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A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research

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Autistic Children's Irritability During Social Communication Assessments.

Hannah L Fipp-Rosenfield¹, Rachel S Levy¹, Jeffrey M Grauzer¹

¹Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.

American Journal of Speech-Language Pathology

|November 27, 2023

Summary

Structured assessments like the Communication and Symbolic Behavior Scales (CSBS) increase autistic children's irritability and lower their social communication scores compared to naturalistic play. This highlights the impact of assessment type on autistic children's behavior and scores.

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Area of Science:

Developmental Psychology
Child Psychiatry
Clinical Psychology

Background:

Accurate social communication measurement is vital for autistic children's development and support.
Assessment methods vary, with structured tasks potentially causing frustration and irritability.
Previous research has not examined how different assessment types affect autistic children's irritability and scores.

Purpose of the Study:

To investigate if social communication assessment type (structured vs. naturalistic) impacts autistic children's irritability.
To determine if child irritability is associated with social communication scores across different assessment types.

Main Methods:

114 autistic toddlers (mean age 33.09 months) completed the structured Communication and Symbolic Behavior Scales (CSBS) and a naturalistic mother-child interaction (MCX).
Child irritability was rated on a 0-15 scale during both assessments.

Main Results:

Child irritability was significantly higher during the CSBS compared to the MCX.
Increased irritability correlated with lower social communication scores on the CSBS, but not the MCX.

Conclusions:

The CSBS may present challenges for autistic children, leading to higher irritability and lower scores.
Considering assessment type and child irritability provides a more complete understanding of autistic children's social communication.
This research aids clinicians in obtaining more representative social communication measures.