Health-related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal population-based study.
HRQoL
children
low language
Journal
Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
08
01
2020
revised:
04
05
2020
accepted:
06
05
2020
pubmed:
4
6
2020
medline:
16
10
2021
entrez:
4
6
2020
Statut:
ppublish
Résumé
Low language abilities are known to be associated with significant adverse long-term outcomes. However, associations between low language and health-related quality of life (HRQoL) are unclear. We aimed to (a) examine the association between low language and HRQoL from 4 to 13 years and (b) classify the children's trajectories of HRQoL and language and examine the association between language and HRQoL trajectories. Data were from an Australian community-based cohort of children. HRQoL was measured at ages 4-13 years using the parent-reported Pediatric Quality of Life Inventory 4.0. Language was assessed using the Clinical Evaluation of Language Fundamentals (CELF)-Preschool 2nd edition at 4 years and the CELF-4th edition at 5, 7 and 11 years. Multivariable linear regression and mixed effect modelling were used to estimate cross-sectional and longitudinal associations between low language and HRQoL from 4 to 13 years. A joint group-based trajectory model was used to characterize associations between HRQoL and language trajectories over childhood. Children with low language had substantially lower HRQoL than children with typical language from 4 to 13 years. Higher language scores were associated with better HRQoL, particularly in social and school functioning. Three HRQoL trajectories were identified: stable-high (51% of children), reduced with slow decline (40%) and low with rapid decline (9%). Children with low language were less likely to follow a stable-high HRQoL trajectory (40%) while 26% and 34% followed the reduced with slow decline and low with rapid decline trajectories, respectively. Children with low language experienced reduced HRQoL from 4 to 13 years. More than half had declining trajectories in HRQoL highlighting the need to monitor these children over time. Interventions should not only aim to improve children's language ability but also address the wider functional impacts of low language.
Sections du résumé
BACKGROUND
Low language abilities are known to be associated with significant adverse long-term outcomes. However, associations between low language and health-related quality of life (HRQoL) are unclear. We aimed to (a) examine the association between low language and HRQoL from 4 to 13 years and (b) classify the children's trajectories of HRQoL and language and examine the association between language and HRQoL trajectories.
METHODS
Data were from an Australian community-based cohort of children. HRQoL was measured at ages 4-13 years using the parent-reported Pediatric Quality of Life Inventory 4.0. Language was assessed using the Clinical Evaluation of Language Fundamentals (CELF)-Preschool 2nd edition at 4 years and the CELF-4th edition at 5, 7 and 11 years. Multivariable linear regression and mixed effect modelling were used to estimate cross-sectional and longitudinal associations between low language and HRQoL from 4 to 13 years. A joint group-based trajectory model was used to characterize associations between HRQoL and language trajectories over childhood.
RESULTS
Children with low language had substantially lower HRQoL than children with typical language from 4 to 13 years. Higher language scores were associated with better HRQoL, particularly in social and school functioning. Three HRQoL trajectories were identified: stable-high (51% of children), reduced with slow decline (40%) and low with rapid decline (9%). Children with low language were less likely to follow a stable-high HRQoL trajectory (40%) while 26% and 34% followed the reduced with slow decline and low with rapid decline trajectories, respectively.
CONCLUSIONS
Children with low language experienced reduced HRQoL from 4 to 13 years. More than half had declining trajectories in HRQoL highlighting the need to monitor these children over time. Interventions should not only aim to improve children's language ability but also address the wider functional impacts of low language.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
349-356Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 Association for Child and Adolescent Mental Health.
Références
Australian Bureau of Statistics (2009). Australian social trends. Canberra: Commonwealth of Australia.
Beitchman, J.H., Wilson, B., Johnson, C.J., Atkinson, L., Young, A., Adlaf, E., … & Douglas, L. (2001). Fourteen-year follow-up of speech/language-impaired and control children: Psychiatric outcome. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 75-82.
Bishop, D.V., Snowling, M.J., Thompson, P.A., & Greenhalgh, T. (2016). CATALISE: A multinational and multidisciplinary Delphi consensus study. Identifying language impairments in children. PLoS One, 11, e0158753.
Bullinger, M. (2002). Assessing health-related quality of life in medicine. An overview over concepts, methods and applications in international research. Restorative Neurology and Neuroscience, 20, 93-101.
Conti-Ramsden, G., & Botting, N. (2008). Emotional health in adolescents with and without a history of specific language impairment (SLI). Journal of Child Psychology and Psychiatry, 49, 516-525.
Eadie, P., Conway, L., Hallenstein, B., Mensah, F., Mckean, C., & Reilly, S. (2018). Quality of life in children with developmental language disorder. International Journal of Language & Communication Disorders, 53, 799-810.
Feeney, R., Desha, L., Khan, A., & Ziviani, J. (2017). Contribution of speech and language difficulties to health-related quality-of-life in Australian children: A longitudinal analysis. International Journal of Speech-Language Pathology, 19, 139-152.
Feeney, R., Desha, L., Ziviani, J., & Nicholson, J.M. (2012). Health-related quality-of-life of children with speech and language difficulties: A review of the literature. International Journal of Speech-Language Pathology, 14, 59-72.
Fellinghauer, B., Reinhardt, J.D., Stucki, G., & Bickenbach, J. (2012). Explaining the disability paradox: a cross-sectional analysis of the Swiss general population. BMC Public Health, 12, 655.
Fitzmaurice, G.M., Laird, N.M., & Ware, J.H. (2012). Applied longitudinal analysis. Hoboken, NJ: John Wiley & Sons.
Flapper, B.C., & Schoemaker, M.M. (2013). Developmental Coordination Disorder in children with specific language impairment: Co-morbidity and impact on quality of life. Research in Developmental Disabilities, 34, 756-763.
Hines, M.T. (2007). Adolescent adjustment to the middle school transition: The intersection of divorce and gender in review. Research in Middle Level Education online, 31, 1-15.
Howard, S. (2008). Experimental design and analysis. Chapter 15: Mixed models. [eBook]. Available from: http://www.stat.cmu.edu/~hseltman/309/Book/chapter15.pdf [last accessed 11 June 2019].
Huang, I.-C., Thompson, L.A., Chi, Y.Y., Knapp, C.A., Revicki, D.A., Seid, M. & Shenkman, E.A. (2009). The linkage between pediatric quality of life and health conditions: Establishing clinically meaningful cutoff scores for the PedsQL. Value in Health, 12, 773-781.
Kessler, R.C., Barker, P.R., Colpe, L.J., Epstein, J.F., Gfroerer, J.C., Hiripi, E., … & Zaslavsky, A.M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184-189.
Le, D.N.H., Le, K.D.L., Nguyen, P., Mudiyanselage, S., Eadie, P., Mensah, F., … & Gold, L. (2020). Health-quality of life, service utilisation and costs of low language: A systematic review. International Journal of Language & Communication Disorders, 55, 3-25.
Lyons, R., & Roulstone, S. (2018). Well-being and resilience in children with speech and language disorders. Journal of Speech, Language, and Hearing Research, 61, 324-344.
Markham, C., & Dean, T. (2009). Parents' and professionals' perceptions of Quality of Life in children with speech and language difficulty. International Journal of Language & Communication Disorders, 41, 189-212.
Markham, C., Van Laar, D., Gibbard, D., & Dean, T. (2009). Children with speech, language and communication needs: their perceptions of their quality of life. International Journal of Language & Communication Disorders, 44, 748-768.
McKean, C., Reilly, S., Bavin, E.L., Bretherton, L., Cini, E., Conway, L., … & Mensah, F. (2017). Language outcomes at 7 years: Early predictors and co-occurring difficulties. Pediatrics, 139, e20161684.
McKean, C., Wraith, D., Eadie, P., Cook, F., Mensah, F., & Reilly, S. (2017). Subgroups in language trajectories from 4 to 11 years: The nature and predictors of stable, improving and decreasing language trajectory groups. Journal of Child Psychology and Psychiatry, 58, 1081-1091.
Nagin, D.S., & Odgers, C.L. (2010). Group-based trajectory modeling in clinical research. Annual Review of Clinical Psychology, 6, 109-138.
Nicola, K., & Watter, P. (2015). Health-related quality of life from the perspective of children with severe specific language impairment. Health and Quality of Life Outcomes, 13, 127.
Nicola, K., & Watter, P. (2018). The comparison of perceived health-related quality of life between Australian children with severe specific language impairment to age and gender-matched peers. BMC Pediatrics, 18, 62.
Norbury, C.F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., … & Pickles, A. (2016). The impact of nonverbal ability on prevalence and clinical presentation of language disorder: Evidence from a population study. Journal of Child Psychology and Psychiatry, 57, 1247-1257.
Raven, J.C. (Ed.) (1997). Mill Hill Vocabulary Scale. Oxford, UK: Oxford Psychologists Press.
Reilly, S., Cook, F., Bavin, E.L., Bretherton, L., Cahir, P., Eadie, P., … & Wake, M. (2017). Cohort Profile: The Early Language in Victoria Study (ELVS). International Journal of Epidemiology, 47, 11-20.
Reilly, S., Tomblin, B., Law, J., McKean, C., Mensah, F.K., Morgan, A., … Wake, M. (2014). Specific language impairment: A convenient label for whom? International Journal of Language & Communication Disorders, 49, 416-451.
Reilly, S., Wake, M., Ukoumunne, O.C., Bavin, E., Prior, M., Cini, E., … & Bretherton, L. (2010). Predicting language outcomes at 4 years of age: Findings from Early Language in Victoria Study. Pediatrics, 126, e1530-e1537.
Roulstone, S., Coad, J., Ayre, A., Hambly, H., & Lindsay, G. (2012). The preferred outcomes of children with speech, language and communication needs and their parents. London: DfE.
Sanson, A.V., Smart, D., Prior, M., Oberklaid, F., & Pedlow, R. (1994). The structure of temperament from age 3 to 7 years: Age, sex, and sociodemographic influences. Merrill-Palmer Quarterly, 40, 233-252.
Schoon, I., Parsons, S., Rush, R., & Law, J. (2010). Children's language ability and psychosocial development: a 29-year follow-up study. Pediatrics, 126, e73-e80.
Semel, E., Wiig, E., & Secord, W. (2006). Clinical evaluation of language fundamentals fourth edition, Australian standardised edition (CELF-4 Australian). Sydney: Pearson Inc.
St Clair, M.C., Pickles, A., Durkin, K., & Conti-Ramsden, G. (2011). A longitudinal study of behavioral, emotional and social difficulties in individuals with a history of specific language impairment (SLI). Journal of Communication Disorders, 44, 186-199.
Sung, L., Petrou, S., & Ungar, W.J. (2010). Measurement of health utilities in children. In Wendy J. Ungar (Ed.), Economic evaluation in child health (pp. 77-90). Oxford: Oxford University Press.
The Centre for Adolescent Health, Murdoch Children’s Research Institute (2018). Student wellbeing, engagement and learning across the middle years. Canberra: Australian Government Department of Education and Training.
Tomblin, J.B., Records, N.L., Buckwalter, P., Zhang, X., Smith, E., & O'Brien, M.(1997). Prevalence of specific language impairment in kindergarten children. Journal of Speech, Language, and Hearing Research, 40, 1245-1260.
Van Agt, H., Verhoeven, L., Van Den Brink, G., & De Koning, H. (2010). The impact on socio-emotional development and quality of life of language impairment in 8-year-old children. Developmental Medicine and Child Neurology, 53, 81-88.
Varni, J.W. (2014). Scaling and scoring of the Pediatric Quality of Life Inventory PedsQL [Online]. Mapi Research Trust. Available from: http://www.pedsql.org/PedsQL-Scoring.pdf [last accessed 22 June 2016].
Varni, J.W., Burwinkle, T.M., Seid, M., & Skarr, D. (2003). The PedsQL™* 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambulatory Pediatrics, 3, 329-341.
Varni, J.W., Limbers, C.A., & Burwinkle, T.M. (2007). Parent proxy-report of their children's health-related quality of life: an analysis of 13,878 parents' reliability and validity across age subgroups using the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5, 2.
Vella, S.A., Magee, C.A., & Cliff, D.P. (2015). Trajectories and predictors of health-related quality of life during childhood. The Journal of Pediatrics, 167, 422-427.
Wiig, E.H., Secord, W.A., & Semel, E. (2006). Clinical evaluation of language fundamentals- preschool (Australian Version). London: Psychological Corporation.