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Study of pragmatic language ability in children with hearing loss

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Abstract

Background

Pragmatic language refers to how language is used socially to achieve some purpose in communication. Pragmatic language impairment can be a disorder by itself, or as a sign of other accompanying disorders. Hearing-impaired children show less clear pragmatic communication functions. Knowledge of pragmatic abilities in children with hearing loss (HL) is lacking relative to that of children with normal hearing (NH).

Aim

The aim of this study was to examine the pragmatic language ability in Arabic-speaking children with sensorineural hearing loss in order to apply a proper intervention program to guard against the effect of early pragmatic language skill disorders on later academic and social abilities.

Participants and methods

Twenty-seven children with HL were subjected to pragmatic language assessment using the Arabic version of the Test of Pragmatic Language, 2nd edition and both the Observational Rating Scale and the Pragmatic Profile subtests of the Clinical Evaluation of Language Fundamental, 4th edition. The results obtained were compared with the results of 27 age-matched and sex-matched NH children.

Results

The results of this study revealed significantly lower pragmatic abilities in children with HL compared with children with NH. Male children were significantly more impaired compared with female children. There were significant correlations between the pragmatic variables and the degree of HL, speech discrimination ability, and the duration of auditory deprivation.

Conclusion

HL children had significantly lower pragmatic skills compared with NH children, with greater affection correlated with increasing severity of HL and the duration of auditory deprivation. The higher susceptibility to pragmatic impairment in this category of children as well as the importance of pragmatic skills for further social communicative and academic careers should be considered in their rehabilitative plan.

References

  1. Most T, Shina-August E, Meilijson S. Pragmatic abilities of children with hearing loss using cochlear implants or hearing aids compared to hearing children. J Deaf Stud Deaf Educ 2010; 15: 422–437.

    Article  Google Scholar 

  2. Adams C. Practitioner review: the assessment of language pragmatics. J Child Psychol Psychiatry 2002; 43: 973–987.

    Article  Google Scholar 

  3. Duncan JC, Perozzi JA. Concurrent validity of a pragmatic protocol. Lang Speech Hear Serv Sch. 1987; 18: 80–85.

    Article  Google Scholar 

  4. Ninio A, Snow CE. Pragmatic development. Essays in developmental science. Boulder, CO: Westview Press 1996.

    Google Scholar 

  5. Coulter L. Sematic pragmatic disorder with application of selected pragmatic concepts. Int J Lang Commun Disord 1998; 33: 434–438.

    Article  Google Scholar 

  6. Rinaldi W. Pragmatic comprehension in secondary school-aged students with specific developmental language disorder. Int J Lang Commun Disord 2000; 35: 1–29.

    Article  CAS  Google Scholar 

  7. Gallagher TM. Interrelationships among children’s language, behavior, and emotional problems. Top Lang Disord 1999; 19: 1–15.

    Article  Google Scholar 

  8. Perkins MR. The scope of pragmatics disability: a cognitive approach. In: Muller N, ed. Pragmatics in speech and language pathology: studies in clinical applications. Amsterdam; Philadelphia: John Benjamins Publishing; 2000:7–23.

    Chapter  Google Scholar 

  9. Lederberg AR, Everhart VS. Conversation between deaf children and their hearing mothers: pragmatic and dialogic characteristics. J Deaf Stud Deaf Educ 2000; 5: 303–322.

    Article  CAS  Google Scholar 

  10. Nicholas JG, Geers AE, Kozak V. Development of communicative function in young hearing impaired and normally hearing children. Volta Rev 1994; 96: 113–135.

    Google Scholar 

  11. Thorndike R, Hagan E, Sattler J. Stanford Binet Intelligence Scale: guide for administrating and scoring. 4th ed. Chicago, IL: Riverside; 1986.

    Google Scholar 

  12. Kotby MN, Khairy A, Barakah M, Rifaie N, El Shobary A. Language testing of Arabic speaking children. MN Kotby ed. Proceeding of the XVIII World Congress of the International Association of Logopedics and Phoniatric. Cairo, Egypt: Secretariat of XXIII World Congress of the International Association of Logopedics and Phoniatrics (IALP); 1995:263–266.

    Google Scholar 

  13. Alduais AM, Al-Hammadi FS, Shoeib RM, Al-Malki KH, Alenezi FH. Use of an Arabic-language Version of TOPL-2 to Identify Typical and Atypical Manifestations of Pragmatic Language Impairment in Individuals with Developmental Dysphasia. Journal of Humanities and Social Science (JHSS). 2012; 3: 11–22

    Google Scholar 

  14. Goberis D, Beams D, Dalpes M, Abrisch A, Baca R, Yoshinaga-Itano C. The missing link in language development of deaf and hard of hearing children: pragmatic language development. Semin Speech Lang 2012; 33: 297–309.

    Article  Google Scholar 

  15. Clarck M. Language through living for hearing impaired children. London, UK: Hodder and Stoughton 1989.

    Google Scholar 

  16. Bebko JM, Calderon R, Treder R. The language proficiency profile-2: assessment of the global communication skills of deaf children across languages and modalities of expression. J Deaf Stud Deaf Educ 2003; 8: 438–451.

    Article  Google Scholar 

  17. Guest HE. Pragmatics and social communication: children with hearing loss in early childhood settings [Thesis]; Florida State University 2013. Available at: http://purl.flvc.org/fsu/fd/FSU_migr_uhm-0208 Accessed 18 May 2015

  18. Ciocci SR, Baran JA. The use of conversational repair strategies by children who are deaf. Am Ann Deaf 1998; 143: 235–245.

    Article  CAS  Google Scholar 

  19. Duchan JF. Assessing communication of hearing-impaired children: influences from pragmatics. J Acad Rehabil Audiol 1988; 21: 19–40.

    Google Scholar 

  20. Lichtig I, Couto M, Mecca F, Hartley S, Wirz S, Woll B. Assessing deaf and hearing children’s communication in Brazil. J Commun Disord 2011; 44: 223–235

    Article  Google Scholar 

  21. Rinaldi P, Baruffaldi F, Burdo S, Caselli MC. Linguistic and pragmatic skills in toddlers with cochlear implant. Int J Lang Commun Disord 2013; 48: 715–25.

    Article  Google Scholar 

  22. Thagard EK, Hilsmier AS, Easterbrooks SR. Pragmatic language in deaf and hard of hearing students: correlation with success in general education. Am Ann Deaf 2011; 155: 526–34.

    Article  Google Scholar 

  23. Dewart H, Summers S The pragmatics profile of early communication skills. 2nd ed. Windsor, ON: NFER-Nelson; 1994

    Google Scholar 

  24. Martin D, Bat-Chava Y, Lalwani A, Waltzman SB. Peer relationships of deaf children with cochlear implants: predictors of peer entry and peer interaction success. J Deaf Stud Deaf Educ 2011; 16: 108–120.

    Article  Google Scholar 

  25. Yoshinaga-Itano C. Language assessment of infants and toddlers with significant hearing loss. Semin Hear 1994; 15: 128–147.

    Article  Google Scholar 

  26. Geers A, Moog J. Factors predictive of the development of literacy in profoundly hearing-impaired adolescents. Volta Rev 1989; 91: 69–86.

    Google Scholar 

  27. Mayne A, Yoshinaga-Itano C, Sedey A, Carey A. Expressive vocabulary development of infants and toddlers who are deaf or hard of hearing. Volta Rev 1998; 100: 1–28.

    Google Scholar 

  28. Moeller MP. The deafness early intervention project: strategies and outcomes. Paper presented at the Marion Downs National Center Symposium on Infant Hearing, Denver, CO; July, 1998.

  29. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics. 1998; 102: 1161–1171.

    Article  CAS  Google Scholar 

  30. Calderon R, Naidu S. Further support for the benefits of early identification and intervention for children with hearing loss. Volta Rev 2000; 100: 53–84.

    Google Scholar 

  31. Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics. 2000; 106: 41–53.

    Article  Google Scholar 

  32. Weisel A, Most T, Efron C. Initiations of social interactions by young hearing impaired preschoolers. J Deaf Stud Deaf Educ 2005; 10: 161–170.

    Article  Google Scholar 

  33. Nunes T, Pretzlik U, Olsen J. Deaf children’s social relationships in mainstream schools. Deafness Educ Int 2001; 3: 123–136.

    Article  Google Scholar 

  34. Kent KA. Identity issues for hard-of-hearing adolescents aged 11, 13, and 15 in mainstream settings. J Deaf Stud Deaf Educ 2003; 8: 315–324.

    Article  CAS  Google Scholar 

  35. Most T. Speech intelligibility, loneliness, and sense of coherence among deaf and hard-of-hearing children in an individual inclusion and group inclusion. J Deaf Stud Deaf Educ 2007; 12: 495–503.

    Article  Google Scholar 

  36. Davis JM, Shepard NT, Stelmachowicz PG, Gorga MP. Characteristics of hearing-impaired children in the public schools: part II − psychoeducational data. J Speech Hear Disord 1981; 46: 130–137.

    Article  CAS  Google Scholar 

  37. Musselman CR, Wilson AK, Lindsay PH. Effects of early intervention on hearing impaired children. Except Child 1988; 55: 222–228.

    Article  CAS  Google Scholar 

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Correspondence to Sally T. Kheir El-Din MD.

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Shoeib, R.M., Kaddah, F.EZ.A., Kheir El-Din, S.T. et al. Study of pragmatic language ability in children with hearing loss. Egypt J Otolaryngol 32, 210–218 (2016). https://doi.org/10.4103/1012-5574.186526

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  • DOI: https://doi.org/10.4103/1012-5574.186526

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