Comparing Narrative Storytelling Ability in Individuals with Autism Spectrum Disorder and Fetal Alcohol Spectrum Disorder

PurposeNarrative discourse, or storytelling, is used in daily conversational interaction and reveals higher level language skills that may not be well captured by standardized assessments of language. Many individuals with autism spectrum disorder (ASD) and fetal alcohol spectrum disorder (FASD) show difficulty with pragmatic language skills and narrative production offers one method of assessing expressive and pragmatic language skills in an ecologically relevant manner. This study investigated narrative abilities on both local and global levels of adolescent/young adults with ASD and FASD, and their age- and sex-matched comparison group. MethodNarratives from forty-five adolescents/young adults, 11 with ASD, 11 with FASD, 23 age- and sex-matched neurotypical comparison group, were elicited using a wordless storybook. They were then transcribed orthographically, formatted to the Systematic Analyses of Language Transcript (SALT) convention, and scored based on the narrative scoring scheme (NSS). Additional analyses investigated local language measures such as the number of mental state and temporal relation terms produced, as well as global language measures including the mean length of utterance, total number of different words, total number of words, total number of utterances, rate of speech, and the narrative scoring scheme total score. ResultsOn local language measures, no significant group differences were found. On global language measures, many aspects of narrative production in the ASD and FASD groups were comparable to each other and to the comparison group, although important differences were observed for the total number of words produced and rate of speech. ConclusionsGiven significant variability observed within groups, these findings suggest that language abilities should be assessed at an individual level. Future research should also consider additional variables that influence narrative production such as motivation, distractibility, or decision-making of individual subjects.