Skip to main content
Log in

Language Performance in Preschool-Aged Boys with Nonsyndromic Autism Spectrum Disorder or Fragile X Syndrome

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

In the present study, language performance on standardized assessments (e.g., overall verbal performance, receptive and expressive vocabulary) and spontaneous language produced in play was compared between preschool-aged boys with autism spectrum disorder (nASD, n = 25) and boys with fragile X syndrome (FXS, n = 16). At the group-level, we observed weaknesses in the language skills of boys with nASD relative to those with FXS (e.g., when considering raw score performance, standard score performance relative to nonverbal cognitive skills, frequency of talk in play), after controlling for nonverbal IQ and ASD symptom severity. Moreover, although individually most children in both groups demonstrated language delays relative to CA-expectations, language delays relative to nonverbal level-expectations were more common in boys with nASD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Abbeduto, L., Brady, N., & Kover, S. T. (2007). Language development and fragile X syndrome: Profiles, syndrome-specificity, and within-syndrome differences. Developmental Disabilities Research Reviews, 13, 36–46.

    Google Scholar 

  • Abbeduto, L., McDuffie, A., & Thurman, A. J. (2014). The fragile X syndrome–autism comorbidity: What do we really know? Frontiers in Genetics, 5, 355.

    PubMed  PubMed Central  Google Scholar 

  • Abbeduto, L., McDuffie, A., Thurman, A. J., & Kover, S. T. (2016). Language development in individuals with Intellectual and Developmental Disabilities: From phenotypes to treatments. International Review of Research in Developmental Disabilities, 50, 71–118.

    Google Scholar 

  • Abrahams, B. S., & Geschwind, D. H. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9, 341–355.

    Google Scholar 

  • Adamson, L. B., Bakeman, R., Deckner, D. F., & Romski, M. (2009). Joint engagement and the emergence of language in children with autism and Down syndrome. Journal of Autism and Developmental Disorders, 39, 84–96.

    PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

    Google Scholar 

  • American Psychiatric Association, & American Psychiatric Association. (2000). DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Baio, J. (2012). Autism and developmental disabilities monitoring network surveillance year 2008 principal investigators; centers for disease control and prevention. prevalence of autism spectrum disorders—Autism and developmental disabilities monitoring network, 14 sites, United States, 2008. MMWR Surveillance Summaries, 61, 1–19.

    Google Scholar 

  • Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., … Durkin, M. S. (2018). Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Surveillance Summaries, 67, 1–23.

    PubMed Central  Google Scholar 

  • Bassell, G. J., & Warren, S. T. (2008). Fragile X syndrome: Loss of local mRNA regulation alters synaptic development and function. Neuron, 60, 201–214.

    PubMed  PubMed Central  Google Scholar 

  • Baumgardner, T. L., Reiss, A. L., Freund, L. S., & Abrams, M. T. (1995). Specification of the neurobehavioral phenotype in males with fragile X syndrome. Pediatrics, 95(5), 744–752.

    PubMed  Google Scholar 

  • Belser, R. C., & Sudhalter, V. (2001). Conversational characteristics of children with fragile X syndrome: Repetitive speech. American Journal on Mental Retardation, 106, 28–38.

    PubMed  Google Scholar 

  • Betancur, C. (2011). Etiological heterogeneity in autism spectrum disorders: More than 100 genetic and genomic disorders and still counting. Brain research, 1380, 42–77.

    PubMed  Google Scholar 

  • Billstedt, E., Carina Gillberg, I., & Gillberg, C. (2007). Autism in adults: Symptom patterns and early childhood predictors. Use of the DISCO in a community sample followed from childhood. Journal of Child Psychology and Psychiatry, 48, 1102–1110.

    PubMed  Google Scholar 

  • Boucher, J. (2012). Research review: Structural language in autistic spectrum disorder—Characteristics and causes. Journal of Child Psychology and Psychiatry, 53, 219–233.

    PubMed  Google Scholar 

  • Budimirovic, D. B., & Kaufmann, W. E. (2011). What can we learn about autism from studying fragile X syndrome? Developmental Neuroscience, 33, 379–394.

    PubMed  PubMed Central  Google Scholar 

  • Carta, J. J., Greenwood, C. R., Walker, D., & Buzhardt, J. (2010). Using IGDIs: Monitoring progress and improving intervention for infants and young children. Baltimore: Brookes.

    Google Scholar 

  • Chandler, S., Howlin, P., Simonoff, E., O’Sullivan, T., Tseng, E., Kennedy, J., … Baird, G. (2016). Emotional and behavioural problems in young children with autism spectrum disorder. Developmental Medicine & Child Neurology, 58, 202–208.

  • Clegg, J., Hollis, C., Mawhood, L., & Rutter, M. (2005). Developmental language disorders—A follow-up in later adult life. Cognitive, language and psychosocial outcomes. Journal of Child Psychology and Psychiatry, 46, 128–149.

    PubMed  Google Scholar 

  • Clifford, S., Dissanayake, C., Bui, Q. M., Huggins, R., Taylor, A. K., & Loesch, D. Z. (2007). Autism spectrum phenotype in males and females with fragile X full mutation and premutation. Journal of Autism and Developmental Disorders, 37, 738–747.

    PubMed  Google Scholar 

  • Coghlan, S., Horder, J., Inkster, B., Mendez, M. A., Murphy, D. G., & Nutt, D. J. (2012). GABA system dysfunction in autism and related disorders: From synapse to symptoms. Neuroscience & Biobehavioral Reviews, 36, 2044–2055.

    Google Scholar 

  • Cohen, I. L., Fisch, G. S., Sudhalter, V., Wolf-Schein, E. G., Hanson, D., Hagerman, R., … Brown, W. T. (1988). Social gaze, social avoidance, and repetitive behavior in fragile X males: A controlled study. American Journal on Mental Retardation, 92, 436–446.

  • Cohen, J. (1988). Statistical power analysis for the behavioural sciences Hillsdale. Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Colgan, S. E., Lanter, E., McComish, C., Watson, L. R., Crais, E. R., & Baranek, G. T. (2006). Analysis of social interaction gestures in infants with autism. Child Neuropsychology, 12, 307–319.

    PubMed  Google Scholar 

  • Cordeiro, L., Ballinger, E., Hagerman, R., & Hessl, D. (2011). Clinical assessment of DSM-IV anxiety disorders in fragile X syndrome: Prevalence and characterization. Journal of Neurodevelopmental Disorders, 3, 57.

    PubMed  Google Scholar 

  • Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology, 20, 775–803.

    PubMed  Google Scholar 

  • de Bruin, E. I., Ferdinand, R. F., Meester, S., de Nijs, P. F., & Verheij, F. (2007). High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37, 877–886.

    PubMed  Google Scholar 

  • De Giacomo, A., & Fombonne, E. (1998). Parental recognition of developmental abnormalities in autism. European Child & Adolescent Psychiatry, 7(3), 131–136.

    Google Scholar 

  • Donald, M. (1991). Origins of the modern mind: Three stages in the evolution of culture and cognition. Cambridge: Harvard University Press.

    Google Scholar 

  • Dunn, L. M., & Dunn, D. M. (2007). PPVT-4: Peabody picture vocabulary test. Minneapolis, MN: Pearson Assessments.

    Google Scholar 

  • Eaves, L. C., & Ho, H. H. (2008). Young adult outcome of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 739–747.

    PubMed  Google Scholar 

  • Elliott, C. D. (2007a). Differential Abilities Scale—Second Edition (DAS-II). San Antonio: PsychCorp.

    Google Scholar 

  • Elliott, C. D. (2007b). Differential Ability Scales—Second Edition: Introductory and technical handbook. Minneapolis: PsychCorp.

    Google Scholar 

  • Ellis Weismer, S., & Kover, S. T. (2015). Preschool language variation, growth, and predictors in children on the autism spectrum. Journal of Child Psychology and Psychiatry, 56, 1327–1337.

    PubMed  Google Scholar 

  • Friard, O., & Gamba, M. (2016). BORIS: A free, versatile open-source event-logging software for video/audio coding and live observations. Methods in Ecology and Evolution, 7, 1325–1330. https://doi.org/10.1111/2041-210X.12584.

    Article  Google Scholar 

  • Gjevik, E., Eldevik, S., Fjæran-Granum, T., & Sponheim, E. (2011). Kiddie-SADS reveals high rates of DSM-IV disorders in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 41, 761–769.

    PubMed  Google Scholar 

  • Greenwood, C., Walker, D., & Buzhardt, J. (2010). The Early Communication Indicator (ECI) for infants and toddlers: Growth norms from two states. Journal of Early Intervention, 32(5), 310–334.

    Google Scholar 

  • Greenwood, C. R., Carta, J. J., Walker, D., Hughes, K., & Weathers, M. (2006). Preliminary investigations of the application of the Early Communication Indicator (ECI) for infants and toddlers. Journal of Early Intervention, 28, 178–196.

    Google Scholar 

  • Hall, S. S., Barnett, R. P., & Hustyi, K. M. (2016). Problem behaviour in adolescent boys with fragile X syndrome: Relative prevalence, frequency and severity. Journal of Intellectual Disability Research, 60, 1189–1199.

    PubMed  Google Scholar 

  • Harris, S. W., Hessl, D., Goodlin-Jones, B., Ferranti, J., Bacalman, S., Barbato, I., … Hagerman, R. J. (2008). Autism profiles of males with fragile X syndrome. American Journal on Mental Retardation, 113(6), 427–438.

  • Hartley, S. L., Seltzer, M. M., Raspa, M., Olmstead, M., Bishop, E., & Bailey, D. B. Jr. (2011). Exploring the adult life of men and women with fragile X syndrome: Results from a national survey. American Journal of Intellectual and Developmental Disabilities, 116, 16–35.

    Google Scholar 

  • Hessl, D., Nguyen, D. V., Green, C., Chavez, A., Tassone, F., Hagerman, R. J., … Hall, S. (2009). A solution to limitations of cognitive testing in children with intellectual disabilities: The case of fragile X syndrome. Journal of Neurodevelopmental Disorders, 1, 33.

  • Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45, 212–229.

    PubMed  Google Scholar 

  • Howlin, P., Savage, S., Moss, P., Tempier, A., & Rutter, M. (2014). Cognitive and language skills in adults with autism: A 40-year follow-up. Journal of Child Psychology and Psychiatry, 55, 49–58.

    PubMed  Google Scholar 

  • Hus, V., Gotham, K., & Lord, C. (2014). Standardizing ADOS domain scores: Separating severity of social affect and restricted and repetitive behaviors. Journal of Autism and Developmental Disorders, 44, 2400–2412.

    PubMed  PubMed Central  Google Scholar 

  • Iossifov, I., O’roak, B. J., Sanders, S. J., Ronemus, M., Krumm, N., Levy, D., … Smith, J. D. (2014). The contribution of de novo coding mutations to autism spectrum disorder. Nature, 515(7526), 216.

  • Iossifov, I., Ronemus, M., Levy, D., Wang, Z., Hakker, I., Rosenbaum, J., … Wilson, R. K. (2012). De novo gene disruptions in children on the autism spectrum. Neuron, 74, 285–299.

    PubMed  PubMed Central  Google Scholar 

  • Iverson, J. M., & Wozniak, R. H. (2016). Transitions to intentional and symbolic communication in typical development and in autism spectrum disorder. In D. Keen, H. Meadan, N. C. Brady, & J. W. Halle (Eds.), Prelinguistic and minimally verbal communicators on the autism spectrum (pp. 51–72). Singapore: Springer.

    Google Scholar 

  • Jeste, S. S., & Geschwind, D. H. (2014). Disentangling the heterogeneity of autism spectrum disorder through genetic findings. Nature Reviews Neurology, 10, 74–81.

    PubMed  PubMed Central  Google Scholar 

  • Jones, W., Klin, A., Jones, W., & Klin, A. (2009). Heterogeneity and homogeneity across the autism spectrum: The role of development. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 471–473.

    PubMed  Google Scholar 

  • Kaufmann, W. E., Capone, G. T., Clarke, M., Budimirovic, D. B., & Tarsy, D. (2008). Autism in genetic intellectual disability. In A. W. Zimmerman (Ed.), Autism—Current theories and evidence (pp. 81–108). Totowa: Humana Press.

    Google Scholar 

  • Kaufmann, W. E., Cortell, R., Kau, A. S., Bukelis, I., Tierney, E., Gray, R. M., … Stanard, P. (2004). Autism spectrum disorder in fragile X syndrome: Communication, social interaction, and specific behaviors. American Journal of Medical Genetics Part A, 129, 225–234.

  • Kaufmann, W. E., Kidd, S. A., Andrews, H. F., Budimirovic, D. B., Esler, A., Haas-Givler, B., … Brown, W. T. (2017). Autism spectrum disorder in fragile X syndrome: Cooccurring conditions and current treatment. Pediatrics, 139(3), S194–S206. Supplement.

  • Kjelgaard, M. M., & Tager-Flusberg, H. (2001). An investigation of language impairment in autism: Implications for genetic subgroups. Language and Cognitive Processes, 16, 287–308.

    PubMed  PubMed Central  Google Scholar 

  • Klinger, G. F., Dawson, G., & Renner, P. (2002). Autistic disorder. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 409–454). New York: Guilford Press.

    Google Scholar 

  • Klusek, J., Martin, G. E., & Losh, M. (2014). A comparison of pragmatic language in boys with autism and fragile X syndrome. Journal of Speech, Language, and Hearing Research, 57(5), 1692–1707.

    PubMed  PubMed Central  Google Scholar 

  • Kover, S. T., McCary, L. M., Ingram, A. M., Hatton, D. D., & Roberts, J. E. (2015). Language development in infants and toddlers with fragile X syndrome: Change over time and the role of attention. American Journal on Intellectual and Developmental Disabilities, 120, 125–144.

    PubMed  PubMed Central  Google Scholar 

  • Levy, Y., Gottesman, R., Borochowitz, Z., Frydman, M., & Sagi, M. (2006). Language in boys with fragile X syndrome. Journal of Child Language, 33, 125–144.

    PubMed  Google Scholar 

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., … Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.

  • Ligsay, A., & Hagerman, R. J. (2016). Review of targeted treatments in fragile X syndrome. Intractable & Rare Diseases Research, 5, 158–167.

    Google Scholar 

  • Loesch, D. Z., Huggins, R. M., & Hagerman, R. J. (2004). Phenotypic variation and FMRP levels in fragile X. Mental Retardation and Developmental Disabilities Research Reviews, 10, 31–41.

    PubMed  Google Scholar 

  • Looney, S. W. (2018). Practical issues in sample size determination for correlation coefficient inference. SM Journal of Biometrics and Biostatistics, 3, 1027.

    Google Scholar 

  • Lord, C., & Bailey, A. (2002). Autism spectrum disorders. In M. Rutter & E. Taylor (Eds.), Child and adolescent psychiatry (pp. 664–681). Oxford: Blackwell.

    Google Scholar 

  • Lord, C., Pickles, A., Dilavore, P. C., & Shulman, C. (1996, June). Longitudinal studies of young children referred for possible autism. In Biannual meetings of the International Society for Research in Child and Adolescent Psychopathology.

  • Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule—Second edition (ADOS-2). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Luze, G. J., Linebarger, D. L., Greenwood, C. R., & Carta, J. J. (2001). Developing a general outcome measure of growth in the expressive communication of infants and toddlers. School Psychology Review, 30, 383–406.

    Google Scholar 

  • Martin, G. E., Roberts, J. E., Helm-Estabrooks, N., Sideris, J., Vanderbilt, J., & Moskowitz, L. (2012). Perseveration in the connected speech of boys with fragile X syndrome with and without autism spectrum disorder. American Journal on Intellectual and Developmental Disabilities, 117, 384–399.

    PubMed  PubMed Central  Google Scholar 

  • McDuffie, A., Abbeduto, L., Lewis, P., Kover, S., Kim, J. S., Weber, A., & Brown, W. T. (2010). Autism spectrum disorder in children and adolescents with fragile X syndrome: Within-syndrome differences and age-related changes. American Journal on Intellectual and Developmental Disabilities, 115, 307–326.

    PubMed  PubMed Central  Google Scholar 

  • McDuffie, A., Kover, S. T., Hagerman, R., & Abbeduto, L. (2013). Investigating word learning in fragile X syndrome: A fast-mapping study. Journal of Autism and Developmental Disorders, 43, 1676–1691.

    PubMed  PubMed Central  Google Scholar 

  • McDuffie, A., Thurman, A. J., Hagerman, R. J., & Abbeduto, L. (2015). Symptoms of autism in males with fragile X syndrome: A comparison to nonsyndromic ASD using current ADI-R scores. Journal of Autism and Developmental Disorders, 45, 1925–1937.

    PubMed  PubMed Central  Google Scholar 

  • Mitchell, S., Brian, J., Zwaigenbaum, L., Roberts, W., Szatmari, P., Smith, I., & Bryson, S. (2006). Early language and communication development of infants later diagnosed with autism spectrum disorder. Journal of Developmental and Behavioral Pediatrics, 27, S69–S78.

    PubMed  Google Scholar 

  • Murphy, M. M., Abbeduto, L., Schroeder, S., & Serlin, R. (2007). Contribution of social and information-processing factors to eye-gaze avoidance in fragile X syndrome. American Journal on Mental Retardation, 112, 349–360.

    PubMed  Google Scholar 

  • Oakes, A., Thurman, A. J., McDuffie, A., Bullard, L. M., Hagerman, R. J., & Abbeduto, L. (2016). Characterising repetitive behaviours in young boys with fragile X syndrome. Journal of Intellectual Disability Research, 60, 54–67.

    PubMed  Google Scholar 

  • Oostra, B. A., & Willemsen, R. (2003). A fragile balance: FMR1 expression levels. Human Molecular Genetics, 12(Suppl_2), R249–R257.

    PubMed  Google Scholar 

  • Ozonoff, S., Iosif, A. M., Baguio, F., Cook, I. C., Hill, M. M., Hutman, T., … Steinfeld, M. B. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 256–266.

  • Paul, R., Chawarska, K., Cicchetti, D., & Volkmar, F. (2008). Language outcomes of toddlers with autism spectrum disorders: A two year follow-up. Autism Research, 1, 97–107.

    PubMed  PubMed Central  Google Scholar 

  • Paul, R., Fuerst, Y., Ramsay, G., Chawarska, K., & Klin, A. (2011). Out of the mouths of babes: Vocal production in infant siblings of children with ASD. Journal of Child Psychology and Psychiatry, 52, 588–598.

    PubMed  Google Scholar 

  • Pelphrey, K. A., Shultz, S., Hudac, C. M., & Vander Wyk, B. C. (2011). Constraining heterogeneity: The social brain and its development in autism spectrum disorder. Journal of Child Psychology and Psychiatry, 52, 631–644.

    PubMed  Google Scholar 

  • Ray-Subramanian, C. E., & Weismer, S. E. (2012). Receptive and expressive language as predictors of restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 2113–2120.

    PubMed  PubMed Central  Google Scholar 

  • Roberts, J. E., Mirrett, P., & Burchinal, M. (2001). Receptive and expressive communication development of young males with fragile X syndrome. American Journal on Mental Retardation, 106, 216–230.

    PubMed  Google Scholar 

  • Rose, V., Trembath, D., Keen, D., & Paynter, J. (2016). The proportion of minimally verbal children with autism spectrum disorder in a community-based early intervention programme. Journal of Intellectual Disability Research, 60, 464–477.

    PubMed  Google Scholar 

  • Rozga, A., Hutman, T., Young, G. S., Rogers, S. J., Ozonoff, S., Dapretto, M., & Sigman, M. (2011). Behavioral profiles of affected and unaffected siblings of children with autism: Contribution of measures of mother–infant interaction and nonverbal communication. Journal of Autism and Developmental Disorders, 41, 287–301.

    PubMed  Google Scholar 

  • Sigman, M., Ruskin, E., Arbelle, S., Corona, R., Dissanayake, C., Espinosa, M., Robinson, B. F. (1999). Continuity and change in the social competence of children with autism, Down syndrome, and developmental delays. Monographs of the Society for Research in Child Development, 64(1), 1–114.

    PubMed  Google Scholar 

  • Steinberg, J., & Webber, C. (2013). The roles of FMRP-regulated genes in autism spectrum disorder: Single-and multiple-hit genetic etiologies. The American Journal of Human Genetics, 93, 825–839.

    PubMed  Google Scholar 

  • Stembalska, A., Laczmanska, I., Gil, J., & Pesz, K. A. (2016). Fragile X syndrome in females—A familial case report and review of the literature. Developmental Period Medicine, 20, 99–104.

    PubMed  Google Scholar 

  • Sterling, A. (2018). Grammar in boys with idiopathic autism spectrum disorder and boys with fragile X syndrome plus autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 61, 857–869.

    PubMed  PubMed Central  Google Scholar 

  • Tager-Flusberg, H., & Joseph, R. M. (2003). Identifying neurocognitive phenotypes in autism. Philosophical Transactions of the Royal Society B: Biological Sciences, 358(1430), 303–314.

    Google Scholar 

  • Tager-Flusberg, H., & Kasari, C. (2013). Minimally verbal school-aged children with autism spectrum disorder: The neglected end of the spectrum. Autism Research, 6, 468–478.

    PubMed  Google Scholar 

  • Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. In D. J. Cohen & F. R. Volkmar (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 1, pp. 335–364). New York: Wiley.

    Google Scholar 

  • Tager-Flusberg, H., Rogers, S., Cooper, J., Landa, R., Lord, C., Paul, R., et al. (2009). Defining spoken language benchmarks and selecting measures of expressive language development for young children with autism spectrum disorders. Journal of Speech, Language, and Hearing Research, 52, 643–652.

    PubMed  PubMed Central  Google Scholar 

  • Talbott, M. R., Nelson, C. A., & Tager-Flusberg, H. (2015). Maternal gesture use and language development in infant siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 4–14.

    PubMed  PubMed Central  Google Scholar 

  • Tamis-LeMonda, C. S., & Adolph, K. E. (2005). Social referencing in infant motor action. In B. D. Homer & C. S. Tamis-LeMonda (Ed.) The development of social cognition and communication (pp. 145–164). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Tassone, F., Hagerman, R. J., Iklé, D. N., Dyer, P. N., Lampe, M., Willemsen, R., … Taylor, A. K. (1999). FMRP expression as a potential prognostic indicator in fragile X syndrome. American Journal of Medical Genetics Part A, 84, 250–261.

  • Taylor, L. J., Maybery, M. T., Grayndler, L., & Whitehouse, A. J. (2014). Evidence for distinct cognitive profiles in autism spectrum disorders and specific language impairment. Journal of Autism and Developmental Disorders, 44, 19–30.

    PubMed  Google Scholar 

  • Thurman, A. J., McDuffie, A., Hagerman, R., & Abbeduto, L. (2014). Psychiatric symptoms in boys with fragile X syndrome: A comparison with nonsyndromic autism spectrum disorder. Research in Developmental Disabilities, 35, 1072–1086.

    PubMed  PubMed Central  Google Scholar 

  • Thurman, A. J., McDuffie, A., Hagerman, R. J., Josol, C. K., & Abbeduto, L. (2017). Language skills of males with fragile X syndrome or nonsyndromic autism spectrum disorder. Journal of Autism and Developmental Disorders, 47, 728–743.

    PubMed  PubMed Central  Google Scholar 

  • Thurman, A. J., McDuffie, A., Kover, S. T., Hagerman, R. J., & Abbeduto, L. (2015). Autism symptomatology in boys with fragile X syndrome: A cross-sectional developmental trajectories comparison with nonsyndromic autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2816–2832.

    PubMed  PubMed Central  Google Scholar 

  • Tomblin, B. (2011). Co-morbidity of autism and SLI: Kinds, kin and complexity. International Journal of Language & Communication Disorders, 46, 127–137.

    Google Scholar 

  • Uljarević, M., Baranek, G., Vivanti, G., Hedley, D., Hudry, K., & Lane, A. (2017). Heterogeneity of sensory features in autism spectrum disorder: Challenges and perspectives for future research. Autism Research, 10, 703–710.

    PubMed  Google Scholar 

  • Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high-functioning autistic children. Journal of Child Psychology and Psychiatry, 33, 489–507.

    PubMed  Google Scholar 

  • Vygotsky, L. S. (1986). Thought and language. Cambridge: MIT.

    Google Scholar 

  • Watson, C., Hoeft, F., Garrett, A. S., Hall, S. S., & Reiss, A. L. (2008). Aberrant brain activation during gaze processing in boys with fragile X syndrome. Archives of General Psychiatry, 65, 1315–1323.

    PubMed  PubMed Central  Google Scholar 

  • Waxman, S. R., & Markow, D. B. (1995). Words as invitations to form categories: Evidence from 12-to 13-month-old infants. Cognitive Psychology, 29, 257–302.

    PubMed  Google Scholar 

  • Weismer, S. E., Lord, C., & Esler, A. (2010). Early language patterns of toddlers on the autism spectrum compared to toddlers with developmental delay. Journal of Autism and Developmental Disorders, 40, 1259–1273.

    PubMed Central  Google Scholar 

  • Werner, E., Dawson, G., Osterling, J., & Dinno, N. (2000). Recognition of autism spectrum disorder before one year of age: A retrospective study based on home videotapes. Journal of Autism and Developmental Disorders, 30, 157–162.

    PubMed  Google Scholar 

  • Williams, D., Botting, N., & Boucher, J. (2008). Language in autism and specific language impairment: Where are the links? Psychological Bulletin, 134(6), 944.

    PubMed  Google Scholar 

  • Williams, K. T. (2007). EVT-2: Expressive vocabulary test. Minneapolis, MN: Pearson Assessments.

    Google Scholar 

  • Wolff, J. J., Bodfish, J. W., Hazlett, H. C., Lightbody, A. A., Reiss, A. L., & Piven, J. (2012). Evidence of a distinct behavioral phenotype in young boys with fragile X syndrome and autism. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1324–1332.

    PubMed  PubMed Central  Google Scholar 

  • Yoder, P., Stone, W. L., Walden, T., & Malesa, E. (2009). Predicting social impairment and ASD diagnosis in younger siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 39, 1381–1391.

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

This research was supported by Grants R03 DC014543 from the National Institute of Deafness and Communication Disorders, U54 HD079125 from the National Institute of Child Health and Human Development, UL1 TR000002 from the National Center for Advancing Translational Sciences. We wish to thank the children and their families for their participation in this study. We also thank Cynde Josol, Amy Banasik, Theofilos Mazidzoglou, and Claudine Anglo for assisting with data collection; Karina Gonzalez and Vivian Nguyen for coordinating all study visits; and Danielle Harvey for assisting with data analyses. Angela John Thurman has received financial support to develop and implement outcome measures for clinical trials from Fulcrum Therapeutics. No other authors have financial disclosures to make.

Author information

Authors and Affiliations

Authors

Contributions

AJT conceived of the study, participated in its design and coordination, performed the statistical analyses, and drafted the manuscript. CHA participated in the design and coordination of the study, helped with the statistical analyses, and helped to draft the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Angela John Thurman.

Ethics declarations

Conflict of interest

Angela John Thurman has received financial support to develop outcome measures for clinical trial studies from Fulcrum Therapeutics. Cesar Hoyos Alvarez declares no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Thurman, A.J., Hoyos Alvarez, C. Language Performance in Preschool-Aged Boys with Nonsyndromic Autism Spectrum Disorder or Fragile X Syndrome. J Autism Dev Disord 50, 1621–1638 (2020). https://doi.org/10.1007/s10803-019-03919-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-019-03919-z

Keywords

Navigation