Factors Influencing the Development of Expressive Language in Children with Autism Spectrum Disorder: A Descriptive Study

Authors

  • Daniela-Iulia Stroescu PhD. Candidate ,,Ion Creangă” State Pedagogic University from Chișinău, Republic of Moldova

DOI:

https://doi.org/10.56663/rop.v14i1.98

Keywords:

autism spectrum disorder (ASD), cognitive-linguistic development, , receptive-expressive language, augmentative and alternative communication (AAC), speech-language intervention

Abstract

The study aimed to identify the relationships between cognitive functioning, receptive–expressive language, and communication level in children with Autism Spectrum Disorder (ASD). The research involved a homogeneous sample of 60 children aged 5–6 years, with a mean diagnostic age of 3.6 years. Standardized cognitive-verbal and language assessment tools were used. Nonparametric analyses were applied due to non-normal data distributions. Findings revealed a global developmental delay (cognitive-verbal age ≈ 27 months) and a receptive profile superior to expressive. Strong positive correlations were found between IQ and communication (ρ = .934), confirming cognition as a key predictor of adaptive language. All girls exhibited severe forms, while 25% of participants showed developmental regression. Overall, results support the cognitive–linguistic unity hypothesis and highlight the need for structured speech therapy focused first on receptive comprehension, followed by expressive language expansion and the use of augmentative and alternative communication (AAC) systems.

References

Agheana, V. (2022). Terapia logopedică la copilul cu tulburări din spectrul autist. Logos, 2(2022), 17–26.

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). Washington, DC: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890424841.

Barber, C. (2013). Autismul și sindromul Asperger: ghid pentru asistenți medicali. Traducere de George Tudorie. București: Editura ALL.

Barbera, M.L. (2022) Ghidul TAA pentru părinții copiilor cu autism. Metoda Turn Autism Around pentru semnele timpurii de autism. Traducere din limba engleză de Cătălina Cristea. București: For You.

Burlea, G. (2007). Tulburările limbajului citit-scris. Iași: Polirom.

Chen, M., et al. (2024). Effect of cesarean section on the risk of autism spectrum disorder and attention-deficit/hyperactivity disorder in offspring: A meta-analysis. Adolescent Psychiatry, 33(5), 711–723.

Crișan, C. (2021, a). AAC-Noi abordări în stimularea limbajului și comunicării specifice tulburării din spectrul autismului. Iași: Polirom.

Crișan, C. (2021, b). Tulburarea din spectrul autismului: diagnoză, evaluare, terapie. Ediția a II-a, revizuită. Cluj-Napoca: Presa Universitară Clujeană.

Druguș, O. (2024). Modele psihopedagogice de dezvoltare a comunicării la copiii cu dificultăți de învățare. Teză de doctor în ştiinţe ale educației cu titlu de manuscris, CZU: 376:316.77(043.3). Universitatea Pedagogică de Stat „Ion Creangă” din Chișinău, 2024. PDF.

https://www.anacec.md/files/Drugus-teza.pdf).

Eigsti, I.-M., et al. (2022). Receptive–expressive language profiles in autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 65(7), 2351-2365.

Field, A. (2022). Discovering Statistics Using SPSS (6th ed.). Sage.

Ganz, J. B., et al. (2022). Augmentative and alternative communication interventions for individuals with autism spectrum disorder: Updated meta-analysis. American Journal of Speech-Language Pathology, 31(2), 778–795.

Garrido, D., et al. (2017). Language delay as an early marker of autism spectrum disorder. Autism Research, 10(10), 1737-1750.

Hickok, G., & Poeppel, D. (2007). The cortical organization of speech processing. Nature Reviews Neuroscience, 8(5), 393-402.

Hu, C., et al. (2022). Developmental regression in children with ASD: A multi-center study. Frontiers in Psychiatry, 13, 796554.

Kasari, C., et al. (2023). Minimally verbal children with autism: Communication outcomes and interventions. Autism Research, 16(4), 621-634.

Lai, M.-C., et al. (2015). Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 11–24. https://doi.org/10.1016/j.jaac.2014.10.003.

Lai, M.-C., et al. (2023). Sex/gender differences and autism: Towards understanding and reducing underdiagnosis in females. The Lancet Psychiatry, 10(2), 118-133.

Lord, C., et al. (2022). Autism spectrum disorder. Nature Reviews Disease Primers, 8(1), 1-23.

Maenner, M. J., et al. (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years - ADDM Network, 2020. MMWR Surveillance Summaries, 72(2), 1-20.

Maslow, A, H. (1943). A Theory of Human Motivation. Volum 50, Nr. 4, iulie 1943. În Psychological Review. American Psychological Association. https://doi.org.10.1037/h0054346, https://psycnet.apa.org/record/1943.

Mundy, P., & Jarrold, W. (2021). Symbolic development and joint attention in autism. Development and Psychopathology, 33(4), 1381-1395.

O’Brien, B. C., et al. (2014). Standards for reporting qualitative research. Academic Medicine: journal of the Association of American Medical Colleges Bd. 89(9), 1245-1251.

Păunescu, C. (1978). Îndrumătorul profesorului pentru educația specială. București: Editura Didactică și Pedagogică.

Peeters, T. (2009). Autismul: Teorie și intervenție educațională. Iași: Polirom.

Pickles, A., et al. (2014). Trajectories of language development in children with autism: A longitudinal study. Journal of Child Psychology and Psychiatry, 55(12), 1354-1362.

Popovici, D.-V. (2002). Dezvoltarea comunicării la copiii cu deficienţe mintale. Iași: Polirom.

Racu A. & Stroescu Daniela-Iulia (2024). Tulburarea din spectrul autist. Ghid de orientare teoretică și practică pentru psihopedagogi, cadre didactice și părinți. Chișinău: Pontos (Print-Cairo).

Radu, M. C., et al. (2024). Predictors of pregnant women’s decision to opt for cesarean section in Romania. Healthcare, 12(11), 1157.

Rutter, M., et. al. (2017). Rutter’s child and adolescent psychiatry (6th ed.). Chichester, UK: John Wiley & Sons. https://doi.org/10.1002/9781118381953.

Salehi, A. M., et al. (2024). Neonatal risk factors associated with autism spectrum disorder: Umbrella review of meta-analyses. Frontiers in Neuroscience, 18, 1425318.

Sandbank, M., et al. (2023). Naturalistic developmental behavioral interventions for children with autism spectrum disorder: Updated systematic review. American Psychologist, 78(4), 503-521.

Shaw, K. A., et al. (2025). Prevalence and early identification of autism spectrum disorder, 2022. MMWR Surveillance Summaries, 74(2), 1-18.

Silberman, S. (2016). Neorotriburi: istoria uitată a autismului. Traducere de Anca Bărbulescu. București: Editura Frontiera.

Skipper, J. I., et al. (2017). Brain and Language Bd. 164, S. 77-105).

Stroescu, D.-I. (2025). Bullyingul, comportament determinat de teribilism, dispoziții, practici însușite sau digitalizate. În: Revista Educație deschisă. Spania, Nr. 2/ianuarie 2025.

Tager-Flusberg, H., & Kasari, C. (2023). Cognitive predictors of language trajectories in autism spectrum disorder. Journal of Child Psychology and Psychiatry, 64(3), 420-432.

Totsika, V., et al. (2021). Intellectual ability and adaptive functioning in autism: A systematic review. Autism Research, 14(5), 917-931.

van’t Hof, M., et al. (2021). Autism, 25(4), 862-873.

Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.

Vlad, M. & M. Meran, M. (2011). Învățarea elevului cu deficiențe senzoriale multiple. Conținuturi și strategii. București: Editura SemnE, 2011.

Vrăsmaș, E., Nicolae, S., Oprea, V., & Vrăsmaș, T. (2005). Ghid pentru cadre didactice de sprijin (CDS). București: Vanemonde.

Vrăsmaș E. (2007). Dificultățile de învățare în școală: domeniu nou de studiu și aplicare. București: V& I Integral.

Vrăsmaș T. (2010). Incluziunea școlară a copiilor cu cerințe educaționale speciale. Aspirații și realități. București: Editura Vanemonde.

World Health Organization. (2021). Caesarean section rates continue to rise, amid growing inequalities in access. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise.

Zeidan, J., et al. (2022). Global prevalence of autism: A systematic review update. Autism Research, 15(5), 782–793. https://doi.org/10.1002/aur.2696.

Downloads

Published

22-12-2025

How to Cite

Stroescu , D.-I. . (2025). Factors Influencing the Development of Expressive Language in Children with Autism Spectrum Disorder: A Descriptive Study. Review of Psychopedagogy, 14(1), 174–192. https://doi.org/10.56663/rop.v14i1.98