Kılıç-Tülü Burcu
Faculty of Educational Sciences, Department of Special Education, Ankara University, Ankara, 06590, Turkey.
J Autism Dev Disord. 2025 Jul 1. doi: 10.1007/s10803-025-06940-7.
Language skills, essential for social interaction, also play a crucial role in the development of theory of mind (ToM). Comparing ToM performances among children with differing language profiles offers valuable insight into the impact of language on ToM. This study aimed to examine how language, a key predictor of ToM, affects the emotional (emotion recognition and understanding) and cognitive (desires and beliefs) ToM performances of children with varying developmental characteristics. A total of 66 children participated: 23 diagnosed with autism spectrum disorder (ASD), 20 with developmental language disorder (DLD), and 23 typically developing (TD) peers. Children with ASD were matched with TD peers based on receptive language age, while DLD and TD groups were similar in chronological age (5-6 years). All participants demonstrated average or above-average non-verbal intelligence. A comprehensive ToM assessment developed and standardized for Turkish children was used to evaluate both emotional and cognitive ToM skills. Both ASD and DLD groups showed significantly lower emotional and cognitive ToM performance compared to TD children. Although children with ASD tended to perform more poorly, there were no statistically significant differences between the ASD and DLD groups in any ToM domain. Children with ASD and DLD exhibit marked difficulties in theory of mind relative to their typically developing peers, regardless of their non-verbal cognitive abilities and language performance. The similarity in ToM performance between ASD and DLD groups suggests that factors beyond language may contribute to ToM development, highlighting the influence of broader developmental variables.
语言技能是社交互动所必需的,在心理理论(ToM)的发展中也起着至关重要的作用。比较不同语言能力儿童的ToM表现,能为语言对ToM的影响提供有价值的见解。本研究旨在探讨作为ToM关键预测因素的语言,如何影响具有不同发育特征儿童的情感(情绪识别和理解)和认知(欲望和信念)ToM表现。共有66名儿童参与:23名被诊断为自闭症谱系障碍(ASD),20名患有发育性语言障碍(DLD),以及23名发育正常(TD)的同龄人。ASD儿童根据接受性语言年龄与TD同龄人匹配,而DLD组和TD组在实际年龄(5至6岁)上相似。所有参与者都表现出平均或高于平均水平的非语言智力。使用为土耳其儿童开发并标准化的综合ToM评估来评估情感和认知ToM技能。与TD儿童相比,ASD组和DLD组在情感和认知ToM表现上均显著更低。尽管ASD儿童往往表现更差,但在任何ToM领域,ASD组和DLD组之间均无统计学上的显著差异。与发育正常的同龄人相比,患有ASD和DLD的儿童在心理理论方面表现出明显困难,无论其非语言认知能力和语言表现如何。ASD组和DLD组在ToM表现上的相似性表明,语言以外的因素可能有助于ToM的发展,凸显了更广泛发育变量的影响。