TY - JOUR
T1 - A systematic review and meta-analysis of narrative language abilities in children with Attention-Deficit/Hyperactivity Disorder
AU - Jepsen, Ida
AU - Hougaard, Esben
AU - Matthiesen, Susan Tomczak
AU - Lambek, Rikke
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/6
Y1 - 2022/6
N2 - While children with ADHD are reported to have language problems, it is less clear if their ability to use language to tell a story (i.e., form a narrative) is impaired. Therefore, a systematic review and meta-analysis of studies examining the oral production of fictional stories in children with ADHD was conducted. Databases were systematically searched in January 2019 and December 2020 (follow-up). Studies comparing children (≤ 18 years) with ADHD to a control group of typically developing children were included. The meta-analysis adhered to PRISMA guidelines and was preregistered with PROSPERO [CRD42019122040]. Sixteen studies were retained. Results indicated that compared to typically developing children, children with ADHD produced less coherent narratives (Hedges’ g = 0.58 p <.001), gave more ambiguous references (Hedges’ g = 0.52, p <.001), made more disruptive errors (Hedges’ g = 0.41, p <.001), and produced language that was less syntactically complex (Hedges’ g = 0.39, p <.05). Children with ADHD also produced less language overall (Hedges’ g = 0.27, p <.05), although this result appeared to be an artefact of publication bias. Two studies investigated internal state language and both found children with ADHD to produce narratives with less internal state language. Children with ADHD did not produce less fluent narratives (Hedges’ g = 0.23, p =.47), although a scarcity of studies [K = 4] preclude firm conclusions. In conclusion, children with ADHD were impaired in several areas of oral narrative production and screening for narrative language problems should be considered when assessing language and communicative abilities in children with ADHD.
AB - While children with ADHD are reported to have language problems, it is less clear if their ability to use language to tell a story (i.e., form a narrative) is impaired. Therefore, a systematic review and meta-analysis of studies examining the oral production of fictional stories in children with ADHD was conducted. Databases were systematically searched in January 2019 and December 2020 (follow-up). Studies comparing children (≤ 18 years) with ADHD to a control group of typically developing children were included. The meta-analysis adhered to PRISMA guidelines and was preregistered with PROSPERO [CRD42019122040]. Sixteen studies were retained. Results indicated that compared to typically developing children, children with ADHD produced less coherent narratives (Hedges’ g = 0.58 p <.001), gave more ambiguous references (Hedges’ g = 0.52, p <.001), made more disruptive errors (Hedges’ g = 0.41, p <.001), and produced language that was less syntactically complex (Hedges’ g = 0.39, p <.05). Children with ADHD also produced less language overall (Hedges’ g = 0.27, p <.05), although this result appeared to be an artefact of publication bias. Two studies investigated internal state language and both found children with ADHD to produce narratives with less internal state language. Children with ADHD did not produce less fluent narratives (Hedges’ g = 0.23, p =.47), although a scarcity of studies [K = 4] preclude firm conclusions. In conclusion, children with ADHD were impaired in several areas of oral narrative production and screening for narrative language problems should be considered when assessing language and communicative abilities in children with ADHD.
KW - ADHD
KW - Communication
KW - Language
KW - Meta-analysis
KW - Narrative
KW - Story-telling
U2 - 10.1007/s10802-021-00871-4
DO - 10.1007/s10802-021-00871-4
M3 - Review
C2 - 34807333
SN - 2730-7166
VL - 50
SP - 737
EP - 751
JO - Research on Child and Adolescent Psychopathology
JF - Research on Child and Adolescent Psychopathology
IS - 6
ER -