OTSLPCohortJournal of intellectual disability research : JIDR2025

Comparing Emotional Development in Persons With Intellectual Disability With and Without Autism Spectrum Disorder.

Hauke Hermann, Annemieke M Witte, Anna Pöhlmann and 2 others

PMID 40366092

WHAT IT FOUND

People with intellectual disability and autism showed lower emotional development scores than those with intellectual disability only.

This pattern held across all eight domains of the assessment tool, suggesting autism adds specific challenges to emotional growth.

Key findings

01The group with both intellectual disability and autism had significantly lower total emotional development scores than the group with intellectual disability only.

02Individuals with both intellectual disability and autism showed lower emotional development levels in all eight assessed domains compared to those with intellectual disability only.

03Item-level analysis revealed significant differences in responses for 27 out of 200 items, with the autism group showing fewer affirmative responses on average.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The study relied on informant reports, which may be biased or inaccurate, especially for complex emotional behaviors. There was a high rate of psychiatric comorbidity in the sample, which could influence the results. Diagnoses were based on ICD-10 criteria without a standardized diagnostic procedure across the three countries involved. The number of participants at the higher emotional development stages (4 and 5) was very small, limiting the reliability of findings for those groups. The study design is cross-sectional, so it cannot determine causality or track development over time.

Declared interests

One author received royalties from publishers for the SED-S manual. The study was funded by ZonMW and the Bartiméus Fund.

The easy way to misread this

Do not assume that emotional development differences are solely due to autism severity or intellectual disability level, as the study matched for these factors. Also, be cautious in generalizing findings to higher developmental stages, as very few participants reached stages 4 and 5.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →