Purpose-This study examined (a) the extent of genetic and environmental influences on children's articulation and language difficulties and (b) the phenotypic associations between such difficulties and direct assessments of reading-related skills during early school-age years.Method-Behavioral genetic analyses focused on parent-report data regarding the speech-language skills of 248 twin pairs (M = 6.08 years) from the Western Reserve Reading Project. In addition, phenotypic associations between children's speech-language status and direct assessments of early reading-related abilities were examined through hierarchical linear modeling (HLM).Results-Probandwise concordance rates and intraclass tetrachoric correlations indicated high heritability for children's difficulties in expressive language and articulation, with estimates of .54 and .97 accordingly. HLM results indicated that children with histories of speech-language difficulties scored significantly lower than unaffected children on various measures of early readingrelated abilities.Conclusions-Results from the parent-report survey provided converging evidence of genetic effects on children's speech and language difficulties and suggest that children with a history of speech-language difficulties are at risk for lower performance on early reading-related measures. The extent of risk differed across measures and appeared greatest for children who demonstrated a history of difficulties across articulation, expressive language, and receptive language. Implications for future genetic research and clinical practice are discussed.Contact author: Laura S. DeThorne, Department of Speech and Hearing Science, University of Illinois, 901 S. Sixth, Champaign, IL 61820. E-mail: lauras@uiuc.edu. The purpose of the present study was to examine the etiology of speech-language difficulties and the phenotypic associations between speech-language difficulties and measures of early reading-related skills. In the past decade, clinicians' understanding of the genetic influences on speech and language difficulties has grown substantially from familial aggregation and behavioral genetic studies. Familial aggregation studies, which compare the prevalence rates of a communication disorder in families of affected individuals to the population rate at large, have revealed the tendency for articulation and language difficulties to run in families (Choudhury & Benasich, 2003;Felsenfeld, McGue, & Broen, 1995;Lewis, 1992;Lewis, Ekelman, & Aram, 1989;Rice, Haney, & Wexler, 1998;Tallal, Ross, & Curtiss, 1989;Tomblin, 1996). A summary of seven familial aggregation studies provided by Stromswold (1998) revealed a median incidence rate of 35% for language difficulties in the families of children with language impairment, compared with a median incidence rate of 11% in control families (p. 665).
NIH Public AccessOne primary limitation of familial aggregation studies is that they confound genetic and environmental factors. In other words, genes "run in families" but so do many environ...