Brief Report: The Development of Compliance in Toddlers at-Risk for Autism Spectrum Disorder
Naomi V Ekas1, Nicole M McDonald2,3, Megan M Pruitt4
1Department of Psychology, Texas Christian University, TCU Box 298920, Fort Worth, TX, 76129, USA. naomi.ekas@tcu.edu.
Insights
Children with autism spectrum disorder (ASD) show less compliance development. Language comprehension influences passive noncompliance in toddlers with ASD, impacting overall developmental trajectories.
Area of Science:
- Developmental Psychology
- Pediatric Neurodevelopment
- Clinical Psychology
Background:
- Parental concerns regarding child compliance are common in autism spectrum disorder (ASD).
- Understanding compliance development is crucial for early intervention in at-risk children.
Purpose of the Study:
- To examine the developmental trajectories of compliance in toddlers with ASD.
- To compare compliance development between high-risk children with and without ASD, and low-risk children.
- To investigate the role of receptive language in compliance behaviors.
Main Methods:
- Longitudinal study tracking compliance development at 24, 30, and 36 months.
- Inclusion of three groups: high-risk with ASD, high-risk without ASD, and low-risk controls.
- Statistical analysis controlling for receptive language abilities.
Main Results:
- The high-risk/ASD group exhibited greater passive noncompliance at 24 months.
- Children with ASD showed a slower increase in compliance compared to high-risk/no ASD peers.
- Receptive language significantly influenced passive noncompliance, but not active noncompliance or overall compliance growth.
Conclusions:
- Compliance development is attenuated in children with ASD.
- Language comprehension plays a partial role in the passive noncompliance observed in toddlers with ASD.
- These findings highlight the importance of addressing language and compliance in early ASD interventions.
Abstract:
Parents of children with autism spectrum disorder (ASD) report concerns with child compliance. The development of compliance in 24-, 30-, and 36-month-old high-risk children with ASD outcomes (n = 21), high-risk children without ASD (n = 49), and low-risk children (n = 41) was examined. The High-Risk/ASD group showed greater passive noncompliance at 24-months than the non-ASD groups and a smaller increase in compliance than the High-Risk/No ASD group. The High-Risk/ASD group also showed a smaller decline in active noncompliance than the Low-Risk group. After controlling for receptive language, the passive noncompliance findings were nonsignificant whereas compliance and active noncompliance findings retained significance. The growth of compliance is attenuated in children with ASD, while changes in passive noncompliance are in part associated with language comprehension.
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