Developmental Language Disorder as a Multidimensional Neurodevelopmental Spectrum: Implications for Diagnosis.
Purpose: We aimed to create a comprehensive understanding of the dilemmas involved in the diagnosis of developmental language disorder (DLD) and to highlight the potential of a multidimensional spectral account of DLD for addressing these dilemmas. Method: We conducted an integrative literature revi...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 68; no. 12; pp. 6069 - 6089 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190171427&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190171427 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2025 vid: 68 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 190171427 10.1044/2025_JSLHR-25-00089 ppf: 6069 ppct: 20 formats: fmt: @attributes: type: P size: 1.4MB tig: atl: Developmental Language Disorder as a Multidimensional Neurodevelopmental Spectrum: Implications for Diagnosis. aug: au: McGregor, Karla K. Goffman, Lisa Plante, Elena Werfel, Krystal affil: Center for Childhood Deafness, Language and Learning, Boys Town National Research Hospital, Omaha, NE Department of Speech, Language, and Hearing Sciences, The University of Arizona, Tucson su: Motor ability Executive function Attention Psycholinguistics Genetics Language disorder diagnosis Child psychopathology Brain Cognitive processing speed Research evaluation Neurodiversity Basal ganglia Magnetic resonance imaging Classification Disease susceptibility Neuroradiology Short-term memory Speech perception Phenotypes Comorbidity sug: subj: Motor ability Executive function Attention Psycholinguistics Genetics Diagnostic Imaging Centers Language disorder diagnosis Child psychopathology Brain Cognitive processing speed Research evaluation Neurodiversity Basal ganglia Magnetic resonance imaging Classification Disease susceptibility Neuroradiology Short-term memory Speech perception Phenotypes Comorbidity ab: Purpose: We aimed to create a comprehensive understanding of the dilemmas involved in the diagnosis of developmental language disorder (DLD) and to highlight the potential of a multidimensional spectral account of DLD for addressing these dilemmas. Method: We conducted an integrative literature review. Conclusions: Considerable gains in understanding the genetics and neurobiology of DLD provide new explanations for long-observed phenomena such as heterogeneity of presentation, phenotypic overlap with other neurodevelopmental conditions, and the challenges of diagnosis. Although categorical nosologies benefit diagnostic decision making, facilitate communication, and align well with bureaucratic systems, they offer overly simple ways of defining DLD. The presentation of DLD is broad rather than narrow, spectral rather than categorical, and dynamic rather than static; therefore, DLD is better described as a multidimensional spectral system than as a categorical entity. It is not practical or even advisable to abandon the traditional categorical framing of DLD at this point. However, maintaining awareness of the tension between the categorical framing and the spectral nature of DLD may improve diagnosis, prognosis, and alignment with the construct of neurodiversity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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