Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan

Background & aims Individuals with non- or minimally verbal autism (nvASD) are primarily characterized by a severe speech production deficit, with speech limited to no or only a few words by school age. Significant unclarity remains over variability in language profiles across the lifespan, the...

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Main Authors: Dominika Slušná, Andrea Rodríguez, Berta Salvadó, Agustín Vicente, Wolfram Hinzen
Format: Article
Language:English
Published: SAGE Publishing 2021-11-01
Series:Autism and Developmental Language Impairments
Online Access:https://doi.org/10.1177/23969415211053264
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author Dominika Slušná
Andrea Rodríguez
Berta Salvadó
Agustín Vicente
Wolfram Hinzen
author_facet Dominika Slušná
Andrea Rodríguez
Berta Salvadó
Agustín Vicente
Wolfram Hinzen
author_sort Dominika Slušná
collection DOAJ
description Background & aims Individuals with non- or minimally verbal autism (nvASD) are primarily characterized by a severe speech production deficit, with speech limited to no or only a few words by school age. Significant unclarity remains over variability in language profiles across the lifespan, the nature of the language impairment seen, and (dis-) associations between linguistic and nonverbal cognitive measures. Methods To address these questions, we recruited both a school-age and an adult group with nvASD (total N = 49) and investigated relations between expressive and receptive language, and between these and nonverbal intelligence quotient (NVIQ) and sense-making capacities (the ComFor test). Results Results revealed limited variation across this sample in receptive language, which in turn predicted expressive language levels. Importantly, an upward trend in verbal mental age (VMA) across increasing chronological age was seen in the youngsters (only). A radical dissociation between NVIQ and both expressive and receptive language transpired as well, and a subset of individuals with normal NVIQ were comparable in terms of any other cognitive aspect. Sense-making reached symbolic levels in 62.2% of the sample and loaded on both verbal and nonverbal factors. Conclusions These patterns inform theories of nvASD by revealing an impairment that is not conceptualizable as one of expressive language only, sharply limits learning opportunities across the lifespan, and cannot be compensated for by nonverbal cognition. Implications These findings stress the need to seize developmental opportunities that may disappear when youngsters turn into adults, via therapies that specifically target language as a central cognitive system comprising both production and comprehension.
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spelling doaj.art-8dd4d9caf230488f9f6ffca88986ba5e2024-02-02T08:03:50ZengSAGE PublishingAutism and Developmental Language Impairments2396-94152021-11-01610.1177/23969415211053264Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespanDominika SlušnáAndrea RodríguezBerta SalvadóAgustín VicenteWolfram HinzenBackground & aims Individuals with non- or minimally verbal autism (nvASD) are primarily characterized by a severe speech production deficit, with speech limited to no or only a few words by school age. Significant unclarity remains over variability in language profiles across the lifespan, the nature of the language impairment seen, and (dis-) associations between linguistic and nonverbal cognitive measures. Methods To address these questions, we recruited both a school-age and an adult group with nvASD (total N = 49) and investigated relations between expressive and receptive language, and between these and nonverbal intelligence quotient (NVIQ) and sense-making capacities (the ComFor test). Results Results revealed limited variation across this sample in receptive language, which in turn predicted expressive language levels. Importantly, an upward trend in verbal mental age (VMA) across increasing chronological age was seen in the youngsters (only). A radical dissociation between NVIQ and both expressive and receptive language transpired as well, and a subset of individuals with normal NVIQ were comparable in terms of any other cognitive aspect. Sense-making reached symbolic levels in 62.2% of the sample and loaded on both verbal and nonverbal factors. Conclusions These patterns inform theories of nvASD by revealing an impairment that is not conceptualizable as one of expressive language only, sharply limits learning opportunities across the lifespan, and cannot be compensated for by nonverbal cognition. Implications These findings stress the need to seize developmental opportunities that may disappear when youngsters turn into adults, via therapies that specifically target language as a central cognitive system comprising both production and comprehension.https://doi.org/10.1177/23969415211053264
spellingShingle Dominika Slušná
Andrea Rodríguez
Berta Salvadó
Agustín Vicente
Wolfram Hinzen
Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
Autism and Developmental Language Impairments
title Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
title_full Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
title_fullStr Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
title_full_unstemmed Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
title_short Relations between language, non-verbal cognition, and conceptualization in non- or minimally verbal individuals with ASD across the lifespan
title_sort relations between language non verbal cognition and conceptualization in non or minimally verbal individuals with asd across the lifespan
url https://doi.org/10.1177/23969415211053264
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