Autism and Developmental Language Impairments最新文献

Background and aims: Both developmental language disorder (DLD) and autism spectrum disorder (ASD) are characterized by language and communication deficits, and the extent to which commonalities in syntactic difficulties are shared between DLD and autism plus language impairment (ALI), a subtype of ASD, is a matter of debate. Thus, this study aims to further explore the extent of overlapping vulnerabilities in the syntactic profiles of children with DLD and ALI.

Method: We investigated the comprehension and production of two complex syntactic structures, ba constructions and bei constructions in Mandarin by 18 children with DLD (mean age = 5;03) and 17 children with ALI (mean age = 5;05), compared to their 24 typically developing peers matched on chronological age.

Results: The results show that children with DLD and children with ALI differ in the errors committed when producing these two constructions. Specifically, children with DLD are prone to produce ungrammatical responses, use simple sentences, and misuse ba/bei constructions, while children with ALI produce pragmatically inappropriate responses which are scarce in the productions of children with DLD. In addition, the comprehension and production of bei constructions by children with DLD were significantly correlated with their nonverbal working memory (NVWM), while no such correlation was found in the ALI group. Finally, while ba and bei constructions yield higher comprehension than production in the DLD group, only ba constructions showed this pattern in the ALI group.

Conclusions: These findings suggest that children with DLD and children with ALI do not constitute a continuum of the same language disorder despite their superficial resemblance on performance accuracy.

Implications: This study highlights the need for tailored interventions to enhance mastery of ba and bei constructions: for children with DLD, focus on explicit instruction in complex syntax and NVWM training; for children with ALI, emphasize syntactic and pragmatic language development through context-rich activities integrating complex syntax and contextual cues.

Background and aims: Caregiver reports and standardized assessments have been the primary methods used to study language development in autism. However, these forms of measurement are often coarse, complicated by floor effects and reporter bias, and limited by the fact that they only capture how children can use language at a single moment in time, rather than how children actually use language during everyday interactions. These limitations have led to recent calls for the use of natural language sampling (NLS) as a fine-grained, developmentally appropriate, and contextually relevant measure of everyday communication. The number of studies using NLS to study language in autism has increased substantially in the last 15 years, resulting in a wide array of sampling methods and measures. Given both the increasing prevalence of NLS methods in the autism literature and the variability in sampling approaches and measures, this scoping review addresses the following questions: 1. What populations have been studied using NLS?2. Which data collection methods are most prevalent in NLS research?3. How are measures of language derived from NLS?

Method: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a search for studies published in the last 15 years across three databases was conducted. After removing duplicates, 4,671 titles and abstracts were screened and 59 papers met inclusion criteria. Sample characteristics, natural language collection methods, and derived measures were extracted and tabled for each study. The most prevalent NLS methods and measures in autism language research are reviewed and the benefits and drawbacks of various methods are discussed.

Main contribution: This scoping review highlights subgroups of the autistic population that have been underrepresented in NLS studies-in particular, minimally/nonspeaking school-aged autistic children. This article also examines means to collect a "naturalistic" sample of language. Notably, studies did not address whether autistic children exhibit different social communication skills when talking to different types of social partners. Broadly, research has underreported key methodological details, making comparisons across studies difficult.

Conclusions: This review highlights the appropriate use of NLS across development in autism and makes recommendations for NLS future research.

Implications: Additional work is needed to address the gaps described in this article and replicate previous findings to identify patterns of natural language across the literature.

The presence of pragmatic language difficulties can be lifelong for children with autism spectrum disorder (ASD) and developmental language disorder (DLD). Implementing evidence-based practices integrates the best research evidence, the clinical expertise of the professionals delivering the intervention and the perspectives of parents/caregivers. Nevertheless, research on parents' and early childhood educators' perspectives on the perceived effectiveness of pragmatic language interventions is scarce. This study aims to analyse parents' and early childhood educators' perceptions after the implementation of the Pragmatic Intervention Programme (PICP) to preschool-age children with ASD and children with DLD. As a part of a broad research project, a survey was conducted using an adaptation of a satisfaction survey. Data from 72 participants among parents (n = 36) and early childhood educators (n = 36) were collected immediately after the implementation of the PICP. The survey includes 11 statements, individually scored between 1 (totally disagree) and 7 (totally agree). The average score obtained from the parents' perspective about the intervention impact was 6.83 ± 0.29. For early childhood educators, the average score was 6.60 ± 0.49. The results indicate that parents and early childhood educators considered this intervention appropriate and effective for improving the pragmatic language skills of preschool-age children with ASD and DLD.

Background and aims: The Autism Diagnostic Observation Schedule (ADOS-2) is considered a "gold standard" diagnostic instrument in the assessment of autism spectrum disorder (ASD). The Monkey Cartoon task is an optional pictured storytelling task in ADOS-2, which has been designed to assess gestural and verbal communication in autistic children while telling a story. It is well established that storytelling is challenging for autistic children, particularly for the content and coherent organization of the story, also known as narrative macrostructure. Existing evidence on the efficacy of the Monkey Cartoon task to pinpoint differences between autistic and neurotypical individuals in narrative macrostructure is scant. In this study, we used a version of the Monkey Cartoon task with modified scoring to analyze the narrative macrostructural skills of two groups of children with and without ASD. We also investigated the relations between narrative macrostructure and language ability in each group.

Methods: A group of 16 Greek-speaking autistic children and 16 age- and IQ-matched neurotypical children were administered the Monkey Cartoon storytelling task. Children's vocabulary and syntactic skills were also measured. Narratives were analyzed in terms of macrostructural features, including story completeness and story grammar, as well as units denoting the setting, internal responses and added details.

Results: The autistic children had lower scores in communicating the story content rather than story grammar. Moreover, the autistic group tended to include less information on the story's setting and more off-topic utterances than their neurotypical peers. Regarding the relations between narrative macrostructure and language ability, the two groups dissociated since the autistic children tended to rely on vocabulary at the expense of including irrelevant information in their narratives, while neurotypical children relied on both lexical and syntactic skills, especially when instantiating references to the story characters' mental states and the setting of the story, respectively.

Conclusions: The Monkey Cartoon storytelling task seems to be efficient at revealing pragmatic weaknesses mainly at the thematic content level in autistic children. Also, the frequent use of semantically- and pragmatically-irrelevant information in storytelling differentiated autistic from neurotypical children, and may thus be treated as a distinguishing feature of ASD in narrative production.

Implications: The findings demonstrate the viability of the Monkey Cartoon task in highlighting language markers of ASD in narrative macrostructure, with clinical implications for enhancing clinical practice in countries like Greece that face a shortage of narrative assessment tools for autistic children.

Background and aims: Pragmatic language difficulties can negatively influence the learning, socialization, and mental health of children diagnosed with autism spectrum disorder (ASD). Several studies have sought to determine the effects of interventions, including competencies to help these children use language for social purposes. However, are the instruments used to measure the results of the interventions appropriate and psychometrically adequate? This systematic review aims to analyze the psychometric properties of the standardized instruments that are used to measure the effects of interventions addressing (not exclusively, but also) pragmatic language competencies for autistic children.

Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, systematic literature research was carried out in four electronic indexing databases: CENTRAL, PubMed, Web of Science, and Scopus.

Results: A total of 49 studies from 2005 to 2023 were included and 19 standardized instruments were identified.

Conclusions: After analyzing the instruments psychometric properties, the results indicated that all present some evidence of validity and reliability, but none report responsiveness. Implications: Given the impact that an instrument can have on analyzing the effects of an intervention, this study highlights the importance of considering not only the validity and reliability of an instrument but also responsiveness as a psychometric property, and the need to better describe the rationale for the outcome measures and specify what abilities are being targeted and measured. This will accurately guide future research and improve clinical decision-making around ASD.

It is important that autism research is inclusive and supports the participation of a wide range of autistic people. However, there has been limited research on how to make studies accessible for autistic participants. This mixed-methods study explored how to promote the comfort of autistic children in research, using the specific example of visiting a research lab and meeting a humanoid robot. In Phase 1, 14 parents of autistic children were interviewed about how their child could be made comfortable during a lab visit, including different approaches for familiarizing their child with the robot. In Phase 2, autistic children of the parents in Phase 1 (n = 10) visited the lab and completed familiarization activities with a humanoid robot. The opinions of the children and their parents about the children's experiences were recorded. Using reflexive thematic analysis, five overarching themes reflected how to best support autistic child participants. These themes encompassed elements of particular relevance to robot studies but also many practices of general relevance to participating in research: (1) preparation is key, (2) consideration of environmental factors, (3) using familiarization, (4) a supportive and engaged researcher, and (5) individualized approaches. Based on our findings, we report preliminary and generalizable best-practice recommendations to support autistic children in a research setting and promote positive experiences.

Background and aims: While it has been suggested that phonology is relatively spared in autism, some studies have shown that many autistic children and adolescents exhibit severe phonological impairment, of which syllabic complexity is a reliable index. However, although autism is a lifelong disorder, no such evidence exists for adults. The aim of the present study is to bridge this knowledge gap by investigating how autistic adults deal with phonological complexity.

Method: Phonological abilities were assessed in 48 autistic adults aged 18 to 56 years and 50 controls matched on age and sex/gender. A linguistically motivated Nonword Repetition (NWR) task manipulating syllabic complexity, LITMUS-QU(Quasi Universal)-FR(ench)-NWR-Adults, was used to distinguish participants with and without a phonological impairment. In addition to the NWR task, additional tests were conducted to examine potential factors influencing phonological performance. These measures included morphosyntax, vocabulary, nonverbal IQ (NVIQ), short-term memory, working memory, and autism severity, providing a comprehensive understanding of variables affecting phonological abilities in autistic adults.

Results: Global performance on NWR was significantly lower and spanned a wider range in the autism group than that in the control group. By looking at individual results across the structures and substructures included in NWR, which presented varying degrees of syllabic complexity, it was possible to uncover great variability among autistic individuals with a phonologicalimpairment. Phonological proficiency appeared to be related to morphosyntax rather than to lexical knowledge and nonverbal cognition, including memory. Moreover, phonological skills did not correlate with autism severity.

Conclusions: This study represents a first step towards understanding how to characterize phonological skills in autistic adults. Our findings indicate that syllabic complexity prompts diverse behaviors among autistic individuals with impaired phonology. Further research is required to gain insight into the cause(s) underlying the detected difficulties.

Understanding what people believe the causes of autism to be has implications for experiences of familial guilt and stigma. Using a qualitative approach, we investigated how Brazilian healthcare professionals, parents of young and adult autistic people and young and adult autistic people consider the origins of autism and the interaction between the biological and social environment concerning the challenges autistic people encounter. Eight health professionals who assist autistic people, five young autistic people, six family members of young autistic people, five autistic adults, and four parents of autistic adults participated in the research. After analysis, two major coding themes emerged from the interviews: (T1) Perceived origins of autism: genetic, environmental, or both, (T2) The impact of the structured family environment. Our respondents consider autism in Brazil strongly related to genetic origins and little to environmental and social origins. At the same time, the context of the structured social and family environment can influence challenges and opportunities for autistic people.

Background and aims: Teachers serve as critical communication partners for students with intellectual disability (ID) who face communication difficulties. However, teachers may lack sufficient training in using communication partner strategies and augmentative and alternative communication (AAC) in the classroom. This study aimed to explore teacher application of a communication partner intervention (AKKtiv ComPal) in schools for students with ID.

Methods: Video observations were conducted at four schools during a teacher-led group activity at pre- and postintervention, with follow-up 7 months later, focusing on communication partner strategies and AAC use applied as a universal approach in the classroom. Differences and similarities in intervention application and contextual factors that may influence teacher application were investigated using a multiple case study approach, in which the four teachers and their contexts served as the four examined cases.

Results: All cases increased the access to communication boards in the classroom and used more augmented input and responsive strategies following intervention. Follow-up measures revealed variability in augmented input and sustained or more use of responsive strategies. Despite increased strategy use, access to communication boards remained inconsistent, and augmented input was used with variability across observation minutes. Influencing factors to teacher application seemed to be classroom setups (such as having a table), previous AAC skills, student characteristics, and postintervention efforts such as repeating the intervention or participating in follow-up sessions.

Conclusions: This study demonstrates that classroom teachers for students with ID can use augmented input and responsive strategies as a universal design approach in the classroom following the AKKtiv ComPal intervention. However, teachers may utilize the strategies somewhat differently, partly influenced by their contextual factors.

Implications: The findings suggest that while teachers for students with ID can successfully use communication partner strategies in the classroom, their use of augmented input should be nurtured over time to ensure sustained use and possibly improve consistency. Additionally, adapting to the physical environment of the classroom is crucial to optimize the application of these strategies.