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Early Pragmatic Communication in Autism and Fragile X Syndrome.

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Title: Early Pragmatic Communication in Autism and Fragile X Syndrome.
Authors: Hoffmann, Anne1,2 anne_hoffmann@rush.edu, Berry-Kravis, Elizabeth1,3,4, Brady, Nancy5,6
Source: Journal of Speech, Language & Hearing Research. Dec2025, Vol. 68 Issue 12, p5978-5993. 16p.
Subject Terms: *Communicative competence, *Language & languages, *Autism in children, *Data analysis, *Attention, *Speech evaluation, *Comparative studies, *Cognition, *Child behavior, *Children, Asperger's syndrome in children, Cross-sectional method, Research funding, Questionnaires, Kruskal-Wallis Test, Fragile X syndrome, Descriptive statistics, Chi-squared test, Statistics, Data analysis software
Geographic Terms: Illinois
Abstract: Purpose: Autism and fragile X syndrome (FXS) are both associated with pragmatic communication difficulties, but the pattern of strengths and weaknesses varies. Early pragmatic communication skills include using communication for different functions, such as behavior regulation or establishing/maintaining joint attention. This study examines naturalistic samples of communication to assess pragmatic function variables in very young children with autism, FXS, and typical development (TD). Method: Using the Communication Complexity Scale, standardized communication samples were collected from children with autism (n = 10), FXS (n = 10), and TD (n = 10), matched on spoken word count. Patterns of overall communication and pragmatic functions are provided. The relationships between pragmatic communication and cognition, receptive language, expressive language, and autistic symptomatology were assessed. Group differences in the amount and complexity of the pragmatic functions of behavior regulation and joint attention were analyz ed. Results: Descriptively different patterns of overall communication and pragmatic functions emerged between groups, with lower amounts of joint attention in the group with autism. Trends toward significant correlations between expressive language and both pragmatic functions in FXS as well as behavior regulation and cognition in the FXS and TD groups emerged. There were no significant group differences. Conclusions: Findings highlight possible early differences in pragmatic communication between autism and FXS. Clinicians need to consider nuanced differences between groups. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Early Pragmatic Communication in Autism and Fragile X Syndrome.
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  Data: <searchLink fieldCode="AR" term="%22Hoffmann%2C+Anne%22">Hoffmann, Anne</searchLink><relatesTo>1,2</relatesTo><i> anne_hoffmann@rush.edu</i><br /><searchLink fieldCode="AR" term="%22Berry-Kravis%2C+Elizabeth%22">Berry-Kravis, Elizabeth</searchLink><relatesTo>1,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Brady%2C+Nancy%22">Brady, Nancy</searchLink><relatesTo>5,6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Dec2025, Vol. 68 Issue 12, p5978-5993. 16p.
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  Data: *<searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Language+%26+languages%22">Language & languages</searchLink><br />*<searchLink fieldCode="DE" term="%22Autism+in+children%22">Autism in children</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Attention%22">Attention</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+evaluation%22">Speech evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br />*<searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Asperger's+syndrome+in+children%22">Asperger's syndrome in children</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Kruskal-Wallis+Test%22">Kruskal-Wallis Test</searchLink><br /><searchLink fieldCode="DE" term="%22Fragile+X+syndrome%22">Fragile X syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Illinois%22">Illinois</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Autism and fragile X syndrome (FXS) are both associated with pragmatic communication difficulties, but the pattern of strengths and weaknesses varies. Early pragmatic communication skills include using communication for different functions, such as behavior regulation or establishing/maintaining joint attention. This study examines naturalistic samples of communication to assess pragmatic function variables in very young children with autism, FXS, and typical development (TD). Method: Using the Communication Complexity Scale, standardized communication samples were collected from children with autism (n = 10), FXS (n = 10), and TD (n = 10), matched on spoken word count. Patterns of overall communication and pragmatic functions are provided. The relationships between pragmatic communication and cognition, receptive language, expressive language, and autistic symptomatology were assessed. Group differences in the amount and complexity of the pragmatic functions of behavior regulation and joint attention were analyz ed. Results: Descriptively different patterns of overall communication and pragmatic functions emerged between groups, with lower amounts of joint attention in the group with autism. Trends toward significant correlations between expressive language and both pragmatic functions in FXS as well as behavior regulation and cognition in the FXS and TD groups emerged. There were no significant group differences. Conclusions: Findings highlight possible early differences in pragmatic communication between autism and FXS. Clinicians need to consider nuanced differences between groups. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=190171422
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2025_JSLHR-25-00054
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 5978
    Subjects:
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Language & languages
        Type: general
      – SubjectFull: Autism in children
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Attention
        Type: general
      – SubjectFull: Speech evaluation
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Child behavior
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Asperger's syndrome in children
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Kruskal-Wallis Test
        Type: general
      – SubjectFull: Fragile X syndrome
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
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      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Illinois
        Type: general
    Titles:
      – TitleFull: Early Pragmatic Communication in Autism and Fragile X Syndrome.
        Type: main
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            NameFull: Hoffmann, Anne
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            NameFull: Berry-Kravis, Elizabeth
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              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
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