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Related Experiment Video

Updated: Feb 26, 2026

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
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Evaluating social (pragmatic) communication disorder.

William Mandy1, Adele Wang2, Irene Lee2

  • 1Research Department of Clinical, Educational and Health Psychology, UCL, London, UK.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|July 26, 2017
PubMed
Summary
This summary is machine-generated.

Social (pragmatic) communication disorder (SPCD) appears to be part of the autism spectrum, not a distinct condition. This research helps identify individuals with autistic traits needing support but not meeting full autism spectrum disorder criteria.

Keywords:
Social (pragmatic) communication disorderautism spectrum disorderdiagnostic and statistical manualfifth edition (DSM-5)nosologypervasive developmental disorder - not otherwise specified

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Neurodevelopmental Disorders

Background:

  • Social (pragmatic) communication disorder (SPCD) is a DSM-5 diagnosis for social communication deficits.
  • The validity and distinctiveness of SPCD from autism spectrum disorder (ASD) are not well-established.
  • Research is needed to characterize SPCD and differentiate it from ASD.

Purpose of the Study:

  • To identify and describe cases of SPCD in young people.
  • To investigate if SPCD symptoms form a coherent syndrome.
  • To determine if SPCD is distinct from ASD in its core and associated features.

Main Methods:

  • Study included 1,081 young people (ages 4-18) from a specialist clinic.
  • Used parent-report data from the 3Di, CCC, and SDQ.
  • Developed an algorithm to apply DSM-5 SPCD criteria using 3Di and CCC data.

Main Results:

  • 88 participants met SPCD criteria; 801 met ASD criteria.
  • SPCD core symptoms showed moderate co-occurrence (r=.22).
  • SPCD cases had intermediate autistic social difficulties and high rates of nonautistic psychopathology (63.5% abnormal).

Conclusions:

  • SPCD is not qualitatively distinct from ASD, suggesting it lies on the autism spectrum.
  • SPCD may identify individuals with autistic traits below the ASD threshold who require support.
  • The findings contribute to understanding the spectrum of social communication difficulties.