Evidence map›Paper›PMID 27899711›Full record

SynthesisAutism : the international journal of research and practice2018

Figurative language comprehension in individuals with autism spectrum disorder: A meta-analytic review.

Tamar Kalandadze, Courtenay Norbury, Terje Nærland, Kari-Anne B Næss

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Autism : the international journal of research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 263 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. On markers of linguistic impairment in autism and their implementation.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  5. Article
  6. Some (but not all) Pragmatic Inferences are Difficult for Autistic Children.Journal of autism and developmental disorders · 2026
    Article
  7. Article
  8. Irony Comprehension in Monolingual and Bilingual Children With Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  9. Article
  10. How Autism and Sex Influence Perspective-Taking in Pragmatic Inferences.Journal of autism and developmental disorders · 2026
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Associations between pragmatic language and Theory of Mind in individuals with a history of autism and those who have lost the autism diagnosis.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  18. Pragmatic communication and Theory of Mind.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Tamar Kalandadze1 University of Oslo, Norway.
Courtenay Norbury2 University College London, UK.
Terje Nærland3 Oslo University Hospital, Norway.
Kari-Anne B Næss1 University of Oslo, Norway.
University of Oslo · NOOslo University Hospital · NOUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a meta-analysis of studies that compare figurative language comprehension in individuals with autism spectrum disorder and in typically developing controls who were matched based on chronological age or/and language ability. A total of 41 studies and 45 independent effect sizes were included based on predetermined inclusion criteria. Group matching strategy, age, types of figurative language, and cross-linguistic differences were examined as predictors that might explain heterogeneity in effect sizes. Overall, individuals with autism spectrum disorder showed poorer comprehension of figurative language than their typically developing peers (Hedges' g = -0.57). A meta-regression analysis showed that group matching strategy and types of figurative language were significantly related to differences in effect sizes, whereas chronological age and cross-linguistic differences were not. Differences between the autism spectrum disorder and typically developing groups were small and nonsignificant when the groups were matched based on the language ability. Metaphors were more difficult to comprehend for individuals with autism spectrum disorder compared with typically developing controls than were irony and sarcasm. Our findings highlight the critical role of core language skills in figurative language comprehension. Interventions and educational programmes designed to improve social communication skills in individuals with autism spectrum disorder may beneficially target core language skills in addition to social skills.

Indexed as

Language DevelopmentSemanticsAutism Spectrum DisorderChildHumansLanguage Testsautism spectrum disorderfigurative languagemeta-analysismetaphor

Identifiers

PMID27899711
PMCPMC5843023
OpenAlexW2558788080

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.