Training Syntax to Enhance Theory of Mind in Children with ASD

J Autism Dev Disord. 2023 Jun;53(6):2444-2457. doi: 10.1007/s10803-022-05507-0. Epub 2022 Mar 31.

Abstract

Preschool children with neurotypical development (ND) trained on sentential complements ("X thinks/says that") improve their Theory of Mind (ToM) performance. Can complementation training also enhance ToM in children with Autism Spectrum Disorder (ASD)? Thirty-three children with ASD (Mage = 8;11) and 20 younger ND peers (Mage = 4;3) were trained on sentential complements (4-6 weeks, 2-3 times per week, via the DIRE i-Pad App). Pre-training and post-training comparisons show that (1) training boosted both complementation and ToM performance across groups; (2) improvements remained 4-6 weeks after training ended; (3) participants with milder ASD symptoms made most gains. Training on sentential complements thus seems beneficial for addressing ToM difficulties in children with ASD, especially those with milder symptoms.

Keywords: Autism; False belief; Linguistic intervention; Theory of Mind; Training program.

MeSH terms

  • Autism Spectrum Disorder* / diagnosis
  • Child, Preschool
  • Humans
  • Language
  • Language Tests
  • Theory of Mind*