Links Between Early Prelinguistic Communication and Later Expressive Language in Toddlers With Autistic and
Jennifer E Markfeld1,2, Zoë Kiemel1,3, Pooja Santapuram4,5
1Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN.
Journal of Speech, Language, and Hearing Research : JSLHR
|December 5, 2024
Summary
Early intentional communication skills predict expressive language in toddlers with autistic siblings. These findings support early interventions to improve language outcomes for high-risk children.
Area of Science:
- Developmental Psychology
- Linguistics
- Autism Spectrum Disorder Research
Background:
- Toddlers with autistic siblings (Sibs-autism) have a high likelihood for autism and language disorders.
- Early communication skills are crucial for language development.
- Understanding predictors of language in high-risk populations is essential for early intervention.
Purpose of the Study:
- To investigate if early prelinguistic communication skills predict expressive language in toddlers at high likelihood for autism.
- To compare predictive relationships in toddlers with autistic siblings (Sibs-autism) versus those with non-autistic siblings (Sibs-NA).
Main Methods:
- 51 toddlers (12-18 months) were assessed at two time points, 9 months apart.
- Prelinguistic skills (intentional communication, vocalization complexity, responding to joint attention) were measured using the Communication and Symbolic Behavior Scales Developmental Profile-Behavior Sample.
- Expressive language was assessed at the second time point, and correlational and regression analyses were conducted.
Main Results:
- Intentional communication and vocalization complexity significantly correlated with expressive language across both sibling groups.
- Vocalization complexity and responding to joint attention did not add significant predictive value when intentional communication was controlled.
- Sibling group moderated the association; vocal complexity uniquely predicted expressive language in toddlers with non-autistic siblings (Sibs-NA) when controlling for intentional communication.
Conclusions:
- Early intentional communication skills are promising predictors of later expressive language in siblings of autistic children.
- Findings support the potential of early interventions targeting prelinguistic skills, particularly intentional communication, to enhance language acquisition in high-risk toddlers.
- This research underscores the importance of early communication assessment and intervention for optimizing language outcomes in toddlers with a high likelihood of autism and language disorder.
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