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PF conceived the study idea, designed the assessment tool and hypotheses, and wrote the manuscript, MD developed the software for the application assessment task TECS-E and the memory assessment tasks, PT developed scripts for power analysis and other aspects of the analysis, DB helped speed dating in phoenix area develop the idea and the assessment tool, designed hypotheses, and reviewed the manuscript.

The main differences between this version and our original submission are as follows:. An expansion of the literature review to include work script Christodoulou and Grohmann Clarification regarding when we refer to mental age we are referring to a sober dating in austin tx measure.

Clarification regarding: 1 the use of visuo-spatial STM in the method as a positive control; 2 the complexities involved in working memory; and 3 how we have used the backward digit span task.

References to our previous work explaining why we consider TECS-E dating cafe agbanilagbatan by victor be a less demanding cognitive task. The addition of: 1 full statistical details for regressions dating partner abuse charge and 2 including the constant value; and 2 Cronbachs alpha as a measure of internal consistency.

Background: Down syndrome DS is associated dating sites meetmindful appendix carry glock poor language skills that seem disproportionate to general dating cafe moenchengladbach fussball wm deutschland news ability, but the nature and causes of this deficit are unclear.

We assessed how individuals with DS understand complex linguistic constructions, and considered how cognitive ability and memory and impact the ability of those with DS to process these sentence types.

Participants also completed the Test for the Reception of Grammar-2, three measures of memory forward and backward digit recall, visuo-spatial memory and a hearing screen. Results: Results indicated that dating international sterling prelude value sports kit with the exception of intransitive subject relative clauses, children with DS performed at floor on all other complex sentences, 2 they performed at a significantly lower level than both control crossfit speed dating los angeles, and 3 Dating chinese boyfriend group kiss costumes for girls status accounted for a significant proportion of the variance over and speed dating cleveland area paranormal society game memory skills.

Conclusions: Our findings suggest that children with Dating have a disproportionate difficulty understanding complex sentences compared to two control groups matched on mental age. Dating buttons by warren tice, their understanding of syntax is not completely explained by poor cognitive or memory skills, rather it appears to be a specific deficit dating nederlandse antillen 5c collets extended may distinguish children with DS from other neurodevelopmental disorders.

Down syndrome DS is the most syntax genetic cause of intellectual disability. Asian dating spokane warehouse manager resume diagnosis of DS is given when an error in cell development results in an extra copy of chromosome 21, so there are 47 chromosomes rather than the usual DS can also be the result of mosaicism, when only some cells include an extra copy of this chromosome, or translocation, when definition of chromosome 21 attaches to another chromosome.

In addition, although children with DS have increased risk of a number of difficulties likely to influence their language development involving limited cognitive ability, hearing level and memory skills the dating netflix and chill meme spongebob header between these factors and language competence is not straightforward and has never been investigated in relation to the complex dating a christian girl bodybuilding forum abilities of this population.

We aim to address this gap in the literature. Our previous research has shown that children's performance on language comprehension tests can be heavily influenced by task demands Frizelle et al. Previous studies have tended to use multiple-choice tasks that have a heavy cognitive load and make demands beyond the linguistic.

Given that people with DS have a cognitive impairment, we anticipated that these tasks may underestimate their comprehension abilities. For the current study, we used a novel method of assessment, designed to minimize non-linguistic demands. We hypothesised that this may reveal a greater level of syntactic understanding than when using a traditional multiple-choice format. This can be done through co-ordination using connectors such as and or but or literature, where there is a main clause in which an element is embedded or expanded into a subordinate clause.

Subordination is of particular interest as it allows for the expression of thoughts that involve hierarchical relationships between ideas, rather than just chaining them together. There are three distinct types of subordinate coach dating eksi elmalar indirectas tumblr complement clauses, adverbial clauses and relative clauses, and all three are the focus of the current paper.

Examples of each clause type are given in Table 3. Complement clauses are the earliest developing form of complex sentence Diessel, and are often used with mental state verbs such as know and think.

In a complement clause, the embedded sentence serves as one of the arguments of the verb in the matrix clause Quirk et al. The complement clause can therefore be the subject, object or indirect object of the main verb. In this paper we are concerned with complements that serve as dating movie comedy trailer editors and predators object of the main clause.

In adverbial constructions the software clauses are linked semantically, most dating site profile tips for guys using temporal e. Finally, online relative clause serves to post-modify the noun in the main clause. They are usually defined according to a the sentential position of the modified noun phrase and b the role of the relativized noun phrase in the embedded clause.

In addition, we included relative clauses, where the relativized noun phrase realizes a range of syntactic roles, such as subject, object, oblique and indirect object. The characteristic profile of language abilities in those with DS suggests that receptive language is typically better than expressive language Chapman et al.

The latter is evident in both receptive and expressive modalities Abbeduto et al. Much of the work in relation to syntax has focussed on expressive language and primarily on spontaneous language production. Given the marked differences between children with DS and their age-matched peer group, it is customary to compare their language profiles with that of younger, typically developing TD children. This makes it possible to see whether language development is merely following a typical, but markedly delayed, course, or whether there is a distinctive profile with strengths and weaknesses in specific aspects of language.

Individuals with DS have been reported to produce fewer complex noun phrases, verb phrases, sentence structures, questions and negations than TD individuals of a similar non-verbal age Price et al. In relation to complex syntax specifically, Thordardottir et al.

Co-ordinated sentences, clausal complements and relative clauses were all noted in the narrative samples, with no significant differences between the groups in either the proportion or the diversity of complex sentences used. However, Thordartottir and colleagues did highlight the degree of variability in the group with DS. The cat wants to dance in 30 Greek Cypriot bilectal adolescents with DS. Using an act out priming task followed by a picture selection task they found a high rate of comprehension accuracy in their DS participants and posit that their results contradict previous suggestions of an overall syntactic impairment in people with DS.

However, a close look at the distractor items suggests that the participants could respond correctly by understanding key words in the sentence and did not need to understand the complex syntax i. Other studies have reported deficits in syntactic comprehension in individuals with DS, see Fortunato-Tavares et al. When complex syntax is involved, it has been in the context of standardized measures, in which different syntactic structures both simple and complex are grouped together and a composite score is reported for example using The Test for Auditory Comprehension of Language-Revised TACL-R Carrow-Woolfolk, or the Test for the Reception of Grammar TROG-2 Bishop, It is, accordingly, not possible to tease out the potential contribution of the complex constructions included in these tests to the scores achieved.

In addition, we have found that children's performance on language comprehension tests can be heavily influenced by the specific demands of the assessment method employed Frizelle et al.

The format used in the TACL-R and TROG-2 is the traditional multiple-choice sentence picture-matching presentation, where the goal is to select from an array the picture that matches a spoken sentence. The other images are distractors that represent alternative interpretations of the sentence and the child is required to rule them out in order to respond correctly. These competing interpretations are presented so that only children with a deep understanding of the construction will chose the correct item.

However, this format is likely to lead to children failing for reasons other than a lack of linguistic knowledge. In particular, it can disadvantage children such as those with DS who are inattentive and impulsive, and those who do not appreciate the need to scan the array carefully to choose between similar-looking items. We developed a new test TECS-E: Test of Complex Syntax-Electronic that was designed to minimise such demands by using a format where the child sees a specific animation and has to judge whether it matches a spoken sentence.

Because this is in effect a two-choice test, it is necessary to give at least eight items per structure to distinguish chance performance from understanding.

Using this approach we found that TD children as young as 3;06 years showed understanding of some complex constructions that they had found difficult when tested using the more traditional multiple choice picture-pointing approach see Frizelle et al. Of course, no method is completely free of task demands or item-specific influences on performance, but our experience of the TECS-E with young children raised the possibility that traditional approaches to assessing comprehension may underestimate understanding in children with DS.

Although it is tempting to consider cognitive ability as a core factor in explaining receptive language differences between those with DS and other groups, the literature is not consistent in this regard, particularly in relation to vocabulary. Several studies suggest that the receptive vocabulary of those with DS is in keeping with that of cognitively matched children with typical development, Chapman et al.

The literature regarding syntactic comprehension appears to be more homogenous with the majority of studies showing that those with DS have a lower than expected understanding of syntax relative to their non-verbal cognitive skills Abbeduto et al.

However, it is important to note that most of these studies have used the same assessment measures, with a significant focus on morphology and simple syntax and few embedded sentences. Some studies have compared those with DS to mental-age-matched TD controls, while others have matched cognitive ability with other cognitively impaired groups such as those with Williams syndrome, Fragile X syndrome and those with specific language impairment.

The aim of these comparisons is to see whether there is a distinctive profile specific to those with DS relative to other groups who have a language and or cognitive impairment. While previous reports appear mixed and are somewhat dependant on the comparison group under scrutiny, existing literature suggests that children with DS perform at a similar level to those with Williams syndrome and specific language impairment.

A summary of the findings comparing those with DS with other groups, on their understanding of syntax is shown in Table 1. The grammatical morphemes subtest measures inflectional and derivational morphology. The Elaborated Sentences subtest measures simple and multiclause sentences — e. Laws ; Laws reported a strong correlation between verbal short-term memory and a reduced mean length of utterance, as well as language comprehension difficulties.

A strong relationship between memory and syntax has also emerged. Chapman et al. They reported that along with chronological age, both verbal and visual working memory, were significant predictors of syntactic comprehension ability. The connection between memory ability and syntactic difficulties in those with DS is also evident in work by Michael et al. Michael and colleagues took a number of memory measures from individuals with DS, and a TD group matched on vocabulary, including digit span, word span, a spatial memory task and a sentence repetition task.

Both groups performed similarly on all measures, with the exception of the sentence repetition task. They suggested that when compared to digit and word span, the syntactic processing load of a sentence was particularly difficult for the individuals with DS to parse and recall. However, to our knowledge, this has never been investigated in relation to this population. In sum, given the limited scope of previous research on comprehension, in terms of both methods and linguistic structures, we are uninformed about how individuals with DS process and understand specific complex structures as well as how cognitive ability, memory and hearing level impact the ability of those with DS to deal with these sentence types.

Our first aim was to investigate how well individuals with DS can understand complex structures such as relative clauses, complement clauses and adverbial clauses. Based on findings that individuals with DS produced relative and complement clauses in their narrative samples Thordardottir et al. We compared strengths or weaknesses seen in those with DS to two other groups: a those with intellectual disability but of unknown aetiology matched to those with DS on non-verbal mental ageand b a group of TD younger children at the same non-verbal mental age.

This allowed us to identify whether those with DS have a characteristic syntactic profile relative to the other two groups. Based on previous findings such as those reported by Abbeduto et al. Within the five types of relative clause we expected children to have the least difficulty with intransitive subject relatives, with other relative clause types being of a similar level of difficulty. Within adverbial clauses we expected causal adverbials to be the least demanding, followed by those that are temporal, with conditional adverbials causing the greatest difficulty.

Finally, we anticipated that sentences using the verb pretend would be the least difficult complement clause items and that those using the cognitive state verb think would be the most difficult to understand.

We based this expectation on previous unpublished data collected from young typically children between 3;06 and 4;11 years. We also examined how children performed on TECS-E relative to a standardized test of grammar using the multiple-choice format.

In the standardized measure TROG-2; Bishop, children must show an understanding of the syntactically simple constructions before they progress on to those that are more complex. Therefore, by applying the discontinue rule, if a given number of items are failed, children will not be tested on complex sentences. This block of four items uses relative clauses attached to a main clause object, two of which are similar in construction to those used in the TECS-E albeit with some lexical differences—a noun rather that a pronoun in the head noun position: The girl chases the dog that is jumping and two of which incorporate prepositional phrases The cup that is on the box is red.

Finally we considered how far comprehension difficulties in those with DS were associated with cognitive ability, verbal short-term or working memory abilities and hearing thresholds, and whether these associations differed according to the assessment format used. We predicted correlations of comprehension scores with all three variables, though performance on particular clause types would differ, as discussed above. Individuals with DS will be able to understand a range of the complex sentences tested, although we expect considerable individual variation.

Those with DS will perform more poorly overall than TD controls but at a similar level to those with cognitive impairment of unknown origin. Children will have greater difficulty understanding comparable constructions on the multiple-choice test than on the animation task. Cognitive ability, verbal memory, working memory and hearing level will predict performance in the DS group.

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PF conceived the software idea, designed the assessment tool literature hypotheses, and wrote the manuscript, Funny dating application humorous poems about marriage online the software for the application assessment task TECS-E and the memory assessment tasks, PT developed scripts for power analysis best dating apps for 40 plus other aspects of the analysis, DB script to develop the idea and the assessment tool, designed hypotheses, and reviewed the manuscript. The main differences between this version and our original submission are as follows:. Dating expansion of the literature review to include work by Christodoulou dating Grohmann Clarification regarding when we definition to koramangala age we are referring to a non-verbal measure. Clarification regarding: 1 the use of visuo-spatial Syntax in the places as a positive control; 2 the complexities involved in working memory; and 3 how we have used the backward digit span task. References to our previous work explaining why we consider TECS-E to be a less demanding cognitive task. The addition of: 1 full statistical details for regressions 1 and 2 including the constant value; and 2 Cronbachs alpha as a measure of internal consistency. Background: Down syndrome DS is associated with poor language skills that seem disproportionate to general nonverbal ability, but the nature and causes of this deficit are unclear. We assessed how individuals with DS understand complex linguistic constructions, and considered how cognitive ability and memory and impact the ability of those with DS to process these sentence types. Participants also completed the Test for the Reception of Grammar-2, three measures of memory forward and backward digit recall, visuo-spatial memory and a hearing screen. Results: Results indicated that 1 with the exception of intransitive subject relative clauses, children with DS performed at floor on all other complex sentences, 2 they performed at a significantly lower level than both control groups, and 3 DS status accounted for a significant proportion of the variance over and above memory skills. Conclusions: Our findings suggest that children with DS have a disproportionate difficulty understanding complex sentences compared to two control groups matched on mental age.

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