PMID- 36114685 OWN - NLM STAT- MEDLINE DCOM- 20230206 LR - 20230413 IS - 1469-7610 (Electronic) IS - 0021-9630 (Print) IS - 0021-9630 (Linking) VI - 64 IP - 3 DP - 2023 Mar TI - Prevalence and functional impact of social (pragmatic) communication disorders. PG - 376-387 LID - 10.1111/jcpp.13705 [doi] AB - BACKGROUND: The aim of this study was to evaluate the Children's Communication Checklist-2 (CCC-2) for measuring social-pragmatic communication deficits and to ascertain their prevalence and functional impact in a community sample. METHODS: We used parent and teacher responses to the CCC-2 to approximate inclusion (poor social-pragmatic skills) and exclusion (poor structural language skills or autistic symptomatology) criteria for social (pragmatic) communication disorder (SPCD). We tested the prevalence of social-pragmatic deficits in a population-based sample of children (n = 386) aged 5-6 years old using CCC-2 algorithms. We also investigated the academic and behavioural profiles of children with broadly defined limitations in social-pragmatic competence on the CCC-2. RESULTS: Regardless of the diagnostic algorithm used, the resulting prevalence rates for social-pragmatic deficits indicated that very few children had isolated social-communication difficulties (0-1.3%). However, a larger proportion of children (range: 6.1-10.5%) had social-pragmatic skills outside the expected range alongside structural language difficulties and/or autism spectrum symptoms, and this profile was associated with a range of adverse academic and behavioural outcomes. CONCLUSIONS: A considerable proportion of children in the early years of primary school has social-pragmatic deficits that interfere with behaviour and scholastic activity; however, these rarely occur in isolation. Exclusionary criteria that include structural language may lead to underidentification of individuals with social-pragmatic deficits that may benefit from tailored support and intervention. CI - (c) 2022 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. FAU - Saul, Jo AU - Saul J AUID- ORCID: 0000-0002-8498-2851 AD - University College London, London, UK. FAU - Griffiths, Sarah AU - Griffiths S AUID- ORCID: 0000-0002-0720-4511 AD - University College London, London, UK. FAU - Norbury, Courtenay Frazier AU - Norbury CF AUID- ORCID: 0000-0002-5101-6120 AD - University College London, London, UK. AD - Department of Special Needs Education, University of Oslo, Oslo, Norway. LA - eng GR - WT094836AIA/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220916 PL - England TA - J Child Psychol Psychiatry JT - Journal of child psychology and psychiatry, and allied disciplines JID - 0375361 SB - IM MH - Child MH - Humans MH - Child, Preschool MH - Prevalence MH - *Communication Disorders/epidemiology MH - *Autistic Disorder/diagnosis MH - Language MH - Communication MH - *Language Development Disorders/epidemiology/diagnosis PMC - PMC10087005 OTO - NOTNLM OT - Social-communication disorder OT - language OT - pragmatics EDAT- 2022/09/18 06:00 MHDA- 2023/02/07 06:00 PMCR- 2023/04/11 CRDT- 2022/09/17 02:12 PHST- 2022/08/24 00:00 [accepted] PHST- 2022/09/18 06:00 [pubmed] PHST- 2023/02/07 06:00 [medline] PHST- 2022/09/17 02:12 [entrez] PHST- 2023/04/11 00:00 [pmc-release] AID - JCPP13705 [pii] AID - 10.1111/jcpp.13705 [doi] PST - ppublish SO - J Child Psychol Psychiatry. 2023 Mar;64(3):376-387. doi: 10.1111/jcpp.13705. Epub 2022 Sep 16.