Autism & Developmental

Effects of age on communication skill levels and prevalence of maladaptive behaviors in autistic and mentally retarded children.

Ando et al. (1979) · Journal of autism and developmental disorders 1979
★ The Verdict

Communication improves with age in autistic children, but maladaptive behaviors do not drop on their own—so intervene early and keep going.

✓ Read this if BCBAs working with school-age autistic students who show both language growth and persistent problem behaviors.
✗ Skip if Clinicians serving only adults or clients without developmental disabilities.

01Research in Context

01

What this study did

Ando et al. (1979) watched autistic and intellectually disabled children of different ages. They wanted to know if communication and problem behaviors change as kids get older.

The team used tests and teacher ratings in special-ed classrooms. They split the children into younger and older groups.

02

What they found

Older autistic children understood more words and took more turns in chat. Yet their self-injury, tantrums, and rocking stayed the same.

Children with intellectual disability only improved in shy, withdrawn behavior. Their talk skills and other problem acts did not budge.

03

How this fits with other research

Fellinger et al. (2022) later saw the same link in deaf adults: poorer language went hand-in-hand with more problem behavior. This extends the 1979 warning that limited communication keeps behavior risks alive.

Akshoomoff et al. (2010) followed autistic toddlers into grade school. Like H et al., they found language gains but lasting social gaps. The pattern held two decades later.

Bottema-Beutel et al. (2024) reviewed behavior studies in teens and found most lacked clear definitions or functional tests. Their critique shows we still treat behaviors without asking why they happen, just as H et al. implied.

04

Why it matters

Do not wait for problem behaviors to fade as autistic students get older. Use the new language skills they gain to teach replacement behaviors. Start functional communication training early and keep it going. Target the social uses of language, not just vocabulary, to cut the need for acting out.

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→ Action — try this Monday

Pick one student whose language is rising but behaviors remain; run a quick functional assessment and teach a simple communicative replacement this week.

02At a glance

Intervention
not applicable
Design
other
Sample size
175
Population
autism spectrum disorder, intellectual disability
Finding
mixed

03Original abstract

This study investigated the effect of age on communication and maladaptive behavior in autistic and mentally retarded children. Forty-seven autistic and 128 mentally retarded children in a special school served as subjects. The cross-sectional method was used to compare junior and senior groups, and ratings on communication skills and maladaptive behaviors were obtained from teachers. We found that the skills of comprehension and conversation in autistic children improved significantly with age, and speech improved somewhat. In spite of this improvement in communication skills, maladaptive behaviors in the autistic children other than hyperactivity did not change significantly with age. Withdrawal improved significantly with age in the mentally retarded children but not in the autistic children.

Journal of autism and developmental disorders, 1979 · doi:10.1007/BF01531295