Tantrums are Not Associated with Speech or Language Deficits in Preschool Children with Autism
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Communication problems and tantrums are common in children with autism. It has long been postulated that lack of speech is a cause of these tantrums. The goal of our study is to determine if impaired speech is associated with tantrums in preschool children with autism. The relationship between language and tantrum frequency in 240 children with autism, 15 to 71 months of age was investigated. Children were administered standardized IQ and language tests, and mothers rated tantrum frequency and speech intelligibility on a 4-point scale on the Pediatric Behavior Scale. Verbal and nonverbal IQ, expressive and receptive language quotients and age equivalents, and speech intelligibility explained less than 3% of the variance in tantrum frequency. Children whose mental age was sufficient for verbal communication but who lacked speech did not have more tantrums than children with adequate speech. In fact, children with an expressive language age at or above 24 months had more tantrums than children whose speech skills were below 24 months. Our findings and those of others do not support the belief that preschool children with autism have tantrums because they cannot speak or because their speech is difficult to understand.
KeywordsAutism Tantrums Speech and language deficits Preschool
Compliance with Ethical Standards
All procedures performed in this study were in accordance with ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of Interest
The instrument used in this study (CASD) was developed by the senior author and is commercially available. The authors have no other conflicts of interest to declare.
- Barker, D. H., Quittner, A. L., Fink, N. E., Eisenberg, L. S., Tobey, E. A., Niparko, J. K., & the CDaCI investigative Team. (2009). Predicting behavior problems in deaf and hearing children: The influences of language, attention, and parent-child communication. Development and Psychopathology, 21, 373–392.CrossRefPubMedPubMedCentralGoogle Scholar
- Charlop-Christy, M. H., Carpenter, M., Le, L., Leblanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35, 213–231.CrossRefPubMedPubMedCentralGoogle Scholar
- Hagopian, L. P., Fisher, W. W., Sullivan, M. T., Acquisto, J., & LeBlanc, L. A. (1998). Effectiveness of functional communication training with and without extinction and punishment: A summary of 21 inpatient cases. Journal of Applied Behavior Analysis, 31, 211–235.CrossRefPubMedPubMedCentralGoogle Scholar
- Lindgren, S. D., & Koeppl, G. K. (1987). Assessing child behavior problems in a medical setting: Development of the Pediatric behavior scale. In R. J. Prinz (Ed.), Advances in behavioral assessment of children and families (pp. 57–90). Greenwich: JAI.Google Scholar
- Mayes, S. D. (2012). Checklist for Autism Spectrum Disorder. Wood Dale: Stoelting.Google Scholar
- Mayes, S. D., Calhoun, S. L., Aggarwal, R., Baker, C., Mathapati, S., Anderson, R., et al. (2012). Explosive, oppositional, and aggressive behavior in children with autism compared to other clinical disorders and typical development. Research in Autism Spectrum Disorders, 6, 1–10.CrossRefGoogle Scholar
- Mayes, S. D., Calhoun, S. L., Murray, M. J., Morrow, J. D., Yurich, K. K. L., Mahr, F., et al. (2009). Comparison of scores on the Checklist for Autism Spectrum Disorder, Childhood Autism Rating Scale (CARS), and Gilliam Asperger’s Disorder Scale (GADS) for children with low functioning autism, high functioning autism or Asperger’s disorder, ADHD, and typical development. Journal of Autism and Developmental Disorders, 39, 1682–1693.Google Scholar
- Mayes, S. D., Waxmonsky, J., Calhoun, S. L., Kokotovich, C., Mathiowetz, C., & Baweja, R. (2015). Disruptive mood dysregulation disorder (DMDD) symptoms in children with autism, ADHD, and neurotypical development and impact of co-occurring ODD, depression, and anxiety. Research in Autism Spectrum Disorders, 18, 64-72.Google Scholar
- Murray, M. J., Mayes, S. D., & Smith, L. A. (2011). Brief report: Excellent agreement between two brief autism scales (Checklist for Autism Spectrum Disorder and Social Responsiveness Scale) completed independently by parents and the Autism Diagnostic Interview-Revised. Journal of Autism and Developmental Disorders, 41, 1586–1590.Google Scholar
- Nichols, S., Mahoney, E. M., Sirois, P. A., Bordeaux, J. D., Stehbens, J. A., Loveland, K. A., et al. (2000). HIV-associated changes in adaptive, emotional, and behavioral functioning in children and adolescents with hemophilia: Results from the hemophilia growth and development study. Journal of Pediatric Psychology, 25, 545–556.CrossRefPubMedGoogle Scholar
- Tierney, C., Mayes, S. D., Lohs, S. R., Black, A., Gisin, E., & Veglia, M. (2015). How valid is the Checklist for Autism Spectrum Disorder when a child has apraxia of speech? Journal of Developmental and Behavioral Pediatrics, 36, 569–574.Google Scholar
- Wechsler, D. (2012). Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition technical and interpretive manual. San Antonio: The Psychological Corporation.Google Scholar