Beyond Surface Performance: Analyzing Grammatical Production and Judgment Abilities in Boys With Fragile X Syndrome
Tiffany Chavers Edgar1, Claudia Schabes1,2, Marianne Elmquist1
1Waisman Center, University of Wisconsin-Madison.
American Journal of Speech-Language Pathology
|May 26, 2026
Summary
Boys with fragile X syndrome (FXS) show persistent grammatical challenges in production and judgment, particularly with verb endings. Individual language profiles vary significantly, impacting intervention strategies.
Area of Science:
- Linguistics
- Developmental Psychology
- Neurodevelopmental Disorders
Background:
- Fragile X syndrome (FXS) is associated with morphosyntactic weaknesses, especially in finiteness markers.
- Existing research primarily focuses on grammatical production, with less attention to receptive grammatical judgment.
- Understanding both production and judgment is crucial for effective intervention in FXS.
Purpose of the Study:
- To investigate grammatical production and judgment in boys with FXS.
- To analyze patterns and individual differences in grammatical skills.
- To compare receptive grammatical judgment with grammatical production.
Main Methods:
- Thirty-three boys with FXS (aged 9-18) completed grammatical probes (third-person singular, BE/DO) and judgment tasks.
- Data analysis involved pattern analysis and categorization using a median split for production vs. judgment comparison.
- Unscorable responses were coded to ensure accurate assessment.
Main Results:
- Participants exhibited significant variability in both grammatical production and judgment, with mean scores below ceiling.
- Over half of the participants showed discrepant performance between production and judgment domains.
- Linguistic profiles were not correlated with chronological age or nonverbal cognitive ability.
Conclusions:
- Boys with FXS experience persistent difficulties in producing and judging finiteness markers, especially 'BE' forms.
- Significant heterogeneity exists in the linguistic profiles of individuals with FXS.
- Comprehensive assessment of both grammatical production and judgment is essential for tailored intervention in FXS.
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