Story Goodness in Adolescents With Autism Spectrum Disorder (ASD) and in Optimal Outcomes From ASD.

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TitleStory Goodness in Adolescents With Autism Spectrum Disorder (ASD) and in Optimal Outcomes From ASD.
Publication TypeJournal Article
Year of Publication2016
AuthorsCanfield, AR, Eigsti, I-M, de Marchena, A, Fein, D
JournalJ Speech Lang Hear Res
Volume59
Issue3
Pagination533-45
Date Published2016 06 01
ISSN1558-9102
KeywordsAdolescent, Autism Spectrum Disorder, Child, Female, Humans, Intelligence Tests, Language Tests, Male, Narration, Reproducibility of Results
Abstract

PURPOSE: This study examined narrative quality of adolescents with autism spectrum disorder (ASD) using a well-studied "story goodness" coding system.METHOD: Narrative samples were analyzed for distinct aspects of story goodness and rated by naïve readers on dimensions of story goodness, accuracy, cohesiveness, and oddness. Adolescents with high-functioning ASD were compared with adolescents with typical development (TD; n = 15 per group). A second study compared narratives from adolescents across three groups: ASD, TD, and youths with "optimal outcomes," who were diagnosed with ASD early in development but no longer meet criteria for ASD and have typical behavioral functioning.RESULTS: In both studies, the ASD group's narratives had lower composite quality scores compared with peers with typical development. In Study 2, narratives from the optimal outcomes group were intermediate in scores and did not differ significantly from those of either other group. However, naïve raters were able to detect qualitative narrative differences across groups.CONCLUSIONS: Findings indicate that pragmatic deficits in ASD are salient and could have clinical relevance. Furthermore, results indicate subtle differences in pragmatic language skills for individuals with optimal outcomes despite otherwise typical language skills in other domains. These results highlight the need for clinical interventions tailored to the specific deficits of these populations.

DOI10.1044/2015_JSLHR-L-15-0022
Alternate JournalJ. Speech Lang. Hear. Res.
PubMed ID27280731
PubMed Central IDPMC4972015
Grant ListR01 MH076189 / MH / NIMH NIH HHS / United States
T32 NS007413 / NS / NINDS NIH HHS / United States