Profiles and correlates of language and social communication differences among young autistic children.

Autor: Reetzke R; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States., Singh V; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States., Hong JS; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States., Holingue CB; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States., Kalb LG; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.; Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States., Ludwig NN; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States.; Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, MD, United States., Menon D; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States., Pfeiffer DL; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States., Landa RJ; Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, United States.; Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Jazyk: angličtina
Zdroj: Frontiers in psychology [Front Psychol] 2022 Sep 06; Vol. 13, pp. 936392. Date of Electronic Publication: 2022 Sep 06 (Print Publication: 2022).
DOI: 10.3389/fpsyg.2022.936392
Abstrakt: Delays in early language development are characteristic of young autistic children, and one of the most recognizable first concerns that motivate parents to seek a diagnostic evaluation for their child. Although early language abilities are one of the strongest predictors of long-term outcomes, there is still much to be understood about the role of language impairment in the heterogeneous phenotypic presentation of autism. Using a person-centered, Latent Profile Analysis, we first aimed to identify distinct patterns of language and social communication ability in a clinic-based sample of 498 autistic children, ranging in age from 18 to 60 months ( M = 33 mo, SD = 12 mo). Next, a multinomial logistic regression analysis was implemented to examine sociodemographic and child-based developmental differences among the identified language and social communication profiles. Three clinically meaningful profiles were identified from parent-rated and clinician-administered measures: Profile 1 (48% of the sample) "Relatively Low Language and Social Communication Abilities," Profile 2 (34% of the sample) "Relatively Elevated Language and Social Communication Abilities," and Profile 3 (18% of the sample) "Informant Discrepant Language and Relatively Elevated Social Communication Abilities." Overall, young autistic children from the lowest-resource households exhibited the lowest language and social communication abilities, and the lowest non-verbal problem-solving and fine-motor skills, along with more features of attention-deficit/hyperactivity disorder and atypical auditory processing. These findings highlight the need for effective community-based implementation strategies for young autistic children from low-resource households and underrepresented communities to improve access to individualized quality care.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Reetzke, Singh, Hong, Holingue, Kalb, Ludwig, Menon, Pfeiffer and Landa.)
Databáze: MEDLINE