Autism & Developmental

Patterns of reading ability in children with autism spectrum disorder.

Nation et al. (2006) · Journal of autism and developmental disorders 2006
★ The Verdict

Expect wide reading skill scatter in ASD—some kids decode fine but comprehend poorly, others struggle at every level.

✓ Read this if BCBAs who assess or teach reading to school-age clients with ASD.
✗ Skip if Practitioners working only with non-verbal adults or math-only goals.

01Research in Context

01

What this study did

Plaisted et al. (2006) looked at the kids with autism. They gave each child a full reading battery. The tests checked word reading, spelling, and comprehension.

The team wanted to see if all parts of reading rise and fall together in ASD. They also asked parents about early language history.

02

What they found

The kids did not fit one pattern. Some read words at grade level but could not tell you what the story meant. Others struggled with every piece of reading.

The scatter was huge. A child might spell like a fifth-grader yet answer questions like a first-grader.

03

How this fits with other research

Plant et al. (2007) zoomed in on the hyperlexic slice. These ASD kids read words even better than peers, yet their comprehension stayed weak. This sharpens Kate’s broad scatter into one clear subtype.

Eussen et al. (2016) tracked preschoolers over a year. They found ASD kids learned letters on pace with peers but stayed behind on print concepts. This pushes Kate’s finding downward: gaps start before formal reading.

Ferguson et al. (2020) watched shared book reading. Autistic preschoolers who looked away more gained less print knowledge. This links Kate’s later comprehension gaps to earlier engagement differences.

Robertson et al. (2013) used eye-tracking during toddler word trials. Faster gaze shifts predicted bigger vocabularies. This shows processing speed seeds the later scatter Kate saw in school-age readers.

04

Why it matters

Do not trust a single reading score. A child who sounds fluent may still miss the message. Always test both decoding and comprehension. If a gap shows up, now you know it is common in ASD and you can plan targeted support early.

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02At a glance

Intervention
not applicable
Design
case series
Sample size
41
Population
autism spectrum disorder
Finding
mixed

03Original abstract

This study investigated reading skills in 41 children with autism spectrum disorder. Four components of reading skill were assessed: word recognition, nonword decoding, text reading accuracy and text comprehension. Overall, levels of word and nonword reading and text reading accuracy fell within average range although reading comprehension was impaired. However, there was considerable variability across the sample with performance on most tests ranging from floor to ceiling levels. Some children read accurately but showed very poor comprehension, consistent with a hyperlexia reading profile; some children were poor at reading words and nonwords whereas others were unable to decode nonwords, despite a reasonable level of word reading skill. These findings demonstrate the heterogeneous nature of reading skills in children with ASD.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0130-1