Social use of language in children with reactive attachment disorder and autism spectrum disorders

Sadiq, F.A., Slator, L., Skuse, D., Law, J., Gillberg, C. and Minnis, H. (2012) Social use of language in children with reactive attachment disorder and autism spectrum disorders. European Child and Adolescent Psychiatry, 21(5), pp. 267-276. (doi:10.1007/s00787-012-0259-8)

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Publisher's URL: http://dx.doi.org/10.1007/s00787-012-0259-8

Abstract

Children with a diagnosis of reactive attachment disorder (RAD) appear to show difficulties in social understanding. We aimed to compare the pragmatic language functioning of children with (RAD) and autism spectrum disorder (ASD). Assessments were made in three groups of children aged 5–8 years, with verbal IQ estimates in the normal range: 35 with a RAD diagnosis, 52 with an ASD diagnosis and 39 with typical development. The Children’s Communication Checklist (CCC) was used to compare their pragmatic language skills, and ADI-R algorithms were used to compare autistic symptomatology, according to parent report. According to the CCC, the RAD group demonstrated significant problems in their use of context, rapport and social relationships with a degree of severity equivalent to children in the ASD comparison group. More than 60% of the group with RAD met ADI-R clinical criteria on the Use of Language and Other Social Communication Skills subscale, 46% on the Reciprocal Social Interaction subscale, and 20% had significant repetitive and stereotyped behaviours. Children with RAD appear to be at least as impaired as children with ASD in certain domains of social relatedness, particularly in their pragmatic language skills.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Law, Dr James and Gillberg, Professor Christopher and Minnis, Professor Helen and Skuse, Prof David
Authors: Sadiq, F.A., Slator, L., Skuse, D., Law, J., Gillberg, C., and Minnis, H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:European Child and Adolescent Psychiatry
Publisher:Springer
ISSN:1018-8827
ISSN (Online):1435-165X
Published Online:03 March 2012

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