The feasibility of universal screening for primary speech and language delay: findings from a systematic review of the literature

Law, James; Boyle, James; Harris, Frances; Harkness, Avril; Nye, Chad

doi:10.1017/s0012162200000335

Cited by 84 publications

(42 citation statements)

References 63 publications

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“…Screening tests that attempt to identify a specific condition, for example LD, rather than general developmental delay, tend to have low sensitivity and specificity (Law et al 2000b). Up to 60% of cases of speech and language delay at 2 to 3 years of age may resolve spontaneously, but at the time of identification it is not possible to predict which children with language problems are likely to have persistent problems.…”

mentioning

confidence: 99%

Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months

Miniscalco

Nygren

Hagberg

et al. 2006

Develop Med Child Neuro

115

107

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We present a prospective study at school age of neuropsychiatric and neurodevelopmental outcome of language delay suspected at child health screening around 30 months of age. In a community sample, 25 children (21 males, 4 females) screening positive and 80 children (38 males, 42 females) screening negative for speech and language problems at age 30 months were examined in detail for language disorders at age 6 years. The screen‐positive children were then followed for another year and underwent in‐depth neuropsychiatric examination by assessors blind to the results of previous testing. Detailed follow‐up results at age 7 years were available for 21 children. Thirteen of these 21 children (62%) had a major neuropsychiatric diagnosis (autism, atypical autism, Asperger's syndrome, attention‐deficit‐hyperactivity disorder [ADHD]), or combinations of these. Two further children (10%) had borderline IQ with no other major diagnosis. We conclude that children in the general population who screen positive for speech and language problems before age 3 years appear to be at very high risk of autism spectrum disorders or ADHD, or both, at 7 years of age. Remaining language problems at age 6 years strongly predict the presence of neuropsychiatric or neurodevelopmental disorders at age 7 years.

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mentioning

confidence: 99%

Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months

Miniscalco

Nygren

Hagberg

et al. 2006

Develop Med Child Neuro

115

107

View full text Add to dashboard Cite

show abstract

“…Two systematic reviews of screening instruments for speech and language delay have been published (Law, Boyle, Harris, Harkness & Nye, 2000a;Nelson, Nygren, Walker & Panoscha, 2006), both reaching similar conclusions. The more recent of these, which formed the basis for a recommendation by the US Preventive Services Task Force (USPSTF), concluded that '…the evidence is insufficient to recommend for or against routine use of brief, formal screening instruments in primary care to detect speech and language delay in children up to 5 years of age' (USPSTF, 2006, 497).…”

Section: Commentarymentioning

confidence: 73%

Screening 3-year-olds for language delay using selected parent-report measures: The jury is still out1

Klee

2007

Evidence-Based Communication Assessment and Intervention

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“…7,8 The percentage of CD in this study was higher than that found in the general population (2.3 to 24.6%). 31 However, no prior studies of CD (including language disorders, speech disorders, and pragmatic skill disorders) have been conducted in similar populations in our country. In the literature, authors have mainly studied language disorders.…”

Section: Discussionmentioning

confidence: 97%

Co-occurrence of communication disorder and psychiatric disorders in maltreated children and adolescents: relationship with global functioning

Stivanin

Oliveira

Santos

et al. 2015

Rev. Bras. Psiquiatr.

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Objective: To study the co-occurrence of psychiatric disorders (PD) and communication disorders (CD) and their relationship with global functioning in maltreated children and adolescents. Methods: The sample comprised 143 maltreated children and adolescents (55.8% male). All underwent clinical communication and psychiatric evaluations, as well as global functioning assessment using the Children's Global Assessment Scale (C-GAS). Results: Four groups emerged from evaluation: Group 1 (n=7, 4.9%) did not exhibit any disorders; Group 2 (n=26, 18.2%) exhibited PD; Group 3 (n=34, 23.8%) exhibited CD; and Group 4 (n=76, 53.1%) exhibited both PD and CD on evaluation. Significant differences in global functioning scores were found between G1 and G2, G1 and G4, G2 and G4, and G3 and G4, with the highest C-GAS scores found in G1 and the lowest in G4. Conclusion: Rates of PD and CD are high in this maltreated population. The presence of PD has a major impact on C-GAS score, and the simultaneous presence of CD increases the already impaired function of PD. Demonstration of the additive effects of PD and CD on youth functioning suggests that professionals should be alert to the presence of both disorders to better act preventively and therapeutically in a high-risk population.

show abstract

The feasibility of universal screening for primary speech and language delay: findings from a systematic review of the literature

Cited by 84 publications

References 63 publications

Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months

Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months

Screening 3-year-olds for language delay using selected parent-report measures: The jury is still out1

Co-occurrence of communication disorder and psychiatric disorders in maltreated children and adolescents: relationship with global functioning

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