Verbal Mental Age Research Articles

Self-conceptualisation in autism

This study aimed to extend Lee and Hobson's (1998) findings regarding self-conceptualisation in autism by using a more verbally able sample. The study also investigated the ability to conceptualise self through other. Sixteen typically developing and sixteen adolescents with ASD matched for chronological and verbal mental age were administered a modified version of Damon and Hart's (1988) self-as-subject interview, which also required participants to conceptualise themselves from another's perspective. Self-conceptualisation ability was similar between groups across the categories of distinctiveness and continuity, but reduced in the ASD group under the category of agency. Participants with ASD were, however, less able to conceptualise themselves from another's perspective. These results are discussed in relation to second-person processes and narrative abilities.

Exploring the Ability to Deceive in Children with Autism Spectrum Disorders

The present study explored the relations among lie-telling ability, false belief understanding, and verbal mental age. We found that children with autism spectrum disorder (ASD), like typically developing children, can and do tell antisocial lies (to conceal a transgression) and white lies (in politeness settings). However, children with ASD were less able than typically developing children to cover up their initial lie; that is, children with ASD had difficulty exercising semantic leakage control--the ability to maintain consistency between their initial lie and subsequent statements. Furthermore, unlike in typically developing children, lie-telling ability in children with ASD was not found to be related to their false belief understanding. Future research should examine the underlying processes by which children with ASD tell lies.

Atypical semantic knowledge and autobiographical memory disorder in a young adult with Downs syndrome

A study of lexical semantic knowledge and autobiographical memory is described in PQ, a 22-year-old male with Downs syndrome. Performance is compared with younger typically developing verbal mental age controls. PQ's lexical stores contained a normal number of items, however, he was impaired at naming both pictures and item descriptions. PQ's own descriptions of items contained a normal volume of information, but the pattern of information differed from normal as he produced less ‘sensory’ and more ‘thematic’ and ‘functional’ information. PQ has an autobiographical memory deficit. His ability to recall ‘specific’ memories was significantly impoverished. It is suggested that both PQ's naming difficulties and his autobiographical memory disorder may reflect atypical knowledge specification with absence of distinctive featural knowledge and increased conceptual overlap and looser networks pervasive across both semantic and autobiographical memory systems.

Play and Developmental Outcomes in Infant Siblings of Children with Autism

We observed infant siblings of children with autism later diagnosed with ASD (ASD siblings; n = 17), infant siblings of children with autism with and without other delays (Other Delays and No Delays siblings; n = 12 and n = 19, respectively) and typically developing controls (TD controls; n = 19) during a free-play task at 18 months of age. Functional, symbolic, and repeated play actions were coded. ASD siblings showed fewer functional and more non-functional repeated play behaviors than TD controls. Other Delays and No Delays siblings showed more non-functional repeated play than TD controls. Group differences disappeared with the inclusion of verbal mental age. Play as an early indicator of autism and its relationship to the broader autism phenotype is discussed.

Idiom comprehension in French-speaking children and adolescents with Williams’ syndrome

This study looks at idiom comprehension by French-speaking people with Williams’ syndrome (WS) and metapragmatic knowledge is examined. Idiomatic expressions are a nonliteral form of language where there is a considerable difference between what is said (literal interpretation) and what is meant (idiomatic interpretation). WS is characterized by a relatively preserved formal language, social interest and poor conversational skills. Using this framework, the present study aims to explore the comprehension of idiomatic expressions by 20 participants with WS. Participants performed a story completion task (comprehension task), and a task of metapragmatic knowledge to justify their chosen answers. WS performances were compared to typically developing children with the same verbal mental age. The main results can be summarized as follows: (1) people with WS have difficulties to understand idioms; (2) WS group seems to perform partly as typically developing children for the acquisition of metapragmatic knowledge of linguistic convention: there is a progressive increase in metapragmatic knowledge of linguistic convention as age increased. Our results indicate a delay of acquisition in idiom comprehension in Williams’ syndrome.

Executive neuropsychological functioning in individuals with Williams syndrome

The present study investigated executive neuropsychological functioning in individuals with the neuro-developmental disorder Williams syndrome (WS) using a set of validated standardized neuropsychological tasks. Relatively few studies have examined frontal lobe related executive functions within the cognitive phenotype associated with the disorder. The present study compared participants with WS to typically developing participants who were individually matched for (1) chronological age and (2) verbal mental age (N=19 each group) on tasks of attention-set shifting, planning and working memory from the Cambridge Neuropsychological Test Automated Battery (CANTAB). To address the specificity of executive function impairment, non-executive tasks of delayed short-term memory and short-term memory span were also administered. Individuals with WS (mean age 18 years) showed impaired executive functioning on tasks of attention set-shifting, working memory, and planning. Non-executive deficits were also observed in short-term delayed memory and memory span. Neuropsychological impairments were correlated with a range of behavioural problems assessed using parent-rated Questionnaires. Overall, these findings point to the role of a range of executive function impairments in WS but further suggest that cognitive impairments extend beyond executive dysfunction.

Tracking Executive Function Across the Transition to School: A Latent Variable Approach

This longitudinal study of executive function (EF) addressed three questions. These concerned: (i) the validity of EF as a latent construct underpinning performance at ages 4 and 6 on tests of planning, inhibitory control, and working memory; (ii) developmental change in EF across these time-points, which straddled children's transition to school; and (iii) verbal ability and family income as predictors of base-line individual differences and variation in the slopes of EF development. Confirmatory factor analyses of data from a socially diverse sample of 191 children supported the validity of a single EF construct at both time-points; a MIMIC (multiple indicators, multiple causes) model showed equally good fit for boys and girls. Latent growth models demonstrated that verbal mental age and family income predicted EF intercepts, but EF slopes were only related to verbal mental age. Across the transition to school, less able children (but not children from low income families) showed greater gains in EF than their peers.

Language and ToM development in autism versus Asperger syndrome: Contrasting influences of syntactic versus lexical/semantic maturity

Theory of mind (ToM) development by a sample of 63 children aged 5–12 years (24 with Asperger syndrome, 19 with high-functioning autism, and 20 age-matched typical developers) was assessed with a five-task false-belief battery in relation to both lexical (vocabulary) and syntactic (grammar) language skills. Contrary to some previous research, no differences in ToM emerged between those with Asperger syndrome and their typically developing peers but those with autism were delayed substantially behind both other groups in ToM understanding, even after controlling for age, non-verbal ability and verbal (both lexical and syntactic) mental age. For all the diagnostic groups equally, syntax was a more important ToM predictor than lexical language skill. Theoretical and practical implications of the findings are discussed.

Profiling Fragile X Syndrome in males: Strengths and weaknesses in cognitive abilities

The present study examined the cognitive profile in Fragile X Syndrome (FXS) males, and investigated whether cognitive profiles are similar for FXS males at different levels of intellectual functioning. Cognitive abilities in non-verbal, verbal, memory and executive functioning domains were contrasted to both a non-verbal and verbal mental age reference. Model-based cluster analyses revealed three distinct subgroups which differed in level of functioning, but showed similar cognitive profiles. Results showed that cognitive performance is particularly weak on measures of reasoning- and performal abilities confined to abstract item content, but relatively strong on measures of visuo-perceptual recognition and vocabulary. Further, a significant weakness was found for verbal short-term memory. Finally, these results indicated that the choice of an appropriate reference is critically important in examining cognitive profiles. The pattern of findings that emerged from the current cognitive profiling of FXS males was interpreted to suggest a fundamental deficit in executive control.

Visual perspective taking impairment in children with autistic spectrum disorder

Evidence from typical development and neuroimaging studies suggests that level 2 visual perspective taking – the knowledge that different people may see the same thing differently at the same time – is a mentalising task. Thus, we would expect children with autism, who fail typical mentalising tasks like false belief, to perform poorly on level 2 visual perspective taking as well. However, prior data on this issue are inconclusive. We re-examined this question, testing a group of 23 young autistic children, aged around 8 years with a verbal mental age of around 4 years and three groups of typical children ( n = 60) ranging in age from 4 to 8 years on a level 2 visual perspective task and a closely matched mental rotation task. The results demonstrate that autistic children have difficulty with visual perspective taking compared to a task requiring mental rotation, relative to typical children. Furthermore, performance on the level 2 visual perspective taking task correlated with theory of mind performance. These findings resolve discrepancies in previous studies of visual perspective taking in autism, and demonstrate that level 2 visual perspective taking is a mentalising task.

A specific deficit in visuospatial simultaneous working memory in Down syndrome

Recent studies have demonstrated that individuals with Down syndrome (DS) present both central and verbal working memory deficits compared with controls matched for mental age, whereas evidence on visuospatial working memory (VSWM) has remained ambiguous. The present paper uses a battery of VSWM tasks to test the hypothesis that individuals with DS can also encounter specific difficulties in VSWM. Four tasks were administered to 34 children and adolescents with DS and 34 controls matched for verbal mental age. In two of these tasks, participants had to remember a series of locations sequentially presented on a matrix (spatial-sequential WM); in another two, they had to remember locations simultaneously presented (spatial-simultaneous WM). Results showed that individuals with DS are poorer than controls in the spatial-simultaneous tasks, but not in the spatial-sequential tasks. These findings were not due to a difference in speed of visuospatial processing. In fact, when performances of the two groups in VSWM were compared using speed measures as covariates, differences between groups remained. It is suggested that the simultaneous VSWM deficit of individuals with DS could be due to the request for processing more than one item at a time.

Recognition of emotional and nonemotional facial expressions: A comparison between Williams syndrome and autism

The aim of our study was to compare two neurodevelopmental disorders (Williams syndrome and autism) in terms of the ability to recognize emotional and nonemotional facial expressions. The comparison of these two disorders is particularly relevant to the investigation of face processing and should contribute to a better understanding of social behaviour and social cognition. Twelve participants with WS (from 6;1 to 15 years) and twelve participants with autism (from 4;9 to 8 years) were matched on verbal mental age. Their performances were compared with those of twelve typically developing controls matched on verbal mental age (from 3;1 to 9;2). A set of five tasks assessing different dimensions of emotional and nonemotional facial recognition were administered. Results indicated that recognition of emotional facial expressions is more impaired in Williams syndrome than in autism. Our study comparing Williams syndrome and autism over a small age range highlighted two distinct profiles which call into question the relationships between social behaviour/cognition and emotion perception.

Anticipatory concern: a study in autism

There has been substantial research on children's empathic responsiveness towards distressed people, and on the limited responsiveness of children with autism. To date, however, there have not been experimental studies to test how far children show concern towards someone who might be expected to feel badly, when that person has not (yet) expressed any negative feelings. We tested matched groups of children with autism and learning disability, and typically developing children of similar verbal mental age (approximately 6 years), with a novel procedure in which participants witnessed one person (E1) tearing the drawing of another (E2). In a comparison condition, a blank card was torn. In the torn-drawing condition, as predicted, fewer participants with autism orientated towards E2 with an immediate look, and as a group, they were rated as showing less concern for, and fewer concerned looks towards, E2. We discuss possible implications for theoretical perspectives on the early development of empathy in typically as well as atypically developing children.

ARE CHILDREN WITH DEVELOPMENTAL DISORDERS DELAYED IN LEARNING "THEORY OF MIND"?

Children with developmental disorders are assumed to have a delay in reaching an age at which they can succeed in Theory of Mind tasks compared with their verbal mental age. However, the methods of the Theory of Mind tasks, picture story books or demonstrations for example, are not well suited to those who have difficulties in concentration, selective attention, reading, hearing correctly and understanding. This research used the picture story show as the method for three Theory of Mind tasks and showed that children who were thought to be unable to pass the tasks based on preceding studies could pass the tasks. The form “picture-story show” might be a better way for children with developmental disorders to understand the meaning of tasks. In addition, not the verbal mental age but the ability to understand task contents might be most important for children with developmental disorders to succeed with Theory of Mind tasks.

Dissociable aspects of imitation: A study in autism

What does it mean for a child to imitate someone else? We tested matched groups of children with and without autism ( n = 16 for each group, with a mean chronological age of 11 years and a mean verbal mental age of 6 years) to investigate two potentially dissociable aspects of imitation: copying goal-directed actions, on the one hand, and imitating the “style” with which a person demonstrates those actions, on the other. Our hypothesis was that the latter, but not necessarily the former, kind of imitation reflects a special quality of interpersonal engagement in which one person identifies with another, and that the propensity to identify with others is specifically weak in autism. As predicted, participants with and without autism were similar in their ability to copy six relatively complex goal-directed actions but were significantly different in imitating the style with which six simpler goal-directed actions were executed, especially when style was incidental to accomplishing a goal. We interpret the findings in terms of a link among children’s capacities for intersubjective engagement, imitation, and learning new ways to relate to objects.

Jealousy and emotional responsiveness in young children with ASD

We investigated manifestations of jealousy in preschoolers (n=32) with autism spectrum disorder (ASD) and in a group of typically developing children (n=18) matched on mental age, verbal mental age, nonverbal mental age, and mother's education. Main results revealed explicit indices of jealousy in two thirds of the children with ASD compared with 94.5% in the typical group. In addition, different manifestations of this emotion emerged in the ASD group compared with the matched control group. Regarding mental and affective correlates of jealousy, expressions of jealousy correlated with IQ only for the children in the ASD group, and the ASD group revealed deficient emotional responsiveness (ER) capabilities. Significant correlations emerged between jealousy and ER in both the ASD and control groups. Discussion focuses on implications of these findings for understanding the core emotional deficit in autism.

Do social and cognitive deficits curtail musical understanding? Evidence from autism and Down syndrome

Children with autism experience difficulties in understanding social affective cues, and it has been suggested that such deficits will generalize to music. In order to investigate this proposal, typically developing individuals and children with autism and Down syndrome were compared on tasks measuring perception of affective and movement states in music. The results showed that discrimination performance on both experimental conditions depended on chronological or verbal mental age rather than diagnosis. The findings suggest that emotion‐processing deficits in the social domain do not generalize to music, and that musical understanding is closely related to the level of language development.

Deferred and immediate imitation in regressive and early onset autism

Deferred imitation has long held a privileged position in early cognitive development, considered an early marker of representational thought with links to language development and symbolic processes. Children with autism have difficulties with several abilities generally thought to be related to deferred imitation: immediate imitation, language, and symbolic play. However, few studies have examined deferred imitation in early autism. The present study examined both deferred, spontaneous imitation and immediate, elicited imitation on a set of carefully matched tasks in 36 young children with autism: 16 with early onset autism, 20 with regressive autism and two contrast groups, younger typically developing children (n = 20) and age matched children with significant developmental delays (n = 21). Analyses of co-variance controlling for differences in verbal mental age revealed significant main effects for task, but no main effect of group and no interaction of task by group. Deferred imitation scores were lower than immediate imitation scores for all groups. Imitation performance was related to overall intellectual functioning for all groups, and there were moderate and significant relations between imitation in the immediate elicited condition and in the spontaneous deferred condition for all groups. Finally, there were no differences between onset subgroups in imitation scores, suggesting that the two share a similar phenotype involving both types of imitation.

Intact inner speech use in autism spectrum disorder: evidence from a short‐term memory task

Inner speech has been linked to higher-order cognitive processes including 'theory of mind', self-awareness and executive functioning, all of which are impaired in autism spectrum disorder (ASD). Individuals with ASD, themselves, report a propensity for visual rather than verbal modes of thinking. This study explored the extent to which children with ASD used inner speech or visual imagery to support recall from short-term memory. Twenty-five children with ASD and 20 comparison children with moderate learning disabilities completed an immediate serial recall task, in which stimuli consisted of items with either phonologically similar features, visuo-spatially similar features or control items which were neither visuo-spatially nor phonologically similar. ASD and comparison participants, with verbal mental ages above 7 years, recalled phonologically similar stimuli less well than control stimuli, indicating that both groups were using inner speech to recode visually presented information into a phonological code. In contrast, those participants with verbal mental ages below 7 years, whether with ASD or not, recalled visuo-spatially similar stimuli less well than control stimuli, indicating visual rather than phonological coding. This developmental pattern mirrors that found in typically developing children. Under experimental conditions, individuals with ASD use inner speech to the same extent as individuals without ASD of a comparable mental age.

Prosody and its relationship to language in school‐aged children with high‐functioning autism

Disordered expressive prosody is a widely reported characteristic of individuals with autism. Despite this, it has received little attention in the literature and the few studies that have addressed it have not described its relationship to other aspects of communication. To determine the nature and relationship of expressive and receptive language, phonology, pragmatics, and non-verbal ability in school-aged children with high-functioning autism and to determine how prosody relates to these abilities and which aspects of prosody are most affected. A total of 31 children with high-functioning autism and 72 typically developing children matched for verbal mental age completed a battery of speech, language, and non-verbal assessments and a procedure for assessing receptive and expressive prosody. Language skills varied, but the majority of children with high-functioning autism had deficits in at least one aspect of language with expressive language most severely impaired. All of the children with high-functioning autism had difficulty with at least one aspect of prosody and prosodic ability correlated highly with expressive and receptive language. The children with high-functioning autism showed significantly poorer prosodic skills than the control group, even after adjusting for verbal mental age. Investigating prosody and its relationship to language in autism is clinically important because expressive prosodic disorders add an additional social and communication barrier for these children and problems are often life-long even when other areas of language improve. Furthermore, a receptive prosodic impairment may have implications not only for understanding the many functions of prosody but also for general language comprehension.