Assessment & Research

Language and Pragmatics Across Neurodevelopmental Disorders: An Investigation Using the Italian Version of CCC-2.

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

The Italian CCC-2 gives BCBAs a fast parent checklist to flag pragmatic and language issues in school-age kids with ASD or dyslexia.

✓ Read this if BCBAs doing intake or reassessment with Italian-speaking or bilingual 8- to 10-year-olds.
✗ Skip if Clinicians already using the shorter CCC-R or working with preschoolers only.

01Research in Context

01

What this study did

Ferrara et al. (2020) tested the Italian version of the Children’s Communication Checklist-2 (CCC-2).

Parents of 8- to 10-year-olds filled out the 70-item form.

Kids had autism, language disorder plus dyslexia, or typical development.

02

What they found

Scores cleanly split the clinical groups from the typical group.

The checklist caught both pragmatic slips and grammar gaps.

Italian clinicians now have a quick, valid screen for these communication issues.

03

How this fits with other research

Palka Bayard de Volo et al. (2021) trimmed the same checklist to 39 items and still got clean group splits. Their CCC-R saves time, so it updates the full CCC-2 used here.

Narzisi et al. (2013) and Limberg et al. (2017) showed the CBCL 1½-5 Withdrawn and PDD scales flag ASD in toddlers. Together with Marika’s work, this builds a parent-form ladder: CBCL for toddlers, CCC-2 for late elementary.

Rojahn et al. (2012) reviewed earlier papers and found no solid overlap between specific language impairment and ASD cognitive profiles. Marika’s finding that CCC-2 separates ASD from language-plus-dyslexia groups fits that view.

04

Why it matters

You now have an Italian parent form that spots pragmatic and language problems in one pass.

Use it at intake to decide who needs deeper language testing or social-skills intervention.

If time is short, keep an eye on the newer 39-item CCC-R, but either tool beats flying blind.

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→ Action — try this Monday

Hand the Italian CCC-2 to the parent while you set up the next client; score it that night to see if pragmatic or grammar scales dip below the cut-off.

02At a glance

Intervention
not applicable
Design
other
Sample size
89
Population
autism spectrum disorder, mixed clinical
Finding
positive

03Original abstract

Impairments in structural language and pragmatics are well recognized in different neurodevelopmental disorders, yet in clinical work the discrimination of children with various language difficulties into different diagnostic profile is still a major challenge. Using the CCC-2 questionnaire this study assesses and compares language competences in a sample of Italian children (aged 8-10) with typical development (n = 26) and in children with different neurodevelopmental conditions: high-functioning Autism Spectrum Disorder (n = 19), Language Disorder with associated Developmental Dyslexia (n = 23), Developmental Dyslexia without linguistic impairments (n = 21). The results supported the validity of CCC2 as screening measure that is able to distinguish children with communication impairments from non-impaired peers.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04358-6