Early Language and Communication Development of Infants Later Diagnosed with Autism Spectrum Disorder
Abstract
It is well recognized that delayed "first words" is among the most common presenting symptoms of autistic spectrum disorders (ASD). However, data on earlier language and communication development in children with ASD are limited to retrospective reports from parents and from home videos. In this study, we prospectively collected parent report data on early communication and language development in 97 infant siblings of children with ASD and 49 low-risk controls. Parents completed the MacArthur Communicative Development Inventory--Infant Form at 12 and 18 months. Analysis compared 3 groups defined on the basis of diagnostic assessment at 24 months: (1) siblings with ASD (n = 15), (2) siblings not meeting diagnostic criteria for ASD (n = 82), and (3) low-risk controls, none of whom had ASD (n = 49). Children with ASD showed delays in early language and communication compared with non-ASD siblings and controls. At 12 months, the ASD group was reported to understand significantly fewer phrases and to produce fewer gestures. At 18 months, they showed delays in their understanding of phrases, comprehension and production of single words, and use of gestures. Siblings not diagnosed with ASD also used fewer play-related gestures at 18 months than low-risk controls, even when children with identified language delays were excluded. Overall, this prospective study confirms that delays in communication and language development are apparent early in life in children with ASD, and emphasiz…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Lord, C., Rutter, M., & Le Couteur, A. (1994) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02172145 · Cited by 9,065 · see citing works
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1010738829569 · Cited by 1,563 · see citing works
INFANTILE AUTISM: A GENETIC STUDY OF 21 TWIN PAIRS
Folstein, S., & Rutter, M. (1977) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1977.tb00443.x · Cited by 1,361 · see citing works
Follow‐Up of Two‐Year‐Olds Referred for Possible Autism
Lord, C. (1995) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1995.tb01669.x · Cited by 645 · cited 1× · see citing works
“The present findings are limited by the uncertain stability in diagnostic status of children aged 24 months.(45,46) A small proportion may be misclassified as having ASD, and, conversely, we anticipate that some of the children designated as non-ASD at 24 months will be diagnosed subsequently with ASD.”
Background(1989) · American Journal of Psychiatry · doi:10.1176/ajp.146.8.1032 · Cited by 255 · see citing works
Age of Symptom Onset in Young Children with Pervasive Developmental Disorders
ROGERS, S. J., & DILALLA, D. L. (1990) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199011000-00004 · Cited by 243 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Identification and Evaluation of Children With Autism Spectrum Disorders
Johnson, C. P., Myers, S. M., & and the Council on Children With Disabilities (2007) · Pediatrics · doi:10.1542/peds.2007-2361 · Cited by 2,011 · see citing works
Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder
Dawson, G. (2008) · Development and Psychopathology · doi:10.1017/s0954579408000370 · Cited by 1,138 · see citing works
Developmental pathways to autism: A review of prospective studies of infants at risk
Jones, E. J. H., Gliga, T., Bedford, R., Charman, T., & Johnson, M. H. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.12.001 · Cited by 607 · see citing works
Landa, R. J., Holman, K. C., & Garrett-Mayer, E. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.7.853 · Cited by 590 · see citing works
A prospective case series of high-risk infants who developed autism
Bryson, S. E., Zwaigenbaum, L., Brian, J., Roberts, W., Szatmari, P., Rombough, V., & McDermott, C. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0328-2 · Cited by 455 · see citing works
Self-citationZwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., Carver, L., Chawarska, K., Constantino, J., Dawson, G., Dobkins, K., et al. (2009) · Pediatrics · doi:10.1542/peds.2008-1606 · Cited by 444 · see citing works
Self-citationIBIS network, Estes, A., Zwaigenbaum, L., Gu, H., St. John, T., Paterson, S., Elison, J. T., Hazlett, H., Botteron, K., Dager, S. R., et al. (2015) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-015-9117-6 · Cited by 363 · see citing works
Self-citationEarly identification of autism spectrum disorders
Zwaigenbaum, L., Bryson, S., & Garon, N. (2013) · Behavioural Brain Research · doi:10.1016/j.bbr.2013.04.004 · Cited by 370 · see citing works
Self-citationVariation in Vocal-Motor Development in Infant Siblings of Children with Autism
Iverson, J. M., & Wozniak, R. H. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0339-z · Cited by 322 · see citing works
Infants and Toddlers With Autism Spectrum Disorder: Early Identification and Early Intervention
Boyd, B. A., Odom, S. L., Humphreys, B. P., & Sam, A. M. (2010) · Journal of Early Intervention · doi:10.1177/1053815110362690 · Cited by 272 · see citing works
Rozga, A., Hutman, T., Young, G. S., Rogers, S. J., Ozonoff, S., Dapretto, M., & Sigman, M. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1051-6 · Cited by 266 · see citing works
Barbaro, J., & Dissanayake, C. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181ba0f9f · Cited by 257 · see citing works
Getting answers from babies about autism
Elsabbagh, M., & Johnson, M. H. (2010) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2009.12.005 · Cited by 237 · see citing works
Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder
Lord, C., & Bishop, S. L. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032814-112745 · Cited by 224 · see citing works
Neural correlates of eye gaze processing in the infant broader autism phenotype
Elsabbagh, M., Volein, A., Csibra, G., Holmboe, K., Garwood, H., Tucker, L., Krljes, S., Baron-Cohen, S., Bolton, P., Charman, T., et al. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.09.034 · Cited by 206 · see citing works
Bolton, P. F., Golding, J., Emond, A., & Steer, C. D. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.12.009 · Cited by 193 · see citing works
Language Disorders: Autism and Other Pervasive Developmental Disorders
Tager-Flusberg, H., & Caronna, E. (2007) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2007.02.011 · Cited by 181 · see citing works
Saghazadeh, A., & Rezaei, N. (2017) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2017.07.011 · Cited by 146 · see citing works
McCleery, J. P., Akshoomoff, N., Dobkins, K. R., & Carver, L. J. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.07.031 · Cited by 155 · see citing works
Stone, W. L., McMahon, C. R., Yoder, P. J., & Walden, T. A. (2007) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.161.4.384 · Cited by 121 · see citing works
Abnormal magnocellular pathway visual processing in infants at risk for autism
McCleery, J. P., Allman, E., Carver, L. J., & Dobkins, K. R. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.02.009 · Cited by 117 · see citing works
Macari, S. L., Campbell, D., Gengoux, G. W., Saulnier, C. A., Klin, A. J., & Chawarska, K. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1521-0 · Cited by 116 · see citing works
Seery, A. M., Vogel-Farley, V., Tager-Flusberg, H., & Nelson, C. A. (2013) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2012.11.007 · Cited by 84 · see citing works
Increased cortical reactivity to repeated tones at 8 months in infants with later ASD
Kolesnik, A., Begum Ali, J., Gliga, T., Guiraud, J., Charman, T., Johnson, M. H., Jones, E. J. H., & The BASIS Team (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0393-x · Cited by 75 · see citing works
Key, A. P. F., & Stone, W. L. (2012) · Autism Research · doi:10.1002/aur.1231 · Cited by 80 · see citing works
Pragmatic language and school related linguistic abilities in siblings of children with autism
Ben-Yizhak, N., Yirmiya, N., Seidman, I., Alon, R., Lord, C., & Sigman, M. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1096-6 · Cited by 62 · see citing works
SMARTer Approach to Personalizing Intervention for Children With Autism Spectrum Disorder
Kasari, C., Sturm, A., & Shih, W. (2018) · Journal of Speech, Language, and Hearing Research · doi:10.1044/2018_jslhr-l-rsaut-18-0029 · Cited by 46 · see citing works
Zapparrata, N. M., Brooks, P. J., & Ober, T. M. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05736-3 · Cited by 44 · see citing works
Seery, A., Tager-Flusberg, H., & Nelson, C. A. (2014) · Journal of Neurodevelopmental Disorders · doi:10.1186/1866-1955-6-43 · Cited by 41 · see citing works
Differentiating communication disorders and autism in children
Matson, J. L., & Neal, D. (2010) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2009.12.006 · Cited by 39 · see citing works
The Behavioral Manifestations of Autism Spectrum Disorders
Kim, S. H., & Lord, C. (2013) · The Neuroscience of Autism Spectrum Disorders · doi:10.1016/b978-0-12-391924-3.00002-8 · Cited by 31 · see citing works
Sansavini, A., Guarini, A., Zuccarini, M., Lee, J. Z., Faldella, G., & Iverson, J. M. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02131 · Cited by 30 · see citing works
- Authors
- MITCHELL, S., BRIAN, J., ZWAIGENBAUM, L., ROBERTS, W., SZATMARI, P., SMITH, I., & BRYSON, S.
- Affiliations
- Hospital for Sick Children (CA)
- McMaster University (CA)
- University of Toronto (CA)
- Dalhousie University (CA)
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2006-04
- Volume
- 27
- Issue
- Supplement 2
- Pages
- S69-S78
- ISSN
- 0196-206X (ISSN-L)
- OpenAlex
- W2112518043
- Cited by
- 535
- References
- 6
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 17 · 2023: 12 · 2022: 67 · 2021: 28 · 2020: 57 · 2019: 32 · 2018: 27 · 2017: 38 · 2016: 28 · 2015: 41 · 2014: 20 · 2013: 35 · 2012: 30
- FWCI
- 8.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, early childhood language development, communication development, infants, siblings of autistic children, gesture use, word production, developmental delay, early signs of autism, child development monitoring, MacArthur-Bates Communicative Development Inventory
- MeSH terms
- Autistic Disorder, Child, Developmental Disabilities, Child, Preschool, Communication, Female, Humans, Infant, Language, Language Disorders, Male, Play and Playthings, Social Behavior, Siblings
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review