Pragmatic communication deficits in children with epilepsy
Identifieur interne : 002B99 ( Main/Corpus ); précédent : 002B98; suivant : 002C00Pragmatic communication deficits in children with epilepsy
Auteurs : Mark Broeders ; Hilde Geurts ; Aag Jennekens-SchinkelSource :
- International Journal of Language & Communication Disorders [ 1368-2822 ] ; 2010-09-10.
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Abstract
Background: Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study. Aims: 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning. Methods & Procedures: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital. Outcomes & Results: The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for. Conclusions & Implications: Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. Additional research is needed to elucidate mechanisms underlying these deficits.
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DOI: 10.3109/13682820903374246
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Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study. Aims: 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning. Methods & Procedures: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital. Outcomes & Results: The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for. Conclusions & Implications: Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. Additional research is needed to elucidate mechanisms underlying these deficits.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Mark Broeders</name><affiliations><json:string>Psychonomics, University of Amsterdam, Amsterdam, the Netherlands</json:string></affiliations></json:item><json:item><name>Hilde Geurts</name><affiliations><json:string>Psychonomics, University of Amsterdam, Amsterdam, the Netherlands</json:string></affiliations></json:item><json:item><name>Aag Jennekens‐Schinkel</name><affiliations><json:string>Child Neurology, University Medical Centre, Utrecht, the Netherlands</json:string><json:string>Rudolf Magnus Institute of Neuroscience, Utrecht, the Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>children</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>epilepsy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>language</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>pragmatics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>communication</value></json:item></subject><articleId><json:string>JLCD764</json:string></articleId><language><json:string>eng</json:string></language><abstract>Background: Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study. Aims: 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning. Methods & Procedures: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital. Outcomes & Results: The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for. Conclusions & Implications: Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. 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Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study. Aims: 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning. Methods & Procedures: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital. Outcomes & Results: The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for. Conclusions & Implications: Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. Additional research is needed to elucidate mechanisms underlying these deficits.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>children</term></item><item><term>epilepsy</term></item><item><term>language</term></item><item><term>pragmatics</term></item><item><term>communication</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-09-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/7AA5F895EE0F690BAABAD2C5794F7199302C41BB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1460-6984</doi><issn type="print">1368-2822</issn><issn type="electronic">1460-6984</issn><idGroup><id type="product" value="JLCD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF LANGUAGE AND COMMUNICATION DISORDERS">International Journal of Language & Communication Disorders</title></titleGroup></publicationMeta><publicationMeta level="part" position="09105"><doi origin="wiley">10.1111/jlcd.2010.45.issue-5</doi><numberingGroup><numbering type="journalVolume" number="45">45</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2010-09-10">September‐October 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="8" status="forIssue"><doi origin="wiley">10.3109/13682820903374246</doi><idGroup><id type="unit" value="JLCD764"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Research Reports</title></titleGroup><copyright>2010 Royal College of Speech & Language Therapists</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.2 mode:FullText" date="2010-12-31"></event><event type="firstOnline" date="2010-12-31"></event><event type="publishedOnlineFinalForm" date="2010-12-31"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="608">608</numbering><numbering type="pageLast" number="616">616</numbering></numberingGroup><correspondenceTo>Address correspondence to: Mark Broeders, Psychonomics, University of Amsterdam, Roetersstraat 15, 1018WB, Amsterdam, the Netherlands; e‐mail: <email>m.broeders@uva.nl</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JLCD.JLCD764.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received January 2009; accepted September 2009</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="31"></count><count type="linksCrossRef" number="89"></count></countGroup><titleGroup><title type="main">Pragmatic communication deficits in children with epilepsy</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Mark</givenNames><familyName>Broeders</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Hilde</givenNames><familyName>Geurts</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2 #a3"><personName><givenNames>Aag</givenNames><familyName>Jennekens‐Schinkel</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="NL"><unparsedAffiliation>Psychonomics, University of Amsterdam, Amsterdam, the Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="NL"><unparsedAffiliation>Child Neurology, University Medical Centre, Utrecht, the Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="NL"><unparsedAffiliation>Rudolf Magnus Institute of Neuroscience, Utrecht, the Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">children</keyword><keyword xml:id="k2">epilepsy</keyword><keyword xml:id="k3">language</keyword><keyword xml:id="k4">pragmatics</keyword><keyword xml:id="k5">communication</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><i>Background:</i> Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study.</p><p><i>Aims:</i> 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning.</p><p><i>Methods & Procedures</i>: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital.</p><p><i>Outcomes & Results:</i> The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for.</p><p><i>Conclusions & Implications:</i> Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. Additional research is needed to elucidate mechanisms underlying these deficits.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Pragmatic communication deficits in children with epilepsy</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Pragmatic communication deficits in children with epilepsy</title></titleInfo><name type="personal"><namePart type="given">Mark</namePart><namePart type="family">Broeders</namePart><affiliation>Psychonomics, University of Amsterdam, Amsterdam, the Netherlands</affiliation><description>Correspondence: Address correspondence to: Mark Broeders, Psychonomics, University of Amsterdam, Roetersstraat 15, 1018WB, Amsterdam, the Netherlands; e‐mail: </description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hilde</namePart><namePart type="family">Geurts</namePart><affiliation>Psychonomics, University of Amsterdam, Amsterdam, the Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Aag</namePart><namePart type="family">Jennekens‐Schinkel</namePart><affiliation>Child Neurology, University Medical Centre, Utrecht, the Netherlands</affiliation><affiliation>Rudolf Magnus Institute of Neuroscience, Utrecht, the Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2010-09-10</dateIssued><edition>Received January 2009; accepted September 2009</edition><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">2</extent><extent unit="references">31</extent></physicalDescription><abstract lang="en">Background: Various psychiatric and neurological disorders including epilepsy have been associated with language deficits. Pragmatic language deficits, however, have seldom been the focus of earlier studies in children with epilepsy. Moreover, it is unknown whether these pragmatic deficits are related to general intellectual functioning. Both issues will be addressed in this study. Aims: 1) Explore pragmatic language deficits in children with epilepsy while controlling for having a neurological illness and having to visit a tertiary paediatric hospital regularly, and 2) Determine whether pragmatic difficulties, if present, are discrete or associated with general intellectual functioning. Methods & Procedures: The Children's Communication Checklist (CCC), a pragmatic language questionnaire, created by D. V. M. Bishop in 1998, was filled out by parents of 30 children with epilepsy (mean age = 10 years), 30 age‐matched children with various neurological disorders other than epilepsy, and 30 age‐matched typically developing controls. The full‐scale intelligence quotient (FSIQ) was individually measured to estimate the children's level of overall intelligence. The clinical groups were assessed in a tertiary paediatric hospital. Outcomes & Results: The pragmatic composite score distinguished between the two neurologically impaired groups, even after controlling for FSIQ. Of children with epilepsy, 23% had pragmatic deficits, whereas only 3% of the children with various other neurological disorders and none of the typically developing children had these deficits. When compared scale by scale with typically developing children, children in both clinical groups showed more structural language problems and problems of language use, but these differences disappeared when FSIQ was controlled for. Conclusions & Implications: Pragmatic deficits in communication are present in children treated for various neurological impairments, but more so in children whose seizures necessitate referral to a tertiary hospital. Clinicians should be sensitive to and inquire after pragmatic aspects of communication. Additional research is needed to elucidate mechanisms underlying these deficits.</abstract><subject lang="en"><genre>Keywords</genre><topic>children</topic><topic>epilepsy</topic><topic>language</topic><topic>pragmatics</topic><topic>communication</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Language & Communication Disorders</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">1368-2822</identifier><identifier type="eISSN">1460-6984</identifier><identifier type="DOI">10.1111/(ISSN)1460-6984</identifier><identifier type="PublisherID">JLCD</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>45</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>608</start><end>616</end><total>9</total></extent></part></relatedItem><identifier type="istex">7AA5F895EE0F690BAABAD2C5794F7199302C41BB</identifier><identifier type="DOI">10.3109/13682820903374246</identifier><identifier type="ArticleID">JLCD764</identifier><accessCondition type="use and reproduction" contentType="copyright">2010 Royal College of Speech & Language Therapists</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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