Social, emotional and behavioural difficulties associated with persistent speech disorder in children: A prospective population study
- PMID: 37431315
- PMCID: PMC10241475
- DOI: 10.1002/jcv2.12126
Social, emotional and behavioural difficulties associated with persistent speech disorder in children: A prospective population study
Abstract
Purpose: Social, emotional and behavioural difficulties (SEBD) in childhood are associated with negative consequences across the life course. Children with developmental language disorder have been identified as being at risk of developing SEBD but it is unclear whether a similar risk exists for children with speech sound disorder, a condition which impacts on children's ability to make themselves understood and has been shown to be associated with poor educational outcomes.
Methods: Participants were children who attended the 8-year-old clinic in the Avon Longitudinal Study of Parents and Children (N = 7390). Children with speech sound disorder that had persisted beyond the period of typical speech acquisition (persistent speech disorder [PSD]) at age 8 were identified from recordings and transcriptions of speech samples (N = 263). Parent-, teacher- and child-reported questionnaires and interviews including the Strengths and Difficulties Questionnaire, Short Moods and Feelings Questionnaire and measures for antisocial and risk-taking behaviour were used to provide outcome scores for SEBD at 10-14 years in a series of regression analyses.
Results: Following adjustment for biological sex, socio-economic status and Intelligence Quotient, children with PSD at age 8 were more likely to show peer problems at age 10-11 years compared with their peers, as reported by teachers and parents. Teachers were more likely to report problems with emotionality. Children with PSD were no more likely to report symptoms of depression than their peers. No associations were observed between PSD, risk of antisocial behaviour, trying alcohol at age 10 or smoking cigarettes at age 14.
Conclusions: Children with PSD may be at risk in terms of their peer relationships. This could impact on their wellbeing and, while not observed at this age, may lead to depressive symptoms in older childhood and adolescence. There is also the potential that these symptoms may impact on educational outcomes.
Keywords: ALSPAC; antisocial behaviours; depression; emotional and behavioural difficulties; risk‐taking; social; speech disorder.
© 2023 The Authors. JCPP Advances published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.
Conflict of interest statement
The authors have declared that they have no competing or potential conflicts of interest.
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References
-
- Achenbach, T. M. (1991). Manual for the child behavior checklist 14–18 and 1991 profile. University of Vermont Department of Psychiatry.
-
- Agnew‐Blais, J. C. , Polanczyk, G. V. , Danese, A. , Wertz, J. , Moffitt, T. E. , & Arseneault, L. (2016). Evaluation of the persistence, remission, and emergence of attention‐deficit/hyperactivity disorder in young adulthood. JAMA Psychiatry, 73(7), 713–720. 10.1001/jamapsychiatry.2016.0465 - DOI - PMC - PubMed
-
- Angold, A. , Costello, E. J. , Messer, S. C. , Pickles, A. , Winder, F. , & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237–249.
-
- Beitchman, J. H. , Wilson, B. , Johnson, C. J. , Atkinson, L. , Young, A. , Adlaf, E. , Escobar, M. , & Douglas, L. (2001). Fourteen‐year follow‐up of speech/language‐impaired and control children: Psychiatric outcome. Journal of the American Academy of Child & Adolescent Psychiatry, 40(1), 75–82. 10.1097/00004583-200101000-00019 - DOI - PubMed
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