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Exploring the overlap between children with SLI and children with ADHD

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Exploring the overlap between children with SLI and children with ADHD

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    1. 1 Esther Parigger. 14-07-07. Exploring the overlap between children with SLI and children with ADHD

    2. 2 Esther Parigger. 14-07-07. Overview Overlap between SLI and ADHD Executive functions in SLI with(out) ADHD symptoms Semantics/pragmatics in SLI with(out) ADHD symptoms Conclusion and discussion

    3. 3 Esther Parigger. 14-07-07. SLI Diagnosis ?Exclusion ?Severity

    4. 4 Esther Parigger. 14-07-07. ADHD Diagnosis ?Symptoms (division in subtypes) -present before 7 years of age -present in 2 or more settings -significant impairment in functioning -not accounted for by another disorder

    5. 5 Esther Parigger. 14-07-07. SLI and ADHD Not just two different worlds.. ? overlapping symptoms

    6. 6 Esther Parigger. 14-07-07. SLI and behavioural problems 23% of 200 children with (S)LI scored in the atypical range of the ADHD scale of the SDQ These children performed worse in expressive language tasks with semantic content ? underlying problems with inhibition?

    7. 7 Esther Parigger. 14-07-07. ADHD and language problems Subtle problems in language comprehension More robust problems in language production ? mainly pragmatics

    8. 8 Esther Parigger. 14-07-07. Possible explanation Executive Dysfunction Theory “We theorize that the core behavioural symptoms of ADHD (…) and the pragmatic difficulties that these children exhibit (…) are related to deficits in executive function (i.e. higher-order cognitive processes).”

    9. 9 Esther Parigger. 14-07-07. This study Is it possible, within a SLI group, to distinguish a group of children with ADHD symptoms and a group of children without ADHD symptoms? If so, is it possible to differentiate these groups with respect to: 1: Executive functions? 2: Semantics/pragmatics?

    10. 10 Esther Parigger. 14-07-07. Subjects 15 children diagnosed with SLI -13 boys, 2 girls -mean age 8;2

    11. 11 Esther Parigger. 14-07-07. Groups Dutch checklist for behavioural problems: VvGK 33% of 15 children with SLI scored in the (sub)clinical range of the inattention and/or hyperactivity scales of the VvGK

    12. 12 Esther Parigger. 14-07-07. 1a: Inhibition CANTAB Stop Signal Task

    13. 13 Esther Parigger. 14-07-07. 1b: Attention CANTAB Rapid Visual Information Processing

    14. 14 Esther Parigger. 14-07-07. 1c: Working memory CANTAB Spatial Working Memory

    15. 15 Esther Parigger. 14-07-07. 1d: Shifting CANTAB Intra/extradimensional Shift

    16. 16 Esther Parigger. 14-07-07. Summary: executive functions No differentiation between SLI group with and SLI group without ADHD symptoms on measures of: -inhibition -attention -working memory -shifting

    17. 17 Esther Parigger. 14-07-07. 2a: Semantics Dutch children’s communication checklist: CCC-2-NL

    18. 18 Esther Parigger. 14-07-07. 2b: Pragmatics Dutch children’s communication checklist: CCC-2-NL

    19. 19 Esther Parigger. 14-07-07. 2c: Coherence Dutch children’s communication checklist: CCC-2-NL

    20. 20 Esther Parigger. 14-07-07. Summary; semantics/pragmatics

    21. 21 Esther Parigger. 14-07-07. Conclusion

    22. 22 Esther Parigger. 14-07-07. Discussion An overlapping subgroup?

    23. 23 Esther Parigger. 14-07-07. Further research Main study: Comparison of language profiles and cognitive profiles of children with ADHD, children with SLI, and normally developing children 3 groups of 30 children, 7-8 years old, match on IQ, age and gender. *Language: Frog, NWR, ZIT, CCC-2-NL *Efs (inhibitie, werkgeheugen, planning, flexibiliteit, vloeiendheid) *Aandacht en controle taken The relationship between performance on cognitive tasks and language performance should be thus illuminated. The profile of ADHD children in language can be compared with the other groups of children in order to be able to identify possible specific features and the relationship of these features to their cognitive abilities. -Specific language features in ADHD and in SLI -Does language of ADHD differ from language of SLI? -Does language of ADHD+LI differ from language of SLI? -Does language of ADHD+LI differ from language of SLI+ADHD symptoms? -And the relation with cognitive abilities in ADHD and in SLI? -Unique language profile in ADHD? LI primary or secondary? -Fit Executive Dysfunction Theory?3 groups of 30 children, 7-8 years old, match on IQ, age and gender. *Language: Frog, NWR, ZIT, CCC-2-NL *Efs (inhibitie, werkgeheugen, planning, flexibiliteit, vloeiendheid) *Aandacht en controle taken The relationship between performance on cognitive tasks and language performance should be thus illuminated. The profile of ADHD children in language can be compared with the other groups of children in order to be able to identify possible specific features and the relationship of these features to their cognitive abilities. -Specific language features in ADHD and in SLI -Does language of ADHD differ from language of SLI? -Does language of ADHD+LI differ from language of SLI? -Does language of ADHD+LI differ from language of SLI+ADHD symptoms? -And the relation with cognitive abilities in ADHD and in SLI? -Unique language profile in ADHD? LI primary or secondary? -Fit Executive Dysfunction Theory?

    24. 24 Esther Parigger. 14-07-07. Information E: e.m.parigger@uva.nl W: http://home.medewerker.uva.nl/e.m.parigger T: 0031-20-5253811 Uploaden hand-out website. Uploaden hand-out website.

    25. 25 Esther Parigger. 14-07-07. Theory of constructive operators (TCO)

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