News The latest developments in autism research.

Cognition and behavior: Bilingualism doesn’t hinder language

by  /  8 November 2011

Mother tongues: Bilingual parents should not be discouraged from exposing children with autism to multiple languages, two studies suggest.

Growing up bilingual doesn’t impair language skills in children with autism, according to two studies in the Journal of Autism and Developmental Disorders.

For the first half of the 20th century, many scientists believed that learning more than one language impairs a child’s cognitive development. That idea has been debunked in the past few decades, but for children with autism, some clinicians still recommend learning only one language.

The two new studies, the first to rigorously investigate this issue, challenge that idea.

The first, published 22 September, studied 75 children with autism, between 3 and 6 years of age, separated into three groups: 30 who were monolingual, 24 who were exposed to a second language before 12 months of age, and 21 who were exposed to a second language after 12 months of age1.

After giving the children seven questionnaires and diagnostic tests, including the Autism Diagnostic Interview-Revised and the Social Responsiveness Scale, the researchers found no significant differences in language ability among any of the groups.

The second report, published 27 September, studied 28 children diagnosed with an autism spectrum disorder, also between 3 and 6 years of age. Half of the children spoke Chinese at home and English outside the home, and the other half spoke only English2.

The researchers found no differences between the two groups on four different language and vocabulary tests. What’s more, after controlling for non-verbal intelligence quotient scores and age, the team found that bilingual children have larger English vocabularies than monolingual children do.

Some studies on typically developing bilingual children show that their vocabularies in both languages are just as large as or larger than those of children who learn one language3. Others report that bilingual children tend to have smaller vocabularies4.

Researchers from both new studies conclude that bilingualism is not harmful to children with autism, and that clinicians should not advise bilingual parents to teach their children with autism only one language.


1: Hambly C. and E. Fombonne J. Autism Dev. Disord. Epub ahead of print (2011) PubMed

2: Petersen J.M. et al. J. Autism Dev. Disord. Epub ahead of print (2011) PubMed

3: Pearson B.Z. et al. Lang. Learn. 43, 93–120 (1993) Abstract

4: Bialystok E. et al. J. Cogn. Dev. 11, 485-508 (2010) PubMed

  • Andrea Kuba

    I need help/assistance. I am an American living in Italy. My daughter has been diagnosed with a language delay (she is 4.5 years old). she has seen 3 neuro-psychologists, 3 ENT doctors, has had 3 hearing exams (and been cleared of any hearing issues). She attends speech therapy 2X a week and occupational therapy 2X week. Both of her therapists have insisted that we speak only Italian inside and outside the home to decrease confusion. She was at home or out with me all day, every day for the first 2.5 years of her life. She started preschool two months before she turned 3yo. Though she has not been diagnosed, I believe that it is possible that she may be on the low end of the autistic spectrum (HFA). We will be visiting my parents in the US (Ohio) in August of this year (2013.) Can anyone recommend me to a specialist (autism/bi-lingual) in the state of Ohio (or near) to have her evaluated?

    I am just not comfortable with not speaking English to her anymore and fear that we may have created more confusion, not less, by mommy now speaking primarily in English to her when I spoke entirely in English to hear for the first 3 years of her life.

    • Ryan

      Speech Therapy should be administered in the child’s FIRST language. If English is her first language, all therapy should be administered in that language. Your daughter, being surrounded by Italian speakers and dominance, will transfer what is learned to that secondary language. I’m a Masters SLP student now and we literally JUST discussed the importance of therapy being provided in the child’s dominant language.

  • Andrea Kuba

    Sorry, meant to say ‘now speaking primarily in ITALIAN ‘

  • TC

    Risposta per Andrea Kuba: dovrebbe rivolgersi alla clinica universitaria locale in Ohio o per un consiglio o per riferimento ad un “speech-language pathologist” specializzata in ASD in zona. Sono bilingue ma purtroppo vivo troppo lontano.


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