Narrative Performance of Optimal Outcome Children and Adolescents with a History of an Autism Spectrum Disorder (ASD)
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Autism Spectrum Disorders (ASDs) have traditionally been considered a lifelong condition; however, a subset of people makes such significant improvements that they no longer meet diagnostic criteria for an ASD. The current study examines whether these "optimal outcome" (OO) children and adolescents continue to have subtle pragmatic language deficits. The narratives of 15 OO individuals, 15 high-functioning individuals with an ASD (HFA), and 15 typically developing (TD) peers were evaluated. Despite average cognitive functioning, the ASD group produced narratives with fewer central "gist" descriptions, more ambiguous pronominal referents, idiosyncratic language, speech dysfluency (more repetitions and self-corrections), and were less likely to name story characters. The OO participants displayed only very subtle pragmatic and higher-level language deficits (idiosyncratic language and self-correction dysfluency).
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Children and adults with ASD produce unusually high rates of various speech disfluencies.
“A significant body of research suggests that children and adults with ASD produce unusually high rates of various speech disfluencies [16, 35, 42, 50, 51, 54], but only three studies have specifically examined UM and UH.”
From Linguistic camouflage in girls with autism spectrum disorder (2017) · cites this paper as [54]
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- Authors
- Suh, J., Eigsti, I.-M., Naigles, L., Barton, M., Kelley, E., & Fein, D.
- Affiliations
- University of Connecticut (US)
- Queen's University (CA)
- Corresponding author
- Suh, Joyce
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2014-02-06
- Volume
- 44
- Issue
- 7
- Pages
- 1681-1694
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC4058343
- OpenAlex
- W1980981374
- Cited by
- 146
- References
- 70
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 14 · 2023: 17 · 2022: 10 · 2021: 13 · 2020: 8 · 2019: 9 · 2018: 9 · 2017: 10 · 2016: 22 · 2015: 7 · 2014: 5 · 2013: 1
- FWCI
- 8.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH076189)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- autism spectrum disorder, optimal outcomes, narrative language, disfluency, self-correction, high-functioning autism
- MeSH terms
- Adolescent, Child, Child Development Disorders, Pervasive, Communication Barriers, Female, Humans, Language, Male, Narration
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