---

Background and Aim: The language sample analysis (LSA) is more common in other languages than Persian to study language development and assess language pathology. We studied some psychometric properties of language sample analysis in this research such as content validity of written story and its pictures, test-retest reliability, and inter-rater reliability.

Methods: We wrote a story based on Persian culture from Schneider’s study. The validity of written story and drawn pictures was approved by experts. To study test-retest reliability, 30 children looked at the pictures and told their own story twice with 7-10 days interval. Children generated the story themselves and tester did not give any cue about the story. Their audio-taped story was transcribed and analyzed. Sentence and word structures were detected in the analysis.

Results: Mean of experts' agreement with the validity of written story was 92.28 percent. Experts scored the quality of pictures high and excellent. There was correlation between variables in sentence and word structure (p<0.05) in test-retest, except complex sentences (p=0.137). The agreement rate was 97.1 percent in inter-rater reliability assessment of transcription. The results of inter-rater reliability of language analysis showed that correlation coefficients were significant.

Conclusion: The results confirmed that the tool was valid for eliciting language sample. The consistency of language performance in repeated measurement varied from mild to high in language sample analysis approach.

---

Background and Aim: Most of the researches are about bilingual children with specific language impairment and importance of it in recognition and treatment. This study aimed to assess verb morphology in bilinguals with specific language impairment (SLI) and compare them with normal bilinguals.

Methods: Six bilingual (Azeri and Persian) children with specific language impairment at the age of 7-8 years were collected from clinics of Tehran, Iran. They were evaluated about verb morphology using narrative speech and specific language impairment test and then, compared with six age-matched and six other language-matched children as control group. Children with specific language impairment were diagnosed by exhibiting a significant delay (more than one year) in language that can not be explained by intelligence deficits, hearing loss or visual impairment. We used Man-Whitney test for comparing the groups.

Results: Bilingual children with specific language impairment had delay in comparison with their age-matched group in subject-verb agreement (p=0.020) and articulating tense morphemes (p=0.019). They also had meaningful delay in using proper tense of verbs (past, present, and future) in comparison with language-matched control group (p=0.029).

Conclusion: Comparison of typical development of bilingual children and bilinguals with specific language impairment shows that verb morphology is a good clinical marker for diagnosing and treatment of these children.

---

Background and Aim: Discourse-based interventions were studied less in speech therapy. This study aimed to investigate the effects of discourse-based intervention on language disabilities in school-aged children with borderline intelligence quotient (IQ).

Methods: In an experimental study, 33 students at the age of 6-13 years with borderline intelligence quotient (17 students for intervention and 16 students for control group) were selected with available sampling. The intervention lasted 14 sessions (every session: 45 minutes) that focused on the structure and content of discourse. Personal narrative was elicited with explanation of the same topic (go to a trip) for pre- and post-test.

Results: Mean scores of intelligence quotient, age and education had no difference between the two groups. The intervention caused the increase of compound sentences (p=0.038), types of cohesive conjunctions (p=0.003), and related information (p=0.008) and decrease of ungrammatical sentences (p=0.031).

Conclusion: Our findings indicate that participation in the intervention program has a clinically significant effect on the participants' abilities to produce personal narrative.

---

Background and Aim: Specific language impiarment (SLI) is one of the most prevalent developmental language disorders its diagnosis is a problematic issue among researchers and clinicians because of the heterogeneity of language profiles in the affected population and overlapping with other developmental language disorders. The aim of this study was to review the suggested diagnostic criteria for this disorder, controversies about these criteria and identify the most accurate diagnostic methods.

Methods: Published article from 1980 to 2012 in bibliographic and publisher databases including Pubmed, Google scholar, Cochran library, Web of Science, ProQuest, Springer, Oxford, Science direct, Ovid, Iran Medex and Magiran about the diagnostic methods for discriminating preschoool children with specific language impiarment from normal developing children were reviewd in this article. These keywords were used for research: “specific language impairment”, “SLI”, “diagnosis or identification”, “standardized tests”, and “tests for language development”.

Conclusion: The results of this study show inspite of agreement of researchers and clinicians about exclusionary criteria as one basic part of the diagnosis of specific language impiarment , there is no consensus about the other part, inclusionary criteria. Different studies used different inclusionary criteria which can be divided to categories of clincal judgment, discrepancy-based criteria, standardized testing, clinical markers and markers from spontaneous speech samples. Advantages, disadvantages, and clinical applicability of each diagnostic method are discussed in this article.

---

Background and Aim: Students with borderline intelligence quotient experience types of language disorders that are seen in their narratives, too. This research aimed to investigate the linguistic characteristics of picture-elicited narratives in school-aged children with borderline intelligence quotient.

Methods: In a cross-sectional study, 30 students with borderline intelligence quotient and 25 typically developing children at the age of 6-13 years were randomly selected from a population of four schools. Narrative discourse was elicited with description of pictures of one storybook.

Results: Students with borderline IQ were weaker than typically developing children in complex (p<0.001), compound sentences (p<0.001) and produced more ungrammatical sentences (p=0.007). Students with borderline intelligence quotient produced fewer related (p<0.001) but more unrelated information (p=0.033) and types of cohesive (p=0.010) and "HAM" conjunction (p=0.022) was fewer in them.

Conclusion: Students with borderline intelligence quotient showed more linguistic impairment in description of story.

---

Background and Aim: The ways in which words are phonologically stored and organized change with maturation. Hence, most researchers agree on the issue of phonological representations abilities evolve over time . This study aimed to determine the quality of phonological representations in normal Persian-speaking boys and girls.

Methods: In this cross-sectional study , quality of phonological representations of 240 normal children at the age of 54 to 77 months was investigated using descriptive - analytical method s . The subjects were randomly selected among the children in kindergartens and preschoolers in Arak city, Iran. The study tool was a researcher-made quality of phonological representations test.

Results: Significant differences were found between age groups in the scores of quality of phonological representations (p<0.01). Subjects in the first ( aged 54 to 59 months ) and fourth (aged 72 to 77 months ) age-group had the lowest and highest scores, respectively. The differences in mean scores between 54 to 59 month- and 66 to 71 month-old and between 66 to 71 month- and 72 to 77 month-old children were not significant. There were significant differences in other group mean scores (p<0.001). In all groups of syllables (i.e., words with two , three and four syllables ), o lder children have better performance. The mean scores of quality of phonological representations in the two groups of boys and girls in any of the age groups were not significantly different from each other.

Conclusion: It seems that subjects' performances have improved with increase in age and gender does not affect the quality of phonological representations.

---

Background and Aim: Setting of candidates for a word with similar beginnings is known as the Cohort size. Despite the importance of the number and properties of candidates in word recognition, so far, in none of the tests made for Persian language, the Cohort size is considered. The purpose of current study was the introduction of importance of Cohort size in word recognition and calculation of Cohort size for the list of Persian high-frequency spondee words.

Methods: The spondee words extracted from high-frequency Persian word store. Then, total spondee words with same first syllable in Amid Persian dictionary recorded and Cohort size calculated for each spondee word. Thus, the list of high-frequency spondee words with their Cohort size composed of 4121 words obtained.

Results: The Cohort sizes of word had a wide range from 0 to 87. In the half of the words, the Cohort sizes were less than 14 and in the rest were more than it.

Conclusion: The Cohort size affects the time course and precision of decision making about words. Persian words are not equal in Cohort size. For having more controlled test materials to develop and design different types of auditory tests, it is possible to consider the Cohort size of words along other effective factors.

---

Background and Aim: The different studies in normal children and those with developmental language disorders showed the relationship between language and development of theory of mind (ToM). But, there is not agreement between authors about role of language aspects (lexicon, semantic, syntax, and pragmatics) in development of theory of mind. The aim of this review article was the study of relationship of aspects of language and development of theory of mind in normal children and those with developmental language disorder.

Methods: This study was a narrative review. The Persian and English published articles during 1995 to 2012 were searched from different websites [Cochreane library, Proquest, Springer, Ebsco, Sciencedirect, PubMed, Magiran and Scientific Information Database (SID)]. Keywords included theory of mind, language, syntax, syntactic complement, semantic, lexicon and pragmatics. Then, the titles and abstracts of the related articles about relationship between language and theory of mind were selected and studied.

Conclusion: The language is the most important factor and predictor of theory-of-mind development. Although, lexicon, semantics, pragmatics and general language were important in development of theory of mind, but most of the articles had stressed the role of syntactic complements (sentences with mental or communicative verbs) in its development in normal children and children with developmental language disorders. As syntactic complements are necessary prerequisites for development of theory of mind, particularly for false belief concept, it is predicted that focus on training these aspects in children with developmental language disorders can influence on both theory of mind development and language complexity.

---

Background and Aim: Speech and language pathologists (SLP) often refer to phonological data as part of their assessment protocols in evaluating the communication skills of children. The aim of this study was to develop the Persian version of the phonological test in evaluating and diagnosing communication skills in Persian speaking children and to evaluate its validity and reliability.

Methods: The Persian phonological test (PPT) was conducted on 387 monolingual Persian speaking boys and girls (3-6 years of age) who were selected from 12 nurseries in the northwest region of Tehran. Content validity ratio (CVR) and content validity index (CVI) were assessed by speechtherapists and linguists. Correlation between speech and language pathologists experts' opinions and Persian phonological test results in children with and without phonological disorders was evaluated to investigate the Persian phonological test validity. In addition, the Persian phonological test test-retest reliability was investigated.

Results: Both content validity ratio and content validity index were found to be acceptable (CVR≥94.71 and CVI=97.35). The PPT validity was confirmed by finding a good correlation between s peech and language pathologists experts' opinions and Persian phonological test results ( r _Kappa =0.73 and r _Spearman =0.76). The percent of agreement between transcription and analyzing error patterns in test-retest (ranging from 86.27%-100%) and score-rescore (ranging from 94.28%-100%) showed that Persian phonological test had a very high reliability.

Conclusion: The results of this study show that the Persian phonological test seems to be a suitable tool in evaluating phonological skills of Persian speaking children in clinical settings and research projects.

---

Background and Aim: Word definition is one of the complicated language skills that require education and linguistic awareness. In this study , comparison was made in word definition ability of children between ages of 4.5 to 7.5 years.

Methods: This study was cross-sectional and descriptive-analytical in nature . Participants included 107 girls and boys who where in age group 1 (54-65 months), age group 2 (66-77 months), and age group 3 (78-90 months). They were selected by multistage sampling method and recruited from nurseries and primary schools in 1, 7, and 17 municipal districts of Tehran . Word definition task was performed on each subject. The reliability was assessed by two independent values and the validity was determined by the content. Kruskal- Wallis and Mann-Whitney U statistical methods were used for analysis.

Results: Mean score of the content in word definition was significantly increased by age (p=0.001). In the second and third age groups there was no significant difference in the content of word definition. The most response that used in all ages was the functional response. With increasing age, error rate (p=0.002) and identical (p=0.003) responses significantly decreased however, percentage use of combination II (p<0.001) responses significantly increased.

Conclusion: By increasing age, quality of definitions in terms of content is improved and definitions change from functional and concrete responses to c ombination II definitions.

---

Background and Aim: Many studies have demonstrated a close relationship between phonological working memory and language abilities in normal children and children with language developmental disorders, such as those with cochlear implants. A review of these studies would clarify communication and learning in such children and provide more comprehensive information regarding their education and treatment. In this study, the characteristics of phonological working memory and its relationship with language abilities in children with cochlear implants was examined.

Recent Findings: In this study, the authors studied the characteristics of phonological working memory and its relationship with language abilities of children with cochlear implants. These studies showed that in addition to demographic variables, phonological working memory is a factor that affects language development in children with cochlear implants. Children with cochlear implants typically have a shorter memory span.

Conclusion: It is thought that the deficiency in primary auditory sensory input and language stimulation caused by difficulties in the processing and rehearsal of auditory information in phonological working memory is the main cause of the short memory span in such children. Conversely, phonological working memory problems may have adverse effects on the language abilities in such children. Therefore, to provide comprehensive and appropriate treatment for children with cochlear implants, the reciprocal relationship between language abilities and phonological working memory should be considered.

---

Background and Aim: Grammatical skills development of hearing-impaired children depends on using appropriate educational rehabilitation programs. This study aims to investigate the effectiveness of linguistic plays on the grammatical skills in hearing-impaired children with hearing aids.

Methods: Ten hearing-impaired children with hearing aids, aged between 5 and 7, were randomly assigned to two groups (5 children in each group). Each treatment group received 12 sessions on linguistic plays. The grammatical skills of these children were evaluated via the TOLD-P: 3 (Persian version) in addition, their level of intelligence was assessed by the Raven test.

Results: The difference between the scores of both control and treatment groups revealed a statistically significant difference in grammatical skills (t=7.61, p=0.001) and three subskills of the children who participated in the linguistic plays. These subskills include syntactic understanding (t=3.16, p=0.013), sentence imitation (t=1.71, p=0.006), and morphological completion (t=6.55, p=0.001). In other words, the findings suggest that linguistic plays have a significant impact on the improvement of the aforementioned skills in hearing-impaired children.

Conclusion: Results suggest that it would be beneficial to include linguistic plays as part of routine rehabilitation programs as a means of improving the grammatical difficulties of children. After partaking in linguistic plays, children significantly improved their ability to comprehend the meaning of sentences and also to recognize, understand, and use common Persian morphological forms.

---

Background and Aim: Some children with speech sound disorder (SSD) have difficulty with phonological awareness skills therefore, the purpose of this study was to survey the correlation between phonological processes and phonological awareness.

Methods: Twenty-one children with speech sound disorder, aged between 5 and 6, participated in this cross-sectional study. They were recruited from speech therapy clinics at the Tehran University of Medical Sciences. They were selected using the convenience sampling method . Language, speech sound, and phonological awareness skills were investigated by the test of language development-third edition (TOLD-3), the Persian diagnostic evaluation articulation and phonology test, and the phonological awareness test. Both Pearson’s and Spearman’s correlations were used to analyze the data.

Results: There was a significant correlation between the atypical phonological processes and alliteration awareness (p=0.005), rhyme awareness (p=0.009), blending phonemes (p=0.006), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.007). Analyzing the correlation on the basis of the phoneme and syllable structure separately showed there was a significant correlation between the atypical phoneme structure and alliteration awareness (p=0.001), rhyme awareness (p=0.008), blending phonemes (p=0.029), identification of words with the same initial phoneme (p=0.007), and identification of words with the same final phoneme (p=0.003).

Conclusion: Results revealed a relationship between phonological processes and phonological awareness in children with speech sound disorder. Poor phonological awareness was associated with atypical phonological processes especially at the phoneme level.

---

Background and Aim: Specific language impairment (SLI), one variety of developmental language disorder, has attracted much interest in recent decades. Much research has been conducted to discover why some children have a specific language impairment. So far, research has failed to identify a reason for this linguistic deficiency. Some researchers believe language disorder causes defects in phonological working memory and affects auditory processing speed. Therefore, this study reviews the results of research investigating these two factors in children with specific language impairment.

Recent Findings: Studies have shown that children with specific language impairment face constraints in phonological working memory capacity. Memory deficit is one possible cause of linguistic disorder in children with specific language impairment. However, in these children, disorder in information processing speed is observed, especially regarding the auditory aspect.

Conclusion: Much more research is required to adequately explain the relationship between phonological working memory and auditory processing speed with language. However, given the role of phonological working memory and auditory processing speed in language acquisition, a focus should be placed on phonological working memory capacity and auditory processing speed in the assessment and treatment of children with a specific language impairment.

---

Background and Aims: The dichotic listening subtest is considered as an important component of the test battery for auditory processing assessment in both children and adults. A randomized dichotic digits test (RDDT) was created to compensate for sensitivity weakness of double digits when detecting abnormal ear asymmetry during dichotic listening. The aim of this study was the development and initial evaluation of the Persian randomized dichotic digits test.

Method: Persian digits 1-10 (except for the bisyllabic digit, 4) uttered by a native Persian language speaker were recorded in a studio. After alignment of intensity and temporal characteristics of digit waveforms, lists 1 and 2 of the RDDT were reproduced. List 1 of the test was administered at 55 dBHL on 50 right-handed normal hearing individuals (with an equal sex ratio) in the age group of 18-25 years and hearing thresholds of 15 dBHL or better in audiometric frequencies.

Results: Mean (standard deviation) percent-correct score for right and left ears and right ear advantage of the subjects was 94.3 (5.3), 84.8 (7.7), and 9.5 (7.0) percent, respectively. Sixty percent of the subjects showed normal results and unilateral and bilateral deficits were seen in 24 percent and 16 percent, respectively.

Conclusion: It seems the Persian version of RDDT is the same as the original test as it is able to test ear asymmetry , unilateral and bilateral deficits in dichotic listening.