Autism & Developmental

Dual Language Learning Predicts Improved Executive Functioning in Youth with Autism.

Ratto et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Speaking two languages predicts stronger everyday executive function in autistic youth without ID, even when verbal test scores dip.

✓ Read this if BCBAs working with school-age or teen autistic clients from bilingual homes.
✗ Skip if Clinicians serving only monolingual toddlers or autistic clients with severe ID.

01Research in Context

01

What this study did

The team compared autistic youth who speak two languages with matched peers who speak only one. They used parent forms to rate executive-function skills and unusual behaviors.

All kids had autism without intellectual disability. The study looked at real-world skills, not lab scores.

02

What they found

Parents of dual-language youth reported fewer executive-function problems and fewer odd behaviors. Verbal test scores were lower for the bilingual group, yet daily life skills looked better.

In short, juggling two languages seemed to sharpen flexible thinking without harming everyday communication.

03

How this fits with other research

Iarocci et al. (2017) saw the same edge for bilingual-exposed autistic children in elementary school. Northrup et al. (2022) now shows the benefit lasts into the teen years, widening the age span.

Boxum et al. (2018) found no language delay in bilingual toddlers with autism. The new data echo that safety signal and add that older kids may even gain self-control skills.

Payne et al. (2020) reported poorer executive function when autistic adolescents had early language delay. Northrup et al. (2022) flips the lens: bilingual youth show stronger executive function despite lower formal verbal scores, hinting that language route and language count affect EF differently.

04

Why it matters

If a family speaks a heritage language, you can now reassure them that keeping both tongues is unlikely to hurt and may help flexible thinking. When you see lower verbal test scores in bilingual autistic clients, pair those data with parent reports of real-life self-control before recommending monolingual switch. Consider building therapy tasks that use both languages to tap any executive-function boost.

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Ask parents if the child hears another language at home and add bilingual play or instruction as a strength-based variable in the treatment plan.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
159
Population
autism spectrum disorder
Finding
positive

03Original abstract

Previous findings show executive functioning advantages associated with dual language learning (DLL) among neurotypical individuals, yet few studies have investigated these effects in youth with autism spectrum disorder (ASD). The present study investigated effects of DLL and socioeconomic status (SES) on parent-reported executive functioning, verbal ability, and social-emotional functioning using a sample of DLL (n = 53) and monolingual (n = 106) youth with ASD without intellectual disability, matched on gender and full-scale IQ scores. After controlling for the effects of SES, results showed that monolingual youth had better outcomes on verbal ability, while DLL youth had fewer parent-reported problems with executive functioning and unusual behaviors. These findings indicate that bilingualism may mitigate executive functioning deficits in youth with ASD.

Journal of autism and developmental disorders, 2022 · doi:10.1044/1058-0360(2012/10-0078)