Concerns about language development are among the most common complaints that parents seek medical advice regarding their children’s development. Developmental language disorder refers to a delay in children’s receptive or expressive language development without an underlying medical condition. Risk factors such as prematurity, low socioeconomic status, screen exposure, maternal depression and family history can affect language development in children. In a child presenting with a complaint of delay in language development, a detailed anamnesis should be taken, including developmental history, home environment, family history and psychosocial risk factors.
The evaluation of a child should include not only language development but also all areas of development (language, cognitive, motor, relationship, social-emotional) using a standatdized developmental assessment tool. A detailed physical examination should be performed to check for accompanying genetic, neurological and other medical conditions (e.g. cleft palate). Regardless of the result of newborn hearing screening, all children should undergo hearing tests, and if necessary, hemogram and iron parameters should be evaluated. If there is a history of regression, delay in the relationship area, or signs of accompanying neurudevelopmental problems, further evaluation should be performed. It should not be fogotten that a delay in language development may be the initial sign of problems such as cognitive delay, autism spectrum disoeder, hearing loss, and speech pronounciation disorder.
Early intervention shoul be planned for children with delayed language development and should not be waited for. Monitoring and supporting each child’s development with family-centered methods is the most effective method for the prevention, early diagnosis, and early intervention of all developmental difficulties, including delay in language development.
Dil gelişimi ile ilgili kaygılar ailelerin çocuklarının gelişimleri ile ilgili hekim başvurusunda bulundukları en sık yakınmalardandır. Gelişimsel dil bozukluğu altta yatan tıbbi bir neden olmadan alıcı ya da ifade edici dil gelişimindeki gecikmeyi ifade eder. Prematürite, düşük sosyoekonomik düzey, ekran maruziyeti, anne depresyonu, aile öyküsü gibi risk etmenleri çocuklarda dil gelişimini etkileyebilmektedir. Dil gelişiminde gecikme yakınması ile başvuran bir çocukta, gelişimsel öykü, ev ortamı, aile öyküsü ve psikososyal risk etmenlerini içeren ayrıntılı bir anamnez alınmalıdır. Çocuğun sadece dil gelişimi değil, tüm gelişim alanları (dil, bilişsel, hareket, ilişki, sosyal duygusal) standart bir gelişimi değerlendirme aracı ile değerlendirilmelidir. Eşlik edebilecek genetik, nörolojik ve diğer tıbbi durumlar (örneğin yarık damak) açısından ayrıntılı fizik muayene yapılmalıdır. Yenidoğan işitme taraması sonucundan bağımsız olarak tüm çocuklarda işitme testi yapılmalı, gerekli durumlarda hemogram, demir parametreleri değerlendirilmelidir. Regresyon öyküsü, ilişki alanında gecikme ya da eşlik edebilecek nörogelişimsel sorun bulgularının olması durumunda ileri değerlendirme yapılmalıdır. Dil gelişimindeki gecikmenin bilişsel gecikme, otizm spektrum bozukluğu, işitme kaybı, konuşma sesletim bozukluğu gibi sorunların ilk bulgusu olabileceği unutulmamalıdır. Dil gelişiminde gecikmesi olan çocuklara erken girişim planlanmalı, beklenmemelidir. Her çocuğun sağlık izlemi içerisinde gelişiminin aile merkezli yöntemler ile izlenmesi ve desteklenmesi dil gelişiminde gecikme de dahil olmak üzere, tüm gelişimsel zorlukların önlenmesi, erken tanınması ve erken müdahalesi için en etkili yöntemdir.
Primary Language | English |
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Subjects | Clinical Sciences (Other) |
Journal Section | REVIEW |
Authors | |
Early Pub Date | July 4, 2024 |
Publication Date | July 22, 2024 |
Submission Date | April 30, 2024 |
Acceptance Date | June 25, 2024 |
Published in Issue | Year 2024 Volume: 18 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.