Unstable word form representations and greater reliance on right hemisphere during word learning in adults with a history of developmental language disorder

Impairment in acquiring new vocabulary is a persistent deficit in developmental language disorder (DLD), but its cortical substrates remain unclear. We investigated learning of new words in young adults with DLD and typically developing (TD) control participants using magnetoencephalography (MEG). Participants were exposed to spoken real words and two sets of pseudowords, with shared beginnings, in two MEG sessions. One set of pseudowords was actively trained for three days, paired with fantasy animal pictures. Both groups learned new pseudowords, but adults with DLD recalled fewer items and confused similar sounding pseudowords more often than TD adults. MEG recordings revealed robust left temporal learning effects in both groups, along with left inferior frontal involvement. The DLD group additionally showed stronger right-hemispheric involvement and a significant right temporal learning effect for the newly learned words. Furthermore, only the DLD group showed changes in the left and right temporal responses for the real words after the learning phase, indicating altered lexical access for familiar words after integration of new word forms with overlapping phonology into the mental lexicon. Together, the findings suggest persisting problems in creating and accessing stable and distinctive phonological memory representations for word forms in adults with DLD, along with altered hemispheric balance in processing.