Assessment & Research

Syntactic Ability of Girls With Fragile X Syndrome: Phonological Memory and Discourse Demands on Complex Sentence Use.

Kover et al. (2019) · American journal on intellectual and developmental disabilities 2019
★ The Verdict

Girls with fragile X can handle tricky grammar but speak in shorter bursts when memory is busy.

✓ Read this if BCBAs writing narrative or syntax goals for school-age girls with FXS.
✗ Skip if Clinicians who only serve boys or adults with FXS.

01Research in Context

01

What this study did

Brodhead et al. (2019) asked girls with fragile X syndrome to tell a story. They checked if the girls used complex sentences and how long each sentence was.

The team also gave short memory games. They wanted to see if memory load changed how fancy the grammar got.

02

What they found

The girls used complex grammar at the right age level. Yet their average sentence length was shorter than expected.

When the story task taxed memory more, sentence length dropped even more. Memory scores tracked with how rich the grammar became.

03

How this fits with other research

Matson et al. (2013) saw the same thing in boys with FXS. Non-verbal IQ, not diagnosis, drove micro-structure. The new girl data match that pattern and add memory as a second factor.

Bao et al. (2017) found youth with Down syndrome used fewer inferential sentences. Both studies tie weaker syntax to extra task load, showing the trend crosses diagnoses.

Kuo et al. (2002) showed family environment did not boost IQ in FXS girls. T et al. now show syntax stays on track too, hinting that language hardware in FXS girls is fairly stable; short sentences come from processing limits, not broken rules.

04

Why it matters

You can expect girls with FXS to understand and produce complex grammar. Do not simplify your language. Instead, cut memory load: break directions into chunks, give visual cues, and allow extra response time. Target working-memory games alongside language goals to help longer sentences come out naturally.

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→ Action — try this Monday

Give one story prompt, then show three picture cues one at a time to lower memory load and watch longer sentences emerge.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
33
Population
other
Finding
mixed

03Original abstract

This study was designed to establish the extent of delay in complex sentence use by females with fragile X syndrome (FXS) and to identify sources of variability among individuals. Females with FXS (n = 16; 10;2-15;7) and younger typically developing girls (n = 17; 4;1-8;11) were group-wise matched on nonverbal cognition and receptive syntax. Language samples (conversation and narration) yielded syntactic complexity in terms of mean length of C-unit (MLCU) and Developmental Level sentence coding (DLevel; Rosenberg & Abbeduto, 1987 ). Complex syntax was not weaker than developmental expectations; however, MLCU was lower than expected for age. Phonological memory and verbal working memory correlated with measures of syntactic complexity in narration. Discourse demands may play an important role in the language produced by females with FXS.

American journal on intellectual and developmental disabilities, 2019 · doi:10.1186/1866-1955-6-30