(4):362-8. https://doi.org/10.1590/2317-1782/20162015078. PMID: 27652924.

20. Pedott PR, Cáceres-Assenço AM, Befi-Lopes DM. Alliteration and rhyme skills in children with specific language impairment. CoDAS. 2017;29(2):e20160017. https://doi.org/10.1590/2317-1782/20172016017. PMID: 28380200.

21. Miilher LP, Fernandes FDM. Considering responsivity: a proposal for pragmatic analysis in autism spectrum. CoDAS. 2013;25(1):70-5. https://doi.org/10.1590/s2317-17822013000100013. PMID: 24408174.

22. Souza ACR, Mazzega LC, Armonia AC, Pinto FC de A, Bevilacqua M, Nascimbeni RCD et al. Comparative study of the imitation ability in Specific Language Impairment and Autism Spectrum Impairment. CoDAS. 2015;27(2):142-7. https://doi.org/10.1590/2317-1782/20152014194. PMID: 26107079.

23. Olivati AG, Assumpção Junior FB, Misquiatti ARN. Acoustic analysis of speech intonation pattern of individuals with Autism Spectrum Disorders. CoDAS. 2017;29(2):e20160081. https://doi.org/10.1590/2317-1782/20172016081. PMID: 28403279.

24. Wertzner HF, Pulga MJ, Pagan-Neves LO. Metaphonological skills among children with speech sound disorder: the influence of age and disorder severity. Audiol., Commun. Res. 2014;19(3):243-51. https://doi.org/10.1590/S2317-64312014000300007.

25. Novaes PM, Nicolielo-Carrilho AP, Lopes-Herrera SA. Speech rate and fluency in children with phonological disorder. CoDAS. 2015;27(4):339-43. https://doi.org/10.1590/2317-1782/20152014100. PMID: 26398256.

26. Freitas CR, Mezzomo CL, Vidor DCGM. Phonemic discrimination and the relationship with other linguistic levels in children with typical phonological development and phonological disorder. CoDAS. 2015;27(3):236-41. https://doi.org/10.1590/2317-1782/20152014168. PMID: 26222939.

27. Ceron MI, Gubiani MB, Oliveira CR, Gubiani MB, Keske-Soares M. Prevalence of phonological disorders and phonological processes in typical and atypical phonological development. CoDAS. 2017;29(3):e20150306. https://doi.org/10.1590/2317-1782/20172015306. PMID: 28492716.

28. Mendes JCP, Pandolfi MM, Carabetta Júnior V, Novo NF, Colombo-Souza P. Factors associated to language disorders in preschool children. Rev Soc Bras Fonoaudiol. 2012;17(2):177-81. https://doi.org/10.1590/S1516-80342012000200013.

29. Silva GMD, Couto MIV, Molini-Avejonas DR. Risk factors identification in children with speech disorders: pilot study. CoDAS. 2013;25(5):456-62. https://doi.org/10.1590/S2317-17822013000500010. PMID: 24408550.

30. Caldas CSO, Takano OA, Mello PRB, Souza SC, Zavala AAZ. Language abilities performance of children born preterm and low birth weight and associated factors. Audiol., Commun. Res. 2014;19(2):158-66. https://doi.org/10.1590/S2317-64312014000200010.

31. Monteiro-Luperi TI, Befi-Lopes DM, Diniz EMA, Krebs VL, Carvalho WB. Linguistic performance in 2 years old preterm, considering chronological age and corrected age. CoDAS. 2016;28(2):118-22. https://doi.org/10.1590/2317-1782/20162015075. PMID: 27191874.

32. Pereira JF, Formiga CKMR, Vieira MEB, Linhares MBM. The influence of biological and socio-economic factors in neuro-psychomotor development of kindergarten children. Revista Saúde e Pesquisa. 2017;10(1):135-44. https://doi.org/10.17765/1983-1870.2017v10n1p135-144.

33. Ribeiro CC, Pachelli MRO, Amaral NCO, Lamônica DAC. Development skills of children born premature with low and very low birth weight. CoDAS. 2017;29(1):e20160058. https://doi.org/10.1590/2317-1782/20162016058. PMID: 28146204.

34. Soares ACC, Silva K, Zuanetti PA. Risk factors for language development associated with prematurity. Audiol., Commun. Res. 2017; 22:e1745. https://doi.org/10.1590/2317-6431-2016-1745.

35. Ostroschi DT, Zanolli ML, Chun RYS. Families' perception of children / adolescents with language impairment through the International Classification of Functioning, Disability, and Health (ICF-CY). CoDAS. 2017;29(3):e20160096. https://doi.org/10.1590/2317-1782/20172016096. PMID: 28538828.

36. Balestro JI, Fernandes FDM. Caregivers' perception of children with Autism Spectrum Disorder regarding to the communicative profile of their children after a communicative orientation program. CoDAS. 2019;31(1):e20170222. https://doi.org/10.1590/2317-1782/20182018222. PMID: 30843922.

37. Corrêa LMS, Augusto MRA, Bagetti T. Processing cost in sentence comprehension as a predictor of language impairment in production: syntactic movement and extended relativized minimality in a model of on-line computation. In: Stavrakaki S, Lalioti M, Konstantinopoulou P, editor. Advances in Language Acquisition. Cambridge Scholars Publishing; 2013. p.395-404.

38. Vieira MG. Memória de trabalho e consciência fonológica no desvio fonológico. [dissertation]. Santa Maria (RS): Universidade Federal de Santa Maria; 2014.

39. Caravale B, Tozzi C, Albino G, Vicari S. Cognitive development in low risk preterm infants at 3-4 years of life. Arch Dis Child Fetal Neonatal Ed. 2005;90(6):F474-9. https://doi.org/10.1136/adc.2004.070284.

40. Bettio CDB, Bazon MR, Schmidt A. Risk and protective factors for language development. Psicol Estud. 2019; (24):e41889. https://doi.org/10.4025/1807-0329e4188.
 

Submitted date:
04/05/2023

Accepted date:
08/07/2023

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