Word learning in children with autism spectrum disorders.

Autism spectrum disorders (ASD) have been gaining attention, partly as an example of unusual developmental trajectories related to early neurobiological differences. The present investigation addressed the process of learning new words to explore mechanisms of language delay and impairment. The sample included 21 typically developing toddlers matched on expressive vocabulary with 21 young children with ASD. Two tasks were administered to teach children a new word and were supplemented by cognitive and diagnostic measures. In most analyses, there were no group differences in performance. Children with ASD did not consistently make mapping errors, even in word learning situations that required the use of social information. These findings indicate that some children with ASD, in developmentally appropriate tasks, are able to use information from social interactions to guide word–object mappings. This result has important implications for understanding of how children with ASD learn language. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Randomized comparison of two communication interventions for preschoolers with autism spectrum disorders.

This randomized group experiment compared the efficacy of 2 communication interventions (Responsive Education and Prelinguistic Milieu Teaching [RPMT] and the Picture Exchange Communication System [PECS]) in 36 preschoolers with autism spectrum disorders. Each treatment was delivered 3 times per week, in 20-min sessions, for 6 months. The results revealed that the RPMT facilitated the frequency of generalized turn taking and generalized initiating joint attention more than did the PECS. The latter effect occurred only for children who began treatment with at least some initiating joint attention. In contrast, the PECS facilitated generalized requests more than the RPMT in children with very little initiating joint attention prior to treatment. These effect sizes were large. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding of emotional experience in autism: Insights from the personal accounts of high-functioning children with autism.

In this study, the authors investigate emotional understanding in autism through a discourse analytic framework to provide a window into children's strategies for interpreting emotional versus nonemotional encounters and consider the implications for the mechanisms underlying emotional understanding in typical development. Accounts were analyzed for thematic content and discourse structure. Whereas high-functioning children with autism were able to discuss contextually appropriate accounts of simple emotions, their strategies for interpreting all types of emotional (but not nonemotional) experiences differed from those used by typically developing children. High-functioning children with autism were less inclined to organize their emotional accounts in personalized causal-explanatory frameworks and displayed a tendency to describe visually salient elements of experiences seldom observed among comparison children. Findings suggest that children with autism possess less coherent representations of emotional experiences and use alternative strategies for interpreting emotionally evocative encounters. Discussion focuses on the significance of these findings for informing the nature of emotional dysfunction in autism as well as implications for theories of emotional understanding in typical development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns of growth in verbal abilities among children with autism spectrum disorder.

Verbal skills were assessed at approximately ages 2, 3, 5, and 9 years for 206 children with a clinical diagnosis of autism (n = 98), pervasive developmental disorders-not otherwise specified (PDD-NOS; n = 58), or nonspectrum developmental disabilities (n = 50). Growth curve analyses were used to analyze verbal skills trajectories over time. Nonverbal IQ and joint attention emerged as strong positive predictors of verbal outcome. The gap between the autism and other 2 groups widened with time as the latter improved at a higher rate. However, there was considerable variability within diagnostic groups. Children with autism most at risk for more serious language impairments later in life can be identified with considerable accuracy at a very young age, while improvement can range from minimal to dramatic. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Language outcome in autism: Randomized comparison of joint attention and play interventions.

This study reports results of a randomized controlled trial aimed at joint attention (JA) and symbolic play (SP) in preschool children with autism, with prediction to language outcome 12 months later. Participants were 58 children (46 boys) with autism between 3 and 4 years of age. Children were randomized to a JA intervention, an SP intervention, or control group. Interventions were conducted 30 min daily for 5-6 weeks. Assessments of JA skills, SP skills, mother-child interactions, and language development were collected at 4 time points: pre- and postintervention and 6 and 12 months postintervention by independent testers. Results indicate that expressive language gains were greater for both treatment groups compared with the control group, and results could not be explained by differences in other interventions in which children participated. For children beginning treatment with the lowest language levels, the JA intervention improved language outcome significantly more than did the SP or control interventions. These findings suggest clinically significant benefits of actively treating JA and SP skills in young children with autism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Precursors of reading skill from infancy to first grade in Finnish: Continuity and change in a highly inflected language.

The course of language acquisition from infancy to public primary school was followed in a sample of 56 Finnish children to examine precursors to reading at first grade. Structural equation modeling of continuity suggested effects from growth in early vocabulary to mastery of inflectional forms at preschool age. The early language directly influenced early phonological awareness (PA) and only indirectly influenced later development in PA and word reading. The course of development in PA progressed from detecting larger multiphonemic units toward recognizing and producing phonemes in words, which, in turn, were positively associated with differences in producing new words by deleting and blending phonemes at kindergarten age. Including word reading before school entry levelled out the influence of the concurrent phonemic awareness factor on reading at first grade. Hence, in a highly inflected language with a transparent orthography, the pathway to reading consisted of skills learned in succession, the last phase being characterized by simultaneous development involving phonemic awareness and emerging reading skill. The finding led to the conclusion that, in addition to universal routes, language- and culture-specific routes to literacy must be acknowledged when searching for the precursors to reading at school age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive predictors of achievement growth in mathematics: A 5-year longitudinal study.

The study's goal was to identify the beginning of 1st grade quantitative competencies that predict mathematics achievement start point and growth through 5th grade. Measures of number, counting, and arithmetic competencies were administered in early 1st grade and used to predict mathematics achievement through 5th (n = 177), while controlling for intelligence, working memory, and processing speed. Multilevel models revealed intelligence and processing speed, and the central executive component of working memory predicted achievement or achievement growth in mathematics and, as a contrast domain, word reading. The phonological loop was uniquely predictive of word reading and the visuospatial sketch pad of mathematics. Early fluency in processing and manipulating numerical set size and Arabic numerals, accurate use of sophisticated counting procedures for solving addition problems, and accuracy in making placements on a mathematical number line were uniquely predictive of mathematics achievement. Use of memory-based processes to solve addition problems predicted mathematics and reading achievement but in different ways. The results identify the early quantitative competencies that uniquely contribute to mathematics learning. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Childhood predictors of adolescent substance use in a longitudinal study of children with ADHD.

Children diagnosed with attention-deficit hyperactivity disorder (ADHD; n=142) were prospectively monitored into adolescence (13-18 years old) to evaluate their risk for elevated substance use relative to same-aged adolescents without ADHD (n=100). Probands reported higher levels of alcohol, tobacco, and illicit drug use than did controls. Group differences were apparent for alcohol symptom scores but not for alcohol or marijuana disorder diagnoses. Within probands, severity of childhood inattention symptoms predicted multiple substance use outcomes; childhood oppositional defiant disorder/conduct disorder (ODD/CD) symptoms predicted illicit drug use and CD symptoms. Persistence of ADHD and adolescent CD were each associated with elevated substance use behaviors relative to controls. Further study of the mediating mechanisms that explain risk for early substance use and abuse in children with ADHD is warranted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of adolescent reading comprehension in language 1 and language 2: A longitudinal analysis of constituent components.

This study investigated the relationship between reading comprehension development of 389 adolescents in their dominant language (Language 1 [L1], Dutch) and a foreign language (Language 2 [L2], English). In each consecutive year from Grades 8 through 10, a number of measurements were taken. Students' reading comprehension, their linguistic knowledge (vocabulary and grammar knowledge) and processing efficiency (speed of word recognition and sentence comprehension) in both languages, and their metacognitive knowledge about reading were assessed. The relative strengths of the effects of these components of reading were analyzed to distinguish among 3 hypotheses about the relationship between L1 and L2 reading comprehension: the transfer hypothesis, the threshold hypothesis, and the processing efficiency hypothesis. The transfer hypothesis predicts a strong relationship between L1 and L2 reading comprehension and a strong effect of metacognitive knowledge on L2 reading comprehension, whereas the threshold and processing efficiency hypotheses predict a more important role of language-specific knowledge and processing skills. Results support the transfer hypothesis, although language-specific knowledge and fluency also contribute to L2 reading performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Early Social Attention Impairments in Autism: Social Orienting, Joint Attention, and Attention to Distress.

This study investigated social attention impairments in autism (social orienting, joint attention, and attention to another's distress) and their relations to language ability. Three- to four-year-old children with autism spectrum disorder (ASD; n = 72), 3- to 4-year-old developmentally delayed children (n = 34), and 12- to 46-month-old typically developing children (n = 39), matched on mental age, were compared on measures of social orienting, joint attention, and attention to another's distress. Children with autism performed significantly worse than the comparison groups in all of these domains. Combined impairments in joint attention and social orienting were found to best distinguish young children with ASD from those without ASD. Structural equation modeling indicated that joint attention was the best predictor of concurrent language ability. Social orienting and attention to distress were indirectly related to language through their relations with joint attention. These results help to clarify the nature of social attention impairments in autism, offer clues to developmental mechanisms, and suggest targets for early intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play and the child with autism spectrum disorder: From possibilities to practice.

In this article, the author (a) examines the nature of play as it pertains to children with autism spectrum disorder and (b) analyzes the theories surrounding play deficit explanations in this population of children. Possibilities for practice are discussed in terms of behavioral and developmental approaches to play. An argument is made in favor of developmental play therapy for children who have autism spectrum disorder. Support for developmental approaches is shaped by a definition of play that embraces a child-directed model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Links between theory of mind and executive function in young children with autism: Clues to developmental primacy.

There has been much theoretical discussion of a functional link between theory of mind (ToM) and executive function (EF) in autism. This study sought to establish the relationship between ToM and EF in young children with autism (M = 5 years, 6 months) and to examine issues of developmental primacy. Thirty children with autism and 40 typically developing children, matched on age and ability, were assessed on a battery of tasks measuring ToM (1st- and 2nd-order false belief) and components of EF (planning, set shifting, inhibition). A significant correlation emerged between ToM and EF variables in the autism group, independent of age and ability, while ToM and higher order planning ability remained significantly related in the comparison group. Examination of the pattern of ToM-EF impairments in the autism group revealed dissociations in 1 direction only: impaired ToM with intact EF. These findings support the view that EF may be 1 important factor in the advancement of ToM understanding in autism. The theoretical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Weak central coherence, poor joint attention, and low verbal ability: Independent deficits in early autism.

C. Jarrold, W. Butler, E. M. Cottington, and F. Jiminez (2000) proposed that weak central coherence is a primary cognitive deficit in autism and speculated that it may even account for theory of mind impairments. The current study investigated whether weak central coherence could account for deficits in 2 behaviors purported to tap capabilities fundamental to a theory of mind: joint attention and pretend play. Twenty-one children (ages 3-5 years) with autism spectrum disorders were matched to 21 control children on chronological age, nonverbal ability, and gender. Pretend play did not differentiate the groups. Weak central coherence, poor joint attention, and low verbal ability contributed significantly and independently to the prediction of autism group membership, a finding consistent with 3 independent cognitive deficits underlying autism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Scaling of visuospatial attention undergoes differential longitudinal change as a function of APOE genotype prior to old age: Results from the NIMH BIOCARD Study.

The effect of apolipoprotein E (APOE) genotype on longitudinal cognitive decline in midlife was investigated with attentional scaling. Healthy individuals (mean age 59.6 years) genotyped for APOE were tested at 3 12-month intervals on a cued visual search task. A random effects model revealed significant interaction in effect of precue size on search speed between APOE-ε4 gene dose and assessment, with longitudinal increases in noncarriers and heterozygotes but longitudinal decreases in homozygotes. Association of APOE-ε4 with cognitive decline in midlife is consistent with an Alzheimer's disease (AD) prodrome, albeit a decade or more before average age of AD diagnosis. However, cognitive decline in midlife associated with a gene modulating neuronal response to insult argues that the concept of an AD prodrome includes factors that allow as well as cause AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder.

The present study examined treatment outcomes for objectively measured parenting behavior in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). Five hundred seventy-nine ethnically and socioeconomically diverse children with ADHD-combined type (ages 7.0-9.9 years) and their parent(s) were recruited at 6 sites in the United States and Canada and randomly assigned to 1 of 4 treatment groups for 14 months of active intervention: medication management (MedMgt), intensive behavior therapy, combination of the 2 (Comb), or a community-treated comparison (CC). Baseline and posttreatment laboratory observations of parent-child interactions were coded by observers blind to treatment condition. Comb produced significantly greater improvements in constructive parenting than did MedMgt or CC, with effect sizes approaching medium for these contrasts. Treatment effects on child behaviors were not significant. The authors discuss the importance of changes in parenting behavior for families of children with ADHD and the need for reliable and objective measures in evaluating treatment outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Trajectories of emotional well-being in mothers of adolescents and adults with autism.

Raising an adolescent or adult child with a developmental disability confers exceptional caregiving challenges on parents. We examined trajectories of 2 indicators of emotional well-being (depressive symptoms and anxiety) in a sample of primarily Caucasian mothers (N = 379; M age = 51.22 years at Time 1) of adolescent and adult children with an autism spectrum disorder (ASD; M age = 21.91 years at Time 1, 73.2% male). We also investigated within-person associations of child context time-varying covariates (autism symptoms, behavior problems, residential status) and maternal context time-varying covariates (social support network size and stressful family events) with the trajectories of emotional well-being. Data were collected on 5 occasions across a 10-year period. Average patterns of stable (depressive symptoms) and improved (anxiety) emotional well-being were evident, and well-being trajectories were sensitive to fluctuations in both child and maternal context variables. On occasions when behavior problems were higher, depressive symptoms and anxiety were higher. On occasions after which the grown child moved out of the family home, anxiety was lower. Anxiety was higher on occasions when social support networks were smaller and when more stressful life events were experienced. These results have implications for midlife and aging families of children with an ASD and those who provide services to these families. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Parent, family, and disease factors as predictors of psychosocial functioning in children with cystic fibrosis.

Examined the relative contribution of disease, parental, and family factors on the psychological and social functioning of children with cystic fibrosis. 33 patients (7–16 yrs old) and 29 mothers completed a battery of tests, including a state-trait anxiety inventory, the Beck Depression Inventory, and a coping health inventory for parents developed by H. I. McCubbin et al (1983). Results show that Ss' self-esteem and occurrence of behavioral problems were associated with maternal trait anxiety, overprotection, and the impact of disease on family functioning. Social competence and athletic self-esteem were associated with nutritional status. Results reflect the need for clinicians to be sensitive to parental and family functioning when dealing with behavioral problems and to consider physical status when providing treatment of social problems. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The structure of intelligence in children and adults with high functioning autism.

Confirmatory factor analyses of the commonly used 11 subtests of the Wechsler child and adult intelligence scales were accomplished for 137 children and 117 adults with high functioning autism (HFA) and for comparable age groups from the standardization samples contained in the Wechsler manuals. The objectives were to determine whether the structure of intelligence in HFA groups was similar to that found in the normative samples, and whether a separate social context factor would emerge that was unique to HFA. Four-factor models incorporating a Social Context factor provided the best fit in both the autism and normative samples, but the subtest intercorrelations were generally lower in the autism samples. Findings suggest similar organization of cognitive abilities in HFA, but with the possibility of underconnectivity or reduced communication among brain regions in autism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The influence of language on the development of concept formation in deaf children.

To isolate the effect of language development on the development of thinking, children between 7 and 12 who had been deaf since an early age were presented with 3 tasks assessing conceptual functioning. Their performance was compared to that of a relatively comparable group of "hearers." The results indicated that the lack of a capacity to verbalize did not, in itself, interfere with a general capacity for abstract conceptualization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparative longitudinal structural analyses of the growth and decline of multiple intellectual abilities over the life span.

Latent growth curve techniques and longitudinal data are used to examine predictions from the theory of fluid and crystallized intelligence (Gf-Gc theory; J. L. Horn & R. B. Cattell, 1966, 1967). The data examined are from a sample (N?–?1,200) measured on the Woodcock-Johnson Psycho-Educational Battery-Revised (WJ-R). The longitudinal structural equation models used are based on latent growth models of age using two-occasion "accelerated" data (e.g., J. J. McArdle & R. Q. Bell, 2000; J. J. McArdle & R. W. Woodcock, 1997). Nonlinear mixed-effects growth models based on a dual exponential rate yield a reasonable fit to all life span cognitive data. These results suggest that most broad cognitive functions fit a generalized curve that rises and falls. Novel multilevel models directly comparing growth curves show that broad fluid reasoning (Gf) and acculturated crystallized knowledge (Gc) have different growth patterns. In all comparisons, any model of cognitive age changes with only a single g factor yields an overly simplistic view of growth and change over age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)