Autism & Developmental

Effects of bilingual language exposure on toddlers with autism spectrum disorder.

Phillips et al. (2024) · Frontiers in Psychology 2024
★ The Verdict

Daily bilingual exposure is safe for toddlers with ASD—age and family factors matter far more.

✓ Read this if BCBAs serving bilingual families with toddlers in early-intervention programs.
✗ Skip if Clinicians who only see monolingual school-age clients.

01Research in Context

01

What this study did

Phillips and team watched 54 Mandarin-English toddlers with ASD for six months.

They counted how many hours each child heard each language.

Then they compared early language, thinking, and social scores to see if two languages hurt growth.

02

What they found

Kids who heard both languages did not fall behind.

Age at first visit predicted scores far better than language background.

In short, being bilingual did not slow these toddlers down.

03

How this fits with other research

Boets et al. (2011) saw the same null result in school-age children with Down syndrome.

Both studies calm the old fear that two languages overload neurodivergent kids.

Gizzonio et al. (2015) also used a pre-post design and found gender made no difference, showing toddler ASD development is full of nulls once you control for age.

Cao et al. (2023) looked at the same Chinese toddler group and found mom’s low education raised autism odds; together the papers remind us that social risk, not language mix, shapes outcomes.

04

Why it matters

You can reassure immigrant families: keep speaking both languages at home.

Skip the myth that one language must wait.

Focus your energy on early screening and parent education instead.

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→ Action — try this Monday

Tell every bilingual family to keep using both languages during play and daily routines.

02At a glance

Intervention
not applicable
Design
pre post no control
Population
autism spectrum disorder
Finding
null

03Original abstract

Research analyzing the effects of bilingual language exposure on children with autism spectrum disorder (ASD) has increased in frequency. Utilizing the Bayley Scales of Infant and Toddler Development—Third Edition, the current study analyzed the effects of bilingual language exposure and age on language development, cognitive development, and social emotional development in toddlers with ASD. Older children demonstrated higher language scores than younger children. The interaction between ASD and bilingualism did not yield statistical significance for language, cognitive, or social emotional scores; however, the interaction between age and bilingualism was found to be significant. Age may have more of an influence on language development than ASD. Children with ASD can be raised in bilingual homes without affecting long-term development.

Frontiers in Psychology, 2024 · doi:10.3389/fpsyg.2024.1412339