Abstract
Comparing the linguistic and metalinguistic profiles in common developmental
speech and language disorders is important in advancing our understanding of their clinical
symptoms, as well as potentially informing the conceptual basis of novel interventions. The
purpose of the present review article is summarizing linguistic, metalinguistic and psychiatric
characteristics of children with speech sound disorder (SSD). Clinically and theoretically, it is
important that we can understand different error pattern uses among children with SSD only
and children with co-occurring SSD and language impairment (LI). Identifying differences in
error pattern use will help to discovering the underlying causes of the different types of patterns.
In comparison with children with SSD, children with co-occurring SSD and LI use certain
patterns more frequently that suggest more global linguistic deficits. The early identification
of children who are at risk for development of co-occurring SSD and LI as well as later
literacy problems needs to distinguish these patterns. Identification of speech error patterns and
their underlying cognitive-linguistic processing deficits will contribute to diagnosis of children
at risk of co-occurring SSD and LI and reading problems. Mounting studies have reported that
children with SSD, with and without language impairment have differences in phonological
processing, literacy skills, and speech production patterns. Children with both speech sound
and language disorders are likely to have more severe literacy problems than those with isolated
speech sound disorders. In addition, this paper focuses on the comorbidity between psychiatric
disorders specially attention deficit/hyperactivity disorder (ADHD) symptoms and SSD.
Keywords:
Speech sound disorder, metalinguistic, ADHD, language impairment, reading disorder, LI.
Graphical Abstract
[4]
McLeod S, Baker E. Children’s speech: An evidencebased approach to assessment and intervention. USA: Pearson 2017; p. 632.
[8]
American Psychiatric Association. Association, Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association 2013; p. 5.
[23]
Shriberg LD, Paul R, Flipsen P. Childhood speech sound disorders: From postbehaviorism to the postgenomic era. In: Speech sound disorders in children. URMC 2009.
[26]
Dodd B. Differential diagnosis and treatment of children with speech disorder. New York: John Wiley & Sons 2013.
[27]
Dodd B. Differential diagnosis of phonological disorders. In: Differential Diagnosis and Treatment of Children with Speech Disorder. London: Whurr 2005; pp. 44-70.
[29]
Rex S. Assessment and differential diagnosis in childhood apraxia of speech. PhD Dissertation Sweden: Karolinska University Hospital 2022.
[40]
Dodd B, McCormack P. A model of speech processing for differential diagnosis of phonological disorders. In: Differential Diagnosis and Treatment of Children with Speech Disorder. (2nd ed.). New York: Wiley 1995; p. 368.
[73]
Gillon G. Phonological awareness: From research to practice. New York, NY, US: Guilford Press 2004.
[76]
Apel K, Wolter JA, Masterson JJ. Mental graphemic representations (MGRs). In: Encyclopedia of the sciences of learning. Boston, MA: Springer 2012; p. 2185.
[78]
Donegan PJ, Stampe D. The study of natural phonology. In: Current approaches to phonological theory. Indiana, USA: Indiana University Press 1979.
[80]
Catts H. Reading difficulties: A developmental language perspective. In: Phonological processing deficits and reading disabilities Needha Heights. Allyn & Bacon 1991.
[84]
Stackhouse J. Phonological awareness: Connecting speech and literacy problem. In: Perspectives in Applied Phonology. USA: Aspen 1997; p. 256.
[109]
Baker L, Cantwell DP. Attention deficit disorder and speech/language disorders. Compr Ment Health Care 1992; 2(1): 3-16.
[116]
Tannock R, Schachar R. Executive dysfunction as an underlying mechanism of behavior and language problems in attention deficit hyperactivity disorder. In: Developmental, biological, and clinical perspectives. Cambridge, UK: Cambridge University Press 1996.
[117]
Short E, et al. Rates of ADHD in a sample of children with varying severity of speech-language disorders. Adv ADHD 2008; 2(4): 112-9.
[123]
Leonard L. Children with specific language impairment. Cambridge, MA: MIT Press 1998.