Skip to main content
Log in

Conversation Skills in Chinese-Speaking Preschoolers with Autism: The Contributing Role of Parents’ Verbal Responsiveness

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

Abstract

Children with autism spectrum disorder (ASD) have conversation deficits, yet the growth of conversation abilities is understudied, especially in Chinese-speaking populations. Little is known about whether their parents’ verbal responsiveness and redirectives are related to their conversation skills. Children with ASD (N = 37; M = 5;5) and their parents contributed their language samples. These children interacted with their parents at four time points over nine months. The number of conversational turns and the proportion of child-initiated conversation (but not the proportion of children’s appropriate responses) grew over nine months. After controlling for time, autism severity, and language skills, parents’ verbal responsiveness positively predicted children’s appropriate responses. Parents’ redirectives negatively predicted the proportion of children’s appropriate responses and the number of conversational turns.

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

Similar content being viewed by others

Availability of Data and Materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Notes

  1. Eight children aged above 68 months old. Thus, MSEL might not accurately measure their expressive and receptive language abilities. However, note that these eight children, like most of the children participating in this study, were found to have delay in their receptive and expressive language abilities (receptive language age equivalent: M=58.12; SD=8.32; expressive language age equivalent: M=46.34; SD=6.48). Thus, their language abilities still fell within the language age equivalent range in MSEL.

References

  • Adams, C., Green, J., Gilchrist, A., & Cox, A. (2002). Conversational behaviour of children with Asperger syndrome and conduct disorder. Journal of Child Psychology and Psychiatry, 43(5), 679–690.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. American Psychiatric Association-5th edn.

  • Baird, G., & Norbury, C. F. (2016). Social (pragmatic) communication disorders and autism spectrum disorder. Archives of Disease in Childhood, 101(8), 745–751.

    Article  PubMed  Google Scholar 

  • Bauminger-Zviely, N., & Agam-Ben-Artzi, G. (2014). Young friendship in HFASD and typical development: Friend versus non-friend comparisons. Journal of Autism and Developmental Disorders, 44(7), 1733–1748.

    Article  PubMed  Google Scholar 

  • Bloom, L., Rocissano, L., & Hood, L. (1976). Developmental interaction between information processing and linguistic knowledge. Cognitive Psychology, 8, 521–552.

    Article  Google Scholar 

  • Bottema-Beutel, K., Yoder, P., Hochman, J. M., & Watson, L. (2014). The role of supported joint engagement and parent utterances in language and social communication development in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 2162–2174.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bottema-Beutel, K., Lloyd, B., Watson, L., & Yoder, P. J. (2018). Bidirectional influences of caregiver utterances and supported joint engagement in children with and without autism spectrum disorder. Autism Research, 11, 755–765.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bottema-Beutel, K., Malloy, C., Lloyd, B., Louick, R., Nelson, L. J., Watson, L. R., & Yoder, P. J. (2018). Sequential associations between caregiver talk and child play in autism spectrum disorder and typical development. Child Development, 89(3), e157–e166.

    Article  PubMed  Google Scholar 

  • Bruner, J. S. (1978). The ontogenesis of speech acts. Journal of Child Language, 2, 1–19.

    Article  Google Scholar 

  • Capps, L., Kehres, J., & Sigman, M. (1998). Conversational abilities among children with autism and children with developmental delays. Autism, 2(4), 325–344.

    Article  Google Scholar 

  • Constantino, J. N. & Gruber, C. P. (2012). Social Responsiveness Scale, Second Edition (SRS-2). Torrance, CA: Western Psychological Services.

    Google Scholar 

  • Crawley, S. B., & Spiker, D. (1983). Mother-child interactions involving two-years-olds with Down syndrome: A look at individual differences. Child Development, 54, 1312–1323.

    Article  PubMed  Google Scholar 

  • Dimitrova, N., Özçalışkan, Ş, & Adamson, L. B. (2015). Parents’ translations of child gesture facilitate word learning in children with autism, down syndrome and typical development. Journal of Autism and Developmental Disorders., 46, 221–231.

    Article  Google Scholar 

  • DiStefano, C., Shih, W., Kaiser, A., Landa, R., & Kasari, C. (2016). Communication growth in minimally verbal children with ASD: The importance of interaction. Autism Research, 9, 1093–1102.

    Article  PubMed  Google Scholar 

  • Edmunds, S. R., Kover, S. T., & Stone, W. L. (2019). The relation between parent verbal responsiveness and child communication in young children with or at risk for autism spectrum disorder: A systematic review and meta-analysis. Autism Research, 12(5), 715–731.

    Article  PubMed  PubMed Central  Google Scholar 

  • Education Bureau, The Government of the Hong Kong Special Administrative Region (2016). Report on Enrolment Statistics.

  • Education Bureau, The Government of the Hong Kong Special Administrative Region (2017). Report on Enrolment Statistics.

  • Education Bureau, The Government of the Hong Kong Special Administrative Region (2018). Report on Enrolment Statistics.

  • Fountain, C., Winter, A. S., & Bearman, P. S. (2012). Six developmental trajectories characterize children with autism. Pediatrics, 129(5), e1112–e1120.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garson, G. D. (2013). Hierarchical linear modelling: Guide and applications. . Sage.

    Book  Google Scholar 

  • Haebig, E., McDuffie, A., & Weismer, S. E. (2013). The contribution of two categories of parent verbal responsiveness to later language for toddlers and preschoolers on the autism spectrum. American Journal of Speech-Language Pathology, 22(1), 57–70.

    Article  PubMed  Google Scholar 

  • Haebig, E., McDuffie, A., & Weismer, S. E. (2013). Brief report: Parent verbal responsiveness and language development in toddlers on the autism spectrum. Journal of Autism and Developmental Disorders, 43(9), 2218–2227.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hale, C. M., & Tager-Flusberg, H. (2005). Social communication in children with autism: The relationship between theory of mind and discourse development. Autism, 9(2), 157–178.

    Article  PubMed  Google Scholar 

  • Harris, S. (1994). The relation of maternal style to the language development of children with Down Syndrome. Unpublished doctoral dissertation, University of California at Los Angeles.

  • Jones, C. D., & Schwartz, I. S. (2009). When asking questions is not enough: An observational study of social communication differences in high functioning children with autism. Journal of Autism and Developmental Disorders, 39(3), 432–443.

    Article  PubMed  Google Scholar 

  • Kaufman, A. S. (2004). Kaufman brief intelligence test–Second Edition. . American Guidance Service.

    Google Scholar 

  • Koegel, R. L., Koegel, L. K., Frea, W. D., & Smith, A. E. (1995). Emerging interventions for children with autism: Longitudinal and lifestyle implications. In R. L. Koegel & L. K. Koegel (Eds.), Teaching children with autism: Strategies for initiating positive interactions and improving learning opportunities. (pp. 1–15). Brookes.

    Google Scholar 

  • Koning, C., & Magill-Evans, J. (2001). Social and language skills in adolescent boys with Asperger syndrome. Autism, 5(1), 23–36.

    Article  PubMed  Google Scholar 

  • Lam, Y. G., & Yeung, S. S. S. (2012). Towards a convergent account of pragmatic language deficits in children with high-functioning autism: Depicting the phenotype using the Pragmatic Rating Scale. Research in Autism Spectrum Disorders, 6(2), 792–797.

    Article  Google Scholar 

  • Landa, R., Piven, J., Wzorek, M. M., Gayle, J. O., Chase, G. A., & Folstein, S. E. (1992). Social language use in parents of autistic individuals. Psychological Medicine, 22(1), 245–254.

    Article  PubMed  Google Scholar 

  • Landry, S. H., & Chapieski, M. L. (1989). Joint attention and infant toy exploration: Effects of Down syndrome and prematurity. Child Development, 60, 103–118.

    Article  PubMed  Google Scholar 

  • Landry, S. H., Smith, K. E., Swank, P. R., & Miller-Loncar, C. L. (2000). Early maternal and child influences on children’s later independent cognitive and social functioning. Child Development, 71, 358–75.

    Article  PubMed  Google Scholar 

  • Lord, C., & Paul, R. (1997). Language and communication in autism. In D. J. Cohen & F. R. Volkmar (Eds.), Handbook of autism and pervasive developmental disorders. (2nd ed.). Wiley.

    Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). . Western Psychological Corporation.

    Google Scholar 

  • Losh, M., & Capps, L. (2003). Narrative ability in high-functioning children with autism or Asperger’s syndrome. Journal of Autism and Developmental Disorders, 33(3), 239–251.

    Article  PubMed  Google Scholar 

  • MacWhinney, B. (2000). The CHILDES Project: Tools for analyzing talk. Vol. I Transcription format and programs. . Psychology Press.

    Google Scholar 

  • McCathren, R. B., Yoder, P. J., & Warren, S. F. (1995). The role of directives in early language intervention. Journal of Early Intervention, 19(2), 91–101.

    Article  Google Scholar 

  • McDuffie, A., & Yoder, P. (2010). Types of parent verbal responsiveness that predict language in young children with autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 53, 1026–1039.

    Article  PubMed  Google Scholar 

  • Mullen, E. M. (1995). Mullen Scales of Early Learning. (AGS). American Guidance Service Inc.

    Google Scholar 

  • Naigles, L. R. (2013). Input and language development in children with autism. Seminars in Speech and Language, 34(4), 237–248.

    Article  PubMed  Google Scholar 

  • National Centers on Birth Defects and Developmental Disabilities. (2020). Identifying autism among children: an easy read summary.

  • Nelson, K. E. (1989). Strategies for first language teaching. In M. Rice & R. Schiefelbusch (Eds.), Teachability of language. (pp. 263–310). Brooks.

    Google Scholar 

  • Ninio, A., & Snow, C. E. (1996). Pragmatic development. . Westview.

    Google Scholar 

  • Olsen-Fulero, L., & Conforti, J. (1983). Child responsiveness to mother questions of varying type and presentation. Journal of Child Language, 10, 495–520.

    Article  Google Scholar 

  • Paul, R., Orlovski, S. M., Marcinko, H. C., & Volkmar, F. (2009). Conversational behaviors in youth with high-functioning ASD and Asperger syndrome. Journal of Autism and Developmental Disorders, 39(1), 115–125.

    Article  PubMed  Google Scholar 

  • Philofsky, A., Fidler, D. J., & Hepburn, S. (2007). Pragmatic language profiles of school-age children with autism spectrum disorders and Williams syndrome. American Journal of Speech-Language Pathology, 16(4), 368–380.

    Article  PubMed  Google Scholar 

  • Pickles, A., Anderson, D. K., & Lord, C. (2014). Heterogeneity and plasticity in the development of language: A 17-year follow-up of children referred early for possible autism. Journal of Child Psychology and Psychiatry, 55(12), 1354–1362.

    Article  PubMed  Google Scholar 

  • Schopler, E., Van Bourgondien, M., Wellman, G., & Love, S. (2010). Childhood autism rating scale-second edition (CARS2): Manual. . Western Psychological Services.

    Google Scholar 

  • Shriberg, L. D., Kwiatkowski, J., & Hoffmann, K. (1984). A procedure for phonetic transcription by consensus. Journal of Speech, Language, and Hearing Research, 27(3), 456–465.

    Article  Google Scholar 

  • Siller, M., & Sigman, M. (2002). The behaviors of parents of children with autism predict the subsequent development of their children’s communication. Journal of Autism and Developmental Disorders, 32(2), 77–89.

    Article  PubMed  Google Scholar 

  • Siller, M., & Sigman, M. (2008). Modeling longitudinal change in the language abilities of children with autism: Parent behaviors and child characteristics as predictors of change. Developmental Psychology, 44(6), 1691–1704.

    Article  PubMed  Google Scholar 

  • So, W. C. (2020). Robot for autism behavioral intervention. The Chinese University of Hong Kong.

  • So, W. C., & Wong, M. K. Y. (2018). Tracing the development of spatially-modulated gestures in the manual modality: Do non-signing children share the same developmental trajectory as signing children? Applied Psycholinguistics, 39(3), 527–544.

    Article  Google Scholar 

  • So, W. C., Wong, M. K. Y., Lui, M., & Yip, V. (2015). The development of co-speech gesture and its semantic integration with speech in 6- to 12-year-old children with Autism Spectrum Disorders. Autism: International Journal of Research and Practice, 19(8), 956–968.

    Article  Google Scholar 

  • Su, Y., Naigles, L. R., & Su, L. Y. (2018). Uneven expressive language development in Mandarin-exposed preschool children with ASD: Comparing vocabulary, grammar, and the decontextualized use of language via the PCDI-Toddler Form. Journal of Autism and Developmental Disorders, 48(10), 3432–3448.

    Article  PubMed  Google Scholar 

  • Tager-Flusberg, H., & Anderson, M. (1991). The development of contingent discourse ability in autistic children. Journal of Child Psychology and Psychiatry, 32(7), 1123–1134.

    Article  PubMed  Google Scholar 

  • Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. Handbook of Autism and Pervasive Developmental Disorders, 1, 335–364.

    Article  Google Scholar 

  • Tardif, T., & Fletcher, P. (2008). Chinese communicative development inventories: User’s guide and manual. . Peking University Medical Press.

    Google Scholar 

  • Tomasello, M., & Farrar, M. J. (1986). Joint attention and early language. Child Development, 57, 1454–1463.

    Article  PubMed  Google Scholar 

  • Volden, J., Coolican, J., Garon, N., White, J., & Bryson, S. (2009). Brief report: Pragmatic language in autism spectrum disorder: Relationships to measures of ability and disability. Journal of Autism and Developmental Disorders, 39(2), 388.

    Article  PubMed  Google Scholar 

  • Wetherby, A. M. (2006). Understanding and measuring social communication in children with autism spectrum disorders. Social and Communication Development in Autism Spectrum Disorders, 37, 960–975.

    Article  Google Scholar 

  • Yi, L., Fan, Y., Zhao, J., Huang, D., Li, Y., & Zou, X. (2013). Atypical understanding of mental terms in Chinese-speaking children with autism spectrum disorder. Research in Autism Spectrum Disorders, 7(11), 1411–1417.

    Article  Google Scholar 

  • Yoder, P. J., & Davies, B. (1990). Do parental questions and topic continuations elicit replies from developmentally delayed children? A sequential analysis. Journal of Speech and Hearing Research, 33, 363–573.

    Google Scholar 

  • Yoder, P. J., Davies, B., & Bishop, K. (1992). Getting children with developmental disabilities to talk to adults. In S. Warren & J. Reichie (Eds.), Causes and effects in communication and language intervention. (pp. 255–276). Brookes.

    Google Scholar 

  • Yoder, P. J., Davies, B., Bishop, K., & Munson, L. (1994). Effect of adult continuing wh-questions on conversational participation in children with developmental disabilities. Journal of Speech Language and Hearing Research, 37, 193–204.

    Article  Google Scholar 

  • Yoder, P. J., & Warren, S. F. (1999). Maternal responsivity mediates the relationship between prelinguistic intentional communication and later language. Journal of Early Intervention, 22, 126–36.

    Article  Google Scholar 

  • Young, E., Diehl, J., Morris, D., Hyman, S., & Bennetto, L. (2005). The use of two language tests to identify pragmatic language problems in children with autism spectrum disorders. Language, Speech, and Hearing Services in Schools, 36, 62–72.

    Article  PubMed  Google Scholar 

  • Zhou, P., Crain, S., Gao, L., Tang, Y., & Jia, M. (2015). The use of grammatical morphemes by Mandarin-speaking children with high functioning autism. Journal of Autism and Developmental Disorders, 45(5), 1428–1436.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We acknowledge Mui-Fong Wong for administering ADOS-2 and the help of our research assistants Johnny Fung, Fai-Yeung Kwok, Shing-Hey Lee, Ying-Yi Lee, and Jonathan Tse with data collection and transcription. Special thanks to all of the children and their parents for their help and dedication to education.

Funding

This research has been fully supported by a grant from the Innovation and Technology Fund for Better Living (“FBL”; Project no. ITB/FBL/8005/17/P).

Author information

Authors and Affiliations

Authors

Contributions

WCSO wrote the manuscript and designed the study. WCSO and XKS analyzed the data. WWL, TW, OKL, and YH collected and coded the data.

Corresponding author

Correspondence to Wing-Chee So.

Ethics declarations

Competing Interests:

The authors declare that they have no competing interest.

Ethical Approval

All of the procedures were approved by the Survey and Behavioral Research Ethics Committee of the first author’s university, in compliance with the Declaration of Helsinki (SBRE-19-307).

Informed Consent

We obtained parents’ informed consent prior to the study. The participants also gave their assent to participate in this study.

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

So, WC., Song, XK., Cheng, CH. et al. Conversation Skills in Chinese-Speaking Preschoolers with Autism: The Contributing Role of Parents’ Verbal Responsiveness. J Autism Dev Disord 52, 1106–1119 (2022). https://doi.org/10.1007/s10803-021-05017-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-021-05017-5

Keywords

Navigation