Assessment & Research

Brief Report: Associations Between Preverbal Social Communication Skills, Language and Symptom Severity in Children with Autism: An Investigation Using the Early Sociocognitive Battery.

Taylor et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

A short play-based test of preverbal joint attention, symbolic play, and social response predicts language level and autism symptom severity in toddlers.

✓ Read this if BCBAs who assess toddlers with ASD or suspected ASD in clinic or early-intervention settings.
✗ Skip if Practitioners working only with fluent verbal school-age clients.

01Research in Context

01

What this study did

The team gave the Early Sociocognitive Battery to young autistic children. The test looks at three preverbal skills: social responsiveness, joint attention, and symbolic play. They then checked if these scores matched the children’s language level and autism symptom severity.

02

What they found

All three ESB areas linked up with both language scores and symptom ratings. Better joint attention and symbolic play meant stronger language and fewer autism symptoms. Social responsiveness showed the same pattern.

03

How this fits with other research

Chan et al. (2023) pooled many studies and found that weak expressive language predicts more tantrums and self-injury. Anthony et al. (2020) now show that the ESB can flag these weak language signs before words emerge.

Rutherford et al. (2007) watched infant siblings and saw smaller smiles and less joint attention long before diagnosis. The new battery turns those early red flags into a quick clinic tool.

Nevill et al. (2019) warned that language scores shift depending on the test you pick. The ESB adds another lens, so use it alongside parent reports and direct language measures for the clearest picture.

04

Why it matters

You can run the ESB in under 15 minutes with toys you already own. It gives numbers that line up with both later words and current autism severity. Slip it into your intake battery; if joint attention or symbolic play look low, bump language intervention up the priority list and watch for emerging behavior issues.

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Add the three ESB subtests to your next toddler assessment and use low scores to fast-track language goals.

02At a glance

Intervention
not applicable
Design
other
Sample size
249
Population
autism spectrum disorder
Finding
positive

03Original abstract

We investigated the early sociocognitive battery (ESB), a novel measure of preverbal social communication skills, in children with autism participating in the Paediatric Autism Communication Trial-Generalised (PACT-G). The associations between ESB scores, language and autism symptoms were assessed in 249 children aged 2-11 years. The results show that ESB subscale scores (social responsiveness, joint attention and symbolic comprehension) were significantly associated with concurrent autism symptoms and receptive and expressive language levels. The pattern of association between the ESB subscale scores differed between the ADOS-2 symptom domains and expressive and receptive language. These findings indicate the potential utility of the ESB as a measure of preverbal social communication in children with autism.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04364-z