Applied Evidence

Irony Comprehension in Monolingual and Bilingual Children With Autism Spectrum Disorder.

Autism research : official journal of the International Society for Autism Research · 2026 · Other · SLP

Maria Andreou, Stella Lampri, Eleni Peristeri

PMID 42375113

Bilingual autistic children comprehended verbal irony at levels the authors report as comparable to typically developing peers, while monolingual autistic children scored lower.

Both autistic groups still struggled to explain the speaker's ironic intention, with correct rates between 19.3% and 34.8%.

Key findings

1Monolingual autistic children scored 89.8% on irony belief recognition versus 98.8% for typically developing monolingual peers, a significant difference. Bilingual autistic children (94.8%) did not significantly differ from their typically developing bilingual peers (99.8%) according to the authors' text, though the p-value reported for that same comparison (0.002) contradicts the non-significance claim.

2Explaining the speaker's ironic intention was far harder than recognising the belief: autistic children's correct rates ranged from 19.3% to 34.8% across the four irony conditions. Second-order verbal theory of mind and sentence comprehension were the significant positive predictors of intention understanding.

3Better inhibitory control, indexed by Flanker task accuracy, predicted more accurate irony belief recognition across all four groups, and was the only cognitive covariate retained in the best-fitting model.

Still to come

How it was doneWhat they foundWhat it means for SLPs


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What it does not show

Cross-sectional design with no randomisation; the bilingual vs monolingual comparison is observational and cannot support causal claims about bilingualism. Small bilingual groups (15 children each) limit statistical power for the language-background comparison. The paper's statistical report for the bilingual comparison is internally contradictory: the text states the difference is non-significant, but the p-value reported for that same comparison (0.002) indicates significance, making the finding unreliable as stated. Cartoon-based stimuli with exaggerated facial expressions and simplified prosody may overestimate children's ability to use these cues in natural conversation. No standardised ASD severity measure was available in Greek, so individual differences in clinical profile could not be examined. The intention-level question was administered only to autistic children and only after a correct belief-level response, limiting direct comparability across groups. All participants attended mainstream classrooms with no intellectual disability, so findings may not generalise to autistic children with greater support needs or limited spoken language.

Declared interests

Funded by the Hellenic Foundation for Research and Innovation (H.F.R.I.) under the European Union–NextGenerationEU programme (Project 14942, PI Maria Andreou). The authors declare no conflicts of interest.

The easy way to misread this

Do not read the comparable irony scores of bilingual autistic children to typically developing peers as proof that bilingualism protects against pragmatic difficulties in autism. The paper's text calls that comparison non-significant, yet the statistics it reports for the same comparison (p = 0.002) indicate a significant difference, making the finding unreliable as stated. Both autistic groups also scored between 19.3% and 34.8% on explaining the speaker's ironic intention, which is the harder and more clinically relevant skill, so the overall picture is one of substantial difficulty rather than competence.

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 →