Autism & Developmental

Vocal patterns in infants with autism spectrum disorder: canonical babbling status and vocalization frequency.

Patten et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Babies later diagnosed with ASD babble less and respond to their names less often by 9-12 months—easy red flags you can catch on the clinic floor.

✓ Read this if BCBAs who work with infants or consult at pediatric practices.
✗ Skip if Practitioners serving only verbal school-age clients.

01Research in Context

01

What this study did

Nixon et al. (2014) watched home videos of babies who were later diagnosed with autism. They counted how often the babies made canonical babbles like "ba-ba" or "da-da" between 9 and 12 months.

They compared these counts to videos of typically developing babies of the same age.

02

What they found

Babies who later got an ASD diagnosis babbled less often and reached the canonical babble stage later than their peers.

The gap was already clear before the first birthday.

03

How this fits with other research

Davidovitch et al. (2018) found the same 9-month warning sign, but also showed these babies start to lag on motor items. Together, the studies say "check both language and motor at the 9-month visit."

Laposa et al. (2017) saw a similar pattern using a different sound: babies later diagnosed with ASD produced shorter cry units at 12 months. Different vocal measure, same red flag.

Palomo et al. (2022) used the same home-movie method and age window. They found social orienting was mixed, but name response and joint attention were already weak. Vocal delays plus poor name response give you two easy checklist items for pediatric screenings.

04

Why it matters

You can spot early signs of ASD without extra tests. While watching a baby play, count canonical babbles and note if the child turns when you call his name. Fewer than two babble types by 9 months, or no name response, deserves a referral. This quick screen costs nothing and fits into any routine visit or parent coaching session.

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During parent coaching, count the baby’s canonical babbles for two minutes—if you hear fewer than two different types, recommend speech and developmental evaluation.

02At a glance

Intervention
not applicable
Design
case control
Sample size
37
Population
autism spectrum disorder, neurotypical
Finding
negative
Magnitude
large

03Original abstract

Canonical babbling is a critical milestone for speech development and is usually well in place by 10 months. The possibility that infants with autism spectrum disorder (ASD) show late onset of canonical babbling has so far eluded evaluation. Rate of vocalization or "volubility" has also been suggested as possibly aberrant in infants with ASD. We conducted a retrospective video study examining vocalizations of 37 infants at 9-12 and 15-18 months. Twenty-three of the 37 infants were later diagnosed with ASD and indeed produced low rates of canonical babbling and low volubility by comparison with the 14 typically developing infants. The study thus supports suggestions that very early vocal patterns may prove to be a useful component of early screening and diagnosis of ASD.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s00265-011-1256-5