We examined language profiles of 2571 children, 30–68 months old, with autism spectrum disorder (ASD), other developmental disabilities (DD), and typical development from the general population (POP). Children were categorized as expressive dominant (ED), receptive dominant (RD), or nondominant (ND). Within each group, the ED profile was the least frequent. However, children in the ASD group were more likely to display an ED profile than those in the DD or POP groups, and these children were typically younger, had lower nonverbal cognitive skills, and displayed more severe social-affect symptoms of ASD compared to their peers with RD or ND profiles. These findings have research and clinical implications related to the focus of interventions targeting young children with ASD and other DDs.
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Baranek, G., Watson, L., Boyd, B. A., Poe, M. D., David, F. J., & McGuire, L. (2013). Hyporesponsiveness to social and nonsocial sensory stimuli in children with autism, children with developmental delays, and typically developing children. Developmental Psychopathology, 25(2), 307–320. https://doi.org/10.1017/S0954579412001071.
Barbaro, J., & Dissanayake, C. (2012). Developmental profiles of infants and toddlers with autism spectrum disorders identified prospectively in a community-based setting. Journal of Autism and Developmental Disorders, 42(9), 1939–1948. https://doi.org/10.1007/s10803-012-1441-z.
Charman, T., Drew, A., Baird, C., & Baird, G. (2003). Measuring early language development in preschool children with autism spectrum disorder using the MacArthur Communicative Development (Infant form). Journal of Child Language, 30, 213–236.
Davidson, M., & Ellis Weismer, S. (2017). A discrepancy in comprehension and production in early language development in ASD: Is it clinically relevant? Journal of Autism and Developmental Disorders, 47(7), 2163–2175. https://doi.org/10.1007/s10803-017-3135-z.
Dworzynski, K., Happé, F., Bolton, P., & Ronald, A. (2009). Relationship between symptom domains in autism spectrum disorders: A population based twin study. Journal of Autism and Developmental Disorders, 39, 1197–1210. https://doi.org/10.1007/s10803-009-0736-1.
Ellis Weismer, S., 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(10), 1259–1273. https://doi.org/10.1007/s10803-010-0983-1.
Goodwin, A., Fein, D., & Naigles, L. (2015). The role of maternal input in the development of wh-question comprehension in autism and typical development. Journal of Child Language, 42(01), 32–63. https://doi.org/10.1017/S0305000913000524.
Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(5), 693–705. https://doi.org/10.1007/s10803-008-0674-3.
Hudry, K., Leadbitter, K., Temple, K., Slonims, V., McConachie, H., Aldred, C., … the PACT Consortium. (2010). Preschoolers with autism show greater impairment in receptive compared with expressive language abilities. International Journal of Language & Communication Disorders, 45(6), 681-690. https://doi.org/10.3109/13682820903461493
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(10), 2400–2412. https://doi.org/10.1007/s10803-012-1719-1.
Jarrold, C., Boucher, J., & Russell, J. (1997). Language profiles in children with autism: Theoretical and methodological implications. Autism, 1(1), 57–76. https://doi.org/10.1177/1362361397011007.
Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.
Kjelgaard, M. M., & Tager-Flusberg, H. (2001). An investigation of language impairment in autism: Implications for genetic subgroups. Language and Cognitive Processes, 16(2–3), 287–308. https://doi.org/10.1080/01690960042000058.
Kover, S., McDuffie, A., Hagerman, R., & Abbeduto, L. (2013). Receptive vocabulary in boys with autism spectrum disorder: Cross-sectional developmental trajectories. Journal of Autism and Developmental Disorders, 43(11), 2696–2709.
Kwok, E. Y. L., Brown, H. M., Smyth, R. E., & Oram Cardy, J. (2015). Meta-analysis of receptive and expressive language skills in autism spectrum disorder. Research in Autism Spectrum Disorders, 9, 202–222. https://doi.org/10.1016/j.rasd.2014.10.008.
Lange, B. P., Euler, H. A., & Zaretsky, E. (2016). Sex differences in language competence of 3- to 6-year-old children. Applied Psycholinguistics, 37, 1417–1438.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism Diagnostic Observation Schedule (ADOS). Los Angeles, CA: Western Psychological Services.
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.
Loucas, T., Charman, T., Pickles, A., Simonoff, E., Chandler, S., Meldrum, D., et al. (2008). Autistic symptomatology and language ability in autism spectrum disorder and specific language impairment. Journal of Child Psychology and Psychiatry, 49(11), 1184–1192. https://doi.org/10.1111/j.1469-7610.2008.01951.x.
Luyster, R. J., Kadlec, M. B., Carter, A., & Tager-Flusberg, H. (2008). Language assessment and development in toddlers with autism spectrum disorders. Journal of Autism and Developmental Disorder, 38(8), 1426–1438. https://doi.org/10.1007/s10803-007-0510-1.
Luyster, R. J., Lopez, K., & Lord, C. (2007). Characterizing communicative development in children referred for autism spectrum disorders using the MacArthur-Bates Communicative Developmental Inventory (CDI). Journal of Child Language, 34, 623–654.
Maljaars, J., Noens, I., Scholte, E., & van Berckelaer-Onnes, I. (2012). Language in low-functioning children with autistic disorder: Differences between receptive and expressive skills and concurrent predictors of language. Journal of Autism and Developmental Disorders, 42(10), 2181–2191. https://doi.org/10.1007/s10803-012-1476-1.
Mandy, W. P. L., & Skuse, D. H. (2008). Research review: What is the association between the social-communication element of autism and repetitive interests, behaviours and activities? The Journal of Child Psychology and Psychiatry, 49, 795–808. https://doi.org/10.1111/j.1469-7610.2008.01911.x.
McDaniel, J., Yoder, P., Woynaroski, T., & Watson, L. R. (2018). Predicting receptive–expressive vocabulary discrepancies in preschool children with autism spectrum disorder. Journal of Speech, Language, and Hearing Disorders, 61, 1426–1439. https://doi.org/10.1044/2018_JSLHR-L-17-0101.
Mullen, E. M. (1995). Mullen Scales of Early Learning (AGS ed.). Circle Pines, MN: American Guidance Service Inc.
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. https://doi.org/10.1002/aur.12.
Rice, M. L., & Hoffman, L. (2015). Predicting vocabulary growth in children with and without specific language impairment: A longitudinal study from 2;6 to 21 years of age. Journal of Speech, Language, and Hearing Research, 58, 345–359.
Rowe, M. L., Denmark, N., Harden, F. J., & Stapleton, L. M. (2016). The role of parent education and parenting knowledge in children’s language and literacy skills among White, Black and Latino families. Infant and Child Development, 25, 198–220.
Rutter, M., Bailey, A., & Lord, C. (2003). Social communication questionnaire [measurement instrument]. Los Angeles, CA: Western Psychological Services.
Schendel, D., DiGuiseppi, C., Croen, L., Fallin, M. D., Reed, P. L., Schieve, L., … Yeargin-Allsopp, M. (2012). The study to explore early development (SEED): A multisite epidemiologic study of autism by the centers for autism and developmental disabilities research and epidemiology (CADDRE) network. Journal of Autism and Developmental Disorders, 42(10), 2121–2140. http://doi.org/10.1007/s10803-012-1461-8
Schietecatte, I., Roeyers, H., & Warreyn, P. (2012). Exploring the nature of joint attention impairments in children with autism spectrum disorder: Associated social and cognitive skills. Journal of Autism and Developmental Disorders, 42, 1–2. https://doi.org/10.1007/s10803-011-1209-x.
Seol, K. I., Song, S. H., Kim, K. L., Oh, S. T., Kim, Y. T., Im, W. Y., … Cheon, K. A. (2014). A comparison of receptive-expressive language profiles between toddlers with autism spectrum disorder and developmental language delay. Yonsei Medical Journal, 55(6), 1721–1728. http://doi.org/10.3349/ymj.2014.55.6.1721
Sparrow, S. S., Balla, D. A., Cicchetti, D. V., & Doll, E. A. (2005). Vineland-II: Vineland adaptive behavior scales. Circle Pines, MN: AGS Publishing.
Thurm, A., Manwaring, S., Swineford, L., & Farmer, C. (2015). Longitudinal study of symptom severity and language in minimally verbal children with autism. Journal of Child Psychology and Psychiatry, 56(1), 97–104. https://doi.org/10.1111/jcpp.12285.
Volden, J., Smith, I. M., Szatmari, P., Bryson, S., Fombonne, E., Mirenda, P., … Thompson, A. (2011). Using the preschool language scale, fourth edition to characterize language in preschoolers with autism spectrum disorders. American Journal of Speech-Language Pathology, 20(3), 200–208. https://doi.org/10.1044/1058-0360(2011/10-0035)
Warlaumont, A. S., Richards, J. A., Gilkerson, J., & Oller, D. K. (2014). A social feedback loop for speech development and its reduction in autism. Psychological Science, 25(7), 1314–1324. https://doi.org/10.1177/0956797614531023.
Wiggins, L. D., Reynolds, A., Rice, C., Moody, E. J., Bernal, P., Blaskey, L., … Levy, S. E. (2015). Using standardized diagnostic instruments to classify children with autism in the Study to Explore Early Development. Journal of Autism and Developmental Disorders, 45(5), 1271–1280. https://doi.org/10.1007/s10803-014-2287-3
Woynaroski, T., Yoder, P., & Watson, L. R. (2016). Atypical cross-modal profiles and longitudinal associations between vocabulary scores in initially minimally verbal children with ASD. Autism Research, 9(2), 301–310. https://doi.org/10.1002/aur.1516.
Yoder, P., Watson, L. R., & Lambert, W. (2015). Value-added predictors of expressive and receptive language growth in initially nonverbal preschoolers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 45, 1254–1270.
This work was supported by six cooperative agreements from the Centers for Disease Control and Prevention (Cooperative Agreements Numbers U10DD000180, U10DD000181, U10DD000182, U10DD000183, U10DD000184, and U10DD000498). The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
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Reinhartsen, D.B., Tapia, A.L., Watson, L. et al. Expressive Dominant Versus Receptive Dominant Language Patterns in Young Children: Findings from the Study to Explore Early Development. J Autism Dev Disord 49, 2447–2460 (2019). https://doi.org/10.1007/s10803-019-03999-x
- Autism spectrum disorder
- Expressive language
- Receptive language
- Mullen Scales of Early Learning