SLPCohortJournal of autism and developmental disorders2026

Exploring Metalinguistic Awareness in School-Aged Autistic Children: Insights from Grammatical Judgment.

Pauline Wolfer, Franziska Baumeister, Nicola Rudelli and 3 others

PMID 39373880

WHAT IT FOUND

Autistic children did not differ from neurotypical children on a short, picture-based sentence judgment task.

Age and non-verbal reasoning were linked to scores, not autism status.

Key findings

01After accounting for socioeconomic status, non-verbal reasoning, receptive grammar, and language version, the model found no significant group difference in overall performance.

02Older age and higher non-verbal reasoning were significant positive predictors of performance.

03Both groups performed better on grammatically correct sentences and on semantically appropriate sentences, and they performed best when grammar and meaning matched.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only 38 autistic children were included, and they had to have enough language and reasoning skills to complete all 32 items. The result may not apply to autistic children with greater communication or cognitive needs. The sample was mostly from higher socioeconomic backgrounds and included few children with intellectual impairment. It may not apply to diverse cultural or economic contexts. The groups were not balanced for sex, with more male participants in the autistic group. The study compared groups at one testing time, not over time. It cannot show cause and effect. The English version scored lower, and one English item was removed because of an error. Language version effects may influence scores. The receptive grammar test did not assess the same word-order or subject-verb agreement errors as the judgment task. The authors note that the absence of a significant group difference does not confirm comparable performance.

Declared interests

The work was funded by the University of Fribourg. No other funding or conflicts of interest are reported.

The easy way to misread this

Do not conclude that autism does not affect language ability. The study compared children who could complete a simplified tablet task, mostly from higher socioeconomic backgrounds and with few intellectual impairments. The lack of a significant group difference does not show equal language skills in all autistic children.

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 →