SLPCohortJournal of autism and developmental disorders2023

The Influence of Bilingual Language Exposure on the Narrative, Social and Pragmatic Abilities of School-Aged Children on the Autism Spectrum.

Myriam L H Beauchamp, Stefano Rezzonico, Terry Bennett and 12 others

PMID 36222993

WHAT IT FOUND

Narrative story structure was similar in bilingual and monolingual children on the autism spectrum.

Social skills also showed no group difference. More balanced language exposure was linked to higher nonliteral language scores.

Key findings

01Bilingual and monolingual children on the autism spectrum had similar story structure scores.

02Most measures of story length and utterance complexity were similar; one initial utterance-count difference did not reach significance after correction.

03A lower proportion of exposure to the language of testing was associated with higher nonliteral language scores.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study used ERRNI standard scores rather than a detailed analysis of each child's transcript, so it may miss finer differences. Social skills were measured by parent report, not direct observation, so conversational ability was not examined. Only children who could complete the narrative task were included, so findings may not apply to younger or more severely affected children on the autism spectrum. Language exposure was estimated from parent reports of home and school hours only, and did not include other environments or the language of intervention. The bilingual group included children with as little as 5% second-language exposure, which may have affected the bilingual/monolingual comparisons. Parents' own language proficiency and cognitive abilities were not measured, so these could have influenced children's language outcomes. There was no comparison group of neurotypically developing children or children with developmental language disorder or intellectual disability.

Declared interests

The supplied text reports funding by the Canadian Institutes of Health Research. No other conflicts of interest are stated.

The easy way to misread this

Do not read the nonliteral language finding as proof that bilingualism causes better pragmatic skills. It was an association with exposure proportion, and the main narrative and social comparisons showed no group difference.

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