Unsuspected language impairment in psychiatrically disturbed children: prevalence and language and behavioral characteristics.
OBJECTIVE
This study examined the prevalence of unsuspected language impairments in 4-12-year-old psychiatric outpatients.


METHODS
Children (N = 399) were routinely screened with standardized language tests, and parents and teachers completed behavioral checklists.


RESULTS
Results indicated that of 288 children referred solely for a psychiatric disorder, 99 (34.4%) had a language impairment that had not been suspected previously. These children had more subtle language impairments than did the 111 children referred with previously identified language impairments. Both children with unsuspected and previously identified language impairments had symptoms associated with attention-deficit hyperactivity disorder. Children with unsuspected language impairments had the most serious externalizing behavioral problems.


CONCLUSIONS
Attention needs to be paid to screening children for language impairments and to helping adults understand how language disabilities impact on communication and behavior.
C.M. Hincks Treatment Centre/Institute, Toronto, Ontario, Canada.
N J
NJ
Cohen
M
M
Davine
N
N
Horodezky
L
L
Lipsett
L
L
Isaacson
D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology*; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006801:Humans; D007806:Language Disorders / Q000175:diagnosis / Q000453:epidemiology*; D007807:Language Tests; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D015995:Prevalence