Language and Speech Characteristics in Autism

• Published in: Neuropsychiatric disease and treatment 2022-01, Vol.18, p.2367-2377
• Main Authors: Vogindroukas, Ioannis, Stankova, Margarita, Chelas, Evripidis-Nikolaos, Proedrou, Alexandros
• Format: Article
• Language: English
• Subjects: Autism; Autistic children; Children; Coexistence; Cognitive ability; Cognitive development; Communication; Comorbidity; Complications and side effects; Diagnosis; Differential diagnosis; Language; Language acquisition; Language disorders; Language disorders in children; language profiles; Life span; Neurodevelopmental disorders; Pediatric research; Review; Risk factors; Semantics; Social change; Social interaction; Social skills; Socialization; Speech; Speech disorders in children; Teenagers
• ISSN: 1176-6328; 1178-2021; 1178-2021
• DOI: 10.2147/NDT.S331987

The aim of this paper is to provide information regarding diversity in speech and language profiles of individuals with Autism Spectrum Disorders (ASD) and try to classify these profiles according to the combination of the communication difficulties. Research findings confirm the existence of heterogeneity of communication challenges in ASD across the lifespan. A lot of children with ASD experience communication challenges and strengths across all language sub-systems including pragmatics, grammar, semantics, syntax, phonology, and morphology in both oral and written language, while some children with autism demonstrate exceptional language abilities incl. linguistic creativity. Communication issues vary on a continuum of severity so that some children may be verbal, whereas others remain non-verbal or minimally-verbal. The diversity of profiles in speech and language development stem from either the presence of comorbid factors, as a core symptom of autistic behavior without comorbidity or both, with the development of complex clinical symptoms. Difficulties with the semantic aspect of language affect the individual's skills in abstract thinking, multiple meanings of words, concept categorization, and so on. Finally, the coexistence of ASD with other communication difficulties such as a Language Disorder, Apraxia of Speech, Speech Sound Disorders or/and other neurodevelopmental disorders raises the need for examining more carefully the emergence of new clinical profiles and clinical markers useful in performing differential diagnosis and different intervention.