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Late Talkers Not at Risk for Behavior Problems Later On

Late-Talking Children May Have Behavioral and Emotional Issues as Toddlers, but Not as Teens
WebMD Health News
Reviewed by Louise Chang, MD

July 4, 2011 -- Late talkers or children with limited number of words by age 2 may have some behavioral and emotional issues as toddlers, but these issues will not follow them through their childhood and teen years. The new findings appear in the August issue of Pediatrics.

Researchers followed more than 2,800 children from birth through age 17. The 142 children who were late talkers did show mild levels of behavioral and emotional problems at age 2, but they were not at greater risk for such issues as attention deficit hyperactivity disorder, conduct problems, anxiety, or depression as they grew up.

The findings "support a wait-and-see approach to behavioral and speech and language intervention among late talkers with otherwise normal development," conclude study authors led by Andrew J.O. Whitehouse, PhD, of the University of Western Australia in Subiaco, Western Australia.

As many as 18% of children are “late talkers,” but most will catch up by the time they enter school. The new findings may not apply to children with persistent language impairment and/or other developmental delays.

The late talkers in this study did not have any other developmental delays, intellectual disability, or hearing problems. They only showed expressive language delays.

Catching Up Is Key

The key is whether or not the late talker catches up, Melissa Wexler Gurfein, a speech-language pathologist in New York City, says in an email. "There is no way of knowing whether a child who has been identified as a late talker at age 2 will eventually catch up to the language skills of his same-aged peers," she says.

"It's no surprise that late talkers at age 2 may seem to have more behavioral difficulties," she says. "The frustration of not being able to communicate successfully could be a possible cause of disruptive behavior."

But as a child matures and develops more age-appropriate language skills, his frustration with communication and disruptive behaviors may resolve. "For the child who continues to demonstrate language delays as he matures, this may not hold true," she says.

"The best thing to do for a child who is identified as a late talker is to provide early intervention to help him become as successful of a communicator as he can be since there is no way to identify if he will develop the appropriate language skills to do this on his own," she says.

Early Intervention for Late Talkers

Children under age 3 with developmental delays, including speech delays, qualify for free evaluation through early intervention. If they are found to have any significant delays, they are eligible for free catch-up services.

Rahil Briggs, PsyD, an infant-toddler psychologist/behavioral expert at the Children' Hospital at Montefiore in the Bronx, N.Y., says that the children in this study fall into a very specific category, and the findings can't be generalized to late talkers with other developmental delays.

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