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Child Development, September/October 2014, Volume 85, Number 5, Pages 1898–1914

Early Communicative Gestures Prospectively Predict Language Development


and Executive Function in Early Childhood
Laura J. Kuhn and Michael T. Willoughby Makeba Parramore Wilbourn
UNC-Chapel Hill Duke University

Lynne Vernon-Feagans Clancy B. Blair


UNC-Chapel Hill New York University

The Family Life Project Key Investigators

Using an epidemiological sample (N = 1,117) and a prospective longitudinal design, this study tested the direct
and indirect effects of preverbal and verbal communication (15 months to 3 years) on executive function (EF)
at age 4 years. Results indicated that whereas gestures (15 months), as well as language (2 and 3 years), were
correlated with later EF (φs ≥ .44), the effect was entirely mediated through later language. In contrast, lan-
guage had significant direct and indirect effects on later EF. Exploratory analyses indicated that the pattern of
results was comparable for low- and not-low-income families. The results were consistent with theoretical
accounts of language as a precursor of EF ability, and highlighted gesture as an early indicator of EF.

The nature of the relation between language and examined how verbal scaffolding and shared com-
cognition and how it develops during childhood munication assisted children in achieving cognitive
has been debated for centuries. Researchers have milestones. These scholars advanced our under-
been keenly interested in the link between gesture standing about what skills precede certain cognitive
and language (Bates, Thal, & Marchman, 1991; Iver- abilities. The current study continues with this line
son & Thelen, 1999), as well as the influence of lan- of inquiry by considering the prospective associa-
guage on a variety of cognitive abilities (Goldstein, tions between children’s gesture use, emerging lan-
Davidoff, & Roberson, 2009; Spaepen, Coppola, guage ability, and a specific dimension of cognitive
Spelke, Carey, & Goldin-Meadow, 2011). Histori- development—executive function (EF).
cally, Piaget’s (1962) research in gestural complex- Recent research has demonstrated that language,
ity, symbolic play, and cognitive milestones specifically the timing of certain linguistic mile-
suggested a common origin for linguistic and non- stones, is associated with the development of
linguistic symbols. Others, like Vygotsky (1962), numerous cognitive abilities, including children’s
conceptualization of objects, spatial relations, and
Support for this research was provided by the National Insti- numbers. For instance, infants as young as 12–
tute of Child Health and Human Development Grants R01 13 months can use words to facilitate their object
HD51502 and P01 HD39667, with cofunding from the National category formation (Waxman & Markow, 1995).
Institute on Drug Abuse. The Family Life Project (FLP) Phase I
Key Investigators include: Lynne Vernon-Feagans, The University Between 18 and 22 months, children can use verbal
of North Carolina; Martha Cox, The University of North Carolina; information to update or reorganize their represen-
Clancy Blair, The Pennsylvania State University; Peg Burchinal, tations of absent objects (Ganea, Shutts, Spelke, &
The University of North Carolina; Linda Burton, Duke University;
Keith Crnic, The Arizona State University; Ann Crouter, The DeLoache, 2007), object locations (Ganea & Harris,
Pennsylvania State University; Patricia Garrett-Peters, The Uni- 2013), and spatial relations (Casasola, Wilbourn, &
versity of North Carolina; Mark Greenberg, The Pennsylvania Yang, 2006). During the preschool years, lan-
State University; Stephanie Lanza, The Pennsylvania State Uni-
versity; Roger Mills-Koonce, The University of North Carolina; guage also plays a role in children’s numerical
Emily Werner, The Pennsylvania State University; and Michael understanding (Geary, Bow-Thomas, Liu, & Siegler,
Willoughby, The University of North Carolina. We would also
like to thank Kathleen Gallagher, Vrinda Kalia, and the Wild
Writing Group for their helpful comments on the manuscript.
Correspondence concerning this article should be addressed to © 2014 The Authors
Laura Kuhn, FPG Child Development Institute, UNC-CH, Cam- Child Development © 2014 Society for Research in Child Development, Inc.
pus Box 8185, 521 South Greensboro Street, Carrboro, NC 27510. All rights reserved. 0009-3920/2014/8505-0013
Electronic mail may be sent to kuhn@unc.edu. DOI: 10.1111/cdev.12249
Gestures Predict Language and Executive Function 1899

1996) and in the development of higher order cogni- ken words (e.g., “ball”) predicts the age at which
tive abilities, like theory of mind (ToM; de Villiers & they will produce two-word utterances (Iverson &
Pyers, 2002). For instance, Schick and colleagues Goldin-Meadow, 2005). This robust relation between
(Schick, de Villiers, de Villiers, & Hoffmeister, 2007) infants’ early gesture use and later language develop-
found that deaf children who did not have experi- ment has led many scholars to conclude that infants’
ence with a formal language, like American Sign early deictic gestures (e.g., point, give, show) provide
Language, exhibited significant delays in ToM. They the foundation by which oral linguistic communica-
argue that children’s experience with syntax (e.g., tion is built (Bates, O’Connell, & Shore, 1987; Goldin-
complement clauses), from a formal language, pro- Meadow, 2007; Iverson & Goldin-Meadow, 2005).
moted the ability to adapt multiple representations, Children’s points may facilitate their language
one’s own view, and the view of another (Schick learning in several ways. Werner and Kaplan (1963)
et al., 2007). Taken together, these findings provide contend that, in addition to singling out objects and
compelling evidence to suggest that language may directing others’ attention, infants’ communicative
afford children the ability to think in certain ways pointing denotes an important first step toward true
that advance perceptual and cognitive development. symbolic understanding. The link between early
pointing and symbolic understanding may develop
because points often elicit clear labels or referent-
Communicative Gestures and Language
specific language from caregivers (Goldin-Meadow,
Months before infants utter their first words, 2007), increasing infants’ exposure to word–object
they communicate with caregivers via gestures relations. Infants’ ability to rapidly learn word–
(Acredolo, Goodwyn, & Brown, 2000; Blake, 2000). object associations (i.e., “goes with”) has been
Communicative gesture use emerges as early as argued to be a necessary precursor to understanding
8–10 months, typically in the form of giving, show- that words are symbols or “stand for” objects (Ovi-
ing, or pointing to objects (Bates, Benigni, Brether- att, 1980; Werker, Cohen, Lloyd, Casasola, & Stager,
ton, Camaioni, & Volterra, 1979). These deictic 1998). Therefore, by increasing infants’ exposure to
gestures are considered intentional communication word–object pairings, infants’ pointing may ulti-
and are most often used to direct and maintain mately facilitate their transition from “goes with” to
caregivers’ attention to a particular object or refer- a “stands for” understanding of word–object rela-
ent (Bates et al., 1979). Moreover, these gestures tions (Blake, 2000). This suggestion is supported by
both predate and predict infants’ oral language research indicating that several months after infants
skills (Colonnesi, Stams, Koster, & Noom, 2010; begin using deictic gestures, they begin to spontane-
Goldin-Meadow, 2007). In fact, infants’ deictic ges- ously produce symbolic or representational gestures
tures have proved to be more reliable predictors of (Acredolo & Goodwyn, 1990; Blake, 2000). These
their later language development than the oral symbolic gestures (e.g., flapping hands to represent
language input they receive from caregivers (Rowe, “bird”) are decontexualized from the referent and

Ozçalışkan, & Goldin-Meadow, 2008), illustrating are used to represent an object that may or may not
just how influential these gestures are in children’s be present (Blake, 2000; Werner & Kaplan, 1963).
language development. In typically developing infants, symbolic gesture
Numerous studies have demonstrated that use emerges between the ages of 13 and 16 months.
infants’ early pointing gestures predict their first Given the complementary function symbolic ges-
words, the size of their vocabularies, and the onset of tures have with first words, scholars posit that the
two-word combinations (Iverson & Goldin-Meadow, onset of symbolic gesturing, just before the naming
€ ßalisßkan & Goldin-Meadow, 2005; Rowe &
2005; Ozc burst, is not coincidental (Blake, 2000; Rowe &
Goldin-Meadow, 2008). For example, Iverson and Goldin-Meadow, 2009a, 2009b) and is likely reflec-
Goldin-Meadow (2005) found that the objects infants tive of a common underlying cognitive ability (e.g.,
first identified with points predictably appeared in symbolic understanding). This proposal is sup-
their spoken vocabularies 3 months later. Findings ported by recent brain imaging research with adults
from longitudinal research have also shown that the demonstrating that symbolic gestures and spoken
number of different objects infants point to at language glosses (i.e., labels) are processed in simi-
14 months predicts the overall size of their vocabu- lar, overlapping brain regions (Xu, Gannon, Emmo-
laries at 42 months (Rowe & Goldin-Meadow, 2008). rey, Smith, & Braun, 2009). Similar brain regions
As infants’ nonverbal communication becomes more were not active when the spoken labels were con-
complex, research has shown that the age at which ceptually unrelated to the symbolic gestures. Based
infants begin to combine pointing gestures with spo- on these findings, Xu et al. (2009) propose that a
1900 Kuhn et al.

common, modality-independent system for sym- to these environmental inputs, a number of child
bolic communication drives the relation between characteristics likely contribute to individual differ-
symbolic gestures and spoken language. This ences in EF during early childhood. Individual differ-
modality-independent communication system may ences in temperament, especially the development of
also explain why infants’ symbolic gesturing is so attention in infancy and early toddlerhood, have
highly predictive of their vocabulary and concep- been implicated as relevant for EF in early childhood
tual development (Blake, 2000). Taken together, (Rueda, Posner, & Rothbart, 2005). A recent study,
these findings indicate that infants’ early deictic involving the current sample, demonstrated that
and symbolic gesturing both predicts and contrib- temperamental reactivity interacted with regulatory
utes to their understanding of symbolic relations strategies, which has strong attentional components,
and language learning (Bates et al., 1979; Blake, to predict EF in early childhood (Ursache, Blair, Stif-
€ ßalisßkan & Goldin-Meadow, 2005). How
2000; Ozc ter, & Voegtline, 2012). This work highlights the need
then is this modality-independent communication for early indicators of EF.
system related to certain cognitive abilities, like EF?
Language Development and EF
Executive Function
Substantial research has established that early
EF refers to cognitive abilities involved in the language development is associated with children’s
control and coordination of information in the performance on EF tasks. For example, a number of
service of goal-directed actions. Although EF is typ- experimental studies have demonstrated how chil-
ically conceptualized as a multidimensional con- dren’s use of language during EF tasks facilitated
struct—including inhibitory control, working their performance (Brace, Morton, & Munakata,
memory, and attention shifting—during middle 2006; Kirkham, Cruess, & Diamond, 2003; Zelazo,
childhood and adulthood it is considered an unidi- Reznick, & Pi~ non, 1995). Moreover, a number of
mensional (undifferentiated) construct in early studies have demonstrated that expressive and
childhood (Hughes, Ensor, Wilson, & Graham, receptive language proficiency is correlated with
2010; Wiebe, Espy, & Charak, 2008). This period better EF performance, and that children with spe-
during early and middle childhood is specifically cific language deficits score poorly on EF tasks
characterized by substantial developmental changes (Carlson, Davis, & Leach, 2005; for a review, see
(improvements) in EF abilities (Best & Miller, 2010). M€ uller, Jacques, Brocki, & Zelazo, 2009). While
This protracted course of development is supported these studies have demonstrated associations
by neuroimaging that demonstrates that the brain between language skills and EF, they have not
regions associated with EF, such as the prefrontal informed questions regarding the contribution of
cortex, are activated during infancy (Bell & Fox, early language development to the emergence of EF
1992), and that the myelination of prefrontal con- during early childhood.
nections continues well into adolescence (Klingberg, Zelazo and colleagues have long argued that chil-
Vaidya, Gabrieli, Moseley, & Hedehus, 1999). It is dren’s language is a fundamental precursor to the
particularly relevant to study the individual differ- development of EF (Zelazo & Frye, 1998; Zelazo,
ences in EF during the preschool years because M€ uller, Frye, & Marcovitch, 2003). In their cognitive
both concurrent and prospective measures have complexity and control theory, Zelazo and col-
been related to aspects of school readiness (Bier- leagues posit that children’s language skills are
man, Torres, Domitrovich, Welsh, & Gest, 2009; related to their EF abilities through the formation of
Brock, Rimm-Kaufman, Nathanson, & Grimm, a mental representation of the problem or conflict to
2009; Welsh, Nix, Blair, Bierman, & Nelson, 2010). be solved. Further, language is needed for the con-
In contrast to a focus on the development and pre- struction and use of the embedded rule structures
dictive ability of early EF, far fewer studies have con- that helps children to solve a given problem or con-
sidered the developmental processes that precede flict (Zelazo & Frye, 1998). This idea is expanded in
and facilitate the normative acquisition of EF abilities the hierarchical competing systems model (Marco-
in early childhood. A small number of studies have vitch & Zelazo, 2009), which proposes that children’s
demonstrated that, whereas socioeconomic status first cognitive processes arise from a habit system,
risks compromise the development of EF, the quality based exclusively on infants’ previous experiences.
and nature of early parent–child interactions may However, with maturation, this initial habit system
facilitate its development (Bernier, Carlson, & Whipple, transforms into a representational system (Marco-
2010; Raver, Blair, & Willoughby, 2013). In addition vitch & Zelazo, 2009). Children’s language plays an
Gestures Predict Language and Executive Function 1901

active role in this transformation because the


The Current Study
strength of a representation can be increased if chil-
dren label it (Marcovitch & Zelazo, 2009). Although The primary objective of this study was to deter-
the theoretical work of Zelazo and colleagues pro- mine whether individual differences in children’s
vides a basis for predicting that early language early communicative gestures (measured at 15
development should facilitate subsequent EF abili- months) prospectively predict language develop-
ties, we are unaware of any prospective longitudinal ment (measured at 2 and 3 years) and individual
studies that have empirically tested these ideas. differences in EF (measures at 4 years). In addition
to exploring bivariate associations, we also tested
whether early indicators of language are directly
Communicative Gestures and EF
related to subsequent EF and/or whether the rela-
Research on language and EF is typically con- tion between children’s early gesture use and lan-
ducted with children who are already fluent speak- guage development is directly and/or indirectly
ers. This leaves open questions to how preverbal related to subsequent EF. We were also interested in
indicators, such as gestures, may also provide determining whether children’s communicative ges-
insight into the development of the relation between tures are indirectly related to their later EF through
language and EF. To explore the degree to which “downstream” effects on subsequent language (e.g.,
gesture may scaffold children’s EF skills, O’Neill and the effect of communicative gestures and EF may be
Miller (2013) examined children’s gesture use during entirely mediated through subsequent language). In
an EF task. In their study, 2.5- to 6-year-olds’ ges- order to provide a more rigorous test of whether it is
tures, oral language, and performance on the Dimen- language development, per se, that predicts later EF,
sional Change Card Sort task were analyzed. The we also control for a number of potential confound-
findings revealed that gesture use predicted chil- ers including early (infant/toddler) cognitive devel-
dren’s performance on the task, above and beyond opment, family income, and caregiver education.
age. While children performed equally well during In addition to testing the relations among vari-
the initial preswitch phase of the task, children who ables, we were also interested in determining
gestured more were more accurate and efficient whether the developmental course of these relations
when shifting to the new sorting rule. Moreover, was similar across economically diverse popula-
younger children who were “high gesturers” per- tions. Previous research has shown that poverty is
formed comparable to (or better than) older children negatively associated with mean-level differences in
who were “low gesturers.” These findings suggest child gesture use (Rowe & Goldin-Meadow, 2009a,
that children’s gestures may provide insight into, or 2009b), the quantity and complexity of vocabulary
bolster, the cognitive abilities needed for successful (Hoff, 2006; Raviv, Kessenich, & Morrison, 2004;
performance on EF tasks. Thus, individual differ- Vernon-Feagans et al., 2013), as well as EF skills
ences in gesture use may have predictive capacities (Blair & Razza, 2007; Raver et al., 2013). Despite
for the emergence of children’s EF abilities. these mean differences, it is not clear whether the
To understand the complex and dynamic relation pattern of covariance between these relations would
between language and EF, early indicators, such as differ as a function of poverty. To capitalize on our
communicative gestures, are needed. However, the unique sampling design (over-sampling of low-
nearly exclusive focus on contemporaneous measure- income families), we conducted an exploratory test
ment and cross-sectional designs (for exceptions, see to determine whether the associations between
Fuhs & Day, 2010; Hughes, 1998) makes it difficult to gesture, language, and EF were invariant across
pinpoint the degree to which language may influence poverty groups.
EF throughout development, withholding the poten-
tial contribution from gesture. Intuitively, children’s
developing language skills reflect advances in their Method
conceptual development, which in turn reflects
Participants
changes in EF. Given the established associations
between communicative gestures and language, as The Family Life Project (FLP) was designed to
well as other cognitive abilities, gestures may also study young children and their families who lived
influence the relation between language and EF. in two of the four major geographical areas of the
Longitudinal research provides an ideal opportunity United States with high poverty rates (Dill, 2001).
to more fully investigate how these abilities may Specifically, three counties in Eastern North Caro-
emerge and influence each other over time. lina and three counties in Central Pennsylvania
1902 Kuhn et al.

were selected to be indicative of the Black South (Temporary Assistance for Needy Families), social
and Appalachia, respectively. The FLP adopted a security retirement, help from relatives, etc.). This
developmental epidemiological design in which total annual income was divided by the federal
sampling procedures were employed to recruit a poverty threshold to create the family’s income-to-
representative sample of 1,292 children whose fami- needs ratio (INR). INRs above 1.0 indicated that a
lies resided in one of the six counties at the time of family was able to provide for basic needs, whereas
the child’s birth. Low-income families in both states values below 1.0 indicated that they were unable.
and African American families in North Carolina In the current analyses, averages of the INRs from
were over-sampled (African American families were the 15-month to 4-year assessments were used.
not over-sampled in Pennsylvania because the tar- Caregiver education. Caregivers’ education level
get communities were at least 95% non–African was derived from the home interview at the 15-
American). Full details of recruitment are summa- month assessment. During this interview, primary
rized elsewhere (Vernon-Feagans et al., 2013). caregivers reported the highest level of education
that they had obtained at the date of the interview.
The mean level of educational attainment was
Procedures
14.6 years (SD = 2.8 years), where 14 years reflec-
All data were collected during home visits, ted a high school diploma.
conducted by two experimenters, when children Bayley Scales of Infant Development (BSID–II). The
were approximately 15 months (M = 15.7 months, BSID-II (Bayley, 1993) was administered at the
SD = 1.3 months), 2 years (M = 24.8 months, SD = 15-month assessment as a measure of infants’ cogni-
1.8 months), 3 years (M = 37.0 months, SD = 1.7 tive abilities. The BSID–II is a widely used standard-
months), and 4 years (M = 48.3 months, SD = 1.3 ized measure of children’s cognitive development,
months) old. At the 15-month assessment, care- with well-established reliability and validity (Bayley,
givers completed a checklist assessing children’s 1993). In the current analyses, the total score (i.e., the
communicative gestures and participated in a picture Mental Development Index [MDI]) was used as a co-
book activity with their child. A detailed description variate to ensure that early language measures were
of the picture book activity is provided elsewhere not simply a proxy for early general cognitive ability.
(Vernon-Feagans et al., 2008). These two measures Parenting. Primary caregiver interactions were
captured children’s communicative gestures with coded from a 10-min free play activity at the
both naturalistic (picture book) and standardized 15-month assessment. Consistent with previous
(checklist) methodologies. At the 2-year assessment, research from this sample, the seven global rating
children were administered two tasks assessing EF scales (Sensitivity/Supportive Presence, Detach-
and one standardized language assessment. At the ment/Disengagement, Intrusiveness, Stimulation of
3-year assessment, children completed the same Cognitive Development, Positive Regard, Negative
standardized language assessment. At the 4-year Regard, and Animation; Cox & Crnic, 2002) were
assessment, an EF battery was administered. The full adapted from those used by the NICHD Study of
details regarding the administration rules, psycho- Early Child Care (NICHD ECCRN, 1999). Coders
metric properties, and scoring approach of the EF rated parenting behaviors on a 5-point scale (where
battery are presented elsewhere (Willoughby, Wirth, 1 = not at all characteristic and 5 = very characteristic).
& Blair, 2012). The subscales were combined to create overall Sen-
sitive and Harsh-Intrusive composites. Only the
Sensitive composite, which had acceptable interrater
Measures reliability (ICC = .89), was used in the current
analyses. The Sensitive composite was used as a co-
Covariates
variate to ensure that language measures were not
To account for both contextual and within-child a reflection of a more sensitive caregiving environ-
factors that may also account for the association ment.
between language development and EF, household
income, caregivers’ education level, and children’s
cognitive abilities were included as covariates. Communicative Gestures: Observed at 15 months
Income-to-needs ratio. At each home visit, pri-
Picture Book Activity
mary caregivers were asked to provide detailed
information about all sources of household income Children’s communicative gestures were recorded
(e.g., employment income, cash welfare/TANF during a 10-min wordless picture book activity with
Gestures Predict Language and Executive Function 1903

their primary caregivers, using the book No, David scale measured children’s vocal development and
(Shannon, 1998). The book was modified so that the social communication. Items administered at
characters were racially ambiguous. All interactions 2 years assessed rudimentary aspects of toddlers’
were videotaped for subsequent offline coding. expressive language, such as the ability to use
Trained research assistants observed the picture vocalizations and gestures to request toys. Later
book activity from videotapes and coded the ges- items, administered at 3 years, required children
tures into a transcript. Only gestures, such as point, to demonstrate a verbal understanding of lan-
nod, shake, shrug, and give, which were used in guage concepts, such as plural tense. Test–retest
the picture book task to communicate with caregiv- reliability for this age group has been found to be
ers, were coded. The gestures were selected based .82 for the EC subscale, and internal consistency
upon previous work by Rowe (2000) and the cod- estimates have been found to be .91 (Zimmerman
ing system has been described elsewhere (Abraham, et al., 2002).
Crais, & Vernon-Feagans, 2013). In the current
analyses, only points (M = 2.80, SD = 4.15) and
symbolic gestures (M = 0.28, SD = 0.96) were ana- EF Tasks at 2 years
lyzed, because the picture book activity lent itself to
Three Boxes Task (Diamond, Prevor, Callender, &
pointing and there was a theoretical relevance for
Druin, 1997)
symbolic gestures. The transcript software system-
atic analysis of language transcripts (Miller & Chap- Children were presented with three boxes of
man, 1985) was used to calculate frequencies for differing shapes and colors, and were observed as
each type of gesture. On average, the interrater reli- the experimenter placed a sticker in each. The
ability for all gesture codes was acceptable experimenter erected a barrier for 5 s while
(ICC = .90). Individual gesture reliabilities ranged switching the location of the boxes, then removed
from .74 to .99. Reliability was established by pair- the barrier and encouraged the child to find a
ing each coder with a criterion coder and 60 tran- sticker. The barrier and switching procedure was
scripts were coded together. repeated until the child had retrieved all the stick-
ers or made a total of 12 retrieval attempts. Num-
ber and location of attempts to retrieve the
Communicative Gestures: Parent Checklist at 15 months stickers were recorded.
Communication and Symbolic Behavior Scales
Developmental Profile (CSBS; Wetherby & Prizant, Snack Delay Task (Kochanska & Murray, 2000)
2002)
The experimenter placed a desirable snack (a
Communicative gestures were also measured cracker or small candy) underneath a transparent
using caregivers’ report on the CSBS (Wetherby & container and told the child to wait until she rang
Prizant, 2002). In the current analyses, only the a bell before retrieving the snack. Four trials were
Gestures subscale was used to capture children’s completed: a 10-s delay followed by 20-, 30-, and
gesture use and other subscales of communicative 45-s delay trials. Children’s responses were
acts, like Joint Attention or Oral Language, were recorded as no wait = 0, partial wait = 1, and full
excluded. Wetherby, Allen, Cleary, Kublin, and wait = 2.
Goldstein (2002) have examined the reliability and
validity of the CSBS with a large sample of young
EF Tasks at 4 years
children and found high reliability and validity.
EF was assessed with six tasks (administered in
a fixed order) that were specifically developed for
Language Development: Standardized Measures young children. These tasks were designed to
at 2 and 3 years measure three dimensions of EF: working mem-
ory, inhibitory control, and attention shifting (Wil-
Preschool Language Scale 4th Edition (PLS–4;
loughby, Blair, Wirth, & Greenberg, 2010). The EF
Zimmerman, Steiner, & Pond, 2002)
battery was developed from a theoretical perspec-
The PLS–4 is a norm-based measure of chil- tive that supports an undifferentiated construct of
dren’s language skills, from birth to age 6. Only EF in preschool-aged children (Wiebe et al., 2008).
the Expressive Communication (EC) subscale of The child was tested using an open spiral-bound
this assessment was administered. The EC sub- flipbook and each task took approximately 5 min to
1904 Kuhn et al.

administer. For each task, training and up to three ing numbers of go trials prior to each no-go trial,
practice trials were administered. The tasks were including, in standard order, 1-go, 3-go, 3-go, 5-go,
scored using item response theory models (for a 1-go, 1-go, and 3-go trials. No-go trials required
review, see Willoughby et al., 2012). This means the inhibitory control. The task was scored by the num-
task scores can be interpreted on a z-score metric, ber of items that children correctly responded or
such that negative values indicate easy items, values withheld responses.
near zero indicate average difficulty, and positive Something’s the same game was derived from
values indicate difficult items. Here, we provide an Jacques and Zelazo’s (2001) flexible item selection
abbreviated description of each task. task. Children were required to shift their attention
The working memory span task required children from an initial dimension of similarity to a new
to name and hold two pieces of information in dimension of similarity. The task was scored by
mind simultaneously (i.e., naming an animal and the number of items in which children correctly
color in a series of “houses”). Then, children had to identified two unique similarities across three
activate one piece of information (i.e., recall the ani- pictures.
mal in each house), while overcoming interference
from the other piece of information (i.e., the color
Analytic Strategy
in each house). Based on the work from Engle,
Kane, and colleagues (e.g., Kane & Engle, 2003), the All research questions were addressed using
task was scored by the number of colors or animals structural equation models (SEM), where communi-
that children correctly recalled. cative gestures and EF were represented as latent
Pick the picture was adapted from a self-ordered variables (due to the availability of multiple indica-
pointing task (Cragg & Nation, 2007; Petrides & tors). Language and covariates were represented
Milner, 1982) that assessed working memory. Chil- using manifest variables. Analyses proceeded in
dren were shown an array of pictures that varied in four steps. First, a measurement model was esti-
location on a page and they were required to touch mated to establish the magnitude of the unadjusted,
each individual picture in a series so that each pic- bivariate associations between communicative ges-
ture “got a turn.” The task was scored by the num- tures, language, and EF. Second, an SEM was esti-
ber of series in which a unique picture was selected mated to test for the direct and indirect effects of
every time. communicative gestures and language on later EF,
Silly sounds Stroop was derived from the day– adjusting for a number of potential confounds.
night task developed by Gerstadt, Hong, and Third, multiple groups’ SEM was estimated to test
Diamond (1994) and assessed inhibitory control. whether the set of direct and indirect effects in the
Children were asked to make a bark sound when total sample differed for children who resided in
shown a picture of a cat and meow sound when low- and not-low-income households. Initially, this
shown a picture of a dog. The task was scored by involved simultaneously estimating the model for
the number of times children correctly paired the both groups. Subsequently, this model was reesti-
animal sound and picture. mated with the imposition of parameter constraints
Spatial conflict arrows was similar to the Simon on paths relating the focal predictor variables (com-
task used by Gerardi Caulton (2000) and assessed municative gesture, language) to EF. Because these
inhibitory control. Children were presented a series models were nested, a chi-square difference test
of arrows pointing in alternating directions. While was used to test whether the imposition of con-
children respond to the initial set of items by touch- straints resulted in a significant decrement in model
ing a response card in the same position as the fit. Finally, alternative theories that may have also
stimuli, the test items require a contralateral accounted for the development of EF were consid-
response. In other words, the stimulus is presented ered. All models were estimated using Mplus
on the right side but pointing to the left and the version 7 (Muthen & Muthen, 1998–2007), and took
correct response requires that the child touch the into account the complex sampling design (stratifi-
left side of his or her response card. In this way, cation, over-sampling of low income, in North
the spatial location is no longer informative. The Carolina, and African American families). We used
task was scored by the number of items children Hu and Bentler’s (1999) recommendations (i.e.,
correctly responded based upon the direction of the comparative fit index (CFI) > .95, root mean square
arrows. error of approximation (RMSEA) ≤ .05) as a guide
Animal go-no-go (GNG) was a standard GNG task for evaluating model fit, and chi-square difference
(e.g., Durston et al., 2002). The task included vary- tests were performed using maximum likelihood
Gestures Predict Language and Executive Function 1905

estimation with robust standard errors (MLR) (r = .57), and somewhat correlated with the com-
adjustments (Satorra & Bentler, 2001). municative gesture variables (rs = .08 to .25).

Measurement Model
Results
A measurement model was estimated to evalu-
Sample Description
ate the bivariate correlations among the focal pre-
The current study used child variables assessed dictors (communicative gesture at 15 months,
at the 15-month, 2-, 3-, and 4-year home visits. language at 2 and 3 years, and EF at 4 years). The
Families and children who participated in the 4- measurement model fit the data well, v2(40,
year assessment (N = 1,066) did not differ from N = 1,117) = 60.30, p = .02, CFI = .98, RMSEA =
those who did not participate in the assessment .02. All of the factor loadings for the communica-
(N = 226) with respect to race, gender of the child, tive gesture and EF latent variables were signifi-
or being recruited in the low-income stratum. How- cant, as were the latent variances, which indicated
ever, children of the families who participated in interindividual differences for these constructs.
the 4-year assessment were more likely to reside in Individual differences in communicative gesture
the state of Pennsylvania (34% vs. 42%, p = .03). and language were positively intercorrelated from
Families and children who participated in the 3- the age 15 months through 3 years, and all three
year assessment (N = 1,123) did not differ from assessments were positively correlated with EF at
those who did not participate in the assessment age 4 years (r/φ ≥ .41, ps < .01; see Table 2). That
(N = 169) with respect to state of residence, race of is, there were moderate to strong correlations for
the child, or being recruited in the low-income stra- the latent communicative gesture with language
tum. However, children of the families who partici- at ages 2 years (r = .49) and 3 years (r = .54), as
pated in the 3-year assessment were more likely to well as with latent EF at 4 years (r = .41). Further,
be female than children whose families did not 2-year language (r = .53) and 3-year language
participate (50% vs. 41%, p < .05). (r = .64) were also significantly correlated with
A summary of unweighted descriptive statistics latent EF.
for the variables used in the current study is
presented in Table 1. The children in this study
Children’s Communicative Gestures and Language
scored in the average, or slightly below average
Predict 4-Year EF
range, on norm-referenced assessments of language
and cognitive abilities: Bayley MDI (M = 95.9, An SEM model was estimated to determine
SD = 10.8) at 15 months, PLS–4 EC at age 2 whether children’s communicative gestures and lan-
(M = 100.5, SD = 14.9) and 3 years (M = 98.0, guage development were prospectively associated
SD = 15.7). On average, families reported a mean with later EF abilities after adjustment for potential
INR of 1.9 (SD = 1.7), which indicated a house- confounder variables, including primary caregivers’
hold income that met basic needs but that was educational achievement, household INR, and
closer to working poor than solidly in the middle children’s early cognitive ability, as measured by
class. Caregivers had a mean education level of the BSID–II. As depicted in Figure 1, the structural
14.6 years (SD = 2.8 years), which indicated some model fit the data well, v2(61, N = 1,117) = 102.38,
schooling beyond high school but not a college p < .01, CFI = .97, RMSEA = .03. Although commu-
degree. nicative gestures were not directly related to EF
The correlations among all indicators are also (b = .04, p = .75), they were directly related to
presented in Table 1. Three points are noteworthy. language at 2 years (b = .49, p = .00) and 3 years
First, the individual EF tasks at age 4 years were (b = .35, p = .00). Moreover, communicative ges-
moderately correlated with measures of children’s tures were indirectly related to later EF through
language (rs = .17 to .37) and weakly correlated language at ages 2 and 3 years. Specifically, all
with measures of communicative gestures (rs = .00 paths were significant and the indirect effects of
to .11). Second, the individual EF tasks at age communicative gestures on EF were through lan-
2 years were weakly to moderately correlated with guage at ages 2 years (bgesture 2yr EF = .08, p = .01),
language measures (rs = .03 to .35) and with the 3 years (bgesture 3yr EF = .14, p = .01), and 2 and
individual EF tasks at 4 years (rs = .04 to .24). 3 years (bgesture 2yr 3yr EF = .08, p = .01). Hence, the
Third, the language measures at ages 2 and 3 years positive bivariate association between communica-
were substantially correlated with each other tive gestures at 15 months and EF at age 4 years
1906

Table 1
Intercorrelations Between Variables
Kuhn et al.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1. WMS —
2. SSS .12 —
3. GNG .22 .20 —
4. STS .23 .19 .17 —
5. SCA .18 .08 .13 .28 —
6. PTP .27 .19 .29 .27 .23 —
7. CSBS .10 .06 .08 .11 .08 .10 —
8. Point .01 .00 .01 .03 .03 .04 .07 —
9. Gest .08 .07 .04 .04 .04 .07 .06 .18 —
10. 2 year .25 .17 .21 .32 .22 .26 .23 .09 .08 —
PLS
11. 3 year .30 .18 .25 .35 .29 .36 .25 .11 .09 .57 —
PLS
12. MDI .26 .18 .23 .26 .20 .22 .25 .08 .14 .42 .44 —
13. Edu .24 .08 .07 .25 .18 .22 .06 .01 .07 .25 .37 .21 —
14. INR .19 .03 .12 .21 .19 .20 .08 .00 .02 .23 .37 .23 .55 —
15. 15 months .23 .06 .13 .21 .18 .18 .07 .03 .13 .19 .27 .22 .38 .33 —
Parent
16. 2 years .14 .04 .04 .10 .09 .11 .09 .03 .06 .06 .12 .09 .07 .07 .06 —
Boxes
17. 2 years .13 .13 .12 .16 .09 .24 .11 .11 .09 .25 .35 .19 .18 .14 .19 .11 —
Snack
M (SD) 0.2 (0.8) 0.1 (0.8) 0.3 (0.8) 0.01 (0.7) 0.1 (.9) 0.4 8.1 2.8 .3 100.5 98.0 95.9 14.6 1.8 3.4 .01 .01
(0.9) (2.0) (4.2) (1.0) (15) (15.8) (10.7) (2.8) (1.4) (0.7) (1.5) (0.7)
Range 1.7 to 2.0 to 2.0 to 2.1 to 1.7 to 2.5 to 0–10 0–30 0–14 50–148 50–150 59–132 6–22 0–12.4 0–5 1–12 0–2
1.84 1.41 0.85 1.48 1.71 2.25

Note. WMS = working memory span; SSS = silly sounds Stroop; GNG = go-no-go; STS = something’s the same; SCA = spatial conflict arrows; PTP = pick the picture; PLS = Pre-
school Language Scale; CSBS = Communication and Symbolic Behavior Scales; MDI = Mental Developmental Index; Edu = Education; INR = income-to-needs ratio; Parent = sensi-
tive parenting; Boxes = six boxes; Snack = snack delay.
Gestures Predict Language and Executive Function 1907

Table 2 average INR of 2.0 or lower (N = 762), an INR of 2.0


Latent Correlations is commonly used to index poor and near-poor fam-
1 2 3 4
ilies, while the not-low-income group was defined
as having an average INR > 2.0 (N = 343). First, a
1. Communicative gestures — baseline model was estimated with all structural
(15 months) paths allowed to be free across low- and not-low-
2. Language (2 years) .49** — income groups. As shown in Figure 2, the model fit
3. Language (3 years) .54** .58** — the data well, v2(122, N = 1,105) = 157.35, p = .02,
4. Executive function (4 years) .41** .53** .64** — CFI = .97, RMSEA= .02. Across income groups,
there was not a significant direct relation between
**p < .01.
children’s communicative gestures and EF. How-
ever, there were significant relations between com-
was entirely mediated through the effects of inter- municative gestures and EF mediated by children’s
vening language. 2- and 3-year language. The amount variance
Language at age 2 years was directly related to explained in latent EF was also approximately equal
language at age 3 years (b = .41, p = .01) and EF at for low-income (R2 = .43) and not-low-income
age 4 years (b =.17, p = .01). Moreover, there was (R2 = .50) groups. The model was then reestimated
an indirect effect of 2-year language on EF imposing equality constraints on all of the regres-
expressed through 3-year language (b2yr 3yr EF = .17, sion coefficients that linked language variables to
p = .01). Language at age 3 years was directly each other and to EF across the two income groups.
related to EF at age 4 years (b = .41, p = .01). This model also fit the data well, v2(128, N = 1,105)
Collectively, communicative gesture, language, and =171.39, p = .01, CFI = .96, RMSEA = .03. However,
covariates explained half of the variance (R2 = .50, the chi-square difference test revealed that the
p = .01) in latent EF. model that imposed cross-group equality constraints
resulted in worse model fit, v2(6) = 12.45, p = .05.
Multiple Groups: Low- Versus Not-Low-Income Groups This was unexpected given that the general pattern
of associations between language and later EF
The next models tested whether the relations appeared to be comparable across income groups. A
among children’s communicative gestures, lan- series of models were reestimated imposing equality
guage, and EF were equivalent across income constraints on each regression coefficient, one at a
groups. Two income groups were created by using time, to determine which path(s) might be signifi-
a family’s average INR from 15 months to 3 years. cantly different across the two income groups. The
The low-income group was defined as having an only path that resulted in a significant difference

Figure 1. Structural model of communicative gestures predicting executive function (EF). Covariates of caregivers’ educational achieve-
ment, household income-to-needs ratio, and children’s early cognitive ability were included but not represented in the figure.
WMS = working memory span; SSS = silly sounds Stroop; GNG = go-no-go; STS = something’s the same; SCA = spatial conflict
arrows; PTP = pick the picture; PLS = Preschool Language Scale; CSBS = Communication and Symbolic Behavior Scales; EF = executive
function.
**p < .01.
1908 Kuhn et al.

Figure 2. Unconstrained model: not-low (top) and low-income (bottom) group. Covariates of caregivers’ educational achievement and
children’s early cognitive ability were included but not represented in the figure. WMS = working memory span; SSS = silly sound
Stroop; GNG = go-no-go; STS = something’s the same; SCA = spatial conflict arrows; PTP = pick the picture; PLS = Preschool Lan-
guage Scale; CSBS = Communication and Symbolic Behavior Scales; EF = executive function.
*p < .05. **p < .01.

was the path between language at age 2 years and subsequent EF. However, EF is also emerging early
EF, v2(1) = 11.47, p = .01. This path was not signifi- in life. Moreover, we may be misattributing effects
cant (b = .00, b = .06, p = .58) for the not-low- to children’s gesture use that are better character-
income group; however, it was significant for the ized by parenting practices and language use that
low-income group (b = .01, b = .27, p = .01). are indicative of caregivers’ engagement. Here, we
Although there was a difference in one individual test those possibilities by including two additional
path, the general pattern of relations between ges- predictors. We considered an alternative model that
tures, language, and EF was similar across the two included measures of EF at age 2 years and quality
income groups. of parenting at age 15 months. This model also fit
the data well, v2(75, N = 1,117) = 154.55, p = .01,
CFI = .95, RMSEA = .03. The relation between
Alternative Explanations to Communicative Gestures
communicative gestures and EF, expressed through
EF Model
language skills, held even after controlling for par-
We attributed the effects of communicative enting at age 15 months. The mediated relation
gestures as foundational for early language and through 2-and 3-year language was not impacted
Gestures Predict Language and Executive Function 1909

Figure 3. Alternative explanations model. Covariates of caregivers’ educational achievement, household income-to-needs ratio, chil-
dren’s early cognitive ability, and sensitive parenting were included but not represented in the figure. WMS = working memory span;
SSS = silly sound Stroop; GNG = go-no-go; STS = something’s the same; SCA = spatial conflict arrows; PTP = pick the picture;
PLS = Preschool Language Scale; CSBS = Communication and Symbolic Behavior Scales; EF = executive function.
*p < .05. **p < .01.

by the inclusion of EF at age 2 years. In fact, in this et al., 1987; Iverson & Goldin-Meadow, 2005), these
alternative model, the direct relation between EF at results demonstrate that individual differences in
age 2 years and EF at age 4 years (b = .05, gesture use also forecast EF. It is important to note
p = .16) was not significant. There was, however, a that these predictive associations were evident even
significant indirect effect from EF at age 2 years, after controlling for potential child (early general
expressed through 3-year language on EF at 4 years cognitive ability and EF), maternal (education and
(b2yr EF 3yr EF = .03, p = .01). The addition of sensi- observed parenting), and household (INR) con-
tive parenting and EF at age 2 years did not have founders.
meaningful impact on the relation between com- The findings revealed that the positive associa-
municative gestures and EF, expressed through tion between early gesture use and later EF was
language. mediated entirely by intervening language develop-
ment. The relation between language and EF, with
the inclusion of EF at 2 years, was more compli-
cated. Children’s 2-year language and EF were
Discussion
interrelated, and both independently predicted lan-
The purpose of the current study was to determine guage skills at age 3 years. However, children’s EF
whether individual differences in children’s early skills at age 2 years did not predict their later EF;
communicative gestures prospectively predicted only children’s language skills at ages 2 and 3 years
language development and EF during early child- prospectively predicted EF at age 4 years. Thus,
hood. To explore this question, we analyzed longi- the relation between children’s EF skills at ages 2
tudinal data from a diverse population using and 4 years was completely mediated by 3-year
multiple indicators of gesture use (15 months), lan- language.
guage development (2 and 3 years), and EF skills (2 Considering these complex and dynamic associa-
and 4 years). The findings revealed that individual tions, one interpretation of these findings is that
differences in communicative gestures at age children’s gesture use is an early indicator of the
15 months predicted language development at ages cognitive abilities that later manifest themselves as
2 and 3 years, which in turn predicted EF skills at EF. As such, the cognitive abilities (i.e., joint atten-
age 4 years. These interrelations were all positive, tion, referential attention, and symbolic understand-
demonstrating that infants who used more gestures ing) demonstrated by children’s use of gestures
had better language and EF skills between the ages may be relevant for understanding the developing
of 2 and 4 years. While the link between children’s connection between later emerging language and
gesture use and language abilities has been well EF. Children’s symbolic understanding may be par-
established (Acredolo & Goodwyn, 1990; Bates, ticularly relevant, given that it has been previously
1910 Kuhn et al.

described as a mechanism common to both gesture Waxman, 1993). Further, as children develop more
use (Blake, 2000) and vocabulary development advanced language skills by learning to apply mor-
(Bates et al., 1979). It is possible that the representa- phological rules about word endings and syntactic
tional skills that children develop through the use rules that dictate word order (Rowe & Goldin-Mea-
of symbolic gestures later transition into word dow, 2008), they are gaining experience with rule
learning for verbal communication, and then into use (Gelman & Markman, 1985). This understand-
the ability to manage multiple representations (de ing of rules, derived from the use of language, may
Villiers & Pyers, 2002) or conflicts (Zelazo & Frye, translate to an enhanced ability to organize infor-
1998), which is a skill essential for EF. At a mini- mation. The ability to hierarchically organize infor-
mum, a conservative interpretation of our findings mation is needed for the cognitive processes
is that gestures can be used to index language and involved in EF like attention shifting and inhibitory
language can be used to index EF. control (Zelazo & Frye, 1998; Zelazo et al., 2003).
However, an alternative and, we think, stronger The specific mechanism by which a causal relation
interpretation of these findings is that children’s between language and EF occurs warrants further
early gesture use predicts language development, study.
which ultimately allows children to think in more
complex ways and to reflect upon information in
Implications
different ways that support the emergence of EF. In
this interpretation, it is not only that there are The current findings indicate that there is a
cognitive abilities common to gesture, language, downstream effect of language, beginning with pre-
and EF, but rather that gesture supports language cursors to language like communicative gestures,
development, which in turn is foundational for the on EF. This has implications for various types of
emergence of EF. Support for this alternative inter- research dealing with children’s early cognitive
pretation is provided by our findings indicating development. For instance, research that examines
that a portion of the variance in EF at age 4 years brain development in relation to EF may also need
is accounted for by communicative gestures and to consider regions of brain related to language and
earlier language development, even after controlling gesture. In one study, Moreno et al. (2011) found
for children’s early general cognitive abilities. This that a music intervention could improve both
finding supports the notion that early indicators of children’s language and EF skills. Interestingly,
EF can be found in preceding preverbal and verbal through event-related potential procedures, the
communication skills. Specifically, children’s com- authors established that gains in preschoolers’
municative gestures are not only a means to verbal intelligence were positively associated with
improve performance during a cognitively demand- changes in functional brain plasticity during an EF
ing task (O’Neill & Miller, 2012) but also the task (Moreno et al., 2011). This work emphasizes
foundation by which language (Ozc € ßalisßkan & that early brain development related to language
Goldin-Meadow, 2005) and EF skills develop. acquisition may be a neural correlate of EF.
The possibility of a causal relation between lan- In addition to biological research, the current
guage and EF, with language underlying EF, has study also has implications for intervention
also been suggested by Zelazo and colleagues (Mar- research. Our findings highlight the similarities in
covitch & Zelazo, 2009; Zelazo & Frye, 1998; Zelazo the process by which low- and not-low-income
et al., 2003). This notion is predicated on the idea groups acquired EF. Other work has found that
that children must have the words to mentally rep- poverty has a negative impact on EF (Blair & Razza,
resent the conditions of a problem before being able 2007; Raver et al., 2013), but that social contexts
to create the hierarchical rule structure needed to mediate this effect, specifically parental marital
solve that problem. Perhaps, it is the growth in chil- status, responsiveness, and the quality of the home
dren’s representational skills as they transition from environment (Sarsour et al., 2011). There is exten-
using symbolic gestures, to building a vocabulary, sive research suggesting that the relation between
and then to gaining proficiency with multiple-word poverty and language is mediated by social contexts
phrases that influences the emergence of EF. For (Hoff, 2006; Huttenlocher, Vasilyeva, Cymerman, &
example, as children learn to distinguish the word Levine, 2002). Adding to this literature, our study
cat from the word dog, while simultaneously under- suggests that there is an earlier window of opportu-
standing that both labels belong to the category of nity for interventions focused on diminishing the
animal, they are demonstrating the ability to effects of poverty. Other empirical research has
organize symbols in a hierarchical manner (Hall & already demonstrated that increasing children’s
Gestures Predict Language and Executive Function 1911

gesture use improves language skills (McGregor, is important to consider the various other factors
2008). A similar intervention could be designed to that may also influence the development of EF.
help parents increase their children’s gesture use, Early language skills and gestures are other exam-
which in turn may improve later EF abilities. ples of correlates that may enrich our understand-
ing of the development of EF and provide an
opportunity for intervention.
Limitations and Future Directions
The current study makes an important contribu-
Although the current study has established novel tion to our understanding of how language may
longitudinal associations between gesture, lan- enable a certain type of thought that provides for
guage, and EF over the first 4 years, several impor- the emergence of higher order cognitive abilities,
tant limitations must be noted. First, despite our like EF. In particular, our findings revealed that
inclusion of potential confounder variables, the pas- infants’ preverbal communication (i.e., gestures)
sive longitudinal design undermined our ability to contributes to the relation between language and
make strong statements regarding causal relations EF in meaningful ways. While scholars will con-
between language and EF. Randomized controlled tinue to debate how language influences cognitive
trials (RCTs) that provide interventions targeting abilities and seek to identify other precursors to EF,
early gesture use and/or language would provide we are the first to provide evidence for the predic-
stronger tests of these questions. In the absence of tive capacities of language for EF.
RCTs, the capitalization of natural experiments, for
example, examining children’s proficiency in and
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