Second-Order False Beliefs and Linguistic Recursion in Autism Spectrum Disorder

J Autism Dev Disord. 2022 Sep;52(9):3991-4006. doi: 10.1007/s10803-021-05277-1. Epub 2021 Sep 15.

Abstract

This study investigates the role of recursive language and working memory (WM) in second-order false belief skills in Danish-speaking children with autism spectrum disorder (ASD; n = 62; 8 females) and typical development (n = 41; 15 females), ages 6-16. Second-order false belief skills correlated with receptive grammar, vocabulary, and age; sentential complement production predicted second-order false beliefs, controlling for age, receptive grammar and WM. Regressions showed that second-order false belief was associated with age across groups, but with sentential complements in the ASD group only. Second-order false belief skills improved in children who received training in either recursive phrases (d = 0.21) or WM (d = 0.74), compared to an active control group. Results suggest that false belief skills are entwined with both linguistic and executive functions.

Keywords: Compositional semantics; Second-order false belief; Sentential complementation; Theory of mind; Verbal mediation.

MeSH terms

  • Adolescent
  • Autism Spectrum Disorder* / diagnosis
  • Child
  • Female
  • Humans
  • Language
  • Language Tests
  • Linguistics
  • Vocabulary