Abstract
Amaç: Bu çalışmada, konuşma ve dil bozukluğu olan çocuk ve ergenlerle sağlıklı bireylerin sosyodemografik, prenatal ve postnatal özellikleri karşılaştırılarak, konuşma ve dil bozuklukları için risk faktörlerinin belirlenmesi amaçlanmaktadır.
Araçlar ve Yöntem: Çalışmada 01.01.2023-31.12.2023 tarihleri arasında tarafımıza başvuran, konuşma ve dil bozukluğu tanısı konulan 3-17 yaş arası olgular ile sağlıklı kontrollerden oluşan 1299 kişilik örneklem üzerinde gerçekleştirilmiştir. Olgu grubunda 76, kontrol grubunda 43 çocuk ve ergen çalışmaya dahil edilme kriterlerini karşılamış ve bu katılımcıların sosyodemografik, prenatal ve postnatal özelliklerini içeren veriler analiz edilmiştir.
Bulgular: Sosyodemografik veriler açısından iki grup arasında anlamlı fark bulunmadı. Prenatal faktörlerden gebelikte demir takviyesi kullanımı olgu grubunda anlamlı derecede yüksek bulundu (p=0.02). Postnatal faktörlerden ise sadece okul öncesi eğitim alma sıklığı kontrol grubunda anlamlı derecede yüksek bulundu (p=0.012).
Sonuç: Dil ve konuşma gelişimi, biyolojik ve çevresel faktörlerden etkilenen ve anne karnında başlayıp hayatın ilk yıllarda hızla devam eden bir süreçtir. Bu gelişimi olumsuz etkileyen faktörlerin erken tespiti ve önlem alınması büyük önem taşımaktadır. Çalışmamız, okul öncesi eğitimin bu gelişim için önemli olduğunu göstermektedir.
References
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- 2. Mutluer T, Motavalli Mukaddes N. İletişim Bozuklukları. Motavalli Mukaddes N, Ercan ES, editörler. Nörogelişimsel Bozukluklar. İstanbul: Nobel Tıp Kitapevi; 2018:119-149.
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- 5. Koyuncu Z, Mercan B. Konuşma ve Dile Özgü Nörogelişimsel Bozukluklar. IKSST. 2019;11:40-46.
- 6. Campbell TF, Dollaghan CA, Rockette HE, et al. Risk factors for speech delay of unknown origin in 3‐year‐old children. Child Dev. 2003;74(2):346-357.
- 7. Westerlund M, Lagerberg D. Expressive vocabulary in 18‐month‐old children in relation to demographic factors, mother and child characteristics, communication style and shared reading. Child Care Health Dev. 2008;34(2):257-266.
- 8. Prathanee B, Purdy SC, Thinkhamrop B, et al. Early language delay and predictive factors in children aged 2 years. J Med Assoc Thai. 2011;92(7):930.
- 9. Diepeveen FB, van Dommelen P, Oudesluys‐Murphy AM, Verkerk PH. Specific language impairment is associated with maternal and family factors. Child Care Health Dev. 2017;43(3):401-405.
- 10. Fernald A, Marchman VA, Weisleder A. SES differences in language processing skill and vocabulary are evident at 18 months. Dev Sic. 2013;16(2):234-248.
- 11. Talge NM, Neal C, Glover V, et al. Antenatal maternal stress and long‐term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry. 2007;48(3‐4):245-261.
- 12. Chen H, Qin L, Gao R, et al. Neurodevelopmental effects of maternal folic acid supplementation: A systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2023;63(19):3771-3787.
- 13. Valera-Gran D, Navarrete-Munoz EM, de la Hera MG, et al. Effect of maternal high dosages of folic acid supplements on neurocognitive development in children at 4–5 y of age: the prospective birth cohort Infancia y Medio Ambiente (INMA) study. Am J Clin Nutr. 2017;106(3):878-887.
- 14. Ayik B, Motavalli Mukaddes N. Zihinsel Yetersizlik. Motavalli Mukaddes N, Ercan ES, editörler. Nörogelişimsel Bozukluklar. İstanbul:Nobel Tıp Kitapevi;2018:1-31.
- 15. Diepeveen FB, De Kroon ML, Dusseldorp E, Snik AF. Among perinatal factors, only the Apgar score is associated with specific language impairment. Dev Med Child Neurol. 2013;55(7):631-635.
- 16. Whitehouse AJ, Shelton W, Ing C, Newnham JP. Prenatal, perinatal, and neonatal risk factors for specific language impairment: A prospective pregnancy cohort study. J Speech Lang Hear Res. 2014;57(4):1418-1427.
- 17. Stanton-Chapman TL, Chapman DA, Bainbridge NL, Scott KG. Identification of early risk factors for language impairment. Res Dev Disabil. 2002;23(6): 390-405.
- 18. Akca OF, Ugur C, Colak M, et al. Underinvolved relationship disorder and related factors in a sample of young children. Early Hum Dev. 2012;88(6):327-332.
- 19. Pan BA, Rowe ML, Spier E, Tamis-Lemonda C. Measuring productive vocabulary of toddlers in low-income families: Concurrent and predictive validity of three sources of data. J Child Lang. 2004;31(3):587-608.
- 20. Çalık KY, Yılmaz AD, Günal NT. Dünya sağlık örgütünün pozitif bir gebelik deneyimi için antenatal bakıma yönelik önerileri. J Ankara Heal Sci. 2023;12 (1):99-113.
- 21. Liu H-Y, Liu S-M, Zhang Y-Z. Maternal folic acid supplementation mediates offspring health via DNA methylation. Reprod Sci. 2020;27(4):963-976.
- 22. McGee CL, Bjorkquist OA, Riley EP, Mattson SN. Impaired language perform ance in young children with heavy prenatal alcohol exposure. Neurotoxicol Teratol. 2009;31(2):71-75.
- 23. Wiegersma AM, Dalman C, Lee BK, Karlsson H, Gardner RM. Association of prenatal maternal anemia with neurodevelopmental disorders. JAMA Psychiatry. 2019;76(12):1294-1304.
- 24. Tomblin JB, Smith E, Zhang X. Epidemiology of specific language impairment: Prenatal and perinatal risk factors. J Commun Disord. 1997;30(4):325-344.
- 25. Seidman LJ, Buka SL, Goldstein JM, Horton NJ, Rieder RO, Tsuang MT. The relationship of prenatal and perinatal complications to cognitive functioning at age 7 in the New England Cohorts of the National Collaborative Perinatal Project. Schizophr Bull. 2000; 26(2):309-321.
- 26. Muppalla SK, Vuppalapati S, Pulliahgaru AR, Sreenivasulu H. Effects of excessive screen time on child development: an updated review and strategies for management. Cureus. 2023;15(6):e40608.
- 27. Madigan S, McArthur BA, Anhorn C, Eirich R, Christakis DA. Associations between screen use and child language skills: a systematic review and meta-analysis. JAMA Pediatr. 2020;174(7):665-675.
- 28. Pianta RC, Barnett WS, Burchinal M, Thornburg KR. The effects of preschool education: What we know, how public policy is or is not aligned with the evidence base, and what we need to know. Psychol Sci Publ Int. 2009;10(2):49-88.
- 29. Camilli G, Vargas S, Ryan S, Barnett WS. Meta-analysis of the effects of early education interventions on cognitive and social development. Teach Coll Rec. 2010;112(3):579-620.
- 30. Taner M, Başal HA. Farklı sosyoekonomik düzeylerde okulöncesi eğitimi alan ve almayan ilköğretim birinci sınıf öğrencilerinin dil gelişimlerinin cinsiyete göre karşılaştırılması. JUUFE. 2005;18(2):395-420.
- 31. Öztürk H. Okul öncesi eğitim kurumlarına giden ve gitmeyen ilkokul birinci sınıf öğrencilerinin alıcı ve ifade edici dil düzeyleri. Yüksek Lisans Tezi. Gazi Üniversitesi Sosyal Bilimler Enstitüsü;1995.
Sociodemographic, Prenatal and Postnatal Characteristics of Children and Adolescents with Speech and Language Disorders
Abstract
Purpose: This study aims to identify risk factors for speech and language disorders by comparing the sociodemographic, prenatal, and postnatal characteristics of children and adolescents with speech and language disorders to those of healthy individuals.
Materials and Methods: Our study was conducted on a sample of 1.299 individuals aged 3-17 years, consisting of cases diagnosed with speech and language disorders and healthy controls, who applied to our clinic between 1January 2023, and 31 December 2023. In the case group, 76 children and adolescents, and in the control group, 43 children and adolescents met the inclusion criteria. The data including the sociodemographic, prenatal, and postnatal characteristics of these participants were analyzed.
Results: There was no significant difference between the two groups in terms of sociodemographic data. Prenatal factors showed a significantly higher frequency of maternal iron supplementation during pregnancy in the patient group (p=0.02). Postnatal factors showed a significantly higher frequency of preschool education attendance in the control group (p=0.012).
Conclusion: Language and speech development is a process influenced by biological and environmental factors, starting in the womb and rapidly continuing during the early years of life. Early detection and intervention of factors that negatively affect this development are crucial. Our study demonstrates that preschool education is important for this development.
Ethical Statement
Çalışmamızın yürütülmesinde Helsinki Deklarasyonu ilkeleri esas alınmıştır.
References
- 1. Simon P, Rosenbaum S. Speech and language disorders in children: Implications for the social security administration's supplemental security income program. Washington, DC:NAP;2016.
- 2. Mutluer T, Motavalli Mukaddes N. İletişim Bozuklukları. Motavalli Mukaddes N, Ercan ES, editörler. Nörogelişimsel Bozukluklar. İstanbul: Nobel Tıp Kitapevi; 2018:119-149.
- 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders:DSM-5. Washington, DC: American Psychiatric Association; 2013.
- 4. İşeri E., Güney E., Taş Torun Y. Oyun Dönemi Ruh Sağlığı ve Hastalıkları. Ankara: Türkiye Çocuk ve Genç Psikiyatrisi Derneği; 2018.
- 5. Koyuncu Z, Mercan B. Konuşma ve Dile Özgü Nörogelişimsel Bozukluklar. IKSST. 2019;11:40-46.
- 6. Campbell TF, Dollaghan CA, Rockette HE, et al. Risk factors for speech delay of unknown origin in 3‐year‐old children. Child Dev. 2003;74(2):346-357.
- 7. Westerlund M, Lagerberg D. Expressive vocabulary in 18‐month‐old children in relation to demographic factors, mother and child characteristics, communication style and shared reading. Child Care Health Dev. 2008;34(2):257-266.
- 8. Prathanee B, Purdy SC, Thinkhamrop B, et al. Early language delay and predictive factors in children aged 2 years. J Med Assoc Thai. 2011;92(7):930.
- 9. Diepeveen FB, van Dommelen P, Oudesluys‐Murphy AM, Verkerk PH. Specific language impairment is associated with maternal and family factors. Child Care Health Dev. 2017;43(3):401-405.
- 10. Fernald A, Marchman VA, Weisleder A. SES differences in language processing skill and vocabulary are evident at 18 months. Dev Sic. 2013;16(2):234-248.
- 11. Talge NM, Neal C, Glover V, et al. Antenatal maternal stress and long‐term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry. 2007;48(3‐4):245-261.
- 12. Chen H, Qin L, Gao R, et al. Neurodevelopmental effects of maternal folic acid supplementation: A systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2023;63(19):3771-3787.
- 13. Valera-Gran D, Navarrete-Munoz EM, de la Hera MG, et al. Effect of maternal high dosages of folic acid supplements on neurocognitive development in children at 4–5 y of age: the prospective birth cohort Infancia y Medio Ambiente (INMA) study. Am J Clin Nutr. 2017;106(3):878-887.
- 14. Ayik B, Motavalli Mukaddes N. Zihinsel Yetersizlik. Motavalli Mukaddes N, Ercan ES, editörler. Nörogelişimsel Bozukluklar. İstanbul:Nobel Tıp Kitapevi;2018:1-31.
- 15. Diepeveen FB, De Kroon ML, Dusseldorp E, Snik AF. Among perinatal factors, only the Apgar score is associated with specific language impairment. Dev Med Child Neurol. 2013;55(7):631-635.
- 16. Whitehouse AJ, Shelton W, Ing C, Newnham JP. Prenatal, perinatal, and neonatal risk factors for specific language impairment: A prospective pregnancy cohort study. J Speech Lang Hear Res. 2014;57(4):1418-1427.
- 17. Stanton-Chapman TL, Chapman DA, Bainbridge NL, Scott KG. Identification of early risk factors for language impairment. Res Dev Disabil. 2002;23(6): 390-405.
- 18. Akca OF, Ugur C, Colak M, et al. Underinvolved relationship disorder and related factors in a sample of young children. Early Hum Dev. 2012;88(6):327-332.
- 19. Pan BA, Rowe ML, Spier E, Tamis-Lemonda C. Measuring productive vocabulary of toddlers in low-income families: Concurrent and predictive validity of three sources of data. J Child Lang. 2004;31(3):587-608.
- 20. Çalık KY, Yılmaz AD, Günal NT. Dünya sağlık örgütünün pozitif bir gebelik deneyimi için antenatal bakıma yönelik önerileri. J Ankara Heal Sci. 2023;12 (1):99-113.
- 21. Liu H-Y, Liu S-M, Zhang Y-Z. Maternal folic acid supplementation mediates offspring health via DNA methylation. Reprod Sci. 2020;27(4):963-976.
- 22. McGee CL, Bjorkquist OA, Riley EP, Mattson SN. Impaired language perform ance in young children with heavy prenatal alcohol exposure. Neurotoxicol Teratol. 2009;31(2):71-75.
- 23. Wiegersma AM, Dalman C, Lee BK, Karlsson H, Gardner RM. Association of prenatal maternal anemia with neurodevelopmental disorders. JAMA Psychiatry. 2019;76(12):1294-1304.
- 24. Tomblin JB, Smith E, Zhang X. Epidemiology of specific language impairment: Prenatal and perinatal risk factors. J Commun Disord. 1997;30(4):325-344.
- 25. Seidman LJ, Buka SL, Goldstein JM, Horton NJ, Rieder RO, Tsuang MT. The relationship of prenatal and perinatal complications to cognitive functioning at age 7 in the New England Cohorts of the National Collaborative Perinatal Project. Schizophr Bull. 2000; 26(2):309-321.
- 26. Muppalla SK, Vuppalapati S, Pulliahgaru AR, Sreenivasulu H. Effects of excessive screen time on child development: an updated review and strategies for management. Cureus. 2023;15(6):e40608.
- 27. Madigan S, McArthur BA, Anhorn C, Eirich R, Christakis DA. Associations between screen use and child language skills: a systematic review and meta-analysis. JAMA Pediatr. 2020;174(7):665-675.
- 28. Pianta RC, Barnett WS, Burchinal M, Thornburg KR. The effects of preschool education: What we know, how public policy is or is not aligned with the evidence base, and what we need to know. Psychol Sci Publ Int. 2009;10(2):49-88.
- 29. Camilli G, Vargas S, Ryan S, Barnett WS. Meta-analysis of the effects of early education interventions on cognitive and social development. Teach Coll Rec. 2010;112(3):579-620.
- 30. Taner M, Başal HA. Farklı sosyoekonomik düzeylerde okulöncesi eğitimi alan ve almayan ilköğretim birinci sınıf öğrencilerinin dil gelişimlerinin cinsiyete göre karşılaştırılması. JUUFE. 2005;18(2):395-420.
- 31. Öztürk H. Okul öncesi eğitim kurumlarına giden ve gitmeyen ilkokul birinci sınıf öğrencilerinin alıcı ve ifade edici dil düzeyleri. Yüksek Lisans Tezi. Gazi Üniversitesi Sosyal Bilimler Enstitüsü;1995.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Original Articles |
| Authors | |
| Early Pub Date | April 16, 2025 |
| Publication Date | April 21, 2025 |
| Submission Date | August 8, 2024 |
| Acceptance Date | December 27, 2024 |
| Published in Issue | Year 2025 Volume: 9 Issue: 1 |
Cite
Ahi Evran Medical Journal is indexed in ULAKBIM TR Index, Turkish Medline, DOAJ, Index Copernicus, EBSCO and Turkey Citation Index. Ahi Evran Medical Journal is periodical scientific publication. Can not be cited without reference. Responsibility of the articles belong to the authors.
