Examining Early Communication Profiles in Preschool Children with Autism Spectrum Disorders in Dubai, U.A.E.: A Comparative Analysis of Cognitive, Language and Symbolic Play Abilities
DOI:
https://doi.org/10.54536/ajlsi.v4i1.2645Keywords:
Imitation, Joint Referencing, Language, Social Organisation, Symbolic Play, Turn-TakingAbstract
Effective communication skills in young children encompass a diverse range of abilities crucial for early autism spectrum disorder (ASD) identification. This study aims to analyse communication skills in 36 preschool children (ages 1.6 to 4.6 years) diagnosed with autism in Dubai, employing the Early Communication Assessment (ECA) tool developed by Coupe O’Kane and Goldbart (1998). The ECA evaluates 13 areas of early communicative functioning categorised into 3 to 5 developmental stages, ranging from Reflexive to Intentional Conventional. Communication abilities were assessed, and the 5 ECA levels were condensed into 3 for comparative analysis. Key communicative areas, such as joint referencing, social organisation, turn-taking, and imitation, were identified as significantly delayed in this cohort. Conversely, affective behavior, audio-visual behaviors, and physical production of sound exhibited relatively lesser impact. Contrary to common assumptions, poor eye contact was not the predominant indicator of communication challenges. Comparative analyses were conducted between communication skills and perceptive cognitive abilities, language proficiency, and symbolic play. No substantial correlation was found between perceptive cognitive abilities and communication skills. However, a significant association was observed between communication abilities, language proficiency, and symbolic play. These findings underscore the complexity of early communication profiles in preschool children with ASD in Dubai, emphasising the need for comprehensive assessment and targeted interventions beyond conventional indicators.
Downloads
References
Baron-Cohen, S. (1988). Social and pragmatic deficits in autism: Cognitive or affective? Journal of autism and developmental disorders, 18(3), 379-402.
Berger, N. I., & Ingersoll, B. (2013). An exploration of imitation recognition in young children with autism spectrum disorders. Autism Research, 6(5), 411-416.
Bradshaw, J., McCracken, C., Pileggi, M., Brane, N., Delehanty, A., Day, T., Federico, A., Klaiman, C., Saulnier, C., & Klin, A. (2021). Early social communication development in infants with autism spectrum disorder. Child development, 92(6), 2224-2234.
Campisi, L., Imran, N., Nazeer, A., Skokauskas, N., & Azeem, M. W. (2018). Autism spectrum disorder. British medical bulletin, 127(1), 91-100.
Chung, E. (2020). The Development of Turn-Taking and Gaze Behaviour.
Cornew, L., Dobkins, K. R., Akshoomoff, N., McCleery, J. P., & Carver, L. J. (2012). Atypical social referencing in infant siblings of children with autism spectrum disorders. Journal of autism and developmental disorders, 42, 2611-2621.
Doi, H., Kanai, C., & Ohta, H. (2022). Transdiagnostic and sex differences in cognitive profiles of autism spectrum disorder and attention‐deficit/hyperactivity disorder. Autism Research, 15(6), 1130-1141.
Durkin, M. S., & Wolfe, B. L. (2020). Trends in autism prevalence in the US: A lagging economic indicator? Journal of autism and developmental disorders, 50, 1095-1096.
Elbeltagi, R., Al-Beltagi, M., Saeed, N. K., & Alhawamdeh, R. (2023). Play therapy in children with autism: Its role, implications, and limitations. World Journal of Clinical Pediatrics, 12(1), 1.
Erturk, B., Hansen, S. G., Machalicek, W., & Kunze, M. (2021). Parent-implemented early social communication intervention for young children with autism spectrum disorder. Journal of Behavioral Education, 30, 641-663.
Ferri, S. L., Abel, T., & Brodkin, E. S. (2018). Sex differences in autism spectrum disorder: a review. Current psychiatry reports, 20, 1-17.
Fuller, E. A., & Kaiser, A. P. (2020). The effects of early intervention on social communication outcomes for children with autism spectrum disorder: A meta-analysis. Journal of autism and developmental disorders, 50(5), 1683-1700.
Lawson, R. P., Aylward, J., Roiser, J. P., & Rees, G. (2018). Adaptation of social and non-social cues to direction in adults with autism spectrum disorder and neurotypical adults with autistic traits. Developmental cognitive neuroscience, 29, 108-116.
Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466-474.
Lord, C., Brugha, T. S., Charman, T., Cusack, J., Dumas, G., Frazier, T., Jones, E. J. H., Jones, R. M., Pickles, A., State, M. W., Taylor, J. L., & Veenstra-VanderWeele, J. (2020). Autism spectrum disorder. Nature Reviews Disease Primers, 6(1), 5. https://doi.org/10.1038/s41572-019-0138-4
Loukusa, S. (2021). Autism spectrum disorder. Handbook of pragmatic language disorders: complex and underserved Populations, 45-78.
Maenner, M. J. (2021). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2018. MMWR. Surveillance Summaries, 70.
Maljaars, J., Noens, I., Jansen, R., Scholte, E., & van Berckelaer-Onnes, I. (2011). Intentional communication in nonverbal and verbal low-functioning children with autism. Journal of Communication Disorders, 44(6), 601-614.
May, T., Adesina, I., McGillivray, J., & Rinehart, N. J. (2019). Sex differences in neurodevelopmental disorders. Current opinion in neurology, 32(4), 622-626.
McAuliffe, D., Zhao, Y., Pillai, A. S., Ament, K., Adamek, J., Caffo, B. S., Mostofsky, S. H., & Ewen, J. B. (2020). Learning of skilled movements via imitation in ASD. Autism Research, 13(5), 777-784.
McQuaid, G. A., Pelphrey, K. A., Bookheimer, S. Y., Dapretto, M., Webb, S. J., Bernier, R. A., McPartland, J. C., Van Horn, J. D., & Wallace, G. L. (2021). The gap between IQ and adaptive functioning in autism spectrum disorder: Disentangling diagnostic and sex differences. Autism, 25(6), 1565-1579.
Mundy, P. (2023). Research on social attention in autism and the challenges of the research domain criteria (RDoC) framework. Autism Research, 16(4), 697-712.
Mundy, P., & Bullen, J. (2022). The bidirectional social-cognitive mechanisms of the social-attention symptoms of autism. Frontiers in Psychiatry, 12, 752274.
Napolitano, A., Schiavi, S., La Rosa, P., Rossi-Espagnet, M. C., Petrillo, S., Bottino, F., Tagliente, E., Longo, D., Lupi, E., Casula, L., Valeri, G., Piemonte, F., Trezza, V., & Vicari, S. (2022). Sex Differences in Autism Spectrum Disorder: Diagnostic, Neurobiological, and Behavioral Features. Front Psychiatry, 13, 889636. https://doi.org/10.3389/fpsyt.2022.889636
Narzisi, A., Posada, M., Barbieri, F., Chericoni, N., Ciuffolini, D., Pinzino, M., Romano, R., Scattoni, M., Tancredi, R., & Calderoni, S. (2020). Prevalence of Autism Spectrum Disorder in a large Italian catchment area: A school-based population study within the ASDEU project. Epidemiology and psychiatric sciences, 29, e5.
Nevill, R., Hedley, D., Uljarević, M., Sahin, E., Zadek, J., Butter, E., & Mulick, J. A. (2019). Language profiles in young children with autism spectrum disorder: A community sample using multiple assessment instruments. Autism, 23(1), 141-153.
Pittet, I., Kojovic, N., Franchini, M., & Schaer, M. (2022). Trajectories of imitation skills in preschoolers with autism spectrum disorders. Journal of Neurodevelopmental Disorders, 14(1), 2. https://doi.org/10.1186/s11689-021-09412-y
Centers for Disease Control and Prevention. (2024). Centers for Disease Control and Prevention. https://www.cdc.gov/
Qiu, S., Lu, Y., Li, Y., Shi, J., Cui, H., Gu, Y., Li, Y., Zhong, W., Zhu, X., & Liu, Y. (2020). Prevalence of autism spectrum disorder in Asia: A systematic review and meta-analysis. Psychiatry Research, 284, 112679.
Rollins, P. R., De Froy, A., Campbell, M., & Hoffman, R. T. (2021). Mutual gaze: An active ingredient for social development in toddlers with ASD: A randomized control trial. Journal of autism and developmental disorders, 51(6), 1921-1938.
Rommelse, N., Langerak, I., van der Meer, J., de Bruijn, Y., Staal, W., Oerlemans, A., & Buitelaar, J. (2015). Intelligence may moderate the cognitive profile of patients with ASD. PLoS One, 10(10), e0138698.
Salari, N., Rasoulpoor, S., Rasoulpoor, S., Shohaimi, S., Jafarpour, S., Abdoli, N., Khaledi-Paveh, B., & Mohammadi, M. (2022). The global prevalence of autism spectrum disorder: a comprehensive systematic review and meta-analysis. Italian Journal of Pediatrics, 48(1), 112. https://doi.org/10.1186/s13052-022-01310-w
Schütz, M., Ciaramidaro, A., Martinelli, A., Öller, R., Hartmann, D., Hein, G., Iotzov, V., Colle, L., Becchio, C., & Walter, H. (2020). Communicative intentions in autism spectrum disorder. Research in Autism Spectrum Disorders, 79, 101666.
Sharma, S. R., Gonda, X., & Tarazi, F. I. (2018). Autism Spectrum Disorder: Classification, diagnosis and therapy. Pharmacology & Therapeutics, 190, 91-104. https://doi.org/https://doi.org/10.1016/j.pharmthera.2018.05.007
Sodano, J. (2022). Effectiveness of music-infused ABA strategies on children with autism spectrum disorder (Master’s thesis, Seton Hall University).
Thomas, H. R., Rooney, T., Cohen, M., Bishop, S. L., Lord, C., & Kim, S. H. (2021). Spontaneous expressive language profiles in a clinically ascertained sample of children with autism spectrum disorder. Autism Research, 14(4), 720-732.
Tsai, C.-H., Chen, K.-L., Li, H.-J., Chen, K.-H., Hsu, C.-W., Lu, C.-H., Hsieh, K.-Y., & Huang, C.-Y. (2020). The symptoms of autism including social communication deficits and repetitive and restricted behaviors are associated with different emotional and behavioral problems. Scientific reports, 10(1), 20509.
van Eijk, L., & Zietsch, B. P. (2021). Testing the extreme male brain hypothesis: Is autism spectrum disorder associated with a more male‐typical brain? Autism Research, 14(8), 1597-1608.
Vogindroukas, I., Stankova, M., Chelas, E.-N., & Proedrou, A. (2022). Language and speech characteristics in autism. Neuropsychiatric Disease and Treatment, 2367-2377.
Wiklund, M. (2023). Gaze behavior. In Speech and interaction of preadolescents with autism spectrum disorder: Focus on prosody, disfluencies and comprehension problems (pp. 95–115). Springer.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rajeshree Singhania

This work is licensed under a Creative Commons Attribution 4.0 International License.