1
|
Shin SY, Rowe ML, Lee HS. Early gesture use predicts children's language development in South Korea: New evidence supporting the cross-cultural importance of pointing. INFANCY 2024; 29:327-354. [PMID: 38407556 DOI: 10.1111/infa.12585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/21/2023] [Accepted: 12/23/2023] [Indexed: 02/27/2024]
Abstract
Research in the U.S. and other Western countries shows that children's early gesture use, which starts prior to verbal communication, is an important predictor of children's later language development. Despite increasing efforts to study gesture use in diverse contexts, most of our knowledge on the role of gesture is largely based on populations of Western countries. In this study, we add to the growing body of international research by examining gesture use by 31 mothers and their 14-month-old infants (12 girls) in South Korea and investigate the gestures used during interaction, and whether early gesture use at 14 months predicts Korean children's later language skills at 36 months. The results showed that in addition to using gestures observed in other cultural contexts, Korean mother-child dyads used culturally specific gesture (i.e., bowing), showing an early sign of socialization that starts with preverbal children. In addition, Korean infants' index-finger pointing, but not showing and giving, predicted their later receptive and expressive vocabulary skills at 36 months, providing additional support for the importance of pointing in early language development.
Collapse
|
2
|
Cepanec M, Šimleša S. Item-Based Analysis of Some ADOS-2 Items with Typically Developing Participants Might help Improve Cross-Cultural Validity of ADOS-2. J Autism Dev Disord 2024; 54:109-120. [PMID: 36323993 DOI: 10.1007/s10803-022-05791-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
Most internationally recognized instruments for the screening and diagnosis of autism spectrum disorder have been developed in the USA, which calls into question the degree of their cultural adaptation to diverse populations. The aim of this study is to examine the characteristics of social communication in typically developing Croatian-speaking participants (N = 220) using ADOS-2-defined item-level normative values. Croatian subjects showed the expected ("typical") results in the domain of verbal communication, slightly atpical results in nonverbal communication (primarily gesture use), and more significant deviations in pragmatics (offering and asking for information), relative to the expectations of the ADOS-2. As ADOS-2 has become an important component of thorough ASD diagnostic evaluations worldwide, identifying methods for increasing the cross-cultural validity is essential.
Collapse
Affiliation(s)
- Maja Cepanec
- Child Communication Research Laboratory, Department of Speech and Language Pathology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia.
| | - Sanja Šimleša
- Child Communication Research Laboratory, Department of Speech and Language Pathology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
| |
Collapse
|
3
|
Trujillo JP, Holler J. Interactionally Embedded Gestalt Principles of Multimodal Human Communication. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:1136-1159. [PMID: 36634318 PMCID: PMC10475215 DOI: 10.1177/17456916221141422] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Natural human interaction requires us to produce and process many different signals, including speech, hand and head gestures, and facial expressions. These communicative signals, which occur in a variety of temporal relations with each other (e.g., parallel or temporally misaligned), must be rapidly processed as a coherent message by the receiver. In this contribution, we introduce the notion of interactionally embedded, affordance-driven gestalt perception as a framework that can explain how this rapid processing of multimodal signals is achieved as efficiently as it is. We discuss empirical evidence showing how basic principles of gestalt perception can explain some aspects of unimodal phenomena such as verbal language processing and visual scene perception but require additional features to explain multimodal human communication. We propose a framework in which high-level gestalt predictions are continuously updated by incoming sensory input, such as unfolding speech and visual signals. We outline the constituent processes that shape high-level gestalt perception and their role in perceiving relevance and prägnanz. Finally, we provide testable predictions that arise from this multimodal interactionally embedded gestalt-perception framework. This review and framework therefore provide a theoretically motivated account of how we may understand the highly complex, multimodal behaviors inherent in natural social interaction.
Collapse
Affiliation(s)
- James P. Trujillo
- Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, the Netherlands
- Max Planck Institute for Psycholinguistics, Nijmegen, the Netherlands
| | - Judith Holler
- Donders Institute for Brain, Cognition, and Behaviour, Nijmegen, the Netherlands
- Max Planck Institute for Psycholinguistics, Nijmegen, the Netherlands
| |
Collapse
|
4
|
Guevara I, Rodríguez C. Developing communication through objects: Ostensive gestures as the first gestures in children's development. DEVELOPMENTAL REVIEW 2023. [DOI: 10.1016/j.dr.2023.101076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023]
|
5
|
Lopes-Rocha AC, de Paula Ramos WH, Argolo F, Gondim JM, Mota NB, Andrade JC, Jafet AF, de Medeiros MW, Serpa MH, Cecchi G, Ara A, Gattaz WF, Corcoran CM, Loch AA. Gesticulation in individuals with at risk mental states for psychosis. SCHIZOPHRENIA (HEIDELBERG, GERMANY) 2023; 9:30. [PMID: 37160916 PMCID: PMC10169854 DOI: 10.1038/s41537-023-00360-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 04/27/2023] [Indexed: 05/11/2023]
Abstract
Nonverbal communication (NVC) is a complex behavior that involves different modalities that are impaired in the schizophrenia spectrum, including gesticulation. However, there are few studies that evaluate it in individuals with at-risk mental states (ARMS) for psychosis, mostly in developed countries. Given our prior findings of reduced movement during speech seen in Brazilian individuals with ARMS, we now aim to determine if this can be accounted for by reduced gesticulation behavior. Fifty-six medication-naïve ARMS and 64 healthy controls were filmed during speech tasks. The frequency of specifically coded gestures across four categories (and self-stimulatory behaviors) were compared between groups and tested for correlations with prodromal symptoms of the Structured Interview for Prodromal Syndromes (SIPS) and with the variables previously published. ARMS individuals showed a reduction in one gesture category, but it did not survive Bonferroni's correction. Gesture frequency was negatively correlated with prodromal symptoms and positively correlated with the variables of the amount of movement previously analyzed. The lack of significant differences between ARMS and control contradicts literature findings in other cultural context, in which a reduction is usually seen in at-risk individuals. However, gesture frequency might be a visual proxy of prodromal symptoms, and of other movement abnormalities. Results show the importance of analyzing NVC in ARMS and of considering different cultural and sociodemographic contexts in the search for markers of these states.
Collapse
Affiliation(s)
- Ana Caroline Lopes-Rocha
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
| | | | - Felipe Argolo
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - João Medrado Gondim
- Instituto de Computação, Universidade Federal da Bahia, Salvador, BA, Brazil
| | - Natalia Bezerra Mota
- Instituto de Psiquiatria (IPUB), Departamento de Psiquiatria e Medicina Legal, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
- Research department at Motrix Lab - Motrix, Rio de Janeiro, Brazil
| | - Julio Cesar Andrade
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - Andrea Fontes Jafet
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - Matheus Wanderley de Medeiros
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - Mauricio Henriques Serpa
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
- Laboratorio de Neuroimagem em Psiquiatria (LIM 21), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
- Instituto Nacional de Biomarcadores em Neuropsiquiatria (INBION), Conselho Nacional de Desenvolvimento Científico e Tecnológico, São Paulo, Brazil
| | | | - Anderson Ara
- Statistics Department, Federal University of Paraná, Curitiba, PR, Brazil
| | - Wagner Farid Gattaz
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
- Instituto Nacional de Biomarcadores em Neuropsiquiatria (INBION), Conselho Nacional de Desenvolvimento Científico e Tecnológico, São Paulo, Brazil
| | - Cheryl Mary Corcoran
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
- James J. Peters VA Medical Center, Bronx, NY, USA
| | - Alexandre Andrade Loch
- Laboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
- Laboratorio de Neuroimagem em Psiquiatria (LIM 21), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| |
Collapse
|
6
|
Early communicative gestures in human and chimpanzee 1-year-olds observed across diverse socioecological settings. Learn Behav 2023; 51:15-33. [PMID: 36441398 PMCID: PMC9971150 DOI: 10.3758/s13420-022-00553-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2022] [Indexed: 11/29/2022]
Abstract
We investigated the communicative gestures used by chimpanzee and human infants. In contrast to previous studies, we compared the species at the same age (12-14 months) and used multiple groups living in diverse socioecological settings for both species. We recorded gestures produced by infants and those produce by others and directed toward infants. We classified the gestures into the following types: human-usual, chimpanzee-usual, and species-common; and searched for within species and between species differences. We found no significant differences between groups or species in overall rates of infant-produced or infant-received gestures, suggesting that all of these infants produced and received gestures at similar levels. We did find significant differences, however, when we considered the three types of gesture. Chimpanzee infants produced significantly higher rates of chimpanzee-usual gestures, and human infants produced significantly higher rates of human-usual gestures, but there was no significant species difference in the species-common gestures. Reports of species differences in gesturing in young infants, therefore, could be influenced by investigators' choice of gesture type. Interestingly, we found that 1-year-old infants produced the gesture of "hold mutual gaze" and that the chimpanzee infants had a significantly higher rate than the human infants. We did not find strong evidence that the specific types of gestural environment experienced by young infants influenced the types of gestures that infants produce. We suggest that at this point in development (before human infants use lots of speech), nonverbal communicative gestures may be equally important for human and chimpanzee infants.
Collapse
|
7
|
Germain N, Gonzalez-Barrero AM, Byers-Heinlein K. Gesture development in infancy: Effects of gender but not bilingualism. INFANCY 2022; 27:663-681. [PMID: 35416417 DOI: 10.1111/infa.12469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Revised: 11/22/2021] [Accepted: 03/07/2022] [Indexed: 11/28/2022]
Abstract
Gesture is an important communication tool that provides insight into infants' early language and cognitive development and predicts later language skills. While bilingual school-age children have been reported to gesture more than monolinguals, there is a lack of research examining gesture use in infants exposed to more than one language. In this preregistered study, we compared three groups of 14-month-old infants (N = 150) learning French and/or English: bilinguals (hearing a second language at least 25% of the time), exposed (hearing a second language 10%-24% of the time), and monolinguals (hearing one language 90% of the time or more). Parent-reported use of communicative gestures was gathered from the MacArthur-Bates Communicative Development Inventories (CDI). Results showed that the three language groups had similarly sized gesture repertoires, suggesting that language exposure did not affect gesture development at this age. However, a gender effect was found, where girls produced more types of gestures than boys. Overall, these results suggest that gender, but not language exposure, contributes to differences in gesture development in infancy.
Collapse
Affiliation(s)
- Nathalie Germain
- Department of Psychology, Concordia University, Montreal, Québec, Canada.,Centre for Research on Brain, Language and Music, Montreal, Québec, Canada
| | - Ana Maria Gonzalez-Barrero
- Department of Psychology, Concordia University, Montreal, Québec, Canada.,Centre for Research on Brain, Language and Music, Montreal, Québec, Canada.,School of Communication Sciences and Disorders, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Krista Byers-Heinlein
- Department of Psychology, Concordia University, Montreal, Québec, Canada.,Centre for Research on Brain, Language and Music, Montreal, Québec, Canada
| |
Collapse
|
8
|
Bard KA, Keller H, Ross KM, Hewlett B, Butler L, Boysen ST, Matsuzawa T. Joint Attention in Human and Chimpanzee Infants in Varied Socio-Ecological Contexts. Monogr Soc Res Child Dev 2022; 86:7-217. [PMID: 35355281 DOI: 10.1111/mono.12435] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Joint attention (JA) is an early manifestation of social cognition, commonly described as interactions in which an infant looks or gestures to an adult female to share attention about an object, within a positive emotional atmosphere. We label this description the JA phenotype. We argue that characterizing JA in this way reflects unexamined assumptions which are, in part, due to past developmental researchers' primary focus on western, middle-class infants and families. We describe a range of cultural variations in caregiving practices, socialization goals, and parenting ethnotheories as an essential initial step in viewing joint attention within inclusive and contextualized perspectives. We begin the process of conducting a decolonized study of JA by considering the core construct of joint attention (i.e., triadic connectedness) and adopting culturally inclusive definitions (labeled joint engagement [JE]). Our JE definitions allow for attention and engagement to be expressed in visual and tactile modalities (e.g., for infants experiencing distal or proximal caregiving), with various social partners (e.g., peers, older siblings, mothers), with a range of shared topics (e.g., representing diverse socialization goals, and socio-ecologies with and without toys), and with a range of emotional tone (e.g., for infants living in cultures valuing calmness and low arousal, and those valuing exuberance). Our definition of JE includes initiations from either partner (to include priorities for adult-led or child-led interactions). Our next foundational step is making an ecological commitment to naturalistic observations (Dahl, 2017, Child Dev Perspect, 11(2), 79-84): We measure JE while infants interact within their own physical and social ecologies. This commitment allows us to describe JE as it occurs in everyday contexts, without constraints imposed by researchers. Next, we sample multiple groups of infants drawn from diverse socio-ecological settings. Moreover, we include diverse samples of chimpanzee infants to compare with diverse samples of human infants, to investigate the extent to which JE is unique to humans, and to document diversity both within and between species. We sampled human infants living in three diverse settings. U.K. infants (n = 8) were from western, middle-class families living near universities in the south of England. Nso infants (n = 12) were from communities of subsistence farmers in Cameroon, Africa. Aka infants (n = 10) were from foraging communities in the tropical rain forests of Central African Republic, Africa. We coded behavioral details of JE from videotaped observations (taken between 2004 and 2010). JE occurred in the majority of coded intervals (Mdn = 68%), supporting a conclusion that JE is normative for human infants. The JA phenotype, in contrast, was infrequent, and significantly more common in the U.K. (Mdn = 10%) than the other groups (Mdn < 3%). We found significant within-species diversity in JE phenotypes (i.e., configurations of predominant forms of JE characteristics). We conclude that triadic connectedness is very common in human infants, but there is significant contextualization of behavioral forms of JE. We also studied chimpanzee infants living in diverse socio-ecologies. The PRI/Zoo chimpanzee infants (n = 7) were from captive, stable groups of mixed ages and sexes, and included 4 infants from the Chester Zoo, U.K. and 3 from the Primate Research Institute, Kyoto University, Japan. The Gombe chimpanzee infants (n = 12) were living in a dynamically changing, wild community in the Gombe National Park, Tanzania, Africa. Additionally, we include two Home chimpanzee infants who were reared from birth by a female scientist, in the combined U.S., middle-class contexts of home and university cognition laboratory. JE was coded from videotaped observations (taken between 1993 and 2006). JE occurred during the majority of coded intervals (Mdn = 64%), consistent with the position that JE is normative for chimpanzee infants. The JA phenotype, in contrast, was rare, but more commonly observed in the two Home chimpanzee infants (in 8% and 2% of intervals) than in other chimpanzee groups (Mdns = 0%). We found within-species diversity in the configurations comprising the JE phenotypes. We conclude that triadic connectedness is very common in chimpanzee infants, but behavioral forms of joint engagement are contextualized. We compared JE across species, and found no species-uniqueness in behavioral forms, JE characteristics, or JE phenotypes. Both human and chimpanzee infants develop contextualized social cognition. Within-species diversity is embraced when triadic connectedness is described with culturally inclusive definitions. In contrast, restricting definitions to the JA phenotype privileges a behavioral form most valued in western, middle-class socio-ecologies, irrespective of whether the interactions involve human or chimpanzee infants. Our study presents a model for how to decolonize an important topic in developmental psychology. Decolonization is accomplished by defining the phenomenon inclusively, embracing diversity in sampling, challenging claims of human-uniqueness, and having an ecological commitment to observe infant social cognition as it occurs within everyday socio-ecological contexts. It is essential that evolutionary and developmental theories of social cognition are re-built on more inclusive and decolonized empirical foundations.
Collapse
Affiliation(s)
- Kim A Bard
- Department of Psychology, University of Portsmouth
| | - Heidi Keller
- Department of Human Sciences, Osnabrück University
| | | | - Barry Hewlett
- Department of Anthropology, Washington State University, Vancouver
| | | | | | | |
Collapse
|
9
|
Zubler JM, Wiggins LD, Macias MM, Whitaker TM, Shaw JS, Squires JK, Pajek JA, Wolf RB, Slaughter KS, Broughton AS, Gerndt KL, Mlodoch BJ, Lipkin PH. Evidence-Informed Milestones for Developmental Surveillance Tools. Pediatrics 2022; 149:184748. [PMID: 35132439 PMCID: PMC9680195 DOI: 10.1542/peds.2021-052138] [Citation(s) in RCA: 46] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 11/24/2022] Open
Abstract
The Centers for Disease Control and Prevention's (CDC) Learn the Signs. Act Early. program, funded the American Academy of Pediatrics (AAP) to convene an expert working group to revise its developmental surveillance checklists. The goals of the group were to identify evidence-informed milestones to include in CDC checklists, clarify when most children can be expected to reach a milestone (to discourage a wait-and-see approach), and support clinical judgment regarding screening between recommended ages. Subject matter experts identified by the AAP established 11 criteria for CDC milestone checklists, including using milestones most children (≥75%) would be expected to achieve by specific health supervision visit ages and those that are easily observed in natural settings. A database of normative data for individual milestones, common screening and evaluation tools, and published clinical opinion was created to inform revisions. Application of the criteria established by the AAP working group and adding milestones for the 15- and 30-month health supervision visits resulted in a 26.4% reduction and 40.9% replacement of previous CDC milestones. One third of the retained milestones were transferred to different ages; 67.7% of those transferred were moved to older ages. Approximately 80% of the final milestones had normative data from ≥1 sources. Social-emotional and cognitive milestones had the least normative data. These criteria and revised checklists can be used to support developmental surveillance, clinical judgment regarding additional developmental screening, and research in developmental surveillance processes. Gaps in developmental data were identified particularly for social-emotional and cognitive milestones.
Collapse
Affiliation(s)
- Jennifer M. Zubler
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia;,Eagle Global Scientific, LLC, San Antonio, Texas
| | - Lisa D. Wiggins
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Michelle M. Macias
- Division of Developmental-Behavioral Pediatrics, Medical University of South Carolina, Charleston, South Carolina
| | - Toni M. Whitaker
- Division of Developmental Pediatrics, Department of Pediatrics, The University of Tennessee Health Science Center, Memphis, Tennessee
| | - Judith S. Shaw
- Vermont Child Health Improvement Program, Department of Pediatrics, Larner College of Medicine, The University of Vermont, Burlington, Vermont
| | - Jane K. Squires
- Center on Human Development (Professor Emerita), University of Oregon, Eugene, Oregon
| | - Julie A. Pajek
- MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio
| | - Rebecca B. Wolf
- National Center on Birth Defects and Developmental Disabilities (retired), Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Karnesha S. Slaughter
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Amber S. Broughton
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | | | - Paul H. Lipkin
- Kennedy Krieger Institute, Baltimore, Maryland;,Johns Hopkins School of Medicine, Baltimore, Maryland
| |
Collapse
|
10
|
Ye Q, Liu L, Lv S, Cheng S, Zhu H, Xu Y, Zou X, Deng H. The Gestures in 2-4-Year-Old Children With Autism Spectrum Disorder. Front Psychol 2021; 12:604542. [PMID: 33584473 PMCID: PMC7875888 DOI: 10.3389/fpsyg.2021.604542] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/08/2021] [Indexed: 11/15/2022] Open
Abstract
Deficits in gestures act as early signs of impairment in social interaction (SI) and communication in children with autism spectrum disorder (ASD). However, the pieces of literature on atypical gesture patterns in ASD children are contradictory. This investigation aimed to explore the atypical gesture pattern of ASD children from the dimensions of quantity, communicative function, and integration ability; and its relationship with social ability and adaptive behavior. We used a semi-structured interactive play to evaluate gestures of 33 ASD children (24–48 months old) and 24 typically developing (TD) children (12–36 months old). And we evaluated the social ability, adaptive behavior, and productive language of ASD and TD children by using the Adaptive Behavior Assessment System version II (ABAS-II) and Chinese Communication Development Inventory (CCDI). No matter the total score of CCDI was corrected or not, the relative frequency of total gestures, behavior regulation (BR) gestures, SI gestures, and joint attention (JA) gestures of ASD children were lower than that of TD children, as well as the proportion of JA gestures. However, there was no significant group difference in the proportion of BR and SI gestures. Before adjusting for the total score of CCDI, the relative frequency of gestures without vocalization/verbalization integration and vocalization/verbalization-integrated gestures in ASD children was lower than that in TD children. However, after matching the total score of CCDI, only the relative frequency of gestures without vocalization/verbalization integration was lower. Regardless of the fact that the total score of CCDI was corrected or not, the relative frequency and the proportion of eye-gaze-integrated gestures in ASD children were lower than that in TD children. And the proportion of gestures without eye-gaze integration in ASD children was higher than that in TD children. For ASD children, the social skills score in ABAS-II was positively correlated with the relative frequency of SI gesture and eye-gaze-integrated gestures; the total score of ABAS-II was positively correlated with the relative frequency of total gestures and eye-gaze-integrated gestures. In conclusion, ASD children produce fewer gestures and have deficits in JA gestures. The deficiency of integrating eye gaze and gesture is the core deficit of ASD children’s gesture communication. Relatively, ASD children might be capable of integrating vocalization/verbalization into gestures. SI gestures and the ability to integrate gesture and eye gaze are related to social ability. The quantity of gestures and the ability to integrate gesture with eye gaze are related to adaptive behavior. Clinical Trial Registration:www.ClinicalTrials.gov, identifier ChiCTR1800019679.
Collapse
Affiliation(s)
- QianYing Ye
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - LinRu Liu
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - ShaoLi Lv
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - SanMei Cheng
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - HuiLin Zhu
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - YanTing Xu
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - XiaoBing Zou
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - HongZhu Deng
- Child Development and Behavior Center, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| |
Collapse
|
11
|
Paul IM, Hohman EE, Birch LL, Shelly A, Vallotton CD, Savage JS. Exploring infant signing to enhance responsive parenting: Findings from the INSIGHT study. MATERNAL & CHILD NUTRITION 2019; 15:e12800. [PMID: 30810273 PMCID: PMC6594880 DOI: 10.1111/mcn.12800] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 02/06/2019] [Accepted: 02/20/2019] [Indexed: 01/18/2023]
Abstract
Responsive parenting is a promising framework for obesity prevention, yet attempts to date have largely relied on parents accurately interpreting their child's cues. Infant signing or "baby sign language" could enhance these interventions by improving bidirectional parent-child communication during the preverbal and emerging language years. In a clinical trial testing, a responsive parenting intervention designed for obesity prevention, we pilot tested a brief intervention at age 40 weeks with a subset of participating dyads that taught the signing gesture of "all done" to improve parental recognition of satiety. In addition, we surveyed all participating mothers at child age 18 months on the use of infant signing gestures in the prior year. Two hundred twenty-eight mothers completed the survey including 72 responsive parenting group mothers that received the signing instructions. A majority of mothers, 63.6%, reported teaching their infant signs in the prior year, and 61.4% of infants were using signs to communicate at 18 months (median signs = 2). The signs for "more" and "all done" were used by over half of study participants and were the most common signs used. Other signs related to eating or drinking were commonly used. Signing intervention group infants were more likely to use the sign for "all done" than controls (63.9% vs. 45.5%; P = 0.01), but there was no difference between groups with regard to the use of the sign for "more" (56.9% vs. 51.3%; P = 0.43). Signing is commonly used by parents of young children and holds potential to improve parental responsiveness and obesity prevention efforts.
Collapse
Affiliation(s)
- Ian M. Paul
- PediatricsPenn State College of MedicineHersheyPennsylvania
- Public Health SciencesPenn State College of MedicineHersheyPennsylvania
| | - Emily E. Hohman
- Center for Childhood Obesity ResearchPennsylvania State UniversityUniversity ParkPennsylvania
| | | | - Amy Shelly
- PediatricsPenn State College of MedicineHersheyPennsylvania
| | - Claire D. Vallotton
- Human Development and Family StudiesMichigan State UniversityEast LansingMichigan
| | - Jennifer S. Savage
- Center for Childhood Obesity ResearchPennsylvania State UniversityUniversity ParkPennsylvania
- Nutritional SciencesPennsylvania State UniversityUniversity ParkPennsylvania
| |
Collapse
|