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Year : 2019  |  Volume : 8  |  Issue : 8  |  Page : 2747  

Child neglect and inadequate stimulation related to speech and language delay

Saint James School of Medicine, Department of Medicine, 1480 Renaissance Drive, Park Ridge, IL, USA

Date of Submission18-Jun-2019
Date of Decision19-Jun-2019
Date of Acceptance12-Jul-2019
Date of Web Publication28-Aug-2019

Correspondence Address:
Denelle Mohammed
Saint James School of Medicine, 1480 Renaissance Drive, Suite 300, Park Ridge, IL 60068
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_470_19

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How to cite this article:
Mohammed D. Child neglect and inadequate stimulation related to speech and language delay. J Family Med Prim Care 2019;8:2747

How to cite this URL:
Mohammed D. Child neglect and inadequate stimulation related to speech and language delay. J Family Med Prim Care [serial online] 2019 [cited 2020 Jul 2];8:2747. Available from: http://www.jfmpc.com/text.asp?2019/8/8/2747/265599

Dear Editor,

The article entitled “Speech and Language Delay in Children: Prevalence and Risk Factors” was quite illuminating. The article is obviously correct about proper speech being a marker for the development of a child's intellect. The author touched on several factors that were related to speech and language delay with inadequate stimulation from the environmental category being a statistically significant risk factor. Inadequate stimulation is also linked to child neglect, child abuse, or child maltreatment, which are sometimes considered to be synonymous with each other and is in fact a by-product of it. I believe that it would have been beneficial for the authors to mention child neglect as even a subheading of inadequate stimulation and elucidate lightly on the fact that exposure to childhood neglect necessitates interventions that are specific to neglected children.[1] Several studies have found that specialized services related to speech pathology and cooperation of children and adults working together via integration of remediation in the parent–child relationship is of paramount importance to improvement.[2] Different forms of child neglect are prevalent in Indian society and this is of paramount importance as almost half of the population, i.e., approximately 41%, is under the age of 18.[3] As a result, it would have been beneficial to include this under the designation of inadequate stimulation.

In addition, this is of particular relevance to primary care physicians because family physicians are usually the first and extended contact with children throughout their life. Some studies have found that awareness of identifying the disorder and determining the necessary follow-up steps are mostly on the positive side in primary care, while others have found that some family physicians are unaware of reporting protocol and the subsequent personalized therapeutic interventions.[4] As a result, this can hamper a child's future as speech issues secondary to childhood neglect necessitates very particular therapy, as mentioned above, and fixing one without the other can be pernicious to the development of a child's intellect. Another reason indicating the importance of this topic in primary care is that family physicians can implement questionnaires such as the Language Development Survey, Reynell Receptive and Expressive Language Scales and Strengths and Difficulties Questionnaires that have been researched as being successful as a screening tool for language and speech development quite easily in the office setting. This can allow for better rapport with patients as it prevents premature referral to a specialist.[5]

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Conflicts of interest

There are no conflicts of interest.

  References Top

Marshall J, Harding S, Roulstone S. Language development, delay and intervention—The views of parents from communities that speech and language therapy managers in England consider to be under-served. J Lang Commun Disord 2017;52:489-500.  Back to cited text no. 1
Sylvestre A, Bussières ÈL, Bouchard C. Language problems among abused and neglected children: A meta-analytic review. Child Maltreat 2016;21:47-58.  Back to cited text no. 2
Seth R. Child abuse and neglect in India. Indian J Pediatr 2015;82:707-14.  Back to cited text no. 3
Alsaleem SA, Alsaleem MA, Asiri AM, Alkhidhran SS, Alqahtani WS, Alzahrani MS, et al. Knowledge and attitude regarding child abuse among primary health care physician in Abha, Saudi Arabia, 2018. J Family Med Prim Car 2019;8:706.  Back to cited text no. 4
Sim F, Thompson L, Marryat L, Ramparsad N, Wilson P. Predictive validity of preschool screening tools for language and behavioural difficulties: A PRISMA systematic review. PloS One 2019;14:e0211409.  Back to cited text no. 5


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