Assessment & Research

Brief Report: Associations Between Autism Characteristics, Written and Spoken Communication Skills, and Social Interaction Skills in Preschool-Age Children on the Autism Spectrum.

Westerveld et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Preschoolers with autism may show parent-reported writing strengths, but these scores do not predict autism severity—so assess both literacy and receptive language directly.

✓ Read this if BCBAs doing intake assessments or writing early-literacy goals for preschoolers with autism.
✗ Skip if Clinicians who only serve non-speaking school-age youth or focus on vocational skills.

01Research in Context

01

What this study did

Ferguson et al. (2021) asked parents of preschoolers with autism to rate how well their child writes and how well their child talks.

The team then checked if either score lined up with autism traits or social skills.

No teaching happened; this was pure assessment work.

02

What they found

Parents gave higher marks for writing than for talking, yet neither score linked to autism severity.

Social interaction problems also did not track with the communication numbers.

In short, a child could score high or low on writing or speaking and still show the same level of autism features.

03

How this fits with other research

Rojahn et al. (2012) found that receptive language, not parent ratings, predicted better daily living skills and fewer behavior problems.

The two studies seem to clash—one says communication matters, the other says it does not—but they measured different things: J used direct receptive tests while F used parent estimates.

Ferguson et al. (2020) matched kids with and without autism and saw no group gap in early code skills like letter names; F (2021) now adds that within autism, written versus spoken scores do not predict severity, building a picture that early literacy is not autism-sensitive once language level is held steady.

Åsberg Johnels et al. (2019) followed children to age eight and showed that weak oral language at three forecasts poor reading or hyperlexia; the null finding in F (2021) hints these long-term reading risks are not visible in parent-rated preschool scores.

04

Why it matters

Do not assume a chatty preschooler will have milder autism, or that a quiet one is more severe.

Screen emergent literacy in all young clients because relative writing strength may hide later reading risk.

Pair parent reports with direct receptive tests, and plan language and literacy goals for every child regardless of severity.

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Add a quick letter-name and receptive-language probe to your intake packet; do not rely on parent estimates alone.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
null

03Original abstract

We used parent-report data from a prospective longitudinal study to better understand the early strengths in written skills often observed in preschoolers on the spectrum. Consistent with previous research, children demonstrated relative strengths in standardized written communication compared to spoken communication scores on the VABS-II. We found no significant links between children's performance on the written communication subdomain and their autism characteristics or the Social Interaction Deviance Composite score on the CCC-2. Our results emphasize the need for further research into the early strengths in written skills of preschoolers on the spectrum. From a clinical viewpoint, we highlight the need for a comprehensive emergent literacy assessment in this group of children who are at high risk of persistent literacy difficulties.

Journal of autism and developmental disorders, 2021 · doi:10.1007/s10803-015-2543-1