Language impairment and early social competence in preschoolers with autism spectrum disorders: A comparison of DSM-5 profiles

T. A. Bennett, P. Szatmari, K. Georgiades, S. Hanna, M. Janus, S. Georgiades, E. Duku, S. Bryson, E. Fombonne, I. M. Smith, P. Mirenda, J. Volden, C. Waddell, W. Roberts, T. Vaillancourt, L. Zwaigenbaum, M. Elsabbagh, A. Thompson

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Children with autism spectrum disorder (ASD) and structural language impairment (LI) may be at risk of more adverse social-developmental outcomes. We examined trajectories of early social competence (using the Vineland-II) in 330 children aged 2–4 years recently diagnosed with ASD, and compared 3 subgroups classified by: language impairment (ASD/LI); intellectual disability (ASD/ID) and ASD without LI or ID (ASD/alone). Children with ASD/LI were significantly more socially impaired at baseline than the ASD/alone subgroup, and less impaired than those with ASD/ID. Growth in social competence was significantly slower for the ASD/ID group. Many preschool-aged children with ASD/LI at time of diagnosis resembled “late talkers” who appeared to catch up linguistically. Children with ASD/ID were more severely impaired and continued to lag further behind.

Original languageEnglish (US)
Pages (from-to)2797-2808
Number of pages12
JournalJournal of autism and developmental disorders
Volume44
Issue number11
DOIs
StatePublished - Oct 11 2014

Keywords

  • Autism spectrum disorders
  • DSM-5
  • Language impairment
  • Longitudinal epidemiology
  • Social competence

ASJC Scopus subject areas

  • Developmental and Educational Psychology

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