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Differential Phonological Awareness Skills in Children with Classic Galactosemia: A Descriptive Study of Four Cases

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Part of the book series: JIMD Reports ((JIMD,volume 10))

Abstract

Educational achievement, which for individuals with the metabolic disorder classic galactosemia (GAL) is significantly lower than in the wider population, correlates with self-reported quality of life. Phonological awareness skills underpin the development of literacy, and although literacy is a key contributor to successful academic outcomes, no study to date has investigated phonological awareness skills in children with GAL. This study investigated phonological awareness (PA) in four school-aged children with the disorder, two of whom were siblings. Age range for the children was 7 years 7 months to 9 years 2 months. Each child was assessed with the Phonological Awareness criterion-referenced subtest from the Clinical Evaluation of Language Fundamentals-Fourth Edition. Included in the data for analysis was each child’s performance measures obtained from their most recent assessment of cognitive and lexical development. A number of descriptive analyses were undertaken on the data. One child, who met her age criterion for PA, had cognitive and lexical development skills in the average range. The remaining three children failed to meet their age criteria. Although these three children presented with clinically similar cognitive and lexical development skills, disparate PA skills were identified. The PA skills of one of the sibling pair were notably more advanced than his older sibling. The limitations of relying on behavioural test results in children with GAL to predict those most at risk of reduced skill development are discussed in terms future research directions.

Competing interests: None declared

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Abbreviations

CELF-4:

Clinical Evaluation of Language Fundamentals-Fourth Edition

EVT-2:

Expressive Vocabulary Test-Second Edition

GAL:

Galactosemia

PA:

Phonological awareness

PPVT-4:

Peabody Picture Vocabulary Test-Fourth Edition

SES:

Socio-economic status

STM:

Short-term memory

References

  • Adnams CM, Sorour P, Kalberg WO et al (2007) Language and literacy outcomes from a pilot intervention study for children with fetal alcohol spectrum disorders in South Africa. Alcohol 41:403–414

    Article  PubMed  Google Scholar 

  • Al Otaiba S, Puranik CS, Ziolkowski RA, Montgomery TM (2009) Effectiveness of early phonological awareness interventions for students with speech or language impairments. J Spec Educ 43:107–128

    Article  Google Scholar 

  • Alloway TP, Gathercole SE, Willis C, Adams AM (2004) A structural analysis of working memory and related cognitive skills in young children. J Exp Child Psychol 87:85–106

    Article  PubMed  Google Scholar 

  • Antshel KM, Epstein IO, Waisbren SE (2004) Cognitive strengths and weaknesses in children and adolescents homozygous for the galactosemia Q188R mutation: a descriptive study. Neuropsychology 18:658–664

    Article  PubMed  Google Scholar 

  • Apel K, Wilson-Fowler EB, Brimo D, Perrin NA (2012) Metalinguistic contributions to reading and spelling in second and third grade students. Read Writ 25:1283–1305

    Article  Google Scholar 

  • Berry GT, Elsas LJ (2011) Introduction to the Maastricht workshop: lessons from the past and new directions in galactosemia. J Inherit Metab Dis 34:249–255

    Article  PubMed  Google Scholar 

  • Bosch AM (2006) Classical galactosaemia revisited. J Inherit Metab Dis 29:516–525

    Article  PubMed  CAS  Google Scholar 

  • Bosch AM (2011) Classic galactosemia: dietary dilemmas. J Inherit Metab Dis 34:257–260

    Article  PubMed  Google Scholar 

  • Bosch AM, Grootenhuis MA, Bakker HD, Heijmans HS, Wijburg FA, Last BF (2004) Living with classical galactosemia: health-related quality of life consequences. Pediatrics 113:e423–e428

    Article  PubMed  Google Scholar 

  • Briscoe J, Bishop DVM, Norbury CF (2001) Phonological processing, language, and literacy: a comparison of children with mild-to-moderate sensorineural hearing loss and those with specific language impairment. J Child Psychol Psychiatry 42:329–340

    Article  PubMed  CAS  Google Scholar 

  • Castles A, Coltheart M (2004) Is there a causal link from phonological awareness to success in learning to read? Cognition 91:77–111

    Article  PubMed  Google Scholar 

  • Cleary MA, Heptinstall LE, Wraith JE, Walter JH (1995) Galactosaemia: relationship of IQ to biochemical control and genotype. J Inherit Metab Dis 18:151–152

    Article  PubMed  CAS  Google Scholar 

  • Collet G, Colin C, Serniclaes W et al (2012) Effect of phonological training in French children with SLI: perspectives on voicing identification, discrimination and categorical perception. Res Dev Disabil 33:1805–1818

    Article  PubMed  CAS  Google Scholar 

  • Coman DJ, Murray DW, Byrne JC et al (2010) Galactosemia, a single gene disorder with epigenetic consequences. Pediatr Res 67:286–292

    Article  PubMed  Google Scholar 

  • Coss K, Coman D, Brown A et al (2010) Biochemical and glycomic effects of diet relaxation in classical galactosaemia. J Inherit Metab Dis 33:S69–S69

    Article  Google Scholar 

  • Coss KP, Byrne JC, Coman DJ et al (2012) IgG N-glycans as potential biomarkers for determining galactose tolerance in classical galactosaemia. Mol Genet Metab 105:212–220

    Article  PubMed  CAS  Google Scholar 

  • Docking KM, Murdoch BE, Ward EC (2003) High-level language and phonological awareness abilities of children following management for supratentorial tumour: part II. Acta Neuropsychologica 1:367–381

    Google Scholar 

  • Dodd B, Conn NL (2000) The effect of Braille's orthography on blind children's phonological awareness. J Res Read 23:1–11

    Article  Google Scholar 

  • Dodd B, Holm A, Oerlemans M, McCormick M (1996) Queensland University Inventory of Literacy, Brisbane, Australia. Department of Speech Pathology and Audiology, University of Queensland

    Google Scholar 

  • Doyle CM, Channon S, Orlowska D, Lee PJ (2010) The neuropsychological profile of galactosaemia. J Inherit Metab Dis 33:603–609

    Article  PubMed  Google Scholar 

  • Dunn LM, Dunn DM (2007) Peabody Picture Vocabulary Test. Harcourt Assessment Inc., San Antonio, TX

    Google Scholar 

  • Fridovich JL, Walter JH (2008) Galactosemia, Chapter 72. In: Valle D, Beaudet A, Vogelstein B, Kinzler KW, Antonarakis SE, Ballabio A, Scriver CR, Sly WS, Childs B, Bunz F, Gibson KM, Mitchell G (eds) The online metabolic and molecular bases of inherited D, 9th edn. McGraw-Hill, New York

    Google Scholar 

  • Gillon GT (2004) Phonological awareness: from research to practice. The Guilford Press, New York

    Google Scholar 

  • Hughes J, Ryan S, Lambert D et al (2009) Outcomes of siblings with classical galactosemia. J Pediatr 154:721–726

    Article  PubMed  Google Scholar 

  • Hulme C, Goetz K, Brigstocke S et al (2012) The growth of reading skills in children with Down syndrome. Dev Sci 15:320–329

    Article  PubMed  Google Scholar 

  • Jones RG (2003) Parental occupation coding. Department of Education Science and Training, Canberra, Australia

    Google Scholar 

  • Kaufman FR, McBride-Chang C, Manis FR, Wolff JA, Nelson MD (1995) Cognitive functioning, neurologic status and brain imaging in classical galactosemia. Eur J Pediatr 154:S2–S5

    Article  PubMed  CAS  Google Scholar 

  • Kovelman I, Norton ES, Christodoulou JA et al (2012) Brain basis of phonological awareness for spoken language in children and its disruption in dyslexia. Cereb Cortex 22:754–764

    Article  PubMed  Google Scholar 

  • Lambert C, Boneh A (2004) The impact of galactosaemia on quality of life - A pilot study. J Inherit Metab Dis 27:601–608

    Article  PubMed  CAS  Google Scholar 

  • Lemons CJ, Fuchs D (2010) Phonological awareness of children with Down syndrome: its role in learning to read and the effectiveness of related interventions. Res Dev Disabil 31:316–330

    Article  PubMed  Google Scholar 

  • Lonigan CJ, Burgess SR, Anthony JL, Barker TA (1998) Development of phonological sensitivity in 2- to 5-year-old children. J Educ Psychol 90:294–311

    Article  Google Scholar 

  • Manis FR, Cohn LB, McBride-Chang C, Wolff JA, Kaufman FR (1997) A longitudinal study of cognitive functioning in patients with classical galactosaemia, including a cohort treated with oral uridine. J Inherit Metab Dis 20:549–555

    Article  PubMed  CAS  Google Scholar 

  • McGeown SP, Johnston RS, Medford E (2012) Reading instruction affects the cognitive skills supporting early reading development. Learn Individ Differ 22:360–364

    Article  Google Scholar 

  • Melby-Lervåg M, Lyster SAH, Hulme C (2012) Phonological skills and their role in learning to read: a meta-analytic review. Psychol Bull 138:322–352

    Article  PubMed  Google Scholar 

  • Morrow LM (2007) Developing literacy in preschool. Guilford Press, New York

    Google Scholar 

  • Nation K, Snowling MJ (2004) Beyond phonological skills: broader language skills contribute to the development of reading. J Res Read 27:342–356

    Article  Google Scholar 

  • Nelson CD, Waggoner DD, Donnell GN, Tuerck JM, Buist NRM (1991) Verbal dyspraxia in treated galactosemia. Pediatrics 88:346–350

    PubMed  CAS  Google Scholar 

  • Nelson JR, Benner GJ, Gonzalez J (2005) An investigation of the effects of a prereading intervention on the early literacy skills of children at risk of emotional disturbance and reading problems. J Emot Behav Disord 13:3–12

    Article  Google Scholar 

  • Nelson MD, Wolff JA, Cross CA, Donnell GN, Kaufman FR (1992) Galactosemia: evaluation with MR imaging. Radiology 184:255–261

    PubMed  Google Scholar 

  • Neuman SB, Dickinson DK (2010) Handbook of early literacy research. Guilford Press, New York

    Google Scholar 

  • Organization for Economic Cooperation and Development (2000) Literacy in the Information Age: final report of the International Adult Literacy Survey. Organization for Economic Cooperation and Development, Paris, France

    Google Scholar 

  • Potter NL, Lazarus J-AC, Johnson JM, Steiner RD, Shriberg LD (2008) Correlates of language impairment in children with galactosaemia. J Inherit Metab Dis 31:524–532

    Article  PubMed  CAS  Google Scholar 

  • Ridel KR, Leslie ND, Gilbert DL (2005) An updated review of the long-term neurological efects of galactosemia. Pediatr Neurol 33:153–161

    Article  PubMed  Google Scholar 

  • Semel E, Wiig EH, Secord WA (2003) Clinical Evaluation of Language Fundamentals. Harcourt Assessment Inc, San Antonio, TX

    Google Scholar 

  • Snow CE, Beals DE (2006) Mealtime talk that supports literacy development. New Dir Child Adolesc Dev 111:51–66

    Article  PubMed  Google Scholar 

  • Timmers I, Van Den Hurk J, Di Salle F, Rubio-Gozalbo ME, Jansma BM (2011) Language production and working memory in classic galactosemia from a cognitive neuroscience perspective: future research directions. J Inherit Metab Dis 34:367–376

    Article  PubMed  Google Scholar 

  • Vadasy PF, Sanders EA (2010) Efficacy of supplemental phonics-based instruction for low-skilled kindergarteners in the context of language minority status and classroom phonics instruction. J Educ Psychol 102:786–803

    Article  Google Scholar 

  • Vandervelden M, Siegel S (1999) Phonological processing and literacy in AAC users and students with motor speech impairments. Augment Altern Commun 15:191–209

    Article  Google Scholar 

  • Waggoner DD, Buist NRM, Donnell GN (1990) Long-term prognosis in galactosaemia: results of a survey of 350 cases. J Inherit Metab Dis 13:802–818

    Article  PubMed  CAS  Google Scholar 

  • Waisbren SE, Norman TR, Schnell RR, Levy HL (1983) Speech and language deficits in early-treated children with galactosemia. J Pediatr 102:75–77

    Article  PubMed  CAS  Google Scholar 

  • Wang ZI, Berry GT, Dreha SF, Zhao H, Segal S, Zimmerman RA (2001) Proton magnetic resonance spectroscopy of brain metabolites in galactosemia. Ann Neurol 50:266–269

    Article  PubMed  CAS  Google Scholar 

  • Wechsler D (2004) Wechsler Preschool and Primary Scale of Intelligence-Australian Standardised Edition. Harcourt Assessment Inc., Marrickville, Australia

    Google Scholar 

  • Wechsler D (2005) Wechsler Intelligence Scale for Children. Harcourt Assessment Inc., Marrickville, Australia

    Google Scholar 

  • Williams KT (2007) Expressive Vocabulary Test. Pearson Assessments, Minneapolis, MN

    Google Scholar 

  • Ziegler JC, Goswami U (2005) Reading acquisition, developmental dyslexia, and skilled reading across languages: a psycholinguistic grain size theory. Psychol Bull 131:3–29

    Article  PubMed  Google Scholar 

Download references

Acknowledgement

The authors wish to thank the four children who participated in the research. This study was supported by funding from Apex Foundation for Research into Intellectual Disability (Australia).

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Correspondence to Fiona M. Lewis .

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Communicated by: Alberto B Burlina

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Lewis, F.M., Coman, D.J., Syrmis, M., Kilcoyne, S., Murdoch, B.E. (2012). Differential Phonological Awareness Skills in Children with Classic Galactosemia: A Descriptive Study of Four Cases. In: Zschocke, J., Gibson, K., Brown, G., Morava, E., Peters, V. (eds) JIMD Reports - Volume 10. JIMD Reports, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/8904_2012_200

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  • DOI: https://doi.org/10.1007/8904_2012_200

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