Autism & Developmental

Atypical Semantic Fluency and Recall in Children and Adolescents with Autism Spectrum Disorders Associated with Autism Symptoms and Adaptive Functioning.

Foldager et al. (2023) · Journal of autism and developmental disorders 2023
★ The Verdict

Autistic kids list fewer category items and recall less, so check both output and memory in language assessments.

✓ Read this if BCBAs doing language or cognitive assessments with autistic children or teens.
✗ Skip if Clinicians focused only on motor or feeding goals.

01Research in Context

01

What this study did

Foldager et al. (2023) asked autistic and typical kids to name animals and fruits in one minute. They also asked the kids to recall the fruits later.

The team compared how many items each child listed and how typical the items were. They also checked if the kids could remember the fruits they had named.

02

What they found

Autistic kids listed fewer animals and less common fruits. They also remembered fewer fruits than the typical kids.

The gaps were linked to more autism traits and lower daily living skills.

03

How this fits with other research

Begeer et al. (2014) saw a similar age group hit the same total word counts, but the autistic kids switched topics less and formed bigger clusters. Malene’s team now shows the words they pick are less varied and harder to recall.

Seiverling et al. (2012) found autistic adults also retrieve fewer memories, suggesting the issue spans both semantic and personal memory systems.

Hagopian et al. (2000) argued autism is not amnesia; the systems work, yet the way items are organized is atypical. Malene’s data fit this view: output is low, not missing.

04

Why it matters

When you run language or memory probes, note how many items the child lists and how ordinary they are. Fewer items or odd choices can flag weak semantic networks. Add a quick recall check to see if the child can bring the items back to mind. If recall is poor, weave category drills and spaced retrieval into daily programs to shore up both fluency and memory.

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After a fluency probe, ask the child to recall the items named and score both total and recall to spot weak semantic networks.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
120
Population
autism spectrum disorder, neurotypical
Finding
negative
Magnitude
small

03Original abstract

It is unclear whether children with autism spectrum disorders have atypical semantic fluency and lower memory for the semantics of words. Therefore, we examined semantic typicality, fluency and recall for the categories of fruits and animals in 60 children with autism aged 7-15 years (boys: 48/girls: 12) compared to 60 typically developing controls. Relative to controls, the autism group had reduced animal fluency, fruit typicality and recall for fruits. Notably, these measures were associated with more autistic-like symptoms and/or lower adaptive functioning across the autism and control groups. In conclusion, atypical semantics of fruits in the autism group may reflect development of idiosyncratic semantic networks while their lower semantic fluency and recall suggest impaired executive language functions.

Journal of autism and developmental disorders, 2023 · doi:10.1037/a0013743