遲語兒幼兒期至學齡前期的語言發展型態：兩年縱貫研究

Late-talking Children's Language Development Pattern in the Early Childhood: A Longitudinal Study for Two Years

10.6251/BEP.201806_49(4).0005

呂信慧(Hsin-Hui Lu)；曹峰銘(Feng-Ming Tsao)

語言成長曲線 ； 語言晚熟 ； 語言發展 ； 遲語兒 ； Language development ； Late-bloomer ； Language growth curve ； Late-talker

教育心理學報

49卷4期（2018 / 06 / 01）

611 - 636

繁體中文

遲語兒在兩歲時的表達性語言能力落後一般兒童，而先前研究顯示遲語兒日後語言發展迥異，即出現語言障礙，抑或僅是語言晚熟。但是，這兩群遲語兒從二到四歲的語言發展型態有哪些差異？本研究目的探究這兩類遲語兒在這期間的語言發展型態。本研究追蹤遲語兒（n = 35）及對照兒童（n = 34）二到四歲的語言表現，總共蒐集三波資料（兩歲、三歲及四歲），遲語兒在四歲時按語言能力區分成語言「障礙組」（n = 12）與「晚熟組」（n = 20）。結果發現：（1）三組兒童在二到四歲的語言發展類型互異，而且在控制母親教育程度、語言療育和幼兒教育之後，他們在此期間的語言發展曲線亦仍各不同（2）在此期間接受語言療育與幼兒教育期間較長的遲語兒，和對照兒童的語言落差呈現隨年齡增加而遞減的趨勢。總結來說，雖然四歲才能確診遲語兒為語言障礙或僅是語言晚熟，但這兩類遲語兒自兩歲開始已展現迥異的語言發展型態。

The purpose of this study was to examine the language development of late-talkers with language-impairment and late-bloomer from toddlerhood to the preschooler stage. A total of 35 LTs and 34 typically-developing toddlers (TD) provided 3 waves of data at annual intervals beginning at age 2. The LTs were distinguished as those with language disorder (LD, n = 12) and the late bloomers (LB, n = 20) based on their language abilities at age 4. The three groups of children were compared with their language abilities at each time point, and also their language development trajectories from age 2 to age 4. This study had two major findings. First of all, ANOVA analyses the cross-sectional data and HLM analysis the longitudinal data showed that the TDs had better language performance than the LBs, while both groups outperformed the LDs. These findings have verified the proposal of Language Endowment Spectrum. Secondly, the language levels of LT children with LD and LB will improve with early language intervention and kindergarten education. To sum up, the children with LT or LB already show different language development patterns from toddlerhood to the preschooler hood.

1. American Psychiatric Association(2013).Diagnostic and statistical manual of mental disorders.Washington, DC:Author.
2. Bayley, N.(2006).Bayley scales of infant and toddler development-third edition (Bayley-III): Administration manual.San Antonio, TX:Harcourt Assessment.
3. Bishop, D. V. M.,Edmundson, A.(1987).Language-impaired 4-year-olds distinguishing transient from persistent impairment.Journal of Speech and Hearing Disorders,52(2),156-173.
4. Bornstein, M. H.(Ed.),Bradley, R. H.(Ed.)(2003).Socioeconomic status, parenting, and child development.Mahwah, NJ:Lawrence Erlbaum.
5. Bryk, A. S.,Raudenbush, S. W.(1992).Hierarchical linear models: Applications and data analysis methods.London, United Kingdom:Sage Publications, Inc..
6. Cristia, A.,Seidl, A.,Junge, C.,Soderstrom, M.,Hagoort, P.(2014).Predicting individual variation in language from infant speech perception measures.Child Development,85,1330-1345.
7. Desmarais, C.,Sylvestre, A.,Meyer, F.,Bairati, I.,Rouleau, N.(2008).Systematic review of the literature on characteristics of late-talking toddlers.International Journal of Language and Communication Disorders,43(4),361-389.
8. Ellis Weismer, S.(2007).Typical talkers, late talkers, and children with specific language impairment: A language endowment spectrum?.Language disorders and development from a developmental perspective,Mahwah, NJ:
9. Fernald, A.,Marchman, V. A.(2012).Individual differences in lexical processing at 18 months predict vocabulary growth in typically developing and late‐talking toddlers.Child Development,83(1),203-222.
10. Gershkoff-Stowe, L.,Hahn, E. R.(2007).Fast mapping skills in the developing lexicon.Journal of Speech, Language, and Hearing Research,50(3),682-697.
11. Hadley, P. A.,Holt, J. K.(2006).Individual differences in the onset of tense marking: A growth-curve analysis.Journal of Speech, Language, and Hearing Research,49(5),984-1000.
12. Hawa, V. V.,Spanoudis, G.(2014).Toddlers with delayed expressive language: An overview of the characteristics, risk factors and language outcomes.Research in Developmental Disabilities,35(2),400-407.
13. Henrichs, J.,Rescorla, L.,Donkersloot, C.,Schenk, J. J.,Raat, H.,Jaddoe, V. W.,Tiemeier, H.(2013).Early vocabulary delay and behavioral/emotional problems in early childhood: the generation R study.Journal of Speech, Language, and Hearing Research,56(2),553-566.
14. Henrichs, J.,Rescorla, L.,Schenk, J. J.,Schmidt, H. G.,Jaddoe, V. W.,Hofman, A.,Tiemeier, H.(2011).Examining continuity of early expressivevocabulary development: the generation R study.Journal of Speech, Language, and Hearing Research,54(3),854-869.
15. Leonard, L. B.(2014).Children with specific language impairment.Cambridge, MA:MIT press.
16. MacRoy‐Higgins, M.,Schwartz, R. G.,Shafer, V.L.,Marton, K.(2013).Influence of phonotactic probability/neighbourhood density on lexical learning in late talkers.International Journal of Language & Communication Disorders,48(2),188-199.
17. Marchman, V. A.,Bates, E.(1994).Continuity in lexical and morphological development: A test of the critical mass hypothesis.Journal of Child Language,21,339-339.
18. McGillion, M.,Herbert, J. S.,Pine, J.,Vihman, M.,dePaolis, R.,Keren-Portnoy, T.,Matthews, D.(2017).What paves the way to conventional language? The predictive value of babble, pointing, and socioeconomic status.Child Development,88,156-166.
19. Mok, P. L.,Pickles, A.,Durkin, K.,Conti-Ramsden, G.(2014).Longitudinal trajectories of peer relations in children with specific language impairment.Journal of Child Psychology and Psychiatry,55(5),516-527.
20. Moyle, J.,Stokes, S. F.,Klee, T.(2011).Early language delay and specific language impairment.Developmental Disabilities Research Reviews,17(2),160-169.
21. Mullen E. M.(1995).Mullen scales of early learning.Circle Pines, MN:American Guidance Service.
22. Paul, R.,Alforde, S.(1993).Grammatical morpheme acquisition in 4-year-olds with normal, impaired, and late-developing language.Journal of Speech, Language, and Hearing Research,36(6),1271-1275.
23. Rescorla, L.(2009).Age 17 language and reading outcomes in late-talking toddlers: Support for a dimensional perspective on language delay.Journal of Speech, Language, and Hearing Research,52(1),16-30.
24. Rescorla, L.(2011).Late talkers: Do good predictors of outcome exist?.Developmental Disabilities Research Reviews,17(2),141-150.
25. Rescorla, L. A.(Ed.),Dale, P. S.(Ed.)(2013).Late talkers: Language development, interventions and outcomes.Baltimore, MD:Brookes.
26. Rescorla, L.,Mirak, J.,Singh, L.(2000).Vocabulary growth in late talkers: Lexical development from 2; 0 to 3; 0.Journal of Child Language,27(2),293-311.
27. Rescorla, L.,Roberts, J.(2002).Nominal versus verbal morpheme use in late talkers at ages 3 and 4.Journal of Speech, Language, and Hearing Research,45(6),1219-1231.
28. Rescorla, L.,Turner, H. L.(2015).Morphology and syntax in late talkers at age 5.Journal of Speech, Language, and Hearing Research,58(2),434-444.
29. Roberts, M. Y.,Kaiser, A. P.(2015).Early intervention for toddlers with language delays: a randomized controlled trial.Pediatrics,135(4),686-693.
30. Robins D.L.,Fein D.,Barton M.L.,Green J.A.(2001).The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders.Journal of Autism and Developmental Disorders,31,131-144.
31. Robins, D. L., Fein, D., & Barton, M. L. (1999). The modified checklist for autism in toddlers (M-CHAT). Storrs, CT: Self-published. (Chinese version: http://www.mchatscreen.com/Official_M-CHAT_Website_files/M-CHAT_Chinese.pdf)
32. Roid, G.H.,Miller, L.J.(1997).Leiter international performance scale-revised (Leiter-R).Wood Dale, IL:Stoelting Col..
33. Roth, T. L.,Sweatt, J. D.(2011).Annual research review: Epigenetic mechanisms and environmental shaping of the brain during sensitive periods of development.Journal of Child Psychology and Psychiatry,52(4),398-408.
34. Sachse, S.,Von Suchodoletz, W.(2008).Early identification of language delay by direct language assessment or parent report?.Journal of Developmental & Behavioral Pediatrics,29(1),34-41.
35. Singh, L.,Steven Reznick, J.,Xuehua, L.(2012).Infant wordsegmentation and childhood vocabulary development: A longitudinal analysis.Developmental Science,15(4),482-495.
36. Sterba, S. K.(Ed.)(2014).Handbook of developmental psychopathology.Springer US.
37. Thurman, S. K.,Widerstrom, A. H.(1990).Infants and young children with special needs: A developmental and ecological approach.Baltimore, MD:Brookes.
38. Tsybina, I.,Eriks-Brophy, A.(2007).Issues in research on children with early language delay.Contemporary Issues in Communication Science and Disorders,34,118-133.
39. Van Dijk, M.,Van Geert, P.(2007).Wobbles, humps and sudden jumps: A case study of continuity, discontinuity and variability in early language development.Infant and Child Development,16(1),7-33.
40. Whitehurst, G. J.,Fischel, J. E.(1994).Practitioner review: Early developmental language delay: what if anything. Should the clinician do about it?.Journal of Child Psychology and Psychiatry,35(4),613-648.
41. Whitehurst, G. J.,Smith, M.,Fischel, J. E.,Arnold, D. S.,Lonigan, C. J.(1991).The continuity of babble and speech in children with specific expressive language delay.Journal of Speech, Language, and Hearing Research,34(5),1121-1129.
42. Wong, V.,Hui, L. H. S.,Lee, W. C.,Leung, L. S. J.,Ho, P. K. P.,Lau, W. L. C.,Chung, B.(2004).A modified screening tool for autism (Checklist for Autism in Toddlers [CHAT-23]) for Chinese children.Pediatrics,114(2),e166-e176.
43. 王天苗、林麗英、鄒國蘇、林世華(1998)。嬰幼兒綜合發展測驗之編製報告。測驗年刊，45(1)，19-46。
44. 林寶貴、黃玉枝、黃桂君、宣崇慧(2008)。修訂學前兒童語言障礙評量表指導手冊。臺北市=Taipei:國立臺灣師範大學特殊教育中心= Special Education Center, National Taiwan Normal University。
45. 陳心怡、陳榮華(2013)。魏氏幼兒智力量表第四版（WPSSI-IV）中文版指導手冊。台北=Taipei:中國行為科學社=Chinese Behavioral Science Corporation。
46. 鄒啟蓉(2004)。建構接納與支持的班級文化：學前融合班教師促進普通與發展遲緩幼兒互動及人際關係之研究。特殊教育研究學刊，27，19-38。
47. 劉惠美、曹峰銘(2010)。華語嬰幼兒溝通發展量表（台灣版）。台北=Taipei:心理出版社=Psychological Publishing。

1. 曹峰銘,呂信慧(2020)。遲語兒語言發展趨勢和詞彙學習歷程：幼兒期至學齡前期縱貫研究。特殊教育研究學刊，45(1)，33-63。
2. 簡欣瑜,劉惠美(2021)。語音異常兒童語音知覺、音韻覺識與語音產出之相關。教育心理學報，52(4)，909-933。
3. 賴沛雨,劉惠美(2022)。華語幼兒之新詞學習與表達性詞彙的關係。教育心理學報，53(4)，801-825。
4. 楊婧,張鑑如(2021)。臺灣幼兒電子產品的使用及對幼兒發展的影響：臺灣幼兒發展調查資料庫之運用。教育心理學報，53(2)，257-284。
5. 鄭靜宜(2020)。學前兒童至老年階段言語功能指標數值的變化。教育心理學報，51(4)，613-637。
6. (2022)。對話式閱讀教學對提升融合班級中發展遲緩幼兒語言能力成效之研究。教育學報，50(1)，109-132。
7. (2023)。親職參與和幼兒語言能力關係：家庭學習環境的中介效果。高雄師大學報：教育與社會科學類，55，1-25。