Use of Mutual Exclusivity and its Relationship to Language Ability in Toddlers with Autism Spectrum Disorder.
Janine Mathée-Scott, Caroline Larson, Courtney Venker and 4 others
PMID 34714426WHAT IT FOUND
Toddlers with autism looked less quickly to a new object when a new word was said, mainly if their understanding of language was weaker.
Once receptive language was considered, the group difference was not seen.
Key findings
01In the made-up-word trials, neurotypical toddlers increased their looks to the novel object faster after a new word was said than toddlers with autism.
02When receptive language ability was included, diagnostic group differences were no longer significant, and higher receptive language was linked to greater increase in looks to the target.
03Within the autism group, toddlers split into higher and lower receptive language groups showed different accuracy and efficiency on the task.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The children with autism were older than the neurotypical controls, so age and diagnosis were not fully separated. The task measured looking to a new object when a new word was said, not whether the child learned or retained the word. The study found associations, not cause, so it cannot show that weak receptive language causes poor word learning. The apparent preference for novel objects was not statistically evaluated. There was no comparison group of late-talking toddlers without autism, so the role of autism apart from language ability is not clear. Two children were excluded from the final analyses because they contributed too few usable trials.
The easy way to misread this
Do not conclude that autism alone causes a word-learning deficit. The group difference was not significant after receptive language was included, and the study did not test whether therapy changes word learning.