Clinical markers for specific language impairment in Italian: the contribution of clitics and non-word repetition

• Published in: International journal of language & communication disorders Vol. 41; no. 6; pp. 695 - 712
• Main Authors: Bortolini, Umberta, Arfé, Barbara, Caselli, Cristina M., Degasperi, Luisa, Deevy, Patricia, Leonard, Laurence B.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Informa UK Ltd 01-11-2006; Blackwell Publishing Ltd; Taylor & Francis, Ltd; Informa
• Subjects: Biological and medical sciences; Case-Control Studies; Child clinical studies; Child, Preschool; Clinical Diagnosis; Female; Foreign Countries; Genetics; Grammar; Humans; Italian; Italy; Language; Language and communication disorders; Language assessment; Language Development; Language Development Disorders - diagnosis; Language Development Disorders - psychology; Language Impairments; Language Processing; Male; Medical sciences; Morphemes; Oral Language; Preschool Children; Preschool Education; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Sensitivity and Specificity; Specific language impairment; Speech Language Pathology; Speech Production Measurement; Speech Tests; Statistical Analysis; Verbal Behavior; Italy; Human; Preschool age; Italian; Prosody; Language; Morpheme; Specific language impairment; Specific language disorder; Language assessment; Child; Repetition
• ISSN: 1368-2822; 1460-6984
• DOI: 10.1080/13682820600570831

Background: The discovery of clinical markers for specific language impairment (SLI) in children can assist in the accurate identification of children with this disorder, and in a description of the disorder's phenotype for genetic study. One challenge to this type of research is the fact that languages vary in the most salient symptoms of SLI. This study focuses on Italian.
Aims: To determine whether three measures - the use of third-person plural inflections, the use of direct-object clitics and non-word repetition - are successful in distinguishing Italian-speaking children with SLI from their typically developing peers.
Methods & Procedures: Eleven preschool-aged children with SLI, 11 same-age typically developing peers and 11 younger typically developing children participated in the study. The third-person plural inflection and direct-object clitic tasks required the children to describe drawings in response to prompts provided by the examiner. In the non-word repetition task, the children repeated non-words ranging from one to four syllables in length.
Outcomes & Results: All three measures proved successful either singly or in combination, with direct-object clitics and non-word repetition showing the highest sensitivity and specificity.
Conclusions: Additional research should be pursued to replicate and extend these findings. Along with the potential clinical value of the findings, the results suggest that difficulties with non-final weak syllables - a problem that would adversely affect all three measures - may be an important part of the SLI profile in Italian.