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ADHD and Language
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ADHD and Its Effect on Concept Shifting and Verbal Memory in Adults
How Work Environments Affect ADHD in Young Adults
How ADHD Influences Quick Thinking in Kids
Understanding Body Language in Kids with ADHD and ADHD/LD
Verbal Memory Gap in ADHD Patients
Talking Patterns in Kids with ADHD, SLI, and Normal Development
Linking Attention Issues to Language Skills in Children
Language and Social Challenges in ADHD Kids
Language Skills in Kids with ADHD vs. Kids Without
Empathy and Social Skills in ADHD
ADHD and Empathy in Adults
Visual Abstract

Language Characteristics of Children with ADHD

Language Skills in Kids with ADHD vs. Kids Without

Okmi H. Kim, Ann P. Kaiser
Summarized by:
Charles Li, MD
February 26, 2024
study source
Commun Disord Q
2000
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What they studied
This study compared language skills in children with and without ADHD.
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What they found
Kids with ADHD had similar vocabulary but worse grammar and conversational skills.
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Why it matters
These findings suggest that ADHD might affect certain language abilities in children.

Objectives

The paper set out to explore how 11 children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and 11 children without this diagnosis, all between the ages of 6 and 8, use language. Specifically, the authors wanted to understand if there were any notable differences in the way these two groups of children use words (semantic skills), put sentences together (syntactic skills), and use language in social situations (pragmatic skills).

Study Quote
Kim et al, 2000

Language characteristics of 11 children with attention-deficit/ hyperactivity disorder (ADHD) and 11 typically developing children ages 6 to 8 were compared in terms of semantic, syntactic, and pragmatic language skills.

Methods

The study was designed to observe and compare language skills between two groups of children, one with ADHD and the other typically developing. The researchers used several tests to measure different aspects of language. The Peabody Picture Vocabulary Test-Revised (PPVT-R) helped them understand the children's vocabulary knowledge. The Test of Language Development-2 Primary (TOLD-2) was used to evaluate more in-depth language skills like sentence construction and word articulation. Lastly, the Test of Pragmatic Language (TOPL) assessed how well children used language in social contexts. During the study, the children engaged in free play sessions with an adult, during which their conversations were analyzed to see how they used language in real-life interactions.

Study Quote
Kim et al, 2000

Children were tested on the Peabody Picture Vocabulary Test-Revised (PPVT-R), the Test of Language Development-2 Primary (TOLD-2), and the Test of Pragmatic Language (TOPL). Samples of children's language were collected during free play with an adult conversational partner using the Prag...

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Results

The study's findings revealed that when it came to understanding and using vocabulary (receptive vocabulary), there wasn't a noticeable difference between children with ADHD and those developing typically. However, the story changed when looking at more complex language skills. The ADHD group found it more challenging to imitate sentences and articulate words, and overall, their speaking and language abilities were not as strong as their peers without ADHD. In conversations, these children also showed more inappropriate behaviors, even though their understanding of social language rules (pragmatic knowledge) seemed on par with the typically developing group.

Study Quote
Kim et al, 2000

Results indicated that there was no difference between the two groups on receptive vocabulary as measured by the PPVT-R. Children with ADHD performed worse than typically developing children on the sentence imitation, word articulation, speaking quotient, and overall speech and language ...

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Conclusions

The findings from this paper indicate that while children with ADHD might understand words just as well as their peers, they tend to struggle more with grammar and using language effectively in conversations. This suggests that their challenges lie more in the realm of expressing themselves and interacting socially rather than in basic language comprehension.

Study Quote
Kim et al, 2000

Results are discussed in terms of the relative strengths and weaknesses in the communication skills of children with ADHD.

Key Takeaways

Similar vocabulary levels
Children with ADHD have comparable vocabulary skills to those without ADHD, showing some language aspects remain unaffected.
Grammar and conversational challenges
ADHD impacts children's grammar and conversational skills, indicating specific areas of language development are affected.
Intact pragmatic knowledge
Despite conversational difficulties, kids with ADHD understand pragmatic language rules as well as their peers.

Context

Other research supports the idea that language skills are crucial for social interactions, especially for children with ADHD. For instance, a study by Staikova et al. in 2013 found that children with ADHD often have difficulties with the kind of language skills needed for socializing, which can make it hard for them to form friendships.

Other studies have dived deeper into ADHD, comparing some of the effects to autism: