Birgit Hallenstein’s research while affiliated with Northern Territory Department of Health and other places

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Publications (1)


Quality of Life in children with Developmental Language Disorder
  • Article

March 2018

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1,033 Reads

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102 Citations

International Journal of Language & Communication Disorders

Patricia Ann Eadie

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Birgit Hallenstein

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Background Developmental language disorder (DLD) is common in children, but little is known about its association with quality of life (QoL) in middle childhood. QoL is a complex construct, aligning with an individual's sense of well‐being and is related to functional limitations associated with DLD. Biopsychosocial models of disability account for both the extent and functional limitations of the impairment; however, the DLD literature rarely reports on both aspects. Studies are required that detail QoL in children with and without DLD. Aims To investigate the association between DLD, identified at 4 years and persisting at 7 years, and QoL over 4, 7 and 9 years; to compare QoL for children whose DLD was mild to moderate and severe at 7 years; and to investigate how variables known to impact on language development (e.g., maternal vocabulary), as well as social–emotional behaviours at 4 and 7 years contribute to QoL at 9 years. Methods & Procedures The analyses included 872 children who participated in the 4‐, 7‐ and 9‐year data collection of the Early Language in Victoria Study (ELVS). We compared the parent‐reported QoL profiles at 4, 7 and 9 years for children with and without DLD, and those with mild to moderate and severe DLD using the Pediatric Quality of Life Inventory (PedsQL). We conducted regression analyses to estimate how child, family and environmental factors predicted QoL at 9 years, including social–emotional behaviours measured using the Strengths & Difficulties Questionnaire (SDQ) at 4 and 7 years. Outcome & Results Children with DLD (n = 70) had lower parent‐reported QoL at 9 years than typically developing children (n = 802), with mean scores of 74.9 and 83.9 respectively. There was no evidence of differences in QoL between those with severe (n = 14) or mild to moderate (n = 56) DLD. In contrast to their peers, children with DLD had a profile of declining QoL between 4 and 9 years. For all children, language skills at 7 years predicted QoL at 9 years. For children with DLD, emotional symptoms and peer problems at 4 years plus SDQ Total Difficulties at 7 years were predictive of lower QoL at 9 years. Conclusions & Implications Children with DLD had a lower QoL than their typical peers at 9 years and, contrary to previous studies, differences in QoL were not observed with DLD severity. Co‐occurring social–emotional problems appear to play an important role in contributing to the lower QoL experienced by children with DLD. Consideration of associated functional limitations is required to support the communication and social development of all young children with DLD.

Citations (1)


... The literature suggests that children with speech disorders are at increased risk for poorer outcomes in social, emotional, behavioral, and academic functioning. This data is worrying, especially if you take into account the fact that speech disorders affect children's adaptation to the social environment, but also the loss of interest in school (1)(2)(3). Speech Sound Disorders is a generic term used to describe a range of difficulties producing speech sounds in children. Thus, pathological articulation is a deviation in building voices, both on the visual, acoustic and kinesthetic level. ...

Reference:

Quality of Life of Families of Children with Speech Disorders
Quality of Life in children with Developmental Language Disorder
  • Citing Article
  • March 2018

International Journal of Language & Communication Disorders