Assessment & Research

The relationship of play behavior to cognitive ability in developmentally disabled preschoolers.

Power et al. (1989) · Journal of autism and developmental disorders 1989
★ The Verdict

Play-based and standard IQ scores can disagree, especially when language or atypical play is involved, so test both ways.

✓ Read this if BCBAs assessing preschoolers with developmental delays or limited language.
✗ Skip if Clinicians who only work with verbal school-age children or adults.

01Research in Context

01

What this study did

The team gave two kinds of tests to preschoolers with delays. One test watched kids play with toys. The other test used well-known IQ scales like Bayley and Stanford-Binet.

They wanted to see if play scores matched the IQ scores. They split the kids into groups: typical play, atypical play, and language-disordered.

02

What they found

For most kids, play scores and IQ scores lined up only a little. The link was even weaker for kids who played oddly. For kids with big language problems, the two scores were far apart.

In short, a child might look smart while playing but score low on a standard IQ test, or the other way around.

03

How this fits with other research

Konstantareas et al. (1999) showed the Stanford-Binet IV stays stable over five weeks in adults with ID. That supports using the Binet, but Hansen et al. (1989) warn the same test can miss ability in language-disordered preschoolers.

Hudry et al. (2014) found early receptive language drops in babies who later get ASD. Together with Hansen et al. (1989), this tells us to double-check any low score that rests on language.

Reyes et al. (2019) saw that temperament shifts over time in kids with DD. Hansen et al. (1989) saw scores shift by test type. Both papers remind us: one snapshot is not a life label.

04

Why it matters

Before you write a report, give at least two kinds of tasks: one hands-on play and one standard IQ. If scores differ, look at language skills and play style. A child who can’t answer questions might still solve problems with toys. Use the higher score to plan lessons, not to brag, but to set goals the child can actually reach.

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Add a quick symbolic play probe before your next Bayley or Binet; note any gap and share both numbers with the team.

02At a glance

Intervention
not applicable
Design
other
Sample size
247
Population
developmental delay, intellectual disability
Finding
mixed

03Original abstract

The relationship of play behavior to cognitive functioning in preschool developmentally disabled children was studied by comparing performance on Lowe and Costello's Symbolic Play Test (SPT) with that on the Bayley Scales and Stanford-Binet Scale. Subjects were 247 children referred for evaluation to a hospital-based child development clinic. Subjects were classified as mildly retarded, moderately retarded, atypical, borderline, and language disordered. Correlations between the Bayley/Binet and SPT for the whole sample were significant and in the low to moderate range. Correlations between cognitive and play measures for each clinical group were in the low to moderate range, except for atypical children where the correlations were negligible. The retarded and borderline groups achieved similar mental ages on the Bayley/Binet and SPT, but the language-disordered and atypical groups demonstrated marked differences in their Bayley/Binet and SPT functioning. Implications for using the SPT in clinical practice were discussed.

Journal of autism and developmental disorders, 1989 · doi:10.1007/BF02212721