In the past 10 years, important new theoretical insights into the range and nature of WM deficits and relation between these limitations and the language difficulties in SLI have occurred. New, robust diagnostic assessment tools and computerized treatment methods designed to enhance children's WM functioning have also been developed. The assessment, diagnosis, and treatment of the language difficulties in SLI should consider the potential influence of WM.
The influence of three mechanisms of working memory (phonological short-term memory (PSTM capacity), attentional resource control/allocation, and processing speed) on children's complex (and simple) sentence comprehension was investigated. Fifty two children (6-12 years) completed a nonword repetition task (indexing PSTM), concurrent verbal processing-storage task (indexing resource control/allocation), auditory-visual reaction time (RT) task (indexing processing speed), and a sentence comprehension task that included complex and simple sentences. Correlation and regression analyses were run to determine the association between the memory variables and sentence comprehension accuracy. Results revealed: (1) none of the memory variables correlated with simple sentence comprehension, (2) resource control/allocation and processing speed correlated significantly with complex sentence comprehension, even after covarying for age, and (3) attentional functioning and processing speed predicted complex sentence comprehension (after accounting for age). Results were interpreted to suggest that working memory is significantly involved in school age children's comprehension of familiar complex sentence structures.
Results did not support an association between SPIN and WM capacity in children. However, in this study, a single SPIN measure was used. Future studies using multiple SPIN measures are warranted. Evidence from the current study supports the use of BKB-SIN as clinical measure of speech perception ability because it was not influenced by variation in children's language and memory abilities. More large-scale studies in school-age children are needed to replicate the proposed role played by WM in adverse listening situations.
Results were interpreted to suggest that relative to more complex verbal working memory tasks, simple tasks are more robust predictors of children's sentence comprehension because they represent a basic yet robust index of working memory that sufficiently captures controlled attentional focus.
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