Klinik Araştırma
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Gelişimsel Dil Bozukluğu Olan Çocuklarda Sosyodemografik ve Tıbbi Faktörler

Yıl 2025, Cilt: 58 Sayı: 3, 107 - 110, 24.02.2026
https://izlik.org/JA46YS67TP

Öz

Amaç: Bu çalışmanın amacı, gelişimsel dil bozukluğu (GDB) tanısı alan 24-84 ay arası çocukların alıcı ve ifade edici dil gelişimlerinin değerlendirilmesi ve dil becerilerini etkileyen faktörlerin belirlenmesidir.
Gereç ve Yöntem: Çalışmaya Eylül 2022 - Eylül 2024 tarihleri arasında Ankara Bilkent Şehir Hastanesi Gelişimsel Pediatri Polikliniğine başvuran 24-84 ay arası, dil gelişiminde gecikme yakınması bulunan çocuklar dahil edilmiştir. Çalışmada, çocukların Türkçe Erken Dil Gelişimi Testi (TEDİL) puanları ile sosyodemografik ve tıbbi geçmişleri arasındaki ilişki retrospektif olarak incelenmiştir. Çocukların tıbbi kayıtlarından TEDİL puanları, sosyodemografik bilgileri ve tıbbi özgeçmişleri geriye dönük olarak incelenmiştir. Altta yatan nörogelişimsel bozuklukları, genetik sendromları, işitme kaybı veya santral sinir sistemi patolojisi olan çocuklar çalışmaya alınmamıştır.
Bulgular: Çalışmaya gelişimsel dil bozukluğu tanısı almış 182 GDB olan çocuk dahil edilmiştir. Ortalama yaş 49.08 ± 15.8 aydır. Çocukların ortalama alıcı dil puanı 90.0 ± 12.7, ifade edici dil puanı 80.0 ± 11.4 olarak bulunmuştur. Tıbbi faktörler (prematüre doğum, düşük doğum ağırlığı, kronik hastalık) ile alıcı ve ifade edici dil puanları arasında anlamlı bir ilişki saptanmamıştır (p>0.05). Ancak, anne ve baba eğitim düzeyi ile TEDİL puanları arasında anlamlı bir ilişki bulunmuştur (p<0.05). Çocuğun yaşının artmasıyla tıbbi faktörlerin etkisinin azaldığı ve çevresel faktörlerin, özellikle ebeveyn eğitiminin, dil gelişimi üzerindeki etkisinin arttığı görülmüştür.
Sonuç: Bu çalışma, gelişimsel dil bozukluğu olan çocukların dil becerilerinin ebeveyn eğitim düzeyi ile ilişkili olduğunu göstermektedir.

Kaynakça

  • 1. Bishop DVM. What Causes Specific Language Impairment in Children? Curr Dir Psychol Sci. 2006;15(5):217-221. doi:10.1111/j.1467-8721.2006.00439.x
  • 2. Bishop DVM, Price TS, Dale PS, Plomin R. Outcomes of early language delay: II. Etiology of transient and persistent language difficulties. J Speech Lang Hear Res JSLHR. 2003;46(3):561- 575. doi:10.1044/1092-4388(2003/045)
  • 3. Boerma T, Ter Haar S, Ganga R, Wijnen F, Blom E, Wierenga CJ. What risk factors for Developmental Language Disorder can tell us about the neurobiological mechanisms of language development. Neurosci Biobehav Rev. 2023;154:105398. doi:10.1016/j. neubiorev.2023.105398
  • 4. Toseeb U, Oginni OA, Dale PS. Developmental Language Disorder and Psychopathology: Disentangling Shared Genetic and Environmental Influences. J Learn Disabil. 2022;55(3):185-199. doi:10.1177/00222194211019961
  • 5. Developmental Language Disorder | NIDCD. May 8, 2023. Accessed July 9, 2025. https://www.nidcd.nih.gov/health/developmental-language-disorder
  • 6. Cheryl Messick HMF. Language and Speech Disorders. In: Developmental-Behavioral Pediatrics. 5th Ed. Elsevier/Academic Press; 2023:466-476.
  • 7. Akpınar F, Çelik P. Language Delay in Children. Turk J Pediatr Dis. 2024;18(4):260-265. doi:10.12956/tchd.1475173
  • 8. Lewis BA, Freebairn L, Tag J, et al. Adolescent outcomes of children with early speech sound disorders with and without language impairment. Am J Speech Lang Pathol. 2015;24(2):150-163. doi:10.1044/2014_AJSLP-14-0075
  • 9. Sansavini A, Favilla ME, Guasti MT, et al. Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review. Brain Sci. 2021;11(5):654. doi:10.3390/brainsci11050654
  • 10. Güven S, Topbaş S. Erken Dil Gelişimi Testi-Üçüncü Versiyonu’nun (Test of Early Language Development-Third Edition) Türkçe’ye Uyarlama, Geçerlik ve Güvenirlik Ön Çalışması. Int J Early Child Spec Educ. 2015;6:151-172.
  • 11. Schjølberg S, Eadie P, Zachrisson HD, Oyen AS, Prior M. Predicting language development at age 18 months: data from the Norwegian Mother and Child Cohort Study. J Dev Behav Pediatr JDBP. 2011;32(5):375-383. doi:10.1097/DBP.0b013e31821bd1dd
  • 12. Muluk NB, Bayoğlu B, Anlar B. Language development and affecting factors in 3- to 6-year-old children. Eur Arch Oto-Rhino-Laryngol Off J Eur Fed Oto-Rhino-Laryngol Soc EUFOS Affil Ger Soc Oto-Rhino-Laryngol - Head Neck Surg. 2014;271(5):871-878. doi:10.1007/s00405-013-2567-0
  • 13. Korpilahti P, Kaljonen A, Jansson-Verkasalo E. Identification of biological and environmental risk factors for language delay: The Let’s Talk STEPS study. Infant Behav Dev. 2016;42:27-35. doi:10.1016/j.infbeh.2015.08.008
  • 14. Diepeveen FB, van Dommelen P, Oudesluys-Murphy AM, Verkerk PH. Specific language impairment is associated with maternal and family factors. Child Care Health Dev. 2017;43(3):401- 405. doi:10.1111/cch.12451
  • 15. Cattani A, Celik E. Maternal and Paternal Education on Italian Monolingual Toddlers’ Language Skills. Brain Sci. 2024;14(11):1078. doi:10.3390/brainsci14111078
  • 16. Lara-Díaz MF, Mateus-Moreno A, Beltrán-Rojas JC. Reading and Oral Language Skills in Children With Developmental Language Disorder: Influence of Socioeconomic, Educational, and Family Variables. Front Psychol. 2021;12:718988. doi:10.3389/fpsyg.2021.718988
  • 17. Gathercole V, KENNEDY I, Thomas E. Socioeconomic level and bilinguals’ performance on language and cognitive measures. Biling Lang Cogn. 2015;1:1-22. doi:10.1017/S1366728915000504
  • 18. Holzinger D, Weber C, Diendorfer B. Development and Validation of a Language Screening for Implementation in Pre-School Settings. Front Public Health. 2022;10:866598. doi:10.3389/fpubh.2022.866598
  • 19. Barrett CE, Zhou X, Mendez I, et al. Prevalence of Mental, Behavioral, and Developmental Disorders Among Children and Adolescents with Diabetes, United States (2016-2019). J Pediatr. 2023;253:25-32. doi:10.1016/j.jpeds.2022.09.008
  • 20. Tinoco Mendoza G, Stack J, Abdel-Latif ME, Raman S, Garg P. Language outcomes at 4 years of linguistically diverse children born very preterm: an Australian retrospective single-centre study. BMJ Paediatr Open. 2023;7(1):e001814. doi:10.1136/ bmjpo-2022-001814
  • 21. Nelson PM, Scheiber F, Demir-Lira ÖE, Harmon HM. Early medical risks to language development in extremely preterm infants. J Perinatol Off J Calif Perinat Assoc. 2025;45(3):378-385. doi:10.1038/s41372-024-02191-Z

Sociodemographic and Medical Factors in Children with Developmental Language Disorders

Yıl 2025, Cilt: 58 Sayı: 3, 107 - 110, 24.02.2026
https://izlik.org/JA46YS67TP

Öz

Aim: The aim of this study is to evaluate the receptive and expressive language development of children aged 24–84 months diagnosed with developmental language disorder (DLD) and to determine the factors affecting their language skills.
Materials and Methods: The study included children aged 24–84 months who applied to the Developmental Pediatrics Outpatient Clinic at Ankara Bilkent City Hospital between September 2022 and September 2024 with complaints of delayed language development. The relationship between the children’s scores on the Turkish Early Language Development Test (TEDİL) and their sociodemographic and medical histories was retrospectively examined. TEDİL scores, sociodemographic data, and medical histories were reviewed retrospectively from the children’s medical records. Children with underlying neurodevelopmental disorders, genetic syndromes, hearing loss, or central nervous system pathology were not included in the study.
Results: A total of 182 children diagnosed with developmental language disorder were included in the study. The mean age was 49.08 ± 15.8 months. The average receptive language score was found to be 90.0 ± 12.7, and the average expressive language score was 80.0 ± 11.4. No significant relationship was observed between medical factors (premature birth, low birth weight, chronic illness) and the receptive and expressive language scores (p>0.05). However, a significant relationship was found between the parents’ education level and the TEDİL scores (p<0.05). It was observed that as the child’s age increased, the influence of medical factors decreased, whereas the impact of environmental factors, especially parental education, on language development increased.
Conclusion: This study demonstrates that the language skills of children with developmental language disorder are associated with the educational level of their parents.

Kaynakça

  • 1. Bishop DVM. What Causes Specific Language Impairment in Children? Curr Dir Psychol Sci. 2006;15(5):217-221. doi:10.1111/j.1467-8721.2006.00439.x
  • 2. Bishop DVM, Price TS, Dale PS, Plomin R. Outcomes of early language delay: II. Etiology of transient and persistent language difficulties. J Speech Lang Hear Res JSLHR. 2003;46(3):561- 575. doi:10.1044/1092-4388(2003/045)
  • 3. Boerma T, Ter Haar S, Ganga R, Wijnen F, Blom E, Wierenga CJ. What risk factors for Developmental Language Disorder can tell us about the neurobiological mechanisms of language development. Neurosci Biobehav Rev. 2023;154:105398. doi:10.1016/j. neubiorev.2023.105398
  • 4. Toseeb U, Oginni OA, Dale PS. Developmental Language Disorder and Psychopathology: Disentangling Shared Genetic and Environmental Influences. J Learn Disabil. 2022;55(3):185-199. doi:10.1177/00222194211019961
  • 5. Developmental Language Disorder | NIDCD. May 8, 2023. Accessed July 9, 2025. https://www.nidcd.nih.gov/health/developmental-language-disorder
  • 6. Cheryl Messick HMF. Language and Speech Disorders. In: Developmental-Behavioral Pediatrics. 5th Ed. Elsevier/Academic Press; 2023:466-476.
  • 7. Akpınar F, Çelik P. Language Delay in Children. Turk J Pediatr Dis. 2024;18(4):260-265. doi:10.12956/tchd.1475173
  • 8. Lewis BA, Freebairn L, Tag J, et al. Adolescent outcomes of children with early speech sound disorders with and without language impairment. Am J Speech Lang Pathol. 2015;24(2):150-163. doi:10.1044/2014_AJSLP-14-0075
  • 9. Sansavini A, Favilla ME, Guasti MT, et al. Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review. Brain Sci. 2021;11(5):654. doi:10.3390/brainsci11050654
  • 10. Güven S, Topbaş S. Erken Dil Gelişimi Testi-Üçüncü Versiyonu’nun (Test of Early Language Development-Third Edition) Türkçe’ye Uyarlama, Geçerlik ve Güvenirlik Ön Çalışması. Int J Early Child Spec Educ. 2015;6:151-172.
  • 11. Schjølberg S, Eadie P, Zachrisson HD, Oyen AS, Prior M. Predicting language development at age 18 months: data from the Norwegian Mother and Child Cohort Study. J Dev Behav Pediatr JDBP. 2011;32(5):375-383. doi:10.1097/DBP.0b013e31821bd1dd
  • 12. Muluk NB, Bayoğlu B, Anlar B. Language development and affecting factors in 3- to 6-year-old children. Eur Arch Oto-Rhino-Laryngol Off J Eur Fed Oto-Rhino-Laryngol Soc EUFOS Affil Ger Soc Oto-Rhino-Laryngol - Head Neck Surg. 2014;271(5):871-878. doi:10.1007/s00405-013-2567-0
  • 13. Korpilahti P, Kaljonen A, Jansson-Verkasalo E. Identification of biological and environmental risk factors for language delay: The Let’s Talk STEPS study. Infant Behav Dev. 2016;42:27-35. doi:10.1016/j.infbeh.2015.08.008
  • 14. Diepeveen FB, van Dommelen P, Oudesluys-Murphy AM, Verkerk PH. Specific language impairment is associated with maternal and family factors. Child Care Health Dev. 2017;43(3):401- 405. doi:10.1111/cch.12451
  • 15. Cattani A, Celik E. Maternal and Paternal Education on Italian Monolingual Toddlers’ Language Skills. Brain Sci. 2024;14(11):1078. doi:10.3390/brainsci14111078
  • 16. Lara-Díaz MF, Mateus-Moreno A, Beltrán-Rojas JC. Reading and Oral Language Skills in Children With Developmental Language Disorder: Influence of Socioeconomic, Educational, and Family Variables. Front Psychol. 2021;12:718988. doi:10.3389/fpsyg.2021.718988
  • 17. Gathercole V, KENNEDY I, Thomas E. Socioeconomic level and bilinguals’ performance on language and cognitive measures. Biling Lang Cogn. 2015;1:1-22. doi:10.1017/S1366728915000504
  • 18. Holzinger D, Weber C, Diendorfer B. Development and Validation of a Language Screening for Implementation in Pre-School Settings. Front Public Health. 2022;10:866598. doi:10.3389/fpubh.2022.866598
  • 19. Barrett CE, Zhou X, Mendez I, et al. Prevalence of Mental, Behavioral, and Developmental Disorders Among Children and Adolescents with Diabetes, United States (2016-2019). J Pediatr. 2023;253:25-32. doi:10.1016/j.jpeds.2022.09.008
  • 20. Tinoco Mendoza G, Stack J, Abdel-Latif ME, Raman S, Garg P. Language outcomes at 4 years of linguistically diverse children born very preterm: an Australian retrospective single-centre study. BMJ Paediatr Open. 2023;7(1):e001814. doi:10.1136/ bmjpo-2022-001814
  • 21. Nelson PM, Scheiber F, Demir-Lira ÖE, Harmon HM. Early medical risks to language development in extremely preterm infants. J Perinatol Off J Calif Perinat Assoc. 2025;45(3):378-385. doi:10.1038/s41372-024-02191-Z
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Bebek ve Çocuk Sağlığı
Bölüm Klinik Araştırma
Yazarlar

Funda Akpınar 0000-0002-4624-1382

Gözde Şahin 0000-0001-6034-978X

Gamze Hayran Turmuş 0000-0002-7900-6768

Emre Kıymık 0009-0008-9068-3349

Aysu Temel 0009-0004-7858-1789

Pelin Çelik 0000-0002-3561-4542

Gönderilme Tarihi 29 Mart 2025
Kabul Tarihi 4 Kasım 2025
Yayımlanma Tarihi 24 Şubat 2026
DOI https://doi.org/10.20492/aeahtd.1664807
IZ https://izlik.org/JA46YS67TP
Yayımlandığı Sayı Yıl 2025 Cilt: 58 Sayı: 3

Kaynak Göster

AMA 1.Akpınar F, Şahin G, Hayran Turmuş G, Kıymık E, Temel A, Çelik P. Gelişimsel Dil Bozukluğu Olan Çocuklarda Sosyodemografik ve Tıbbi Faktörler. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2026;58(3):107-110. doi:10.20492/aeahtd.1664807