Autism & Developmental

The Influence of Bilingual Language Exposure on the Narrative, Social and Pragmatic Abilities of School-Aged Children on the Autism Spectrum

MLH et al. (2022) · 2022
★ The Verdict

Two languages do not hurt—and may slightly help—the narrative and social language of autistic children.

✓ Read this if BCBAs serving bilingual families of school-age children with autism.
✗ Skip if Clinicians working only with monolingual adults or very young toddlers.

01Research in Context

01

What this study did

The team compared bilingual and monolingual school-age children with autism. They looked at story-telling, social use of language, and non-literal speech like jokes.

Kids were split by how much of each language they heard each day. The study asked: does two-language exposure change these skills?

02

What they found

Both groups looked the same on most tests. Children who heard both languages about equally scored a little higher on joke and idiom tasks.

Speaking two languages did not hurt narrative or social skills. If anything, balanced bilinguals had a tiny edge.

03

How this fits with other research

Phillips et al. (2024) saw the same neutral result in toddlers with ASD. Age, not language background, drove scores. Together the papers show safety across early childhood.

Boets et al. (2011) used the same design with Down syndrome and also found no harm. The pattern repeats across diagnoses.

So et al. (2019) showed robot play can lift narrative skill. Their gain came from teaching, not from cutting one language.

04

Why it matters

You can reassure families that keeping the home language will not slow progress. Keep teaching stories, jokes, and social rules in whichever language parents use best. If a child hears two languages daily, weave both into sessions instead of picking one.

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Let the family speak their stronger language during story-retell practice; note any non-literal language gains.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
134
Population
autism spectrum disorder
Finding
null

03Original abstract

We examined the narrative abilities of bilingual and monolingual children on the autism spectrum (AS), whether bilinguals presented stronger social and pragmatic language abilities compared to monolinguals, and the link between narrative, social, and pragmatic language abilities.The narrative, social, and pragmatic language skills of school-aged bilinguals (n = 54) and monolinguals (n = 80) on the AS were assessed using normed measures. Language exposure was estimated through a parent questionnaire.Bilinguals performed similarly to monolinguals on measures of narrative, social, and pragmatic language skills. However, balanced bilinguals performed better on a nonliteral language task.Overall, results indicate that bilingual children on the AS can become as proficient in using language as monolinguals and may enjoy a bilingual advantage.

, 2022 · doi:10.1007/s10803-022-05678-w