Early Language, Social Communication, and Autism Characteristics of Young Toddlers at Elevated Likelihood for Autism Identified by the First Years Inventory-Lite.

IF 2.3 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

American Journal of Speech-Language Pathology Pub Date : 2025-01-07 Epub Date: 2024-12-16 DOI:10.1044/2024_AJSLP-24-00149

Jonet Artis, Sallie W Nowell, Michaela Dubay, Rebecca Grzadzinski, Kelsey Thompson, Elizabeth Choi, Grace T Baranek, Linda R Watson

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引用次数: 0

Abstract

Purpose: The purposes of this article were (a) to compare the developmental skills of toddlers whose scores on the First Years Inventory-Lite (FYI-Lite), an early screening tool, indicated an elevated likelihood of a later diagnosis of autism (ELA) to the developmental skills of toddlers at a lower likelihood of a later diagnosis of autism (LLA) and (b) to examine how autism characteristics are correlated with communication measures in toddlers at an ELA.

Method: We assessed the language, social communication (SC) skills, and characteristics of autism demonstrated by 45 toddlers at an ELA and 37 toddlers at an LLA between the ages of 11 and 18 months and compared group scores on these measures. We also examined the correlations between the characteristics of autism and language measures within the ELA group.

Results: Toddlers at an ELA demonstrated lower scores on measures of global expressive and receptive language, receptive vocabulary, gestures, and response to joint attention bids as well as SC characteristics of autism when compared to those demonstrated by toddlers at an LLA. There were no significant differences between groups on expressive vocabulary, language profiles (i.e., the relationship between receptive and expressive scores), or restrictive and repetitive behaviors. Within the ELA group, the SC characteristics of autism were significantly associated with their global receptive and expressive language skills.

Conclusions: On the basis of the FYI-Lite screening tool, toddlers at an ELA are demonstrating delays in language and SC skills when compared to toddlers identified with an LLA. For toddlers at an ELA, the SC characteristics of autism are significantly associated with early language skills.

Supplemental material: https://doi.org/10.23641/asha.27969444.

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幼儿早期语言、社会沟通和自闭症特征在一年级量表生活中识别的高自闭症可能性。

目的：本文的目的是（a）比较早期筛查工具 "学前儿童简易问卷"（First Years Inventory-Lite，FYI-Lite）得分显示日后诊断为自闭症可能性较高的幼儿（ELA）的发育技能与日后诊断为自闭症可能性较低的幼儿（LLA）的发育技能；（b）研究自闭症特征与ELA幼儿的沟通措施之间的相关性：我们对 45 名 11 到 18 个月大的 ELA 学步儿童和 37 名 LLA 学步儿童的语言、社会交往（SC）技能和自闭症特征进行了评估，并比较了各组在这些方面的得分。我们还研究了 ELA 组中自闭症特征与语言测量之间的相关性：与 LLA 幼儿相比，ELA 幼儿在综合表达和接受性语言、接受性词汇、手势、对联合注意力竞标的反应以及 SC 自闭症特征方面的得分较低。各组之间在表达词汇、语言概况（即接受和表达得分之间的关系）或限制性和重复性行为方面没有明显差异。在英语语言能力组中，自闭症的 SC 特征与他们的整体接受和表达语言能力有显著关联：结论：根据 FYI-Lite 筛查工具，与被鉴定为 LLA 的幼儿相比，ELA 幼儿在语言和 SC 技能方面表现出迟缓。对处于 ELA 阶段的幼儿而言，自闭症的 SC 特征与早期语言技能有显著关联。补充材料：https://doi.org/10.23641/asha.27969444。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

4.30

自引率

11.50%

发文量

353

审稿时长

>12 weeks

期刊介绍： Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.