Abstract
A growing body of evidence points to the common co-occurrence of language and behavioral difficulties in children. Primary studies often focus on this relation in children with identified deficits. However, it is unknown whether this relation holds across other children at risk or representative samples of children or over time. The purpose of this paper is to describe the results of a systematic review and two meta-analyses exploring the concurrent and predictive associations between language ability and problem behavior in school-age children. A systematic literature search yielded 1655 unduplicated abstracts, and a structured study selection process resulted in 19 eligible reports and 25 effect sizes for the concurrent analysis and 8 reports and 10 effect sizes for the predictive analysis. Eligible reports were then coded, and effect sizes were extracted and synthesized via random effects meta-analyses. Results estimate significant negative concurrent (z = −0.17 [−0.21, −0.13]) and predictive (z = −0.17 [−0.21, −0.13]) associations between language and problem behavior, and these relations hold across age, time, and risk status. Mean effect sizes for receptive and expressive language were significant. This study adds to the quantitative and descriptive literature by summarizing and corroborating the evidence that low language ability is associated with problem behavior. Further research is needed relative to differences in subconstructs of language and behavior, as well as a focus on intervention for students with these comorbid deficits.
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References
Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 Profile. Burlington: University of Vermont Department of Psychiatry.
Aro, T., Eklund, K., Nurmi, J. E., & Poikkeus, A. M. (2012). Early language and behavioral regulation skills as predictors of social outcomes. Journal of Speech, Language, and Hearing Research, 55(2), 395–408. doi:10.1044/1092-4388(2011/10-0245).
Benner, G. J., Nelson, J. R., & Epstein, M. H. (2002). Language skills of children with EBD: a literature review. Journal of Emotional and Behavioral Disorders, 10(1), 43–56. doi:10.1177/106342660201000105.
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester: Wiley.
Bornstein, M. H., Hahn, C. S., & Suwalsky, J. T. (2013). Language and internalizing and externalizing behavioral adjustment: developmental pathways from childhood to adolescence. Development and Psychopathology, 25(03), 857–878. doi:10.1017/s0954579413000217.
Botting, N., & Conti‐Ramsden, G. (2008). The role of language, social cognition, and social skill in the functional social outcomes of young adolescents with and without a history of SLI. British Journal of Developmental Psychology, 26(2), 281–300. doi:10.1348/026151007x235891.
Bradley, R., Henderson, K., & Monfore, D. A. M. (2004). A national perspective on children with emotional disorders. Behavioral Disorders, 211–223
Bradley, R., Doolittle, J., & Bartolotta, R. (2008). Building on the data and adding to the discussion: the experiences and outcomes of students with emotional disturbance. Journal of Behavioral Education, 17(1), 4–23. doi:10.1007/s10864-007.
Bretherton, L., Margot, P., Bauvin, E., Cini, E., Eadie, P., & Reilly, S. (2014). Developing relations in language and behavior in preschool children from the Early Language in Victoria Study: implications for intervention. Emotional and Behavioural Difficulties, 19(1), 7–27. doi:10.1080/13632752.2013.854956.
Briesch, A. M., Volpe, R. J., & Ferguson, T. D. (2014). The influence of student characteristics on the dependability of behavioral observation data. School Psychology Quarterly, 29(2), 171–181. doi:10.1037/spq0000042.
Burchinal, M., Roberts, J. E., Zeisel, S. A., Hennon, E. A., & Hooper, S. (2006). Social risk and protective child, parenting, and child care factors in early elementary school years. Parenting: Science and Practice, 6(1), 79–113.
Camarata, S. M., Hughes, C. A., & Ruhl, K. L. (1988). Mild/moderate behaviorally disordered students: a population at risk for language disorders. Language, Speech, and Hearing Services in Schools, 19, 191–200. doi:10.1044/0161-1461.1902.191.
Cantwell, D. P., & Baker, L. (1980). Academic failures in children with communication disorders. Journal of the American Academy of Child Psychiatry, 19(4), 579–591. doi:10.1016/s0002-7138(09)60963-8.
Cazden, C. B. (2001). Classroom discourse: the language of teaching and learning. Portsmouth: Heinemann.
Chow, J. C., & Hollo, A. H. (2014), Language and Behavior Profiles of School Age Students with Emotional Disturbance. Poster presented at the Council for Exceptional Children Annual Convention, Philadelphia, PA
Chow, J. C., & Wehby, J. H. (2015), Language, Behavior, and Achievement: A Multivariate Profile Analysis. Poster presented at the Pacific Coast Research Conference, Coronado, CA
Chow, J. C., & Jacobs, M. (2016). The role of language in fraction performance: A synthesis of literature. Learning and Individual Differences, 47, 252–257. doi:10.1016/j.lindif.2015.12.017.
Department for Education. (2014). The national curriculum in England: framework document. Retrieved from https://www.gov.uk/government/publications/national-curriculum-in-england-framework-for-key-stages-1-to-4.
Dickinson, D., Golinkoff, R. M., & Hirsh-Pasek, K. (2010). Speaking out for language: why language is central for learning development. Educational Researcher, 39(4), 505–530. doi:10.3102/0013189x10370204.
Dockrell, J. E., Lindsay, G., & Connelly, V. (2009). The impact of specific language impairment on adolescents’ written text. Exceptional Children, 75(4), 427–446. doi:10.1177/001440290907500403.
Duncan, G. J., Dowsett, C. J., Claessens, A., Magnuson, K., Huston, A. C., Klebanov, P., & Japel, C. (2007). School readiness and later achievement. Developmental Psychology, 43(6), 1428. doi:10.1037/0012-1649.43.6.1428.
Dunn, L. M., & Dunn, L. M. (1997). PPVT-III: Peabody picture vocabulary test. Circle Pines: American Guidance Service.
Duval, S., & Tweedie, R. (2000). Trim and fill: a simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463. doi:10.1111/j.0006-341x.2000.00455.x.
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634.
Ford, S., Farah, M. D., Shera, D. M., & Hurt, H. (2007). Neurocognitive correlates of problem behavior in environmentally at-risk adolescents. Journal of Developmental and Behavioral Pediatrics, 28(5), 376–385. doi:10.1097/dbp.0b013e31811430db.
Fuchs, L. S., Compton, D. L., Fuchs, D., Paulsen, K., Bryant, J. D., & Hamlett, C. L. (2005). The prevention, identification, and cognitive determinants of math difficulty. Journal of Educational Psychology, 97(3), 493. doi:10.1037/0022-0663.97.3.493.
Fujiki, M., Brinton, B., Morgan, M., & Hart, C. H. (1999). Withdrawn and social behavior of children with language impairment. Language, Speech, and Hearing Services in Schools, 30, 183–195. doi:10.1044/0161-1461.3002.183.
Gunter, P. L., Jack, S. L., Depaepe, P., Reed, T. M., & Harrison, J. (1994). Effects of challenging behaviors of students with EBD on teacher instructional behavior. Preventing School Failure: Alternative Education for Children and Youth, 38(3), 35–39.
Haak, J., Downer, J., & Reeve, R. (2012). Home literacy exposure and early language and literacy skills in children who struggle with behavior and attention problems. Early Education & Development, 23(5), 728–747. doi:10.1080/10409289.2011.565721.
Harmon, M. R., & Watson, M. J. (2012). Beyond grammar: Language, power, and the classroom. Mahwah, NJ: Lawrence Earlbaum Associates, Inc.
Harrison, J. S., Gunter, P. L., Reed, T. M., & Lee, J. M. (1996). Teacher instructional language and negative reinforcement: a conceptual framework for working with students with emotional and behavioral disorders. Education and Treatment of Children, 183–196.
Hinshaw, S. P. (1992). Externalizing behavior problems and academic underachievement in childhood and adolescence: causal relationships and underlying mechanisms. Psychological Bulletin, 111(1), 127–155. doi:10.1037//0033-2909.111.1.127.
Hinshaw, S. P., Han, S. S., Erhardt, D., & Huber, A. (1992). Internalizing and externalizing behavior problems in preschool children: correspondence among parent and teacher ratings and behavior observations. Journal of Clinical Child Psychology, 21(2), 143–150. doi:10.1207/s15374424jccp2102_6.
Hollo, A., & Chow, J. C. (2015). Supporting students with high-incidence disabilities: problem behavior as functional communication. Beyond Behavior, 24(3), 1–9.
Hollo, A., Wehby, J. H., & Oliver, R. M. (2014). Unidentified language deficits in children with emotional and behavioral disorders: a meta-analysis. Exceptional Children, 80(2), 169–186. doi:10.1177/001440291408000203.
Individuals with Disabilities Education Act, 20 U.S.C. § 1400 (2004)
Institute of Education Sciences. (2016). Request for applications: special education research grants (CFDA Number: 84.324A). National Center for Special Education Research.
Kent, S., Wanzek, J., Petscher, Y., Al Otaiba, S., & Kim, Y. S. (2014). Writing fluency and quality in kindergarten and first grade: the role of attention, reading, transcription, and oral language. Reading and Writing, 27(7), 1163–1188. doi:10.1007/s11145-013-9480-1.
Kevan, F. (2003). Challenging behaviour and communication difficulties. British Journal of Learning Disabilities, 31(2), 75–80. doi:10.1046/j.1468-3156.2003.00226.x.
Lansing, A. E., Washburn, J. J., Abram, K. M., Thomas, U. C., Welty, L. J., & Teplin, L. A. (2014). Cognitive and academic functioning of juvenile detainees: implications for correctional populations and public health. Journal of Correctional Health Care, 20(1), 18–30. doi:10.1177/1078345813505450.
Lindsay, G., Dockrell, J. E., & Strand, S. (2007). Longitudinal patterns of behaviour problems in children with specific speech and language difficulties: child and contextual factors. British Journal of Educational Psychology, 77(4), 811–828. doi:10.1348/000709906x171127.
Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage.
McDonough, K. M. (1989). Analysis of the expressive language characteristics of emotionally handicapped students in social interactions. Behavioral Disorders, 127–139.
Menting, B., van Lier, P. A. C., & Koot, H. M. (2011). Language skills, peer rejection, and the development of externalizing behavior from kindergarten to fourth grade. Journal of Child Psychology and Psychiatry, 52(1), 72–79.
Myers, S. S., & Pianta, R. C. (2008). Developmental commentary: individual and contextual influences on student–teacher relationships and children’s early problem behaviors. Journal of Clinical Child & Adolescent Psychology, 37(3), 600–608. doi:10.1080/15374410802148160.
Nation, K., Clarke, P., Marshall, C. M., & Durand, M. (2004). Hidden language impairments in children: parallels between poor reading comprehension and specific language impairment? Journal of Speech, Language, and Hearing Research, 47, 199–211. doi:10.1044/1092-4388(2004/017).
Nelson, N. W. (1985). Teacher talk and child listening: fostering a better match. Communication skills and classroom success: Assessment of language-learning disabled students, 65–104.
Nelson, J. R., Benner, G. J., & Cheney, D. (2005). An investigation of the language skills of students with emotional disturbance served in public school settings. The Journal of Special Education, 39(2), 97–105. doi:10.1177/00224669050390020501.
Pagani, L. S., Fitzpatrick, C., Archambault, I., & Janosz, M. (2010). School readiness and later achievement: a French Canadian replication and extension. Developmental Psychology, 46(5), 984. doi:10.1037/a0018881.
Parker, F., & Riley, K. L. (2005). Linguistics for non-linguists: a primer with exercises. Boston: Pearson/Allyn and Bacon.
Patterson, G. R. (1982). Coercive family process. Eugene: Castalia.
Patterson, G. R., & Reid, J. B. (1984). Social interactional processes within the family: the study of the moment-by-moment family transactions in which human social development is imbedded. Journal of Applied Developmental Psychology, 5(3), 237–262. doi:10.1016/0193-3973(84)90021-2.
Peets, K. F. (2009). The effects of context on the classroom discourse skills of children with language impairment. Language, Speech, and Hearing Services in Schools, 40(1), 5–16. doi:10.1044/0161-1461(2008/07-0012).
Peterson, I. T., Bates, J. E., D’Onofrio, B. M., Coyne, C. A., Lansford, J. E., Dodge, K. A., Pettit, G. S., & Van Hulle, C. A. (2013). Language ability predicts the development of behavior problems in children. Journal of Abnormal Psychology, 122(2), 542–557. doi:10.1037/a0031963.
Qi, C. H., & Kaiser, A. P. (2004). Problem behaviors of low-income children with language delays: an observation study. Journal of Speech, Language, and Hearing Research, 47(3), 595–609. doi:10.1044/1092-4388(2004/046).
Redmond, S. M. (2011). Peer victimization among students with speech and language impairment, attention-deficit/hyperactivity disorder, at typical development. Language, Speech, and Hearing Services in Schools, 42, 520–535. doi:10.1044/0161-1461(2011/10-0078).
Reid, R., Gonzalez, J. E., Nordness, P. D., Trout, A., & Epstein, M. H. (2004). A meta-analysis of the academic status of students with emotional/behavioral disturbance. The Journal of Special Education, 38(3), 130–143. doi:10.1177/00224669040380030101.
Scott, T. M., Alter, P. J., & Hirn, R. G. (2011). An examination of typical classroom context and instruction for students with and without behavioral disorders. Education and Treatment of Children, 34(4), 619–641. doi:10.1353/etc.2011.0039.
Spilt, J. L., Koomen, H. M. Y., & Harrison, L. J. (2015). Language development in early schools years: the importance of close relationships with teachers. Developmental Psychology, 51(2), 185–196. doi:10.1037/a0038540.
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(2), 186–199. doi:10.1016/j.jcomdis.2010.09.004.
Stata. (2011). Release 12. Statistical software. College Station: StataCorp LP.
Stone, L. L., Otten, R., Engels, R. C., Vermulst, A. A., & Janssens, J. M. (2010). Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4-to 12-year-olds: a review. Clinical Child and Family Psychology Review, 13(3), 254–274. doi:10.1007/s10567-010-0071-2.
Sutherland, K. S., & Morgan, P. L. (2003). Implications of transactional processes in classrooms for students with emotional/behavioral disorders. Preventing school failure: alternative education for children and youth, 48(1), 32–37. doi:10.1080/1045988x.2003.10871077.
Titsworth, S., Mazer, J. P., Goodboy, A. K., Bolkan, S., & Myers, S. A. (2015). Two meta-analyses exploring the relationship between teacher clarity and student learning. Communication Education, 64(4), 385–418. doi:10.1080/03634523.2015.1041998.
Tomblin, B. T., Zhang, X., Buckwalter, P., & Catts, H. (2000). The association of reading disability, behavioral disorders, and language impairment among second-grade children. Journal of Child Psychology and Psychiatry, 41(4), 473–482. doi:10.1111/1469-7610.00632.
Warr-Leeper, G., Wright, N. A., & Mack, A. (1994). Language disabilities of antisocial boys in residential treatment. Behavioral Disorders, 19, 159–169.
Wehby, J. H., Symons, F. J., & Shores, R. E. (1995). A descriptive analysis of aggressive behavior in classrooms for children with emotional and behavioral disorders. Behavioral Disorders, 20, 87–105.
Wehby, J. H., Lane, K. L., & Falk, K. B. (2003). Academic instruction for students with emotional and behavioral disorders. Journal of Emotional and Behavioral Disorders, 11(4), 194–197. doi:10.1177/10634266030110040101.
Yew, S. G. K., & O’Kearney, R. (2013). Emotional and behavioural outcomes in childhood and adolescence with specific language impairments: meta-analyses of controlled prospective studies. Journal of Child Psychology and Psychiatry, 54(5), 516–524. doi:10.1111/jcpp.12009.
Yew, S. G. K., & O’Kearney, R. (2015). The role of early language difficulties in the trajectories of conduct problems across childhood. Journal of Abnormal Child Psychology, 43, 1515–1527. doi:10.1007/s10802-015-0040-9.
Yoshimasu, K., Barbaresi, W. J., Colligan, R. C., Killian, J. M., Voigt, R. G., Weaver, A. L., & Katusic, S. K. (2011). Written-language disorder among children with and without ADHD in a population-based birth cohort. Pediatrics, 128(3), e605–e612. doi:10.1542/peds.2010-2581.
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Chow, J.C., Wehby, J.H. Associations Between Language and Problem Behavior: a Systematic Review and Correlational Meta-analysis. Educ Psychol Rev 30, 61–82 (2018). https://doi.org/10.1007/s10648-016-9385-z
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DOI: https://doi.org/10.1007/s10648-016-9385-z