Longitudinal Study of Expressive Language and Speech of Twins at 3 and 5 Years: Outgrowing a Twinning Effect

J Speech Lang Hear Res. 2019 Jul 15;62(7):2425-2437. doi: 10.1044/2019_JSLHR-L-18-0333. Epub 2019 Jun 27.

Abstract

Purpose This study examines the expressive language and speech of twins, relative to singletons, at 3 and 5 years, with the aim of determining if a twinning effect occurs during this developmental period. The possibility of twins outgrowing a twinning effect was investigated. Method A weighted population-based sample of 185 twins and 1,309 closely spaced singletons who participated in the Growing Up in Ireland study was analyzed. Their development was compared using a standardized expressive vocabulary assessment and parent interview at 3 and 5 years as well as teacher reports at 5 years. Causal steps mediation analyses were subsequently conducted to determine if gestation and birth weight mediated twin-singleton differences in expressive vocabulary development. Results Twins' expressive vocabulary scores were slightly lower than those of singletons at 3 years, but there was no significant difference at 5 years. More parents of twins reported "a little" concern about their child's expressive language and speech skills at 3 years, although there was no significant twin-singleton difference 2 years later. Teachers' ratings of twins' and singletons' expressive language and speech skills at 5 years were comparable. Shorter gestations and lower birth weights mediated twins' lower expressive vocabulary scores at 3 years. Conclusions A very small twinning effect on expressive vocabulary development exists at 3 years and is outgrown by 5 years. Twins born after shorter gestations or at a lower birth weight are at an increased risk of having less developed expressive vocabulary skills at 3 years.

Publication types

  • Research Support, Non-U.S. Gov't
  • Twin Study

MeSH terms

  • Birth Weight / physiology
  • Child, Preschool
  • Female
  • Gestational Age
  • Humans
  • Language Development*
  • Language Tests
  • Language*
  • Male
  • Prospective Studies
  • Speech / physiology
  • Speech Disorders / physiopathology
  • Twins
  • Vocabulary