Evidence map›Paper›PMID 41843313›Full record

ArticleJournal of autism and developmental disorders2026

Handwriting Challenges in Autistic Children: A Comparative Study of Legibility and Character Processing in Logographic Chinese Writing.

Zhi-Chi Weng, Jung-Chi Chang, Hao-Ling Chen, Tien-Ni Wang

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Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhi-Chi WengSchool of Occupational Therapy, College of Medicine, National Taiwan University, No.17, Xu-Zhou Rd. 4th Floor, Taipei, 100, Taiwan.
Jung-Chi ChangDepartment of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, 100, Taiwan.
Hao-Ling ChenSchool of Occupational Therapy, College of Medicine, National Taiwan University, No.17, Xu-Zhou Rd. 4th Floor, Taipei, 100, Taiwan.
Tien-Ni WangSchool of Occupational Therapy, College of Medicine, National Taiwan University, No.17, Xu-Zhou Rd. 4th Floor, Taipei, 100, Taiwan. tnwang@ntu.edu.tw.ORCID http://orcid.org/0000-0001-9096-5815

Funding

Ministry of Science and Technology, Taiwan MOST 112-2314-B-002 -125 - and MOST 112-2221-E-002 -037 -MY3
6 · The paper itself

Abstract

purposeHandwriting is a crucial skill for school-age children, significantly impacting their academic performance. For autistic children, handwriting can be particularly challenging due to differences in how they process visual information. These children often focus on smaller details rather than seeing the overall shape of letters or characters, a cognitive trait known as Weak Central Coherence (WCC). Despite these challenges, there is still limited research on handwriting legibility and character processing in autistic children within the context of logographic languages.

methodsThis study conducted comparative analyses between 30 autistic children and 30 age-matched peers. The Chinese Handwriting Legibility Assessment for Children was administered to evaluate legibility, while character processing tasks were conducted to assess the impact of WCC on character recognition.

resultsResults indicated that autistic children exhibit poorer legibility in Chinese handwriting, particularly in radical proportion and spacing arrangement. In terms of character processing, both groups performed similarly with familiar characters, but autistic children were influenced by WCC when processing unfamiliar characters. No clear correlation between legibility and WCC was found, potentially due to handwriting legibility being assessed only with familiar characters, but not unfamiliar characters.

conclusionThis study highlights the challenges faced by autistic children in handwriting legibility, particularly in the radical arrangement. While the impact of WCC significantly impacts the processing of unfamiliar characters, it does not notably affect familiar characters, suggesting that familiarity helps mitigate WCC’s influence. Understanding these challenges can inform the development of targeted interventions to support handwriting skills in autistic children.

Indexed as

Autism spectrum disordersAutistic disorderHandwritingHandwriting legibilityVisual perceptionWeak central coherence

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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.