University of California, San Diego, USA.
Autism. 2019 Apr;23(3):699-712. doi: 10.1177/1362361318766241. Epub 2018 May 14.
Characterization of language in naturalistic settings in autism spectrum disorder has been lacking, particularly at young ages, but such information is important for parents, teachers, and clinicians to better support language development in real-world settings. Factors contributing to this lack of clarity include conflicting definitions of language abilities, use of non-naturalistic standardized assessments, and restricted samples. The current study examined one of the largest datasets of naturalistic language samples in toddlers with autism spectrum disorder, and language delay and typically developing contrast groups at age 3. A range of indices including length of phrase, grammatical markings, and social use of language was assayed during a naturalistic observation of a parent-child play session. In contrast to historical estimates, results indicated only 3.7% of children with autism spectrum disorder used no words, and 34% were minimally verbal. Children with autism spectrum disorder and language delay exhibited similar usage of grammatical markings, although both were reduced compared to typically developing children. The greatest difference between autism spectrum disorder and language delay groups was the quantity of social language. Overall, findings highlight a range of language deficits in autism spectrum disorder, but also illustrate that the most severe level of impairments is not as common in naturalistic settings as previously estimated by standardized assessments.
自闭症谱系障碍患者在自然环境下的语言特征描述一直较为缺乏,尤其是在幼儿时期,但这些信息对于父母、教师和临床医生在真实环境中更好地支持语言发展非常重要。造成这种不明确性的因素包括语言能力的定义相互矛盾、使用非自然的标准化评估以及样本受限。本研究在自闭症谱系障碍、语言延迟和典型发育对照组的 3 岁儿童中,检查了最大的自然语言样本数据集之一。在对亲子游戏的自然观察期间,评估了包括短语长度、语法标记和语言的社会用途在内的一系列指标。与历史估计值相比,结果表明只有 3.7%的自闭症谱系障碍儿童完全不使用单词,34%的儿童仅有最低限度的语言能力。自闭症谱系障碍和语言延迟儿童的语法标记使用情况相似,尽管与典型发育儿童相比,这两种情况都有所减少。自闭症谱系障碍和语言延迟组之间最大的区别是社会语言的数量。总体而言,研究结果突出了自闭症谱系障碍的一系列语言缺陷,但也表明在自然环境中,最严重的损伤程度并不像以前标准化评估所估计的那样常见。