Autism & Developmental

Altruistic helping in young children with ASD: A preliminary study.

Manfredi et al. (2021) · Research in developmental disabilities 2021
★ The Verdict

Autistic kids help less than Down-syndrome peers of equal IQ, and the gap widens with more autism traits.

✓ Read this if BCBAs running social-skills groups for preschool and early-elementary children with ASD.
✗ Skip if Clinicians focused only on older clients or on non-social targets like self-care.

01Research in Context

01

What this study did

Manfredi et al. (2021) watched preschool and early-grade children during play.

They compared kids with autism to kids with Down syndrome. Both groups had similar IQ scores.

The team counted how often each child gave spontaneous help, like handing over dropped objects.

02

What they found

Children with autism helped far less than peers with Down syndrome.

The more severe the autism traits, the fewer helping acts the child showed.

Even with matched intelligence, the autism group still lagged in altruistic helping.

03

How this fits with other research

Townsend et al. (2021) saw no sharing gap between autistic and typical preschoolers when the friend was right there. Mirella’s task had no adult watching, so the social cue was weaker. This difference may explain the seeming clash.

Schroeder et al. (2014) found first-graders with autism gave as much comfort as typical peers. Their task was clear and adult-led. Mirella’s free-play set-up asked for self-started help, a harder skill.

Eussen et al. (2016) also used Down syndrome peers and showed autistic kids imitate fine when they choose to, but struggle when asked. The same pattern—can do when cued, less when spontaneous—shows up again in helping.

04

Why it matters

If you want helping behavior, start with highly-structured, cue-rich drills. Fade prompts slowly and add peer models. Track autism severity; kids with higher scores may need extra trials before helping becomes automatic.

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→ Action — try this Monday

Place a peer or adult where the child can see, then stage a simple help opportunity (drop crayons) and deliver immediate praise for any unprompted assist.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
29
Population
autism spectrum disorder, down syndrome
Finding
negative
Magnitude
medium

03Original abstract

It has long been claimed that individuals with an autism spectrum disorder (ASD) show impaired prosocial behavior, however there is little direct evidence in support of this claim and inconsistencies have been reported in the literature. Therefore, the goal of this study was to compare the levels of altruistic behavior in 15 young children with an ASD and 14 children with Down syndrome, paired in chronological age (age range between 2 years and 8 months and 6 years and 2 months) and non-verbal intellectual ability. Our results showed that children with an ASD engaged less frequently in altruistic behavior compared to the DS group. In addition, we found a significant negative correlation between the severity of autism symptoms and altruistic behavior in the ASD group, suggesting that the more severe the symptoms of ASD, the less frequent the altruistic behaviors. Conversely, no significant correlations were found between non-verbal IQ level and performance in the altruistic behavior tasks, in either group. Overall, our results suggest that, regardless of intellectual skills, the ability to engage in altruistic behavior is compromised in young children with ASD.

Research in developmental disabilities, 2021 · doi:10.1016/j.ridd.2021.104067