Mitigation of a Prospective Association Between Early Language Delay at Toddlerhood and ADHD Among Bilingual Preschoolers: Evidence from the GUSTO Cohort.
Shaun K Y Goh, Hwajin Yang, Stella Tsotsi, Anqi Qiu, Yap-Seng Chong, Kok Hian Tan, Lynette Shek Pei-Chi, Birit F P Broekman, Anne Rifkin-Graboi
{"title":"Mitigation of a Prospective Association Between Early Language Delay at Toddlerhood and ADHD Among Bilingual Preschoolers: Evidence from the GUSTO Cohort.","authors":"Shaun K Y Goh, Hwajin Yang, Stella Tsotsi, Anqi Qiu, Yap-Seng Chong, Kok Hian Tan, Lynette Shek Pei-Chi, Birit F P Broekman, Anne Rifkin-Graboi","doi":"10.1007/s10802-019-00607-5","DOIUrl":null,"url":null,"abstract":"<p><p>There is accumulating evidence of a prospective relation between early language problems and ADHD, a disorder associated with deficits in executive functioning. However, little is known regarding this link among bilingual children. Here, we investigate whether (i) the prediction from language to ADHD may be lower among bilinguals, and (ii) explore if this moderation can be explained by differential executive functioning ability. Utilising a prospective sample of 408 South-East Asian toddlers, bilingual exposure as a moderator of the link between language delay at 24 months to ADHD intermediate diagnosis at 54 months was first examined with an interaction model. Next, structural equation mediated moderation models examined if the proposed moderation could be explained by executive function measures of Snack Delay and Dimensional Change Card Sort (DCCS) task, when children were 41 months. Results indicate that higher levels of bilingual exposure moderated the prospective risk of language delay to ADHD diagnosis (Predominantly single-language exposed OR = 6.37; p = .011; Predominantly dual-language exposed OR = 0.30, p = .156). Thus, language delay associated with ADHD among toddlers predominantly exposed to one but not two languages. However, this could not be explained by differential executive functioning, as this moderation was not mediated by performance on Snack Delay or DCCS. Unexpectedly, bilingual exposure associated with ADHD among toddlers of typical language development. Possible explanations, including variation in the degree of social stigma and persistence of language delay between bilingual and monolingual children, and bilingualism as an additional cognitive load for ADHD, are discussed.</p>","PeriodicalId":14810,"journal":{"name":"Journal of Abnormal Child Psychology","volume":"48 4","pages":"511-523"},"PeriodicalIF":3.6000,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10802-019-00607-5","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Abnormal Child Psychology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10802-019-00607-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
There is accumulating evidence of a prospective relation between early language problems and ADHD, a disorder associated with deficits in executive functioning. However, little is known regarding this link among bilingual children. Here, we investigate whether (i) the prediction from language to ADHD may be lower among bilinguals, and (ii) explore if this moderation can be explained by differential executive functioning ability. Utilising a prospective sample of 408 South-East Asian toddlers, bilingual exposure as a moderator of the link between language delay at 24 months to ADHD intermediate diagnosis at 54 months was first examined with an interaction model. Next, structural equation mediated moderation models examined if the proposed moderation could be explained by executive function measures of Snack Delay and Dimensional Change Card Sort (DCCS) task, when children were 41 months. Results indicate that higher levels of bilingual exposure moderated the prospective risk of language delay to ADHD diagnosis (Predominantly single-language exposed OR = 6.37; p = .011; Predominantly dual-language exposed OR = 0.30, p = .156). Thus, language delay associated with ADHD among toddlers predominantly exposed to one but not two languages. However, this could not be explained by differential executive functioning, as this moderation was not mediated by performance on Snack Delay or DCCS. Unexpectedly, bilingual exposure associated with ADHD among toddlers of typical language development. Possible explanations, including variation in the degree of social stigma and persistence of language delay between bilingual and monolingual children, and bilingualism as an additional cognitive load for ADHD, are discussed.
期刊介绍:
Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured.
Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.