{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:47:37Z","timestamp":1780372057194,"version":"3.54.1"},"reference-count":55,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Phonological developmental speech sound disorders (pDSSD) in childhood are often associated with later difficulties in literacy acquisition. The present study is a follow-up of the randomized controlled trial (RCT) on the effectiveness of PhonoSens, a treatment for pDSSD that focuses on improving auditory self-monitoring skills and categorial perception of phoneme contrasts, which could have a positive impact on later spelling development. Our study examines the spelling abilities of 26 German-speaking children (15 girls, 11 boys; mean age 10.1 years, range 9.3\u201311.2 years) 3\u20136 years after their successful completion of the PhonoSens treatment. Spelling assessment revealed that only 3 out of 26 participants developed a spelling disorder. In the overall population of fourth-graders, one in five children showed a spelling deficit; in another study of elementary school children, with resolved pDSSD, 18 of 32 children had a spelling deficit. Thus, the applied pDSSD treatment method appears to be associated with positive spelling development. Multiple regression analysis revealed that among the potentially predictive factors for German-speaking children with resolved pDSSD to develop later spelling difficulties, parental educational level and family risk for developmental language disorder (DLD) had an impact on children\u2019s spelling abilities; gender and the child\u2019s phonological memory had not.<\/jats:p>","DOI":"10.3390\/children10071154","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T16:06:37Z","timestamp":1688141197000},"page":"1154","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Spelling Proficiency of Children with a Resolved Phonological Speech Sound Disorder Treated with an Integrated Approach\u2014A Long-Term Follow-Up Randomized Controlled Trial"],"prefix":"10.3390","volume":"10","author":[{"given":"Denise I.","family":"Siemons-L\u00fchring","sequence":"first","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lie E.","family":"Hesping","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald A.","family":"Euler","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"},{"name":"Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstra\u00dfe 1A, 04103 Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinna","family":"Gietmann","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Suchan","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuropsychology, Ruhr-University of Bochum, Universit\u00e4tsstra\u00dfe 150, 44801 Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3975-0736","authenticated-orcid":false,"given":"Katrin","family":"Neumann","sequence":"additional","affiliation":[{"name":"Department of Phoniatrics and Pedaudiology, University Hospital M\u00fcnster, University of M\u00fcnster, Malmedyweg 13, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1017\/S0021963099005284","article-title":"Precursors of literacy delay among children at genetic risk of dyslexia","volume":"41","author":"Gallagher","year":"2000","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1111\/jcpp.13140","article-title":"Dyslexia and Developmental Language Disorder: Comorbid disorders with distinct effects on reading comprehension","volume":"61","author":"Snowling","year":"2020","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_3","unstructured":"(2023, May 07). Available online: https:\/\/www.asha.org\/Practice-Portal\/Clinical-Topics\/Written-Language-Disorders\/#collapse_8."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1044\/1092-4388(2011\/10-0155)","article-title":"A nationally representative study of the association between communication impairment at 4\u20135 years and children\u2019s life activities at 7\u20139 years","volume":"54","author":"McCormack","year":"2011","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_5","unstructured":"Dodd, B. (2005). Differential Diagnosis and Treatment of Children with Speech Disorder, Whurr. [2nd ed.]."},{"key":"ref_6","unstructured":"Snowling, M., and Stackhouse, J. (2006). Dyslexia, Speech and Language: A Practitioner\u2019s Handbook, Wiley & Sons Ltd."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.learninstruc.2013.09.003","article-title":"Cognitive mechanisms underlying reading and spelling development in five European orthographies","volume":"29","author":"Moll","year":"2014","journal-title":"Learn. Instr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/jcpp.12648","article-title":"When does speech disorder matter for literacy? The role of disordered speech errors, co-occuring language impairment and family risk of dyslexia","volume":"58","author":"Carroll","year":"2017","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1177\/002221940003300504","article-title":"Follow-up of children with early expressive phonology disorders","volume":"33","author":"Lewis","year":"2000","journal-title":"J. Learn. Disabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1044\/1092-4388(2009\/08-0024)","article-title":"What influences literacy outcome in children with speech sound disorder?","volume":"52","author":"Peterson","year":"2009","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/S0010-0277(97)00005-X","article-title":"The impact of orthographic consistency on dyslexia: A German-English comparison","volume":"63","author":"Landerl","year":"1997","journal-title":"Cognition"},{"key":"ref_12","unstructured":"Stanat, P., Schipolowski, S., Rjosk, C., Weirich, S., and Haag, N. (2017). IQB-Bildungstrend 2016 [German Comparative Education Report Study 2016], Waxmann."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Perfetti, C.A., Rieben, L.L., and Fayol, M. (1997). Learning to Spell: Research, Theory, and Practice across Languages, Lawrence Erlbaum Associates.","DOI":"10.4324\/9781410604583"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1037\/0022-0663.94.2.272","article-title":"Dysfluent reading in absence of spelling difficulties: A specific disability in regular orthographies","volume":"94","author":"Wimmer","year":"2002","journal-title":"J. Educ. Psychol."},{"key":"ref_15","unstructured":"Bishop, D.V.M., and Leonard, L.B. (2000). Speech and Language Impairments in Children: Causes, Characteristics, Intervention and Outcome, Psychology Press."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/j.1469-7610.2007.01763.x","article-title":"Very early phonological and language skills: Estimating individual risk of reading disability","volume":"48","author":"Puolakanaho","year":"2007","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1046\/j.0021-9630.2003.00305.x","article-title":"Specific reading disability (dyslexia): What have we learned in the past four decades?","volume":"45","author":"Vellutino","year":"2004","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.lindif.2007.04.001","article-title":"Deconstructing rapid automatized naming: Component processes and the prediction of reading difficulties","volume":"17","author":"Savage","year":"2007","journal-title":"Learn. Individ. Differ."},{"key":"ref_19","first-page":"19","article-title":"Developmental dyslexia, learning and the cerebellum","volume":"69","author":"Nicolson","year":"2005","journal-title":"J. Neural Transm. Suppl."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1037\/0882-7974.19.1.79","article-title":"Implicit sequence learning: Effects of level of structure, adult age, and extended practice","volume":"19","author":"Howard","year":"2004","journal-title":"Psychol. Aging"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/S0028-3932(02)00082-9","article-title":"Implicit learning deficit in children with developmental dyslexia","volume":"41","author":"Vicari","year":"2003","journal-title":"Neuropsychologia"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1037\/neu0000194","article-title":"Probabilistic category learning in developmental dyslexia: Evidence from feedback and paired-associate weather prediction tasks","volume":"29","author":"Gabay","year":"2015","journal-title":"Neuropsychology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1177\/09567976231151581","article-title":"Impaired and Spared Auditory Category Learning in Developmental Dyslexia","volume":"34","author":"Gabay","year":"2023","journal-title":"Psychol. Sci."},{"key":"ref_24","first-page":"1843","article-title":"Spelling Acquisition in English and Italian: A Cross-Linguistic Study","volume":"8","author":"Marinelli","year":"2015","journal-title":"Front. Psychol."},{"key":"ref_25","unstructured":"May, P. (2013). Hamburger Schreib-Probe (HSP). Diagnose Orthografischer Kompetenz [Spelling Test for Diagnosis of Orthographic Skills], Verlag f\u00fcr P\u00e4dagogische Medien."},{"key":"ref_26","first-page":"254","article-title":"LRS bei Kindern mit \u00fcberwundenen phonologischen Aussprachest\u00f6rungen [Dyslexia in children with resolved speech sound disorders]","volume":"22","author":"Schnitzler","year":"2014","journal-title":"Logos"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1055\/s-0035-1545270","article-title":"Schriftsprache und phonologische Verarbeitung bei Grundschulkindern mit im Vorschulalter \u00fcberwundenen phonologischen Aussprachest\u00f6rungen [Written language and phonological processing in elementary school children with phonological pronunciation disorders overcome at preschool age]","volume":"39","author":"Schnitzler","year":"2015","journal-title":"Sprache-Stimme-Geh\u00f6r"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.neuropsychologia.2017.11.018","article-title":"Longitudinal interactions between brain and cognitive measures on reading development from 6 months to 14 years","volume":"108","author":"Lohvansuu","year":"2018","journal-title":"Neuropsychologia"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.dcn.2016.11.007","article-title":"Phonological abilities in literacy-impaired children: Brain potentials reveal deficient phoneme discrimination, but intact prosodic processing","volume":"23","author":"Schaadt","year":"2017","journal-title":"Dev. Cogn. Neurosci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.ridd.2015.10.002","article-title":"Present and past: Can writing abilities in school children be associated with their auditory discrimination capacities in infancy?","volume":"47","author":"Schaadt","year":"2015","journal-title":"Res. Dev. Disabil."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1016\/j.clinph.2019.05.018","article-title":"Phonemes, words, and phrases: Tracking phonological processing in pre-schoolers developing dyslexia","volume":"130","author":"Schaadt","year":"2019","journal-title":"Clin. Neurophysiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1044\/1092-4388(2004\/031)","article-title":"The development of early literacy skills among children with speech difficulties: A test of the \u201ccritical age hypothesis\u201d","volume":"47","author":"Nathan","year":"2004","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_33","unstructured":"Dodd, B. (2013). Differential Diagnosis and Treatment of Children with Speech Sound Disorders, Whurr."},{"key":"ref_34","unstructured":"Neumann, K., Kauschke, C., L\u00fcke, C., Fox-Boyer, A., Sallat, S., Bolotina, A., Euler, H.A., Kiese-Himmel, C., Members of the Guideline Group, and Deutsche Gesellschaft f\u00fcr Phoniatrie und P\u00e4daudiologie (DGPP) (2022). Therapie von Sprachentwicklungsst\u00f6rungen. Interdisziplin\u00e4re S3-Leitlinie [Treatment of Developmental Language Disorders. Interdisciplinary S3 Guideline], AWMF. Available online: https:\/\/register.awmf.org\/de\/leitlinien\/detail\/049-015."},{"key":"ref_35","unstructured":"Dodd, B. (2005). Differential Diagnosis and Treatment of Children with Speech Disorder, Whurr. [2nd ed.]."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1023\/A:1015237202592","article-title":"Correlates of spelling abilities in children with early speech sound disorders","volume":"15","author":"Lewis","year":"2002","journal-title":"Read. Writ."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1044\/1092-4388(2001\/032)","article-title":"Perceptual discrimination of speech sounds in developmental dyslexia","volume":"44","author":"Serniclaes","year":"2001","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_38","unstructured":"Dodd, B. (1995). Differential Diagnosis and Treatment of Speech Disordered Children, Whurr."},{"key":"ref_39","first-page":"9819","article-title":"Motor representations of articulators contribute to categorical perception of speech sounds","volume":"5","author":"Watkins","year":"2009","journal-title":"J. Neurosci."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1044\/jshd.5402.193","article-title":"Perception of voiceless fricatives by children with a functional articulation disorder","volume":"54","author":"Rvachew","year":"1989","journal-title":"J. Speech Hear. Disord."},{"key":"ref_41","unstructured":"Fox-Boyer, A.V. (2016). Kindliche Aussprachest\u00f6rungen [Speech Sound Disorders in Children], Schulz-Kirchner."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"12303","DOI":"10.1073\/pnas.1710752114","article-title":"Cooperative cortical network for categorical processing of Chinese lexical tone","volume":"46","author":"Si","year":"2017","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1044\/2016_JSLHR-L-15-0306","article-title":"The role of categorical speech perception and phonological processing in familial risk children with and without dyslexia","volume":"59","author":"Hakvoort","year":"2016","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1044\/1092-4388(2009\/08-0133)","article-title":"Perception of phonemic length and its relation to reading and spelling skills in children with family risk for dyslexia in the first three grades of school","volume":"53","author":"Pennala","year":"2010","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1111\/jcpp.12091","article-title":"Preschool language profiles of children at family risk of dyslexia: Continuities with specific language impairment","volume":"54","author":"Nash","year":"2013","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1002\/dys.357","article-title":"Phonological working memory in German children with poor reading and spelling abilities","volume":"14","author":"Steinbrink","year":"2008","journal-title":"Dyslexia"},{"key":"ref_47","unstructured":"Grimm, H. (2001). SETK 3\u20135. Sprachentwicklungstest f\u00fcr Drei- Bis F\u00fcnfj\u00e4hrige Kinder [Speech Development Test for 3- to 5-Year-Old Children], Hogrefe."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1111\/j.1467-9280.2008.02213.x","article-title":"Parental education moderates genetic influences on reading disability","volume":"19","author":"Friend","year":"2008","journal-title":"Psychol. Sci."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Siemons-L\u00fchring, D.I., Euler, H.A., Mathmann, P., Suchan, B., and Neumann, K. (2021). The effectiveness of an integrated treatment for functional speech sound disorders\u2014A randomized controlled trial. Children, 8.","DOI":"10.3390\/children8121190"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Joshi, R.M., and Leong, C.K. (1993). Reading Disabilities: Diagnosis and Component Processes, Springer.","DOI":"10.1007\/978-94-011-1988-7"},{"key":"ref_51","unstructured":"Deutsche Gesellschaft f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, [German Society for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy] (2015). Diagnostik und Behandlung von Kindern und Jugendlichen Mit Lese- und\/oder Rechtschreibst\u00f6rung. Evidenz- und Konsensbasierte Leitlinie (S3) [Diagnostics and Treatment of Children and Adolescents with Reading and\/or Spelling Disorders. Evidence- and Consensus-Based Guideline (S3)], AWMF. Available online: https:\/\/register.awmf.org\/de\/leitlinien\/detail\/028-044."},{"key":"ref_52","unstructured":"Press Office Information and Technology North Rhine-Westphalia (2019, May 05). \u00dcberg\u00e4nger\/-Innen von Einer Grundschule in Eine Weiterf\u00fchrende Schule Nordrhein-Westfalens [Transition from a Primary School to a Secondary School in North Rhine-Westphalia]. Available online: https:\/\/www.it.nrw\/sites\/default\/files\/atoms\/files\/192_18.pdf."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"922866","DOI":"10.3389\/fpsyg.2022.922866","article-title":"Effect of language therapy alone for developmental language disorder in children: A meta-analysis","volume":"3","author":"Fan","year":"2022","journal-title":"Front. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1159\/000499426","article-title":"Psycholinguistic framework for diagnosis and treatment planning of developmental speech disorders","volume":"71","author":"Terband","year":"2019","journal-title":"Folia Phoniatr. Logop."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1044\/jshr.3706.1341","article-title":"A 28-year follow-up of adults with a history of moderate phonological disorder: Educational and occupational results","volume":"37","author":"Felsenfeld","year":"1994","journal-title":"J. Speech Hear. Res."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/7\/1154\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:04:16Z","timestamp":1760126656000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/7\/1154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":55,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["children10071154"],"URL":"https:\/\/doi.org\/10.3390\/children10071154","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}