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Early delayed language development in very preterm infants: Evidence from the MacArthur-Bates CDI*

  • SUSAN FOSTER-COHEN (a1), JAMIE O. EDGIN (a2), PATRICIA R. CHAMPION (a1) and LIANNE J. WOODWARD (a2)
Abstract
ABSTRACT

This study examined the effects of being born very preterm on children's early language development using prospective longitudinal data from a representative regional cohort of 90 children born very preterm (gestational age <33 weeks and/or birth weight <1,500 grams) and a comparison sample of 102 children born full term (gestational age 38–41 weeks). The MacArthur-Bates Communicative Development Inventory: Words and Sentences (CDI-WS) was used to assess children's language development at age 2 ; 0 (corrected for gestational age at birth). Clear linear relationships were found between gestational age at birth and later language outcomes, with decreasing gestational age being associated with poorer parent-reported language skills. Specifically, children born extremely preterm (<28 weeks' gestation) tended to perform less well than those born very preterm (28–32 weeks' gestation), who in turn performed worse than children born full term (38–41 weeks' gestation). This pattern of findings was evident across a range of outcomes spanning vocabulary size and quality of word use, as well as morphological and syntactic complexity. Importantly, associations between gestational age at birth and language outcomes persisted after statistical control for child and family factors correlated with both preterm birth and language development. These findings demonstrate the presence of pervasive delays in the early language development of children born very preterm. They also highlight the importance of gestational age in predicting later language risk in this population of infants.

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Corresponding author
Address for correspondence: Dr Susan Foster-Cohen, The Champion Centre, Private Bag 4708, c/-Burwood Hospital, Christchurch, New Zealand. e-mail: susan.foster-cohen@canterbury.ac.nz
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L. K. Badr Zahr (2001). Quantitative and qualitative predictors of development for low-birth weight infants of Latino background. Applied Nursing Research 14(3), 125–35.

J. Briscoe , S. Gathercole & N. Marlow (1998). Short-term memory and language outcomes after extreme prematurity at birth. Journal of Speech, Language, and Hearing Research 41, 654–66.

M. Censullo (1994). Developmental delays in healthy premature infants at age two years: Implications for early intervention. Developmental and Behavioral Pediatrics 15, 99104.

H. Craig , J. Evans , S. Meisels & J. Plunkett (1991). Linguistic production abilities of 3-year-old children born premature with low birth weight. Journal of Early Intervention 15, 326–37.

K. Crnic , A. Ragozin , M. Greenberg , N. Robinson & R. Basham (1983). Social interaction and developmental competence of preterm and full-term infants during the first year of life. Child Development 54, 1199–210.

B. A. Darlow , L. J. Horwood , N. Mogridge & S. Clemett (1997). Prospective study of New Zealand very low birthweight infants: outcome at 7–8 years. Journal of Paediatric and Child Health 33, 4751.

L. Fenson , E. Bates , P. Dale , J. Goodman , J. S. Reznick & D. Thal (2000). Measuring variability in early child language: don't shoot the messenger. Child Development 71, 323–8.

L. Fenson , P. Dale , J. Reznick , E. Bates , D. Thal & S. Pethick (1994). Variability in early communicative development. Monographs of the Society for Research in Child Development 59(5, Serial No. 242).

R. Fewell , S. Casal , M. Glick , C. Wheeden & D. Spiker (1996). Maternal education and maternal responsiveness as predictors of play competence in low birth weight, premature infants: a preliminary report. Journal of Developmental Behavioral Pediatrics 17(2), 100–4.

V. Frisk & H. Whyte (1994). The long-term consequences of periventricular brain damage on language and verbal memory. Developmental Neuropsychology 10, 313–33.

R. Grunau , S. Kearney & M. Whitfield (1990). Language development at 3 years in pre-term children of birth weight below 1000 g. British Journal of Disorders of Communication 25, 173–82.

L. J. Horwood , N. Mogridge & B. A. Darlow (1998). Cognitive, educational and behavioural outcomes in a national very low birth weight cohort. Archives of Disease in Childhood: Fetal Neonatal Edition 79, F12F20.

P. Klebanov , J. Brookes-Gunn & M. McCormick (1994). School achievement and failure in very low birth weight children. Developmental and Behavioral Pediatrics 15, 248–56.

J. Magill-Evans , M. Harrison , J. Van der Zalm & G. Holdgrafer (2002). Cognitive and language development of healthy preterm infants at 10 years of age. Physical and Occupational Therapy in Pediatrics 22, 4156.

N. Marlow (2004). Outcome following extremely preterm birth. Current Paediatrics 14, 275–83.

C. McCarton , J. Brookes-Gunn , I. Wallace , C. Bauer , F. Bennett , J. Bernbaum , S. Broyles , P. Casey , M. McCormick , D. Scott , J. Tyson , J. Tonascia & C. Meinert (1997). Results at age 8 years of early intervention for low-birth-weight premature infants. Journal of the American Medical Association 277, 126–32.

L. Nadeau , M. Boivin , R. Tessier , F. Lefebvre & P. Robaey (2001). Mediators of behavioral problems in 7 year old children born after 24 weeks to 28 weeks of gestation. Journal of Developmental and Behavioral Pediatrics 22, 110.

M. Rijken , G. Storlhorst , S. Martens , P. van Zwieten , R. Brand , J. Wit & S. Veen (2003). Mortality and neurological, mental, and psychomotor development at 2 years in infants born less than than 27 weeks' gestation: the Leiden follow-up project on prematurity. Pediatrics 112(2), 351–8.

L. Rocissano & Y. Yatchmink (1983). Language skill and interactive patterns in prematurely born toddlers. Child Development 54, 1229–41.

S. Seidman , R. Allen & G. Wasserman (1986). Productive language of premature and physically handicapped two-year-olds. Journal of Communication Disorders 19, 4961.

H. G. Taylor , N. Klein , N. Minich & M. Hack (2000). Middle-school-age outcomes in children with very low birthweight. Child Development 71, 1495–511.

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Journal of Child Language
  • ISSN: 0305-0009
  • EISSN: 1469-7602
  • URL: /core/journals/journal-of-child-language
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