Specific Language Impairment, Autism Spectrum Disorders and Social (Pragmatic) Communication Disorders: Is There Overlap in Language Deficits? A Review

Félix, Juliana; Santos, Miguel; Benítez‐Burraco, Antonio

doi:10.1007/s40489-022-00327-5

Cited by 9 publications

(11 citation statements)

References 119 publications

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“…More specifically, studies showed better communication and socialization skill outcomes in PDD-NOS than in AD (103-105). Kim et al 's study showed that the likelihood of having restrictive and repetitive behavior was the same for both AD and PDD-NOS groups; though the rated severity of these The ADI-R 3 The ADOS 4 The CARS 5 The Griffith's Mental (SD). 2 Developmental Quotient.…”

Section: Longitudinal Studiesmentioning

confidence: 99%

“…In the DSM-5 ( 2 ), whatever the level of severity, even in the mildest forms, ASD symptoms are viewed as intrinsically autistic. However, to take one example, this conceptualization does not take into account the overlap between, on the one hand, some ASD symptoms, and on the other, Intellectual disability ( 3 , 4 ), language impairment ( 5 , 6 ), Attention Deficit/Hyperactivity Disorder ( 7 , 8 ) or schizophrenia ( 9 , 10 ). Moreover, mild ASD symptoms might be more akin to a natural variant of typical development than a formal disorder ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

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Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Coutelle,

Coulon,

Schröder

et al. 2023

Front. Psychiatry

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IntroductionAutism Spectrum Disorder (ASD) diagnosis is relatively consensual in typical forms. The margins of the spectrum and their degree of extension, however, are controversial. This has far-reaching implications, which extend beyond theoretical considerations: first, peripheral forms of autism are more prevalent than central forms; second, we do not know how relevant typical-targeted recommendations are for atypical forms. In DSM-IV-TR, these margins of autism were studied within the category of Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS). In spite of its low reliability, this former diagnosis was of particular interest to shed light on the gray area of margins. The aim of this systematic is therefore to investigate the clinical characteristics of PDD-NOS in comparison with Autistic Disorder.MethodA stepwise systematic PRISMA literature review was conducted by searching PubMed and Web Of Science databases to select corresponding studies.ResultsThe systematic review included 81 studies comprising 6,644 children with PDD-NOS. Cross-sectional and longitudinal studies comparing PDD-NOS and AD showed that PDD-NOS corresponds to milder form of autism with less impact and less associated disorder, with the exception of schizophrenia and mood disorder.DiscussionOur review challenges initial views of PDD-NOS, and shows the clinical relevance of this diagnosis when dealing with the margins of autism, and the de facto diversity included in the spectrum. However, in view of the many limitations of PDD-NOS (low reliability, instability through time, low acceptability), we suggest taxonomic changes in DSM-5: we introduce a new category based on three main dimensions related to socialization impairment, emotional lability and psychotic symptoms.ConclusionOur review argues for a distinction between AD and PDD-NOS on clinical characteristics and thus highlights the need to study the margins of autism. While the limitations of the PDD-NOS category made it irrelevant to investigate these margins from a research perspective, we believe that a multidimensional approach for mental health professionals taping socialization, emotion lability and psychotic symptoms would be interesting. Our review therefore encourage future studies to test relevant criteria for a new category and possibly identify developmental trajectories, specific interventions and treatments.

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Section: Longitudinal Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Coutelle,

Coulon,

Schröder

et al. 2023

Front. Psychiatry

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“…Particularly, this questionnaire was designed to be answered by both people on the autism spectrum and their caregivers. As described by the DSM-V [27], autism can feature several comorbidities, including difficulties in written and oral communication [34,35]. For this reason, it is common to use surveys among proxy respondents to receive indirect feedback on daily conditions, stress factors, or perceptions of non-verbal people with autism.…”

Section: Sensitivity Assessment For Environmental Factorsmentioning

confidence: 99%

Requirements of a Supportive Environment for People on the Autism Spectrum: A Human-Centered Design Story

et al. 2023

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People on the autism spectrum have a different perception of the environment than neurotypical people and often require support in various activities of daily living. Assistive technology can support those affected, but very few smart-home-like technologies exist. To support people on the autism spectrum in their autonomy and safety and to help caregivers, a smart home and interior design environment was developed. Requirements were gathered by employing a holistic human-centered design approach through interactive workshops and questionnaires to create a useful and user-friendly solution. From this process, requirements for a comprehensive solution (the SENSHOME environment) emerged. These requirements include a set of functionalities tailored to the needs of people on the autism spectrum, such as a crowd warning that informs when many people are in a certain area (for example, the entrance), an automatic light regulation system, or a daily life planner that supports task completion. Furthermore, inclusive furniture elements such as a refuge seat or a table with dividers can support wellbeing, autonomy, and safety. This paper demonstrates a consequent and considerable participatory research approach and the story from the target group and context of use through design requirements to the initial design solution of the SENSHOME environment.

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“…To be able to identify pragmatic difficulties or delays, knowledge of typical pragmatic development is essential. It is well-established that pragmatic problems are core characteristics of a variety of clinical populations, for example, attention deficit hyperactivity disorder (ADHD; Carruthers et al, 2022;, autism spectrum disorder (ASD; Félix et al, 2024;Loukusa et al, 2018), behavioural problems (W. A. Helland, Lundervold, et al, 2014) and hearing impairment (Yoshinaga-Itano et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Investigating pragmatic abilities in 5- to 7-year-old Norwegian children: A study using the Pragma test

Helland,

Aaland,

Furebotn

et al. 2024

First Language

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Pragmatics refers to the ability to effectively use and interpret language in different contexts. Pragmatic abilities develop and refine through childhood, and they are essential for socialization, academic achievement and wellbeing. The scarcity of assessment tools in this field makes it challenging to provide a comprehensive assessment of pragmatic abilities. The Pragma test, originally developed for Finnish and also adapted into Italian, consists of a battery of tasks assessing children’s pragmatic abilities. In this study, a first evaluation of the psychometric qualities of a Norwegian adaptation of this test is presented. In addition, we investigated pragmatic development between ages 5 and 7, and explored possible gender-based differences. Altogether 119 Norwegian-speaking children participated in the study. The children were tested with the Pragma test and parents completed the Children’s Communication Checklist-2. The children were allocated into three groups: 5-year-olds, 6-year-olds and 7-year-olds. The psychometric qualities of this Norwegian adaptation supported its use as a tool for assessing pragmatics in children aged 5–7. Strong and significant growth in pragmatic competence was observed from age 5–6, subsequently flattening out between age 6 and 7, and gender differences in favour of girls were identified. These findings indicate that pragmatic ability, as measured by the Pragma test, shows similar age effects in a Norwegian setting as in Finnish and Italian contexts, paving the way for further cross-cultural and cross-linguistic studies.

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Specific Language Impairment, Autism Spectrum Disorders and Social (Pragmatic) Communication Disorders: Is There Overlap in Language Deficits? A Review

Cited by 9 publications

References 119 publications

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Requirements of a Supportive Environment for People on the Autism Spectrum: A Human-Centered Design Story

Investigating pragmatic abilities in 5- to 7-year-old Norwegian children: A study using the Pragma test

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