What is it about?
Many autistic children experience difficulties with language development. One factor that has been associated with the development of language skills is imitation. However, imitation is not a single skill. Children can imitate actions with objects, gestures, spoken language (verbal imitation) or actions that are reproduced after a delay in time (deferred imitation). These actions can be imitated spontaneously or after a specific instruction. In this study we examined how different types of imitation were related to language comprehension and language production in 176 autistic preschoolers. We found that children with stronger imitation skills generally had stronger language abilities. In particular, imitation of actions with objects and verbal imitation showed the strongest associations with language performance in autistic children with varying language skills. These associations remained significant even when differences in age and nonverbal cognitive abilities were taken into account.
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Why is it important?
Imitation abilities are often targeted in interventions, for instance, in naturalistic developmental behavioural interventions. These interventions seem to improve the language skills of preschoolers with autism. However, little is known about the role of various aspects of imitation abilities within the language development of autistic preschoolers. Our findings suggest that different imitation skills may not contribute equally to language development and that some forms of imitation may be especially relevant for language learning in autistic preschoolers.
Perspectives
Because this study measures children at a single point in time, we cannot determine whether imitation directly contributes to later language growth. Future longitudinal studies are needed to understand the role of imitation abilities for later language skills of autistic preschoolers. Such studies could help refine interventions focused on supporting language development in these children.
Hanna Van de Vyver
Ghent University
Read the Original
This page is a summary of: Associations Between Types of Imitation and Receptive and Expressive Language Skills in Preschoolers With Autism, Journal of Speech Language and Hearing Research, September 2026, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2026_jslhr-25-00493.
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