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Published: 2023-06-26

Social Competence and Self-Esteem in Preschool Children with CAS: Childhood Apraxia of Speech

University of Bucharest
childhood apraxia of speech children self-esteem social competence


The aim of the present study is to analyze the relationships between language difficulties, self-esteem and social competence in children with (Childhood Apraxia of Speech) CAS. Receptive language, expressive language and pragmatic language, self-esteem and four dimensions of social competence were analyzed, respectively emotional problems, conduct problems, peer problems and prosocial behavior. The participants were 64 children aged between 5 and 6, M = 5.44, SD = .50, of which 45 boys (70%) and 19 girls (30%) and their mothers, aged between 26 and 45 years, M = 35.34, SD = 5.01. To measure language difficulties, three tests based on cards and specific tasks were used, social competence was measured with Strengths and Difficulties Questionnaire (SDQ-Rom) (Goodman, 1997), Romanian version, and self-esteem was measured with four items from Self-Perception Profile for Children (Harter, 2012). The results showed that receptive language is negatively associated with self-esteem and emotional problems, expressive language is negatively associated with emotional problems, conduct problems and peer problems, pragmatic language is negatively associated with emotional problems and peer problems. Practical implications and ways to support children with CAS in improving social competence and self-esteem were discussed


  1. Allemand, M., Steiger, A. E., & Fend, H. A. (2014). Empathy development in adolescence predicts social competencies in adulthood. Journal of Personality. 10.111/jopy.12098.
  2. American Speech-Language-Hearing Association. (2007). Childhood apraxia of speech.
  4. Anderson, T. K., & Felsenfeld, S. (2003). A thematic analysis of late recovery from stuttering. American Journal of Speech-Language Pathology, 12, 243-253.
  5. Argyle, M., Henderson, M., & Furnham, A. (1985). The rules of social relationships. British Journal of Social Psychology, 24(1), 125–139.
  6. Aro, T., Laakso, M., Maatta, S., Tolvanen, A., & Poikkeus, A. (2014). Associations between toddler-age communication and kindergarten-age self-regulatory skills.
  7. Journal of Speech, Language, and Hearing Research, 57, 1405-1417.
  8. Barnett, M. A., Gustafsson, H., Deng, M., Mills-Koonce, W. R., & Cox, M. (2012). Bidirectional associations among sensitive parenting, language development, and social competence. Infant Child Development, 21(4), 374–393. 10.1002/icd.1750.
  9. Beitchman, J. H., Wilson, B., Brownlie, E. B., Walters, H., Inglis, A., & Lancee, W. (1996). Long-term consistency in speech/language profiles: II. Behavioral, emotional, and social outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 815-825.
  10. Botting, N., Conti-Ramsden, G. (2000). Social and behavioural difficulties in children with language impairment. Child Language Teaching and Therapy, 16,105-120.
  11. Butler, R. (1990). The effects of mastery and competitive conditions on self-assessment at different ages. Child Development, 61(1), 201-210. doi:10.2307/1131059
  12. Calderella, P., & Merell, K. W. (1997). Common dimensions of social skills of children and adolescents: A taxonomy of positive behaviors. School Psychology Review, 26(2), 264–278.
  13. Campbell, T. F. (2003). Childhood apraxia of speech: Clinical symptoms and speech characteristics. In L. D. Shriberg & T. F. Campbell (Eds.), Proceedings of the 2002 Childhood Apraxia of Speech Research Symposium (pp. 37-47). The Hendrix Foundation.
  14. Cassidy, K. W., Werner, R. S., Rourke, M., & Zubernis, L. S. (2003). The relationship between psychological understanding and positive social behaviors. Social Development, 12, 198–221. 10.1111/1467-9507.00229.
  15. Cooley, C. H. (2003). The Looking-Glass Self. In J. A. Holstein (Ed.), Inner Lives and Social Worlds: Readings in Social Psychology (pp. 123-124). Oxford University Press. (Original work published 1964)
  16. Craig, H. K. (1993). Social skills of children with specific language impairment: Peer relationships. Language, Speech, and Hearing Services in Schools, 24, 206-215.
  17. Crichton-Smith, I. (2002). Communicating in the real world: Accounts from people who stammer. Journal of Fluency Disorders, 27, 333-352.
  18. Denham, S. A., Blair, K. A., DeMulder, E., Levitas, J., Sawyer, K., Auerbach–Major, S., & Queenan, P. (2003). Preschool emotional competence: Pathway to social competence? Child Development, 74(1), 238–256. 10.1111/1467-8624.00533.
  19. DiDonato, A. (2014). New directions in social competence research: Examining developmental trajectories and language minority populations (Dissertation). Arizona State University. asu_0010E_14024.pdf.
  20. Dockrell, J., Lindsay, G. (1998). The ways in which speech and language difficulties impact on children’s access to the curriculum. Child Language Teaching and Therapy, 14, 117-133.
  21. Duffy, J. R. (2013). Motor speech disorders: Substrates, differential diagnoses, and management (3rd ed.). Elsevier Mosby.
  22. Durkin, K., & Conti-Ramsden, G. (2007). Language, social behavior, and the quality of friendships in adolescents with and without a history of specific language impairment. Child Development, 78, 1441-1457. Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7, 117-140. doi:10.1177/001872675400700202
  23. Gallagher, T. M. (1993). Language skill and the development of social competence in school-age children. Language, Speech, and Hearing Services in Schools, 24, 199–205. 10.1044/0161-1461.2404.199.
  24. Gertner, B. L., Rice, M. L., & Hadley, P. A. (1994). Influence of communicative competence on peer preferences in a preschool classroom. Journal of Speech and Hearing Research, 37, 913-923
  25. Girard, L.-C., Pingault, J.-B., Doyle, O., Falissard, B., & Tremblay, R. E. (2016). Expressive and prosocial behavior in early childhood: Longitudinal associations in the UK millennium cohort study. European Journal of Developmental Psychology, 14(4), 381–398. 10.1080/17405629.2016.1215300
  26. Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A Research Note. Journal of Child Psychology and Psychiatry, 38, 581-586.
  27. Gordon-Brannan, M. E., & Weiss, C. E. (2007). Clinical management of articulatory and phonologic disorders (3rd ed.). Lippincott Williams & Wilkins. Grigos, M., I., Hayden, D., Eigen, J. (2015). Perceptual and Articulatory Changes in Speech Production Following PROMPT Treatment. Journal of Medical Speech-Language Pathology, 18(4), 46-53.
  28. Hadley, P. A., & Rice, M. L. (1991). Conversational responsiveness of speech- and language-impaired preschoolers. Journal of Speech and Hearing Research, 34, 1308-1317.
  29. Hall, P. K. (2000). A letter to the parent(s) of a child with developmental apraxia of speech: Part I: Speech characteristics of the disorder. Language, Speech & Hearing Services in Schools, 31, 169-172.
  30. Harter, S. (1999). The construction of self: A developmental perspective. Guilford Press.
  31. Harter, S., Pike, R. (1984). The pictorial perceived competence scale for young children. Child Development, 55, 1969-1982.
  32. Harter, S. (2012). Self-Perception Profile for Children: Manual and Questionnaires. University of Denver, Arts, Humanities & Social Sciences.
  33. Hitchcock, C., Ellis, A. A., Williamson, P., Nixon, R. D. V.(2015). The Prospective Role of Cognitive Appraisals and Social Support in Predicting Children's Posttraumatic Stress. Journal of Abnormal Child Psychology, 43(8), 1485-1492. doi: 10.1007/s10802-015-0034-7.
  34. IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp.
  35. Iuzzini, J. (2012). Inconsistency of speech in children with childhood apraxia of speech, phonological disorders, and typical speech (Doctoral dissertation). Available at ProQuest Dissertations and Theses. (UMI No. 3498932)
  36. Jerome, A. C., Fujiki, M., Brinton, B., & James, S. L. (2002). Self-esteem in children with specific language impairment. Journal of Speech Language and Hearing Research, 45(4), 700-714. doi:10.1044/1092-4388(2002/056
  37. Kanning, U. (2009). Diagnostik sozialer Kompetenzen. Hogrefe.
  38. Kolb, S. M., & Hanley-Maxwell, C. (2003). Critical social skills for adolescents with high incidence disabilities: Parental perspectives. Exceptional Children, 69(2), 163–179. Laws, G., Bates, G., Feuerstein, M., Mason-Apps, E., and White, C. (2012). Peer acceptance of children with language and communication impairments in a mainstream primary school: associations with type of language difficulty, problem behaviours and a change in placement organization. Child Language Teaching and Therapy, 28, 73–86. doi: 10.1177/0265659011419234
  39. Leary, M. R., Tambor, E. S., Terdal, S. K., & Downs, D. L. (1995). Self-esteem as an Interpersonal monitor: The sociometer hypothesis. Journal of Personality and Social Psychology, 68(3), 518-530. doi:10.1037/0022-3514.68.3.518
  40. Lewis, B. A., Freebairn, L. A., & Taylor, H. G. (2000). Academic outcomes in children with histories of speech sound disorders. Journal of Communication Disorder, 33, 11-30.
  41. Lewis, B. A., Patton, E., Freebairn, L. A., Tag, J., Iyengar, S. K., Stein, C. M., & Taylor, H. G. (2016). Psychosocial co-morbidities in adolescents and adults with histories of communication disorders. Journal of Communication Disorders, 61, 60-70.
  42. Lindsay, G., Dockrell, J., Letchford, B., & Mackie, C. (2002). Self esteem of children with specific speech and language difficulties. Child Language Teaching and Therapy, 18(2), 125–143.
  43. Longobardi, E., Spataro, P., Frigerio, A., & Rescorla, L. A. (2016). Language and social competence in typically developing children and and late talkers between 18 and 35 months of age. Early Child Development and Care, 186(3), 1–17. 10.1080/03004430.2015.1039529.
  44. Longoria, A. Q., Page, M. C., Hubbs-Tait, L., & Kennison, S. M. (2008). Relationship between kindergarten children’s language ability and social competence. Early Child Develpment and Care, 1–10. 10.1080/03004430701590241.
  45. Lucas, D. R., Weiss, A. L., & Hall, P. K. (1993). Assessing referential communication skills: The use of a non-standardized assessment procedure. Journal of Childhood
  46. Communication Disorders, 15, 25-34.
  47. McCormack, J., McCleod, S., McAllister, L., & Harrison, L. J. (2009). A systematic review of the association between childhood speech impairment and participation across the lifespan. International Journal of Speech-Language Pathology, 11, 155-170.
  48. Menting, B., van Lier, P. A. C., & Koot, H. M. (2011). Language skills, peer rejection, and the development of externalizing behavior from kindergarten to fourth grade. Journal of Child Psychology and Psychiatry, 52(1), 72–79. 10.1111/j.1469- 7610.2010.02279.x.
  49. Mok, P. L. H., Pickles, A., Durkin, K., and Conti-Ramsden, G. (2014). Longitudinal trajectories of peer relations in children with specific language impairment. Journal of Child Psychology. Psychiatry Allied Discipline, 55, 516–527. doi: 10.1111/jcpp.12190
  50. Novom, R. I. (2017). Self-esteem and Social Anxiety in Children with Communication Impairments. Scripps Senior Theses, 968.
  51. Overby, M., Carrell, T., & Bernthal, J. (2007). Teachers’ perceptions of students with speech sound disorders: A quantitative and qualitative analysis. Language, Speech, and Hearing Services in Schools, 38, 327-341.
  52. Pinto, J. C., do Ceu Taveira, M., Candeias, A., Araujoa, A., & Mota, A. I. (2012). Procedia –Social and Behavioral Sciences, 69, 271–278. doi:10.1016/j.sbspro.2012.11.409.
  53. Rannard, A., Glenn, S. (2009). Self‐esteem in children with speech and language impairment: an exploratory study of transition from language units to mainstream school. Early Childhood Development and Care, 179(3), 369-380. doi: 10.1080/03004430601121170
  54. Rose, E., Lehrl, S., Ebert, S., & Weinert, S. (2018). Long-term relations between children’s language, the home literacy environment, and socioemotional development from ages 3 to 8. Early Education and Development, 29(3), 342–356. 10.1080/10409289.2017.1409096.
  55. Rose-Krasnor, L. (1997). The nature of social competence: A theoretical review. Social Development, 6(1), 111–135. 10.1111/j.1467-9507.1997.tb00097.x.
  56. Stothard, S., Snowling, M., Bishop, D.V.M. , Chipchase, B., Kaplan, C. (1998). Language Impaired Preschoolers: A follow-up into adolescence. Journal of Speech, Language and Hearing Research, 41, 407-418.
  57. Stowe, R. M., Arnold, D. H., & Ortiz, C. (2000). Gender differencs in the relationship of language development to disruptive behavior and peer relationships in preschoolers. Journal of Applied Developmental Psychology, 20(4), 521–536. 10.1016/S0193-3973(99)00024-6.
  58. Teverovsky, E. G., Bickel, J. O., & Feldman, H. M. (2009). Functional characteristics of children diagnosed with Childhood Apraxia of Speech. Disability and Rehabilitation, 31, 94- 102.
  59. The jamovi project (2023). jamovi (Version 1.4) [Computer software]. Accesat la
  60. von Grünigen, R., Perren, S., Nägele, C., & Alsaker, F. D. (2010). Immigrant children’s peer acceptance and victimization in kindergarten: The role of local language competence. British Journal of Developmental Psychology, 28, 679-697.
  61. Weinert, F. E. (2001). Concept of competence: A conceptual clarifi cation. In D. S. Rychen & L. H. Salganik (Eds.), Defining and selecting key competencies (pp. 45–65). Hogrefe & Huber.

How to Cite

Ciobanu, D. E. (2023). Social Competence and Self-Esteem in Preschool Children with CAS: Childhood Apraxia of Speech. Studia Doctoralia, 14(1), 32–45.