Screening for Specific Language Impairment in Preschool Children: Evaluating a Screening Procedure Including the Token Test

J Psycholinguist Res. 2017 Oct;46(5):1237-1247. doi: 10.1007/s10936-017-9493-z.

Abstract

Specific language impairment (SLI) comprises impairments in receptive and/or expressive language. Aim of this study was to evaluate a screening for SLI. 61 children with SLI (SLI-children, age-range 4-6 years) and 61 matched typically developing controls were tested for receptive language ability (Token Test-TT) and for intelligence (Wechsler Preschool-and-Primary-Scale-of-Intelligence-WPPSI). Group differences were analyzed using t tests, as well as direct and stepwise discriminant analyses. The predictive value of the WPPSI with respect to TT performance was analyzed using regression analyses. SLI-children performed significantly worse on both TT and WPPSI ([Formula: see text]). The TT alone yielded an overall classification rate of 79%, the TT and the WPPSI together yielded an overall classification rate of 80%. TT performance was significantly predicted by verbal intelligence in SLI-children and nonverbal intelligence in controls whilst WPPSI subtest arithmetic was predictive in both groups. Without further research, the Token Test cannot be seen as a valid and sufficient tool for the screening of SLI in preschool children but rather as a tool for the assessment of more general intellectual capacities. SLI-children at this age already show impairments typically associated with SLI which indicates the necessity of early developmental support or training. Token Test performance is possibly an indicator for a more general developmental factor rather than an exclusive indicator for language difficulties.

Keywords: Intelligence; Language development; Preschool children; Specific language impairment; Token Test.

MeSH terms

  • Aptitude
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Language Development Disorders / diagnosis*
  • Language*
  • Male
  • Memory, Short-Term
  • Neuropsychological Tests / statistics & numerical data*