Bilingualism and language in children with autistic spectrum disorder: a systematic review

D. Garrido , B. López , G. Carballo
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Abstract

Introduction

Communication and language skills are among the most severely affected domains in individuals with autistic spectrum disorder (ASD). When a child diagnosed with ASD lives in a bilingual environment, the parents often express concerns about whether their child should learn both languages simultaneously, turning to specialists for advice. Despite the lack of evidence of any negative effect, some professionals disagree on this subject. In this systematic review we study whether bilingualism affects language development in children with ASD.

Methods

We reviewed the literature published in 4 different databases. After applying a series of selection criteria, we selected 12 scientific articles, including a total of 328 children diagnosed with ASD (169 bilingual and 159 monolingual), with ages ranging from 3 to 12 years. These patients were evaluated with different receptive and expressive language assessment instruments covering several areas. The assessments were performed directly on the children, although indirect assessment of parents was also performed in some studies.

Conclusions

There seems to be consensus regarding the assertion that bilingualism does not entail any additional difficulty for language development in children with ASD from the age of 3.

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自闭症谱系障碍儿童的双语能力和语言:系统综述
导言沟通和语言技能是自闭症谱系障碍(ASD)患者受影响最严重的领域之一。当被诊断为自闭症谱系障碍的儿童生活在双语环境中时,他们的父母往往会对孩子是否应该同时学习两种语言表示担忧,并向专家寻求建议。尽管没有证据表明这对孩子有任何负面影响,但一些专业人士对此持不同意见。在这篇系统性综述中,我们研究了双语是否会影响 ASD 儿童的语言发展。在应用了一系列筛选标准后,我们选出了 12 篇科学论文,共包括 328 名被诊断为 ASD 的儿童(169 名双语儿童和 159 名单语儿童),年龄从 3 岁到 12 岁不等。我们使用不同的接受性和表达性语言评估工具对这些患者进行了评估,涉及多个领域。尽管有些研究也对家长进行了间接评估,但这些评估都是直接对儿童进行的。结论双语并不会给 3 岁以上的 ASD 儿童的语言发展带来额外的困难,这一观点似乎已达成共识。
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