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Filled Pause Use in Autistic Adults and Their First-Degree Relatives: Gender Differences and Within-Family
Laura Friedman1, Nell Maltman2, Audra Sterling1
1Department of Communication Sciences and Disorders, Waisman Center, University of Wisconsin-Madison.
Journal of Speech, Language, and Hearing Research : JSLHR
|October 21, 2025
Summary
Filled pauses like "um" and "uh" may indicate autism traits and familial links. Gender differences in filled pause use were observed in autistic adults and their parents, suggesting potential genetic markers for autism.
Area of Science:
- Linguistics
- Psychology
- Genetics
Background:
- Filled pauses (e.g., 'um', 'uh') are recognized markers of pragmatic language.
- Pragmatic language abilities show familial patterns in individuals with autism spectrum disorder (ASD).
- The familial nature of filled pause variation in autistic adults and potential gender differences remain under-explored.
Purpose of the Study:
- To investigate filled pause production in autistic adults and their parents.
- To explore the relationship between filled pause use, autism traits, and the broad autism phenotype (BAP).
- To determine if filled pause variation is familial and linked to genetic liability for autism.
Main Methods:
- Collected monologic language samples from autistic adults (33 males, 10 females) and their parents (15 fathers, 40 mothers).
- Transcribed and analyzed language samples for filled pauses, calculating 'um' rate, 'uh' rate, and 'um' ratio.
- Examined associations between filled pause metrics, autism traits, and BAP features.
Main Results:
- Autistic adult males and fathers exhibited higher 'uh' rates and lower 'um' ratios compared to females and mothers, respectively.
- In autistic adults, increased autism traits correlated with lower 'um' ratios and higher 'uh' rates.
- Filled pause use in autistic adults showed associations with maternal filled pause use and paternal BAP features.
Conclusions:
- The 'um' ratio may serve as a pragmatic marker associated with core autism features.
- Differential patterns in filled pauses between autistic individuals and their parents suggest a potential familial component.
- Filled pauses warrant further investigation as potential markers for genetic liability in autism.

