Autism & Developmental

Receptive and expressive language as predictors of restricted and repetitive behaviors in young children with autism spectrum disorders.

Ray-Subramanian et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Stronger toddler language predicts fewer repetitive behaviors one year later, giving you another reason to target words early.

✓ Read this if BCBAs writing toddler or preschool plans for kids with ASD.
✗ Skip if Clinicians serving only fluent, school-age clients.

01Research in Context

01

What this study did

Meier et al. (2012) watched toddlers with autism for one year.

They tested how well each child understood and used words at age 2–3.

One year later they counted each child’s restricted and repetitive behaviors.

The team asked: do early language scores predict later RRBs, even after counting IQ gains?

02

What they found

Kids who had stronger receptive and expressive language at first showed fewer RRBs later.

The link stayed even when the child’s non-verbal IQ went up.

Better language now meant less rocking, lining up toys, or hand-flapping later.

03

How this fits with other research

Leigh et al. (2015) extends the same lens to preschoolers who start out non-verbal.

They show that joint-attention and parent talk fuel later language, hinting the same path may cut RRBs in older kids.

Song et al. (2022) look like they clash: they say only baseline expressive language matters, not IQ or autism severity.

The studies do not disagree; E et al. predicted RRBs, Xue-Ke predicted language growth, so each spotlights a different finish line.

Li et al. (2023) push the timeline even earlier, linking gross-motor plus receptive delays in infancy to later autism traits, showing language-motor teamwork starts sooner than the toddler window E et al. used.

04

Why it matters

If you boost listening and speaking skills now, you may see less spinning, flapping, or rigid play later.

Start language goals early, track them often, and watch RRBs as a bonus outcome.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add five extra receptive-language trials to your next session and note any drop in repetitive play.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
115
Population
autism spectrum disorder
Finding
negative

03Original abstract

This study examined whether language skills and nonverbal cognitive skills were associated with clinician-observed restricted and repetitive behaviors (RRBs) in a sample of 115 children with autism spectrum disorders (ASD) at ages 2 and 3. By age 3, RRBs were significantly negatively correlated with receptive and expressive language, as well as nonverbal cognitive skills. Increases in receptive and expressive language from age 2 to 3 significantly predicted decreases in RRBs, controlling for age in months, time between visits, and gains in nonverbal cognitive skills. This study contributes to the limited research that has examined early patterns and predictors of RRBs in young children with ASD.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-012-1463-6