Evidence map›Paper›PMID 39300919›Full record

ArticleAutism research : official journal of the International Society for Autism Research2024

The use of formal language as a strong sign of verbal autistic children in diglossic communities: The case of Arabic.

Konstantinos Francis, Nasser Alshammari, Nailah Alsulaihim, Suja Aboukhamseen, Mohammad El Dardiri, Fawzeiah AlRashidi, Hashem Almutaz Ridha, Mada Al-Hassan, Arhonto Terzi

Abstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Early manifestations of unexpected bilingualism in minimally verbal autism.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  3. Atypical Regional Accent in Autistic Children: A Perception Study.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  4. The use of formal language as a strong sign of verbal autistic children in diglossic communities: The case of Arabic.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  5. Article
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

9 authors.

Konstantinos Francis"Heba" Clinic for Autism & Communication Disorders, Kuwait Centre for Mental Health, Kuwait City, Kuwait.ORCID 0000-0002-1352-1732
Nasser Alshammari"Heba" Clinic for Autism & Communication Disorders, Kuwait Centre for Mental Health, Kuwait City, Kuwait.
Nailah AlsulaihimDepartment of Communication Disorders Science, Kuwait University, Kuwait City, Kuwait.
Suja AboukhamseenDepartment of Statistics and Operations Research, Kuwait University, Kuwait City, Kuwait.
Mohammad El Dardiri"Heba" Clinic for Autism & Communication Disorders, Kuwait Centre for Mental Health, Kuwait City, Kuwait.
Fawzeiah AlRashidi"Heba" Clinic for Autism & Communication Disorders, Kuwait Centre for Mental Health, Kuwait City, Kuwait.
Hashem Almutaz Ridha"Heba" Clinic for Autism & Communication Disorders, Kuwait Centre for Mental Health, Kuwait City, Kuwait.
Mada Al-HassanDepartment of Clinical Language Science, University of Reading, Reading, UK.
Arhonto TerziDepartment of Speech and Language Therapy, University of Patras, Patras, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current study aimed to investigate whether the use of formal language (Modern Standard Arabic [MSA]) by young children in diglossic Arab communities offers diagnostic insights, especially for verbal autistic children and to further explore this phenomenon. We used a cohort study design, with 4-6-year-old fluent first language Arabic-speaking children attending Arabic Kindergartens in two representative Kuwait governates. Reported cases for MSA use were assessed via a computer-based structured language test and corroborated cases were further assessed for exposure to sources of MSA, verbal IQ, temperamental characteristics, and autism spectrum disorder (ASD). Four children from the same class without developmental difficulties were selected for each MSA user as control group. The frequency of MSA use among verbal pre-schoolers was 0.46%. Use of MSA did not correlate with parents' education, amount of exposure to MSA, verbal IQ, but with severity of ASD. Predicted probability of ASD in the presence of MSA was 0.86. Executive functions of ASD-MSA users were similar to those of the control group and significantly higher than unselected autistic peers in the literature. The use of MSA has the potential to serve as a strong sign for the diagnosis of verbal autistic children, often missed or delayed in being diagnosed. We also discuss strategies via which language is acquired in ASD.

Indexed as

Autism Spectrum DisorderArabsAutistic DisorderChildChild, PreschoolCohort StudiesFemaleHumansKuwaitLanguageMaleASD screeningdiglossiaidiosyncratic languagelanguage acquisition

Identifiers

PMID39300919
PMCPMC11638891

What OpenQuestion holds

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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.