Oral language in preschool children diagnosed with attention deficit hyperactivity disorder (ADHD)

Authors

DOI:

https://doi.org/10.23925/2176-2724.2024v36i2e66100

Keywords:

Child Language, Cognition, Attention Deficit Disorder with Hyperactivity, Neurodevelopmental Disorders, Child, Preschool

Abstract

Introduction: Changes in speech and language development may be present in preschoolers with various neurodevelopmental disorders, possibly indicating a worse prognosis. Purpose: This study aimed to assess the developmental level of linguistic aspects in preschoolers diagnosed with attention-deficit/hyperactivity disorder (ADHD). Methods: This cross-sectional observational study collected retrospective data from 10 children, aged 4 to 6 years (9 boys), diagnosed with ADHD by a specialized team. Data collection involved a comprehensive examination of the child’s history, including pre-, peri-, and post-natal factors, and measures of receptive and expressive language, expressive vocabulary, phonology, and pragmatic aspects. Descriptive statistical analysis was performed. Results: Caregivers/guardians reported complaints primarily related to agitated/impulsive behavior and expressive language/speech difficulties. Some children faced challenges in completing more extensive and complex assessment instruments due to attention deficits. Expressive language, phonological aspects, and expressive vocabulary were identified as the most affected areas, with changes in respectively 50%, 60%, and 50% of cases. Speech-language-hearing therapy was recommended for 80% of the children. Conclusion: The findings highlight the prevalence of speech and language impairments in preschoolers with ADHD, underscoring the importance of early intervention in this high-risk population.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Patrícia Aparecida Zuanetti, Universidade de São Paulo

Fonoaudióloga formada pela Faculdade de Medicina de Ribeirão Preto. Atualmente é fonoaudióloga contratada do HCRP - USP (área de linguagem infantil e audiologia educacional) e doutoranda do programa de pós-graduação de psicobiologia da FFCLRP - USP.

References

American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais - DSM-5 revisado. Porto Alegre: Artmed; 2023.

Danielson ML, Bitsko RH, Ghandour RM, Holbrook JR, Kogan MD, Blumberg SJ. Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. children and adolescents, 2016. J Clin Child Adolesc Psychol. 2018; 47(2):199-212. doi: 10.1080/15374416.2017.1417860. PMID: 29363986.

Connor DF. Preschool attention deficit hyperactivity disorder: a review of prevalence, diagnosis, neurobiology, and stimulant treatment. J Dev Behav Pediatr. 2002; 23(1 Suppl): S1-9. doi: 10.1097/00004703-200202001-00002. PMID: 11875284.

Barkley RA. Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychol Bull. 1997; 121: 65–94. doi: 10.1037/0033-2909.121.1.65. PMID: 9000892.

Craig F, Margari F, Legrottaglie AR, Palumbi R, de Giambattista C, Margari L. A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatr Dis Treat. 2016; 12: 1191–202. doi: 10.2147/NDT.S104620. PMID: 27274255

Malloy-Diniz LF, Dias NM. Funções Executivas - Modelos e Aplicações. 1ª edição. São Paulo: Pearson; 2020.

Diamond A. Executive functions. Annu Rev Psychol. 2013; 64: 135-68. doi: 10.1146/annurev-psych-113011-143750. PMID: 23020641;

Baddeley AD. Working memory and language: an overview. J Commun Disord. 2003; 36(3): 189-208. DOI: 10.1016/s0021-9924(03)00019-4. PMID: 12742667

Rotta NT, Ohlweiler L, Riesgo RS. Transtorno da Aprendizagem: abordagem neurobiológica e multidisciplinar. Porto Alegre: Artmed Editora; 2016.

Mota HB, Kaminski TI, Nepomuceno MRF, Athayde ML. Alterações no vocabulário expressivo de crianças com desvio fonológico. Rev Soc Bras Fonoaudiol. 2009;14(1): 41-7.

Rodrigues A, Befi-Lopes DM. Memória operacional fonológica e suas relações com o desenvolvimento da linguagem infantil. Pró-Fono R Atual Cient. 2009; 21(1): 63–8. Disponível em: https://doi.org/10.1590/S0104-56872009000100011.

Soares ACC, Silva K da, Zuanetti PA. Variáveis de risco para o desenvolvimento da linguagem associadas à prematuridade. Audiol, Commun Res. 2017; 22: e1745. Doi: 10.1590/2317-6431-2016-1745.

Machado-Nascimento N, Melo e Kümmer A, Lemos SMA. Speech-language pathology findings in Attention Deficit Hyperactivity Disorder: a systematic literature review. CoDAS. 2016;28(6):833–42. Doi: 10.1590/2317-1782. PMID: 28001275

Abrahão ALB, Elias LC dos S. Crianças com TDAH e professoras: Recursos e dificuldades. Psico. 2022; 53(1): e39098. DOI: 10.15448/1980-8623.2022.1.39098.

Ygual-Fernández A, Miranda-Casas A, Cervera-Mérida JF. Dificultades en las dimensiones de forma y contenido del lenguaje en los niños con trastorno por déficit de atención con hiperactivida. Rev Neurol Clin. 2000; 1(1): 193-202. Doi: 10.33588/rn.101.2100030.

Menezes L. Avaliação do Desenvolvimento da Linguagem. 1ª ed. Rio de Janeiro; 2016.

Andrade CRF, Befi-Lopes DM, Fernandes FDM, Wertzner HF. ABFW – Teste de Linguagem Infantil: nas áreas de fonologia, vocabulário, fluência e pragmática. Barueri, São Paulo: Pró-Fono; 2004.

Capovilla FC, Negrão VB, Damázio M. Teste de Vocabulário Auditivo e Teste de Vocabulário Receptivo: Validados e normatizados para o desenvolvimento da compreensão da fala dos 18 meses aos 6 anos de idade. São Paulo: Memmon; 2011.

Hage S, Pereira T, Zorzi J. Protocolo de Observação Comportamental - PROC: valores de referência para uma análise quantitativa. Rev CEFAC. 2012; 14(4): 677–90. Doi: 10.1590/S1516-18462012005000068

Posner K, Melvin MA, Murray DW, Gugga SS, Fischer P, Skrobala A, et al. Clinical presentation of attention-deficit/hyperactivity disorder in preschool children: the preschoolers with attention-deficit/hyperactivity treatment study (PATS). J. Child Adolesc. Psychopharmacol.. 2007; 17(5): 547-62. DOI: 10.1089/cap.2007.0075. PMID: 17979577

Faraone SV, Asherson P, Banaschewski T, Biederman J, Buitelaar JK, Ramos-Quiroga JA, Rohde LA, Sonuga-Barke EJ, Tannock R, Franke B. Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers. 2015; 1: 15020. Doi: 10.1038/nrdp.2015.20.

Graham S. Attention-deficit/Hyperactivity Disorder (ADHD), Learning Disabilities (LD), and executive functioning: recommendations for future research. Contemp Educ Psychol. 2017; 50: 97-101. Doi: 10.1016/j.cedpsych.2017.01.001

Posner K, Melvin GA, Murray DW, Gugga SS, Fisher P, Skrobala A, Cunningham C, Vitiello B, Abikoff HB, Ghuman JK, Kollins S, Wigal SB, Wigal T, McCracken JT, McGough JJ, Kastelic E, Boorady R, Davies M, Chuang SZ, Swanson JM, Greenhill LL. Clinical presentation of attention-deficit/hyperactivity disorder in preschool children: the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). J. Child Adolesc. Psychopharmacol. 2007;17(5): 547-62. doi: 10.1089/cap.2007.0075. PMID: 17979577.

Korrel H, et al. Research review: Language problems in children with Attention-Deficit Hyperactivity Disorder - a systematic meta-analytic review. J Child Psychol Psychiatry. 2017;58(6):640-54. DOI: 10.1111/jcpp.12688. PMID: 28186338.

Green BC, Johnson KA, Bretherton L. Pragmatic language difficulties in children with hyperactivity and attention problems: an integrated review. Int J Lang Commun Disord. 2014; 49(1): 15-29. Doi: 10.1111/1460-6984.12056

Hawkins E, Gathercole S, Astle D, Holmes J. Language problems and ADHD symptoms: how specific are the links? Brain Sci. 2016; 6(4): 50. DOI: 10.3390/brainsci6040050. PMID: 27775648

Novaes CB, Zuanetti PA, Fukuda MTH. Effects of working memory intervention on students with reading comprehension difficulties. Rev CEFAC. 2019; 21(4): e17918. Doi: 10.1590/1982-0216/201921417918.

Coutinho G, Mattos P, Araújo C. Desempenho neuropsicológico de tipos de transtorno do déficit de atenção e hiperatividade (TDAH) em tarefas de atenção visual. J Bras Psiquiatr. 2007; 56(1): 13–6. Doi: 10.1590/S0047-20852007000100005.

Nunes MEN, Zuanetti PA, Hamad APA. Attitudes and practices in the management of attention deficit hyperactivity disorder among Brazilian pediatric neurologists who responded to a national survey: a cross-sectional study. Sao Paulo Med J. 2023;141(4):e2021966. Doi: 10.1590/1516-3180.2021. 0966.R1.20092022. PMID: 36541950

Published

2024-08-14

How to Cite

Sousa, J. H. A. de ., Nunes, M. E. N., Hamad, A. P. A. ., & Zuanetti, P. A. (2024). Oral language in preschool children diagnosed with attention deficit hyperactivity disorder (ADHD). Distúrbios Da Comunicação, 36(2), e66100. https://doi.org/10.23925/2176-2724.2024v36i2e66100

Issue

Section

Communication