Purpose: The purpose of this study was to determine whether specific language impairment (SLI) and dyslexia are distinct developmental disorders.
Method: Study 1 investigated the overlap between SLI identified in kindergarten and dyslexia identified in 2nd, 4th, or 8th grades in a representative sample of 527 children. Study 2 examined phonological processing in a subsample of participants, including 21 children with dyslexia only, 43 children with SLI only, 18 children with SLI and dyslexia, and 165 children with typical language/reading development. Measures of phonological awareness and nonword repetition were considered.
Results: Study 1 showed limited but statistically significant overlap between SLI and dyslexia. Study 2 found that children with dyslexia or a combination of dyslexia and SLI performed significantly less well on measures of phonological processing than did children with SLI only and those with typical development. Children with SLI only showed only mild deficits in phonological processing compared with typical children.
Conclusions: These results support the view that SLI and dyslexia are distinct but potentially comorbid developmental language disorders. A deficit in phonological processing is closely associated with dyslexia but not with SLI when it occurs in the absence of dyslexia.
References
-
Adams, C. V., & BishopD. V. M. (2002, July). Genetic influences on verb morphology deficits in 6-year-old twins. Poster presented at the joint conference of the International Association for the Study of Child Language and the Symposium for Research on Children with Language Disorders, Madison, WI. -
Badian, N., McAnulty, G., Duffy, G., & Als, H. S. (1990). Prediction of dyslexia in kindergarten boys.Annals of Dyslexia, 41, 221–243. -
Bedore, L. M., & Leonard, L. B. (1998). Specific language impairment and grammatical morphology: A discriminant function analysis.Journal of Speech, Language, and Hearing Research, 41, 1185–1192. -
Berkson, J. (1946). Limitations of the application of fourfold table analysis to hospital data.Biometrics, 2, 47–53. -
Bishop, D. V. M. (2001). Genetic influences on language impairment and literacy problems in children: Same or different?.Journal of Child Psychology and Psychiatry, 42, 189–198. -
Bishop, D. V. M. (2005). DeFries–Fulker analysis of twin data with skewed distributions: Cautions and recommendations from a study of children’s use of verb inflections.Behaviour Genetics, 35, 479–490. -
Bishop, D. V. M., & Adams, C. (1990). A prospective study of the relationship between specific language impairment, phonological disorders, and reading retardation.Journal of Child Psychology and Psychiatry, 31, 1027–1050. -
Bishop, D. V. M., Adams, C. V., & Norbury, C. F. (2004). Using nonword repetition to distinguish genetic and environmental influences on early literacy development: A study of 6-year-old twins.American Journal of Medical Genetics: Neuropsychiatric Genetics, 129, 94–96. -
Bishop, D. V. M., North, T., & Donlan, C. (1996). Nonword repetition as a behavioral marker for inherited language impairment: Evidence from a twin study.Journal of Child Psychology and Psychiatry, 37, 391–403. -
Bishop, D. V. M., & Snowling, M. J. (2004). Developmental dyslexia and specific language impairment: Same or different?.Psychological Bulletin, 130, 858–886. -
Bradley, L., & Bryant, P. E. (1983). Categorising sounds and learning to read—A causal connection.Nature, 301, 419–521. -
Brady, S., Poggie, E., & Rapala, M. M. (1989). Speech repetition abilities in children who differ in reading skill.Language and Speech, 32, 109–122. -
Brady, S., Shankweiler, D., & Mann, V. (1983). Speech perception and memory coding in relation to reading ability.Journal of Experimental Child Psychology, 35, 345–367. -
Briscoe, J., Bishop, D. V. M., & Norbury, C. F. (2001). Phonological processing, language, and literacy: A comparison of children with mild-to-moderate sensorineural hearing loss and those with specific language impairment.Journal of Child Psychology and Psychiatry, 42, 329–340. -
Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues and research strategies.Journal of Child Psychology and Psychiatry, 32, 1063–1080. -
Catts, H. W. (1986). Speech production/phonological deficits in reading-disordered children.Journal of Learning Disabilities, 19, 504–508. -
Catts, H. W. (1993). The relationship between speech– language impairments and reading disabilities.Journal of Speech and Hearing Research, 36, 948–958. -
Catts, H. W., Adlof, S. M., & Ellis WeismerS. (in press). Language deficits in poor comprehenders: A case for the simple view of reading.Journal of Speech, Language, and Hearing Research. -
Catts, H. W., Fey, M. E., Tomblin, J. B., & Zhang, X. (1999). Language basis of reading and reading disabilities.Scientific Studies of Reading, 3, 331–361. -
Catts, H. W., Fey, M. E., Tomblin, J. B., & Zhang, X. (2002). A longitudinal investigation of reading outcomes in children with language impairments.Journal of Speech, Language, and Hearing Research, 45, 1142–1157. -
Catts, H. W., Fey, M. E., Zhang, X., & Tomblin, J. B. (2001). Estimating the risk of future reading difficulties in kindergarten children: A research-based model and its clinical implications.Language, Speech, and Hearing Services in Schools, 32, 38–50. -
Catts, H. W., & Kamhi, A. G. (2005). Language and reading disabilities.2nd ed.). Needham Heights, MA: Allyn & Bacon. -
Conti-Ramsden, G., Botting, N., & Faragher, B. (2001). Psycholinguistic markers for specific language impairment (SLI).Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 741–748. -
Culatta, B., Page, J., & Ellis, J. (1983). Story retelling as a communicative performance screening tool.Language, Speech, and Hearing Services in Schools, 14, 66–74. -
Dollaghan, C. A. (2004). Taxometric analyses of specific language impairment in 3and 4-year-old children.Journal of Speech, Language, and Hearing Research, 47, 464–475. -
Dollaghan, C. A., & Campbell, T. F. (1998). Nonword repetition and child language impairment.Journal of Speech, Language, and Hearing Research, 41, 1136–1146. -
Dunn, L. M., & Dunn, L. M. (1981). Peabody Picture Vocabulary Test—Revised.Circle Pines, MN: American Guidance Service. -
Dykman, R. A., & Ackerman, P. T. (1992). Diagnosing dyslexia: IQ regression plus cut points.Journal of Learning Disabilities, 25, 574–576. -
Edwards, J. D., & Lahey, M. (1998). Nonword repetitions of children with specific language impairment: Exploration of some explanations for their inaccuracies.Applied Psycholinguistics, 19, 279–309. -
Elbro, C. (1996). Early linguistic abilities and reading development: A review and a hypothesis.Reading and Writing: An Interdisciplinary Journal, 8, 453–485. -
Ellis Weismer, S., Tomblin, J. B., Zhang, X., Buckwalter, P., Chynoweth, J. G., & Jones, M. (2000). Nonword repetition performance in school-age children with and without language impairment.Journal of Speech, Language, and Hearing Research, 43, 865–878. -
Fletcher, J. M., Shaywitz, S. E., Shankweiler, D. P., Katz, L., Liberman, I. Y., Stuebing, K. K., et al. (1994). Cognitive profiles of reading disability: Comparisons of discrepancy and low achievement definitions.Journal of Educational Psychology, 86, 6–23. -
Frankenberger, W., & Fronzaglio, K. (1991). A review of states’ criteria and procedures for identifying children with learning disabilities.Journal of Learning Disabilities, 24, 495–500. -
Gallagher, A., Frith, U., & Snowling, M. J. (2000). Precursors of literacy delay among children at genetic risk of dyslexia.Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 202–213. -
Gathercole, S. E., & Baddeley, A. D. (1990). Phonological memory deficits in language disordered children: Is there a causal connection?.Journal of Memory and Language, 29, 336–360. -
Gayan, J., & Olson, R. K. (2003). Genetic and environmental influences on individual differences in printed word recognition.Journal of Experimental Child Psychology, 84, 97–123. -
Gillon, G. T. (2004). Phonological awareness: From research to practice.New York: Guilford Press. -
Hogan, T. P., Catts, H. W., & Little, T. (2005). The relationship between phonological awareness and reading: Implications for the assessment of phonological awareness.Language, Speech, and Hearing Services in Schools, 36, 285–293. -
Hulme, C., & Snowling, M. J. (1992). Deficits in output phonology: An explanation of reading failure?.Cognitive Neuropsychology, 9, 47–72. -
Joffe, V. L. (1998). Rhyming and related skills in children with specific language impairment.Cahiers de Psychologie Cognitive/Current Psychology of Cognition, 17, 479–512. -
Kamhi, A. G., & Catts, H. W. (1986). Toward an understanding of developmental language and reading disorders.Journal of Speech and Hearing Disorders, 51, 337–347. -
Leonard, L. B. (1998). Children with specific language impairment.Cambridge, MA: MIT Press. -
LoBello, S. G. (1991). Intelligence testing with the WISC–R.New York: Wiley. -
Lyon, G. R., Shaywitz, S. E., & Shaywitz, B. A. (2003). A definition of dyslexia.Annals of Dyslexia, 53, 1–14. -
Lyytinen, H., Ahonen, T., Eklund, K., Guttorm, T. K., Laakso, M. L., Leinonen, S., et al. (2001). Developmental pathways of children with and without familial risk for dyslexia during the first years of life.Developmental Neuropsychology, 20, 535–554. -
Lyytinen, P., Poikkeus, A. M., Laakso, M. L., Eklund, K., & Lyytinen, H. (2001). Language development and symbolic play in children with and without familial risk for dyslexia.Journal of Speech, Language, and Hearing Research, 44, 873–885. -
McArthur, G. M., Hogben, J. H., Edwards, V. T., HeathS. M., & Mengler, E. D. (2000). On the “specifics” of specific reading disability and specific language impairment.Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 869–874. -
McGuinness, D., McGuinness, C., & Donohue, J. (1995). Phonological training and the alphabet principle: Evidence for reciprocal causality.Reading Research Quarterly, 30, 830–852. -
Metsala, J. L., & Walley, A. C. (1998). Spoken vocabulary growth and the segmental restructuring of lexical representations: Precursors to phonemic awareness and early reading ability.InL. C. Ehri & J. L. Metsala (Eds.) Word recognition in beginning literacy (pp. 89–120). Mahwah, NJ:Erlbaum. -
Meyer, M. S., Wood, F. B., Hart, L. A., & Felton, R. H. (1998). Selective predictive value of rapid automatized naming in poor readers.Journal of Learning Disabilities, 31, 106–117. -
Miller, C., Kail, R., Leonard, L., & Tomblin, J. B. (2001). Speed of processing in children with specific language impairment.Journal of Speech, Language, and Hearing Research, 44, 416–433. -
Montgomery, J. W. (2000). Verbal working memory and sentence comprehension in children with specific language impairments.Journal of Speech, Language, and Hearing Research, 43, 293–308. -
Nathan, L., Stackhouse, J., Goulandris, N., & Snowling, M. J. (2004). The development of early literacy skills among children with speech difficulties: A test of the Critical Age Hypothesis.Journal of Speech, Language, and Hearing Research, 47, 377–391. -
Nation, K. (2005). Connections between language and reading in children with poor reading comprehension.InH. W. Catts & A. G. Kamhi (Eds.) Connections between language and reading disabilities (pp. 41–54). Mahwah, NJ:Erlbaum. -
Nation, K., Clarke, P., Marshall, C. M., & Durand, M. (2004). Hidden language impairments in children: Parallels between poor reading comprehension and specific language impairments?.Journal of Speech, Language, and Hearing Research, 47, 199–211. -
Nation, K., & Snowling, M. J. (1997). Individual differences in contextual facilitation: Evidence from dyslexia and poor reading comprehension.Child Development, 69, 996–1011. -
Newcomer, P., & Hammill, D. (1988). Test of Language Development—Primary.2nd ed.). Austin, TX:Pro-Ed. -
Oakhill, J. V., & Yuill, N. (1996). Higher order factors in comprehension disability: Processes and remediation.InC. Cornoldi & J. V. Oakhill (Eds.) Reading comprehension difficulties (pp. 69–92). Mahwah, NJ:Erlbaum. -
Paul, R. (2001). Language disorders from infancy to adolescence: Assessment and intervention.St. Louis, MO: Mosby. -
Pennington, B. F., Gilger, J. W., Olson, R. K., & DeFries, J. C. (1992). The external validity of ageversus IQdiscrepancy definitions of a reading disability: Lessons from a twin study.Journal of Learning Disabilities, 25, 562–573. -
Plaza, M., Cohen, H., & Chevrie-Muller, C. (2001). Oral language deficits in dyslexic children: Weaknesses in working memory and verbal planning.Tennet, XII, 505–512. -
Raskind, W. H., Hsu, L., Berninger, V. W., Thomson, J. B., & Wijsman, E. M. (2000). Family aggregation of dyslexia phenotypes.Behavior Genetics, 30, 385–396. -
Rice, M. L., Hoffman, L., Tomblin, J. B., Richman, W. A., & Marquis, J. (2004). Grammatical tense deficits in children with SLI and nonspecific language impairment: Relationships with nonverbal IQ over time.Journal of Speech, Language, and Hearing Research, 47, 816–834. -
Rice, M. L., & Wexler, K. (1996). Toward tense as a clinical marker of specific language impairment in English-speaking children.Journal of Speech and Hearing Research, 39, 1239–1257. -
Rutter, M., & Yule, W. (1975). The concept of specific reading retardation.Journal of Child Psychology and Psychiatry, 16, 181–197. -
Scarborough, H. S. (1990). Very early language deficits in dyslexic children.Child Development, 61, 1728–1743. -
Scarborough, H. S. (1991). Early syntactic development of dyslexic children.Annals of Dyslexia, 41, 207–220. -
Scarborough, H. S. (2005). Developmental relationship between language and reading: Reconciling a beautiful hypothesis with some ugly facts.InH. W. Catts & A. G. Kamhi (Eds.) Connections between language and reading disabilities (pp. 3–24). Mahwah, NJ:Erlbaum. -
Scarborough, H. S., & Dobrich, W. (1990). Development of children with early language delay.Journal of Speech and Hearing Research, 33, 70–83. -
Share, D. L., & Silva, P. A. (1987). Language deficits and specific reading retardation: Cause or effect?.British Journal of Disorders of Communication, 22, 219–226. -
Shaywitz, B. A., Fletcher, J. M., Holahan, J. M., & Shaywitz, S. E. (1993). Discrepancy compared to low achievement definitions of reading disability: Results from the Connecticut Longitudinal Study.Journal of Learning Disabilities, 25, 639–648. -
Shaywitz, S. E., Escobar, M. D., Shaywitz, B. A., Fletcher, J. M., & Makuch, R. (1992). Evidence that dyslexia may represent the lower tail of a normal distribution of reading ability.New England Journal of Medicine, 326, 145–150. -
Shaywitz, S. E., Shaywitz, B. A., Fletcher, J. M., & Escobar, M. D. (1990). Prevalence of reading disability in boys and girls: Results of the Connecticut Longitudinal Study.Journal of the American Medical Association, 264, 998–1002. -
Siegel, L. S. (1989). Is IQ irrelevant to the definition of learning disabilities?.Journal of Learning Disabilities, 22, 469–478. -
Silva, P. A. (1980). The prevalence, stability and significance of developmental language delay in preschool children.Developmental Medicine and Child Neurology, 22, 768–777. -
Silva, P. A., Williams, S., & McGee, R. (1987). A longitudinal study of children with developmental language delay at age three: Later intelligence, reading and behavior problems.Developmental Medicine and Child Neurology, 29, 630–640. -
Snowling, M. J. (1981). Phonemic deficits in developmental dyslexia.Psychological Research, 43, 219–234. -
Snowling, M. J., Bishop, D. V. M., & Stothard, S. E. (2000). Is preschool language impairment a risk factor for dyslexia in adolescence?.Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 587–600. -
Snowling, M. J., Gallagher, A., & Frith, U. (2003). Family risk of dyslexia is continuous: Individual differences in the precursors of reading skill.Child Development, 74, 358–373. -
Stanovich, K. E. (1986). Matthew effects in reading: Some consequences of individual differences in the acquisition of literacy.Reading Research Quarterly, 21, 360–364. -
Stanovich, K. E. (1988). Children’s reading and the development of phonological awareness..Detroit, MI: Wayne State University Press. -
Stanovich, K. E., & Siegel, L. S. (1994). Phenotypic performance profile of reading-disabled children: A regressionbased test of the phonological-core variable-difference model.Journal of Educational Psychology, 86, 24–53. -
Stark, R. E., & Tallal, P. (1981). Selection of children with specific language deficits.Journal of Speech and Hearing Disorders, 46, 114–122. -
Stothard, S. E., & Hulme, C. (1995). A comparison of phonological skills in children with reading comprehension difficulties and children with decoding difficulties.Journal of Child Psychology and Psychiatry, 36, 399–408. -
Tager-Flusberg, H., & Cooper, J. (1999). Present and future possibilities for defining a phenotype for specific language impairment.Journal of Speech, Language, and Hearing Research, 42, 1275–1278. -
Tallal, P. (2003). Language learning disabilities: Integrating research approaches.Current Directions in Psychological Science, 12, 206–211. -
Tallal, P., Allard, L., & Curtiss, S. (1988). Academic outcomes of language impaired children.Unpublished manuscript. -
Tallal, P., Allard, L., Miller, S., & Curtiss, S. (1997). Academic outcomes of language impaired children.InC. Hulme & M. J. Snowling (Eds.) Dyslexia: Biology, cognition, and intervention (pp. 167–181). London: Whurr. -
Tomblin, J. B., Records, N., Buckwalter, P., Zhang, X., Smith, E., & O’Brien, M. (1997). Prevalence of specific language impairment in kindergarten children.Journal of Speech, Language, and Hearing Research, 40, 1245–1260. -
Tomblin, J. B., Records, N. L., & Zhang, X. (1996). A system for the diagnosis of specific language impairment in kindergarten children.Journal of Speech and Hearing Research, 40, 1284–1294. -
Tomblin, J. B., Zhang, X., Weiss, A., Catts, H., & EllisWeismer, S. (2004). Dimensions of individual differences in communication skills among primary grade children.InM. L. Rice & S. F. Warren (Eds.) Developmental language disorders: From phenotypes to etiologies (pp. 53–76).Mahwah, NJ: Erlbaum. -
van Daal, V., & van der Leij, A. (1999). Developmental dyslexia: Related to specific or general deficits?.Annals of Dyslexia, 49, 71–104. -
van der Bob, W. H., & van der Pijl, J. M. L. (1997). Effects of word length and word likeness on pseudoword repetition by poor and normal readers.Applied Psycholinguistics, 18, 101–114. -
Vellutino, F. R., & Scanlon, D. M. (Eds.). (1982). Verbal processing in poor and normal readers. New York: Springer-Verlag. -
Vellutino, F. R., Scanlon, D. M., & Lyon, G. R. (2000). Differentiating between difficult-to-remediate and readily remediated poor readers: More evidence against the IQ– achievement discrepancy definition of reading disability.Journal of Learning Disabilities, 33, 223–238. -
Wechsler, D. (1989). Wechsler Preschool and Primary Scale of Intelligence—Revised.New York: Psychological Corporation. -
Wechsler, D. (1991). Wechsler Intelligence Scale for Children—III.San Antonio, TX: The Psychological Corporation. -
Wimmer, H., Mayringer, H., & Landerl, K. (2000). The double-deficit hypothesis and difficulties in learning to read a regular orthography.Journal of Educational Psychology, 92, 668–680. -
Woodcock, R. (1987). Woodcock Reading Mastery Tests— Revised.Circle Pines, MN: American Guidance Service.