Autism & Developmental

Different Factors Predict Idiom Comprehension in Children and Adolescents with ASD and Typical Development.

Saban-Bezalel et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

For kids with ASD, vocabulary level—not theory of mind or executive function—drives idiom comprehension, so target vocabulary first.

✓ Read this if BCBAs writing social-language goals for fluent-verbal students with autism.
✗ Skip if Clinicians working on non-verbal or daily living skills.

01Research in Context

01

What this study did

Saban-Bezalel et al. (2019) asked what skills help kids grasp idioms like "break the ice." They tested children and teens with autism and typical peers. Each child did idiom tasks, vocabulary tests, executive-function games, and theory-of-mind stories.

02

What they found

Typical kids scored higher on idiom tests than kids with autism. For children with autism, only vocabulary mattered. For typical kids, executive-function scores predicted success; theory-of-mind and vocabulary did not.

03

How this fits with other research

Kouklari et al. (2018) seems to disagree. They found executive function, not vocabulary, predicted theory-of-mind in autism. The key difference is the target skill: idiom comprehension versus theory-of-mind. Different tasks, different predictors.

Yu et al. (2021) extend the story. They show cool executive function and verbal skill together link hot executive function to theory-of-mind in autism. Their result supports the idea that vocabulary is the gateway skill.

Cardillo et al. (2021) echo the theme. They report theory-of-mind, not executive function, drives pragmatic language gaps in autism. Both studies tell us to look past pure EF scores when language is the goal.

04

Why it matters

If you run social-skills groups, start with vocabulary checks before teaching idioms. Kids who can't define "melt" won't grasp "melt down." Build word knowledge first; executive-function drills can wait. This small shift can save weeks of frustration.

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→ Action — try this Monday

Add a quick vocabulary probe to your next idiom lesson; teach any unknown words before the idiom itself.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

Autism spectrum disorder (ASD) is associated with deficient comprehension of figurative language and, specifically, idioms. Theories ascribe this to deficits in specific abilities (e.g., Theory of Mind [ToM]; executive functions [EF]; general language skills), but no comprehensive theory has resulted. This study investigated the differential contribution of various abilities to idiom comprehension among children and adolescents with ASD compared to matched controls with typical development (TD). The TD group outperformed the ASD group in idiom comprehension. However, whereas EF predicted idiom comprehension in the TD group, vocabulary predicted idiom comprehension in the ASD group. Our findings emphasize the link between general language competence and figurative language comprehension in ASD and point to different processing mechanisms in each group.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04193-9