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Journal of Speech, Language, and Hearing Research Vol.50 1015-1028 August 2007. doi:10.1044/1092-4388(2007/071)
© American Speech-Language-Hearing Association

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Receptive and Expressive Prosodic Ability in Children With High-Functioning Autism

Susan Peppé
Joanne McCann
Fiona Gibbon

Queen Margaret University, Edinburgh, United Kingdom

Anne O'Hare
Royal Hospital for Sick Children, Edinburgh, United Kingdom, and University of Edinburgh, United Kingdom

Marion Rutherford
Royal Hospital for Sick Children

Contact author: Susan Peppé, Speech and Hearing Sciences, Queen Margaret University, Clerwood Terrace, Edinburgh EH12 8TS, United Kingdom. E-mail: speppe{at}qmu.ac.uk.

Purpose: This study aimed to identify the nature and extent of receptive and expressive prosodic deficits in children with high-functioning autism (HFA).

Method: Thirty-one children with HFA, 72 typically developing controls matched on verbal mental age, and 33 adults with normal speech completed the prosody assessment procedure, Profiling Elements of Prosodic Systems in Children.

Results: Children with HFA performed significantly less well than controls on 11 of 12 prosody tasks (p < .005). Receptive prosodic skills showed a strong correlation (p < .01) with verbal mental age in both groups, and to a lesser extent with expressive prosodic skills. Receptive prosodic scores also correlated with expressive prosody scores, particularly in grammatical prosodic functions. Prosodic development in the HFA group appeared to be delayed in many aspects of prosody and deviant in some. Adults showed near-ceiling scores in all tasks.

Conclusions: The study demonstrates that receptive and expressive prosodic skills are closely associated in HFA. Receptive prosodic skills would be an appropriate focus for clinical intervention, and further investigation of prosody and the relationship between prosody and social skills is warranted.

KEY WORDS: high-functioning autism, prosody, intonation, language, assessment


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