Narrative assessment in children with phonological disorder
case reports
DOI:
https://doi.org/10.23925/2176-2724.2026v38i1e74428Keywords:
Speech Sound Disorders, Child Language, Narrative, Language Assessment, ChildAbstract
Language is an integral human skill, interconnected with various cognitive and executive functions, so that alterations in one domain can impact the functioning of others. Understanding the relationship between language and cognition is essential for the diagnosis and intervention in childhood developmental disorders. This study aimed to analyze the oral narrative skills of children with Phonological Disorder, considering linguistic and cognitive aspects involved in discursive production. Five children, aged between 6 and 8 years, enrolled in public schools, participated. They were evaluated using the Children’s Oral Narrative Discourse Test (DNOI), the ABFW Children’s Language Test, and tonal and vocal audiometry. The results showed below-expected performance in partial and complete narrative retelling tasks, with greater impairment in sequential organization and maintenance of textual cohesion. In contrast, comprehension of narrative content was preserved in most cases. The findings reinforce the importance of integrated approaches in speech-language pathology assessment and intervention, considering the interdependence between linguistic systems and executive functions in child development.
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1. Araya C, Coloma CJ, Quezada C, Benavente P. Clause complexity in children with language impairment: a longitudinal study. Children. 2023; 10(7): 1152.2.American Speech-Language-Hearing Association (ASHA). Speech sound disorders: articulation and phonology [Practice Portal]. Rockville, MD: ASHA; 2020.
2. Dias RF, Mezzomo CL. Speech therapy for phonological disorders with basis on stimulation of phonological awareness skills. Distúrb. Comunic. 2016 [Journal on the internet]; 28(1): 14-26.
3. Bruinsma G, Wijnen F, Gerrits E. Communication in daily life of children with developmental language disorder: parents’ and teachers’ perspectives. Lang Speech Hear Serv Sch. 2024; 55(1):105–29.
4. Campos FR, et al. Alterações da linguagem oral no nível fonológico/fonético em crianças de 4 a 6 anos residentes em Belo Horizonte. Rev CEFAC. 2014; 16:1151–60.
5. Janssen L, Scheper A, Vissers C. Controlling the narrative: the relationship between narrative ability and executive functioning in children with developmental language disorder. Front Psychol. 2025
6. Fonseca RP, Prando ML, Zimmermann N. Tarefas para avaliação neuropsicológica: avaliação de linguagem e funções executivas em crianças. São Paulo: Memnon; 2016.
7. Andrade CRF, Befi-Lopes DM, Fernandes FDM, Wertzner HF. ABFW: teste de linguagem infantil nas áreas de fonologia, vocabulário, fluência e pragmática. 2nd ed. Barueri: Pró-Fono; 2004.
8. Conselho Federal de Fonoaudiologia. Guia de Orientação na Avaliação Audiológica. Brasília: Conselho Federal de Fonoaudiologia; 2023
9. Case J. The relationship between speech accuracy and linguistic measures in narrative retells of children with speech sound disorders. Apraxia Kids. 2023.
10. Gonçalves HA, Viapiana VF, Sartori MS, Giacomoni CH, Stein LM, Fonseca RP. Executive functions predict the processing of basic reading, writing, and mathematics skills? Psicol Reflex Crit. 2021;34(1):5.
11. Brodbeck V, Gutbrod K, Feller C, Schnider A, Tolle J, Wenger A, Jäncke L. Are language skills related to structural features in Broca’s and Wernicke’s area? Brain Struct Funct. 2020; 225(8): 2629–43.
12. Martzoukou M, Kavoukidou D, Pavlidou S, Tsimpli IM. Narrative retellings of children with childhood apraxia of speech: morphosyntax, socio-cognitive abilities, and the effect of prosody. SAGE Open. 2024; 14(2): 1–19.
13. Lamônica DAC, Britto DBO. Tratado de linguagem – perspectivas contemporâneas. São Paulo: Booktoy; 2017.
14. Ceron M, et al. Consonant acquisition in Brazilian Portuguese. J Speech Lang Hear Res. 2017; 60: 759–71.
15. Ribas LP, Faleiro A, Bernardi ACS, Lemmertz MLC. Aquisição fonológica do português brasileiro: revisão sistemática sobre o desenvolvimento das consoantes. Distúrb Comun. 2022; 34(1): e53900.
16. Walker EA, Harrison MF, Baumann R, McCreery RW, Oleson J. Story Generation and Narrative Retells in Children Who Are Hard of Hearing and Hearing Children. J Speech Lang Hear Res. 2023 Sep 13;66(9):3550-3573.
17. Macedo L. Aprender com jogos e situações-problema: do jogo ao pensamento reflexivo. Porto Alegre: Artmed; 2007.
18. Dias NM, Seabra AG. Avaliação neuropsicológica da linguagem e da narrativa infantil. São Paulo: Memnon; 2019.
19. Zenaro L, et al. Narrativas orais infantis: aspectos cognitivos e linguísticos. Rev CEFAC. 2019; 21(2): 1–10.
20. Mourão-Júnior CA, et al. Funções executivas: aspectos clínicos e neuropsicológicos. Rev Neurociências. 2011; 19(3): 389–99.
21. Dias NM, Seabra AG. Avaliação neuropsicológica e seu papel no direcionamento da intervenção. In: Cardoso CO, Dias NM, orgs. Intervenção neuropsicológica infantil: da estimulação precoce-preventiva à reabilitação. São Paulo: Pearson; 2019. p. 27–68.
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Copyright (c) 2026 Ana Julia Tessaro Miranda, Sara Cristhina Novello Silvestri, Luciana Grolli Ardenghi
This work is licensed under a Creative Commons Attribution 4.0 International License.
