Inferential narrative comprehension ability of young school-age children on the autism spectrum

Marleen F Westerveld, Pamela Filiatrault-Veilleux, Jessica Paynter, Marleen F Westerveld, Pamela Filiatrault-Veilleux, Jessica Paynter

Abstract

Background and aims: The purpose of the current exploratory study was to describe the inferential narrative comprehension skills of young school-age children on the autism spectrum who, as a group, are at high risk of significant and persistent reading comprehension difficulties. Our aim was to investigate whether the anticipated difficulties in inferential narrative comprehension in the group of children with autism could be explained by the children's structural language ability as measured using a broad-spectrum standardized language test.

Methods: The participants were 35 children with a diagnosis of autism spectrum disorder (ASD), aged between 5;7 and 6;11, who attended their first year of formal schooling, and 32 typically developing (TD) children, matched to the ASD group for age and year of schooling. Children on the autism spectrum were divided into below normal limits (ASD_BNL, standard score ≤80; n = 21) or within normal limits (ASD_WNL, standard score >80; n = 14) on a standardized language test. All children participated in a narrative comprehension task, which involved listening to a novel story, while looking at pictures, and answering eight comprehension questions immediately afterwards. Comprehension questions were categorized into factual and inferential questions, with further categorization of the inferential questions into those tapping into the story characters' internal responses (mental states) or not. Children's responses were scored on a quality continuum (from 0: inadequate/off topic to 3: expected/correct).

Results: Our results showed significantly lower scores across factual and inferential narrative comprehension in the ASD_BNL group, compared to the ASD_WNL and TD groups, supporting the importance of structural language skills for narrative comprehension. Furthermore, the TD group significantly outperformed the children in the ASD_WNL group on inferential comprehension. Finally, the children in the ASD_WNL group showed specific difficulties in answering the internal response inferential questions compared to their TD peers.

Conclusions: Results from this exploratory study highlight the difficulties children on the autism spectrum may have in inferential narrative comprehension skills, regardless of sufficient structural language skills at word and sentence level. These findings support the importance of routinely assessing these narrative comprehension skills in children on the spectrum, who as a group are at high risk of persistent reading comprehension difficulties.

Implications: In this study, we demonstrate how narrative comprehension can be assessed in young school-age children on the autism spectrum. The scoring system used to categorize children's responses may further assist in understanding children's performance, across a quality continuum, which can guide detailed goal setting and assist in early targeted intervention planning.

Keywords: Inferential comprehension; autism spectrum disorder; narrative; school-age children.

Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

© The Author(s) 2021.

References

    1. Adams C., Clarke E., Haynes R. (2009). Inference and sentence comprehension in children with specific or pragmatic language impairments. International Journal of Language & Communication Disorders, 44(3), 301–318. 10.1080/13682820802051788
    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publishing.
    1. Baixauli I., Colomer C., Roselló B., Miranda A. (2016). Narratives of children with high-functioning autism spectrum disorder: A meta-analysis. Research in Developmental Disabilities, 59, 234–254. 10.1016/j.ridd.2016.09.007
    1. Baron-Cohen S. (2000). Theory of mind in autism: A fifteen year review. In Baron-Cohen S., Tager-Flusberg H., Cohen D. J. (Eds.), Understanding other minds: Perspectives from developmental cognitive neuroscience (pp. 3–20). Oxford University Press.
    1. Bishop D. V. (2004). Expression, Reception and Recall of Narrative Instrument (ERRNI). Harcourt Assessment.
    1. Blank M., Rose S. A., Berlin L. J. (2003). Pre-school language assessment instrument (PLAI-2) (2nd ed.). PRO-ED.
    1. Botting N., Adams C. (2005). Semantic and inferencing abilities in children with communication disorders [Research Support, Non-U.S. Gov't]. International Journal of Language & Communication Disorders, 40(1), 49–66.
    1. Bowyer-Crane C., Snowling M. J. (2005). Assessing children's inference generation: What do tests of reading comprehension measure? British Journal of Educational Psychology, 75, 189–201. 10.1348/000709904X22674
    1. Cain K. (2003). Text comprehension and its relation to coherence and cohesion in children’s fictional narratives. British Journal of Developmental Psychology, 21, 335–351. 10.1348/026151003322277739
    1. Cain K., Oakhill J. V., Barnes M. A., Bryant P. E. (2001). Comprehension skill, inference-making ability, and their relation to knowledge. Memory & Cognition, 29(6), 850–859. 10.3758/BF03196414
    1. Dawes E., Leitão S., Claessen M., Kane R. (2018). A profile of the language and cognitive skills contributing to oral inferential comprehension in young children with developmental language disorder. International Journal of Language & Communication Disorders, 53(6), 1139–1149. 10.1111/1460-6984.12427
    1. Dawes E., Leitão S., Claessen M., Kane R. (2019). A randomized controlled trial of an oral inferential comprehension intervention for young children with developmental language disorder. Child Language Teaching and Therapy, 35(1), 39–54. 10.1177/0265659018815736
    1. Desmarais C., Nadeau L., Trudeau N., Filiatrault-Veilleux P., Maxès-Fournier C. (2013). Intervention for improving comprehension in 4–6 year old children with specific language impairment: Practicing inferencing is a good thing. Clinical Linguistics & Phonetics, 27(6–7), 540–552. 10.3109/02699206.2013.791880
    1. Dinno A. (2015). Nonparametric pairwise multiple comparisons in independent groups using Dunn’s test. The Stata Journal, 15(1), 292–300. 10.1177/1536867X1501500117
    1. Dodwell K., Bavin E. L. (2008). Children with specific language impairment: An investigation of their narratives and memory. International Journal of Language & Communication Disorders, 43(2), 201–218. 10.1080/13682820701366147
    1. Dore R. A., Amendum S. J., Golinkoff R. M., Hirsh-Pasek K. (2018). Theory of mind: A hidden factor in reading comprehension? Educational Psychology Review, 30(3), 1067–1089. 10.1007/s10648-018-9443-9
    1. Dunn O. J. (1964). Multiple comparisons using rank sums. Technometrics, 6(3), 241–252. 10.1080/00401706.1964.10490181
    1. Eaves L., Wingert H. D., Ho H., Mickelson E. C. (2006). Screening for autism spectrum disorders with the social communication questionnaire. Journal of Developmental and Behavioral Pediatrics, 27(2), s95–s103. 10.1097/00004703-200604002-00007
    1. Filiatrault-Veilleux P., Bouchard C., Trudeau N., Desmarais C. (2015). Inferential comprehension of 3–6 year olds within the context of story grammar: A scoping review. International Journal of Language & Communication Disorders, 50(6), 737–749. 10.1111/1460-6984.12175
    1. Filiatrault-Veilleux P., Bouchard C., Trudeau N., Desmarais C. (2016). Comprehension of inferences in a narrative in 3- to 6-year-old children. Journal of Speech, Language, and Hearing Research, 59(5), 1099–1110. 10.1044/2016_JSLHR-L-15-0252
    1. Florit E., Roch M., Levorato M. C. (2011). Listening text comprehension of explicit and implicit information in preschoolers: The role of verbal and inferential skills. Discourse Processes, 48(2), 119–138. 10.1080/0163853x.2010.494244
    1. Ford J. A., Milosky L. M. (2003). Inferring emotional reactions in social situations: Differences in children with language impairment [Research Support, U.S. Gov't, P.H.S.]. Journal of Speech Language and Hearing Research, 46(1), 21–30.
    1. Ford J. A., Milosky L. M. (2008). Inference generation during discourse and its relation to social competence: An online investigation of abilities of children with and without language impairment. Journal of Speech, Language & Hearing Research, 51(2), 367–380. 10.1044/1092-4388(2008/027)
    1. Heilmann J., Miller J. F., Nockerts A., Dunaway C. (2010). Properties of the narrative scoring scheme using narrative retells in young school-age children. American Journal of Speech - Language Pathology, 19(2), 154–166. 10.1044/1058-0360(2009/08-0024)
    1. Kendeou P., Bohn-Gettler C., White M. J., van den Broek P. (2008). Children's inference generation across different media. Journal of Research in Reading, 31(3), 259–272. 10.1111/j.1467-9817.2008.00370.x
    1. Kintsch W. (2005). An overview of top-down and bottom-up effects in comprehension: The CI perspective. Discourse Processes, 39(2–3), 125–128. 10.1080/0163853X.2005.9651676
    1. Kwok E. Y. L., Brown H. M., Smyth R. E., Oram Cardy J. (2015). Meta-analysis of receptive and expressive language skills in autism spectrum disorder. Research in Autism Spectrum Disorders, 9, 202–222. 10.1016/j.rasd.2014.10.008
    1. Lennox M., Westerveld M. F., Trembath D. (2018). Should we use sentence-or text-level tasks to measure oral language proficiency in year-one students following whole-class intervention? Folia Phoniatrica Et Logopaedica, 69(4), 169–179. 10.1159/000485974
    1. Lind S. E., Bowler D. M. (2009). Language and theory of mind in autism spectrum disorder: The relationship between complement syntax and false belief task performance. Journal of Autism and Developmental Disorders, 39(6), 929–937. 10.1007/s10803-009-0702-y
    1. Lynch J. S., van den Broek P. (2007). Understanding the glue of narrative structure: Children's on- and off-line inferences about characters’ goals. Cognitive Development, 22(3), 323–340. 10.1016/j.cogdev.2007.02.002
    1. Maenner M. J., Shaw K. A., Baio J. (2020). Prevalence of autism spectrum disorder among children aged 8 years — Autism and developmental disabilities monitoring network, 11 sites, United States, 2016. Morbidity and Mortality Weekly Report, Surveillance Summaries, 69(4), 1–12. 10.15585/mmwr.ss6904a1
    1. Makdissi H., Boisclair A. (2006). Interactive reading: A context for expanding the expression of causal relations in preschoolers. Written Language and Literacy, 9(2), 177–211. 10.1075/wll.9.2.02mak
    1. McIntyre N. S., Grimm R. P., Solari E. J., Zajic M. C., Mundy P. C. (2020). Growth in narrative retelling and inference abilities and relations with reading comprehension in children and adolescents with autism spectrum disorder. Autism & Developmental Language Impairments, 5, 2396941520968028. 10.1177/2396941520968028
    1. Mullen E. (1995). The Mullen scales of early learning. American Guidance Service.
    1. Norbury C. F., Bishop D. V. (2002). Inferential processing and story recall in children with communication problems: A comparison of specific language impairment, pragmatic language impairment and high-functioning autism. International Journal of Language and Communication Disorders, 37(3), 227–251. 10.1080/13682820210136269
    1. Norbury C. F., Bishop D. V. M. (2003). Narrative skills of children with communication impairments. International Journal of Language & Communication Disorders, 38(3), 287–313. 10.1080/136820310000108133
    1. Nuske H. J., Bavin E. L. (2011). Narrative comprehension in 4-7-year-old children with autism: Testing the weak central coherence account. International Journal of Language & Communication Disorders, 46(1), 108–119. 10.3109/13682822.2010.484847
    1. Paris A. H., Paris S. G. (2003). Assessing narrative comprehension in young children. Reading Research Quarterly, 38(1), 36–76. 10.1598/RRQ.38.1.3
    1. Paris A. H., Paris S. G. (2007). Teaching narrative comprehension strategies to first graders [feature]. Cognition and Instruction, 25(1), 1–44.
    1. Paynter J., Peterson C. (2010). Language and ToM development in autism versus asperger syndrome: Contrasting influences of syntactic versus lexical/semantic maturity. Research in Autism Spectrum Disorders, 4(3), 377–385. 10.1016/j.rasd.2009.10.005
    1. Paynter J., Riley E., Beamish W., Davies M., Milford T. (2013). The double ABCX model of family adaptation in families of a child with an autism spectrum disorder attending an Australian early intervention service. Research in Autism Spectrum Disorders, 7(10), 1183–1195. 10.1016/j.rasd.2013.07.006
    1. Perneger T. V. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal, 316(7139), 1236–1238. 10.1136/bmj.316.7139.1236
    1. Peterson C. C., Wellman H. M., Liu D. (2005). Steps in theory-of-mind development for children with deafness or autism. Child Development, 76(2), 502–517. 10.1111/j.1467-8624.2005.00859.x
    1. Potocki A., Ecalle J., Magnan A. (2016). Early cognitive and linguistic profiles of different types of 7- to 8-year-old readers. Journal of Research in Reading, 40, S125–S140. 10.1111/1467-9817.12076
    1. Rapp D. N., van den Broek P. (2005). Dynamic text comprehension: An integrative view of reading. Current Directions in Psychological Science, 14(5), 276–279. 10.1111/j.0963-7214.2005.00380.x
    1. Reuterskiöld Wagner C., Sahlen B., Nettelbladt U. (1999). What's the story? Narration and comprehension in Swedish preschool children with language impairment. Child Language Teaching & Therapy, 15(2), 113–137.
    1. Rutter M., Bailey M. D., Lord C. (2003). The social communication questionnaire (SCQ). Western Psychological Services.
    1. Ryder N., Leinonen E., Schulz J. (2008). Cognitive approach to assessing pragmatic language comprehension in children with specific language impairment. International Journal of Language & Communication Disorders, 43(4), 427–447. .
    1. Semel E., Wiig E., Secord W. (2006). The clinical evaluation of language fundamentals-preschool (CELF-P2) (Australian Standardised Edition). Harcourt Assessment.
    1. Silva M., Cain K. (2015). The relations between lower and higher level comprehension skills and their role in prediction of early reading comprehension. Journal of Educational Psychology, 107(2), 321–331. 10.1037/a0037769
    1. Spackman M. P., Fujiki M., Brinton B. (2006). Understanding emotions in context: The effects of language impairment on children's ability to infer emotional reactions [Research Support, Non-U.S. Gov't]. International Journal of Language & Communication Disorders/Royal College of Speech & Language Therapists, 41(2), 173–188. 10.1080/13682820500224091
    1. Storch S. A., Whitehurst G. J. (2002). Oral language and code-related precursors to reading: Evidence from a longitudinal structural model. Developmental Psychology, 38(6), 934–947. 10.1037/0012-1649.38.6.934
    1. Swan E. (1992). Ko au na galo (Ana gets lost). Learning Media, Ministry of Education.
    1. Symons D. K., Peterson C. C., Slaughter V., Roche J., Doyle E. (2005). Theory of mind and mental state discourse during book reading and story-telling tasks. British Journal of Developmental Psychology, 23(1), 81–102. 10.1348/026151004X21080
    1. Trabasso T., Nickels M. (1992). The development of goal plans of action in the narration of a picture story. Discourse Processes, 15(3), 249–275. 10.1080/01638539209544812
    1. van den Broek P., Kendeou P., Kremer K., Lynch J. S., Butler J., White M. J., Lorch E. P. (2005). Assessment of comprehension abilities in young children. In Paris S. G., Stahl S. A. (Eds.), Children’s reading comprehension and assessment (pp. 107–130). Erlbaum.
    1. van Kleeck A. (2008). Providing preschool foundations for later reading comprehension: The importance of and ideas for targeting inferencing in storybook-sharing interventions. Psychology in the Schools, 45(7), 627–643. 10.1002/pits.20314
    1. van Kleeck A., Vander Woude J., Hammett L. (2006). Fostering literal and inferential language skills in Head Start preschoolers with language impairment using scripted book-sharing discussions [Randomized Controlled Trial]. American Journal of Speech-Language Pathology/American Speech-Language-Hearing Association, 15(1), 85–95. 10.1044/1058-0360(2006/009)
    1. Wellman H. M., Liu D. (2004). Scaling of theory-of-mind tasks. Child Development, 75(2), 523–541. 10.1111/j.1467-8624.2004.00691.x
    1. Westerveld M. F., Gillon G. T. (2010). Profiling oral narrative ability in young school-aged children. International Journal of Speech-Language Pathology, 12(3), 178–189. 10.3109/17549500903194125
    1. Westerveld M. F., Gillon G. T., Miller J. F. (2004). Spoken language samples of New Zealand children in conversation and narration. Advances in Speech-Language Pathology, 6(4), 195–208. 10.1080/14417040400010140
    1. Westerveld M. F., Roberts J. M. A. (2017). The oral narrative comprehension and production abilities of verbal preschoolers on the autism spectrum. Language, Speech, and Hearing Services in Schools, 48(4), 260–272. 10.1044/2017_LSHSS-17-0003
    1. Westerveld M. F., Vidler K. (2016). Spoken language samples of Australian children in conversation, narration and exposition. International Journal of Speech-Language Pathology, 18(3), 288–298. 10.3109/17549507.2016.1159332
    1. Westerveld M. F., Paynter J., Trembath D., Webster A. A., Hodge A. M., Roberts J. (2017). The emergent literacy skills of preschool children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(2), 424–438. 10.1007/s10803-016-2964-5
    1. Young E. C., Diehl J. J., Morris D., Hyman S. L., Bennetto L. (2005). The use of two language tests to identify pragmatic language problems in children with autism spectrum disorders. Language, Speech, and Hearing Services in Schools, 36(1), 62–72. 10.1044/0161-1461(2005/006)

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