Journal of Autism and Developmental Disorders

, Volume 37, Issue 9, pp 1721–1734 | Cite as

Predictors of Language Acquisition in Preschool Children with Autism Spectrum Disorders

  • Audrey Thurm
  • Catherine Lord
  • Li-Ching Lee
  • Craig Newschaffer
Original paper

Abstract

In 118 children followed from age 2 to 5 (59 with autism, 24 with PDD-NOS and 35 with non-spectrum developmental disabilities), age 2 and age 3 scores of non-verbal ability, receptive communication, expressive communication and socialization were compared as predictors of receptive and expressive language at age 5. Non-verbal cognitive ability at age 2 was generally the strongest predictor of age 5 language, while at age 3 communication scores were a stronger predictor of age 5 language for children with autism. Early joint attention as well as vocal and motor imitation skills were more impaired in children who did not develop language by age 5 (but had relatively strong non-verbal cognitive skills) than in children who did develop language by 5.

Keywords

Autism Language Preschool Predictors Outcome 

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: American Psychiatric Association.Google Scholar
  2. Carter, A. S., Volkmar, F. R., Sparrow, S. S., Wang, J. J., Lord, C., Dawson, G., Fombonne, E., Loveland, K., Mesibov, G., & Schopler, E. (1998). The Vineland Adaptive Behavior Scales: Supplementary norms for individuals with autism. Journal of Autism and Developmental Disorders, 28, 287–302.PubMedCrossRefGoogle Scholar
  3. Chakrabarti, S., & Fombonne, E. (2001). Pervasive developmental disorders in preschool children. Journal of the American Medical Association, 2001, 3093–3099.CrossRefGoogle Scholar
  4. Charman, T. (2003). Why is joint attention a pivotal skill in autism. Philosophical Transactions of the Royal Society of London Series B-Biological Sciences, 358, 315–324.CrossRefGoogle Scholar
  5. Charman, T., Baron-Cohen, S., Swettenham, J., Baird, G., Drew, A., & Cox, A. (2003). Predicting language outcome in infants with autism and pervasive developmental disorder. International Journal of Language and Communication Disorders, 38, 265–285.PubMedCrossRefGoogle Scholar
  6. Charman, T., Taylor, E., Drew, A., Cockerill, H., Brown, J., & Baird, G. (2005). Outcome at 7 years of children diagnosed with autism at age 2: Predictive validity of assessments conducted at 2 and 3 years of age and patterns of symptom change over time. Journal of Child Psychology and Psychiatry, 46(5), 500–513.PubMedCrossRefGoogle Scholar
  7. Dawson, G., Toth, K., Abbott, R., Osterling, J., Munson, J., Estes, A., & Liaw, J. (2004). Early social attention impairments in autism: Social orienting, joint attention, and attention to distress. Developmental Psychology, 40, 271–283.PubMedCrossRefGoogle Scholar
  8. De Fosse, L., Hodge, S. M., Makris, N., Kennedy, D. N., Caviness, V. S., McGrath, L., Steele, S., Ziegler, D. A., Herbert, M. R., Frazier, J. A., Tager-Flusberg, H., & Harris, G. J. (2004). Language-association cortex asymmetry in autism and specific language impairment. Annals of Neurology, 56(6), 757–766.PubMedCrossRefGoogle Scholar
  9. DiLavore, P., Lord, C., & Rutter, M. (1995). The PreLinguistic autism diagnostic observation schedule. Journal of Autism and Developmental Disorders, 25, 355–379.PubMedCrossRefGoogle Scholar
  10. Doll, E. A. (1965). Vineland Social Maturity Scale. Circle Pines, MN: American Guidance Service.Google Scholar
  11. Dunn, L. M. (1959). Manual for the Peabody Picture Vocabulary Test. Circle Pines, MN: American Guidance Service.Google Scholar
  12. Dyck, M. J., Piek, J. P., Hay, D., Smith, L., & Hallmayer, J. (2006). Are abilities abnormally interdependent in children with autism? Journal of Clinical Child and Adolescent Psychology, 35(1), 20–33.PubMedCrossRefGoogle Scholar
  13. Elliot, C. (1990). Manual for the Differential Abilities Scales. San Antonio, TX: Psychological Corporation.Google Scholar
  14. Gernsbacher, M. A., Goldsmith, H. H., O’Reilly, M. C., Sauer, E. S., DeRuyter, J. L., & Blanc, M. (2002, April). Infant motor dyspraxia as a predictor of speech in childhood autism. Poster presented at the international conference on infant studies, Toronto.Google Scholar
  15. Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty. Journal of Autism and Developmental Disorders, 17(2), 273–287.PubMedCrossRefGoogle Scholar
  16. Hedrick, D. L., Prather, E. M., & Tobin, A. R. (1975). Sequenced inventory of communication development. Seattle: University of Washington Press.Google Scholar
  17. Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45, 212–229.PubMedCrossRefGoogle Scholar
  18. Kobayashi, R., Murata, T., & Yoshinaga, K. (1992). A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan. Journal of Autism and Developmental Disorders, 22(3), 395–411.PubMedCrossRefGoogle Scholar
  19. Le Couteur, A., Lord, C., & Rutter, M. (2003). The Autism Diagnostic Interview – Revised (ADI-R). Los Angeles, CA: Western Psychological Services.Google Scholar
  20. Lord, C., & Pickles, A. (1996). Language level and nonverbal social-communicative behaviors in autistic and language-delayed children. Journal of the American Academy of Child and Adolescent Psychiatry, 35(11), 1542–1550.PubMedCrossRefGoogle Scholar
  21. Lord, C., & Risi, S. (2004). Trajectory of language development in autistic spectrum disorders. In M. Rice (Ed.), Developmental language disorders: From phenotypes to etiologies (pp. 7–29). Mahwah, NJ: Erlbaum.Google Scholar
  22. Lord, C., Risi, S., DiLavore, P., Shulman, C., Thurm, A., & Pickles, A. (2006). Autism from two to nine. Archives of General Psychiatry.Google Scholar
  23. Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism Diagnostic Observation Schedule. Los Angeles, CA: Western Psychological Services.Google Scholar
  24. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.PubMedCrossRefGoogle Scholar
  25. Lord, C., & Schopler, E. (1989). Stability of assessment results of autistic and non-autistic language-impaired children from preschool years to early school age. Journal of Child Psychology and Psychiatry, 30(4), 575–590.PubMedCrossRefGoogle Scholar
  26. Mullen, E. M. (1985). Manual for the Infant Mullen Scales of Early Learning. Cranston, RI .Google Scholar
  27. Mullen, E. M. (1989). Mullen Scales of Early Learning. Circle Pines, MN: American Guidance Service, Inc.Google Scholar
  28. Mullen E. M. (1995). Mullen Scales of Early Learning: AGS edition. Circle Pines, MN: American Guidance Service, Inc.Google Scholar
  29. Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20, 115–129.PubMedCrossRefGoogle Scholar
  30. Ohta, M., Nagai, Y., Hara, H., & Sasaki, M. (1987). Parental perception of behavioral symptoms in Japanese autistic children. Journal of Autism and Developmental Disorders, 17, 549–563.PubMedCrossRefGoogle Scholar
  31. Oliver, B., Dale, P. S., & Plomin, R. (2004). Verbal and nonverbal predictors of early language problems: An analysis of twins in early childhood back to infancy. Journal of Child Language, 31, 609–631.PubMedCrossRefGoogle Scholar
  32. Philofsky, A., Hepburn, S. L., Hayes, A., Hagerman, R., & Rogers, S. J. (2004). Linguistic and cognitive functioning and autism symptoms in young children with fragile X syndrome. American Journal of Mental Retardation, 109(3), 208–218.PubMedCrossRefGoogle Scholar
  33. Rogers, S. J., Hepburn, S. L., Stackhouse, T., & Wehner, E. (2003). Imitation performance in toddlers with autism and those with other developmental disorders. Journal of Child Psychology and Psychiatry, 44(5), 763–781.PubMedCrossRefGoogle Scholar
  34. Rogers, S. J., Wehner, E. A., & Hagerman, R. (2001). The behavioral phenotype in fragile X: Symptoms of autism in very young children with fragile X syndrome, idiopathic autism, and other developmental disorders. Journal of Developmental and Behavioral Pediatrics, 22(6), 409–414.PubMedGoogle Scholar
  35. Rutter, M., Greenfield, D., & Lockyer, L. (1967). A five- to fifteen-year follow-up study of infantile psychosis: II. Social and behavioral outcome. British Journal of Psychiatry, 113, 1183–1199.PubMedCrossRefGoogle Scholar
  36. Siegel, B., Pliner, C., Eschler, J., & Elliott, G. (1988). How children with autism are diagnosed: Difficulties in identification of children with multiple developmental delays. Developmental and Behavioral Pediatrics, 9, 199–204.Google Scholar
  37. Sigman, M., & McGovern, C. W. (2005). Improvement in cognitive and language skills from preschool to adolescence in autism. Journal of Autism and Developmental Disorders, 33(1), 15–23.CrossRefGoogle Scholar
  38. Sigman, M., Ruskin, E., Arbeile, S., Corona, R, Dissanayake, C., Espinosa, M., Kim, N., Lopez, A., & Zierhut, C. (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.PubMedCrossRefGoogle Scholar
  39. Sparrow, S., Balla, D., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
  40. Sparrow, S., Cicchetti, D. V., & Balla, D. (2005). Vineland-II Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
  41. Stone, W., & Yoder, P. J. (2001). Predicting spoken language level in children with autism spectrum disorders. Autism, 5(4), 341–361.PubMedCrossRefGoogle Scholar
  42. Stone, W. L., Ousley, O. Y., Hepburn, S. L., Hogan, K. L., & Brown, C. S. (1999). Patterns of adaptive behavior in very young children with autism. American Journal of Mental Retardation, 104(2), 187–199.PubMedCrossRefGoogle Scholar
  43. Stone, W., Ousley, O., & Littleford, C. (1997). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology, 25(6), 475–485.PubMedCrossRefGoogle Scholar
  44. Szatmari, P., Bryson, S. E., Boyle, M. H., Streiner, D. L., & Duku, E. (2003). Predictors of outcome among high functioning children with autism and Asperger syndrome. Journal of Child Psychology and Psychiatry, 44, 520–528.PubMedCrossRefGoogle Scholar
  45. Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (3rd ed.) (pp. 335–364). Hoboken, NJ: Wiley and Sons.Google Scholar
  46. Taylor, A., Pickering, K., Lord, C., & Pickles, A. (1997). Mixed and multilevel models for longitudinal data: Growth curve models of language development. In B. Everitt, & G. Dunn (Eds.), Recent advances in medical statistics (pp. 1–15). New York: Oxford University Press.Google Scholar
  47. Venter, A., Lord, C., & Schopler, E. (1992). A follow-up of high-functioning autistic children. Journal of Child Psychology and Psychiatry, 33(3), 489–507.PubMedCrossRefGoogle Scholar
  48. Volkmar, F., Sparrow, S., Goudreau, D., Cicchetti, D. V., Paul, R., & Cohen, D. (1987). Social deficits in autism: An operational approach using the Vineland Adaptive Behavior Scales. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 156–161.PubMedCrossRefGoogle Scholar
  49. Watson, L. R. (2001). Issues in early comprehension development of children with autism. In E. Schopler, N. Yirmiya, C. Shulman, & L. M. Marcus (Eds.), The research basis for autism intervention (pp. 135–150). New York: Kluwer Academic.Google Scholar
  50. Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2004). Technical report: Preschool Language Scale (4th ed.). San Antonio, TX: Harcourt Assessments.Google Scholar
  51. Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23, 143–152.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Audrey Thurm
    • 1
  • Catherine Lord
    • 2
  • Li-Ching Lee
    • 3
  • Craig Newschaffer
    • 4
  1. 1.Pediatric and Developmental Neuropsychiatry BranchNational Institute of Mental HealthBethesdaUSA
  2. 2.University of Michigan Autism and Communication Disorders Center (UMACC)University of MichiganAnn ArborUSA
  3. 3.Department of Epidemiology, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreUSA
  4. 4.Department of Epidemiology and BiostatisticsDrexel University School of Public HealthPhiladelphiaUSA

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