Diagnosis of Speech Disorder and Language Developmental Delay in Korean Preschoolers.
- Author:
Jeong Yi KWON
1
;
Joon Sung KIM
;
Ah Mi WOO
;
Hyun Jin KIM
;
Myung Eun CHUNG
;
Hyeon Sook KIM
;
Young Jin KO
Author Information
1. Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. jeong_yi@hotmail.com
- Publication Type:Original Article
- Keywords:
Language developmental delay;
Phonological disorder;
Denver Developmental Screening Test;
Hearing impairment;
Psychiatric disorder
- MeSH:
Anxiety Disorders;
Child;
Autism Spectrum Disorder;
Diagnosis*;
Hearing;
Hearing Loss;
Humans;
Language Development Disorders;
Language Development*;
Mass Screening;
Otitis Media;
Prevalence
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(4):309-314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: This study was designed for evaluating the clinical usefulness of the Korean Denver Developmental Screening Test II (KDDST II) for screening of speech-language delays, for evaluating the co-morbidity of psychiatric disorders and examining the prevalence of hearing impairment in speech-language delays. METHOD: Fifty eight preschoolers whose chief complaints fell into 'late talker', 'dysarticulation' or 'stuttering' performed KDDST II, speech-language evaluation and hearing screening. Psychiatric consultation was performed if the child had any behavioral or emotional red flags. RESULTS: More than 50% were classified as 'language delay only', 25.9% as 'language delay with speech disorder', 22.4% as 'phonological disorder only'. Eleven children (34.4%) with language delay were classified as 'global developmental delay'. Sensitivity of KDDST II as a screening tool of language delay was only 84.4%. Two cases of hearing impairment and 3 cases of complicated otitis media were detected by hearing screening. Seventeen children (29.3%) also had psychiatric disorders such as attention deficit hyperactive disorder, anxiety disorder, and autism spectrum disorder. CONCLUSION: Evaluation of whole spectrums of development and hearing screening were recommended in the children with speech-language delays. Psychiatric consultation should be also considered in a case of any behavioral or emotional concerns.
