Sex-Specific Metrics for Success: Gaps in Social Word Use Are Bigger for Autistic Girls than Boys

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Bibliographic Details
Title: Sex-Specific Metrics for Success: Gaps in Social Word Use Are Bigger for Autistic Girls than Boys
Language: English
Authors: Meredith Cola (ORCID 0000-0001-6737-6828), Sarah Schillinger (ORCID 0009-0002-9842-7418), Margaret Lyons, Amanda Lee (ORCID 0009-0004-3973-6338), Calliana Faulk, Maxine Covello, Nasya Howard, Hannah Franke, Alexandria Mulqueen, Lizzy Fulop, Azia Knox, Sunghye Cho, Mark Y. Liberman, Juhi Pandey, Ashlee Yates Flanagan (ORCID 0000-0002-8428-2820), Joseph Donaher, Robert T. Schultz, Julia Parish-Morris (ORCID 0000-0001-9633-2904)
Source: Autism: The International Journal of Research and Practice. 2026 30(6):1608-1614.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 7
Publication Date: 2026
Sponsoring Agency: National Institute on Deafness and Other Communication Disorders (NIDCD) (DHHS/NIH)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Contract Number: R01DC018289
T32DC017703
Document Type: Journal Articles
Reports - Research
Descriptors: Autism Spectrum Disorders, Sex, Gender Differences, Language Usage, Social Behavior, Diagnostic Tests, Observation
Assessment and Survey Identifiers: Autism Diagnostic Observation Schedule
DOI: 10.1177/13623613261417535
ISSN: 1362-3613
1461-7005
Abstract: Autistic girls are often diagnosed late, missed, or misdiagnosed, which can negatively impact quality of life and mental health. Although research shows the social profiles of autistic girls differ from boys in systematic ways that might explain gaps in diagnosis, little is known about how autistic girls' social language compares to their same-sex non-autistic peers. This study investigated social words--words that make reference to other people--produced by 138 age- and IQ-matched autistic and non-autistic youth (ages 6-15) during one Autism Diagnostic Observation Schedule, Second Edition task. Girls used significantly more social words than boys across both diagnostic groups. There was a larger gap in social word production between autistic girls and non-autistic girls than autistic boys and non-autistic boys, with non-autistic girls using the most social words. Non-autistic girls' social language behavior--including their social word production--sets an especially high bar for autistic girls, who often report trying to blend in with other girls. Growing evidence of the distinct social language profiles of autistic and non-autistic girls versus boys should guide researchers and clinicians to assess autism in ways that are sensitive to sex-associated differences and develop interventions that consider the norms of youth's target social circles.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1506443
Database: ERIC
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Abstract:Autistic girls are often diagnosed late, missed, or misdiagnosed, which can negatively impact quality of life and mental health. Although research shows the social profiles of autistic girls differ from boys in systematic ways that might explain gaps in diagnosis, little is known about how autistic girls' social language compares to their same-sex non-autistic peers. This study investigated social words--words that make reference to other people--produced by 138 age- and IQ-matched autistic and non-autistic youth (ages 6-15) during one Autism Diagnostic Observation Schedule, Second Edition task. Girls used significantly more social words than boys across both diagnostic groups. There was a larger gap in social word production between autistic girls and non-autistic girls than autistic boys and non-autistic boys, with non-autistic girls using the most social words. Non-autistic girls' social language behavior--including their social word production--sets an especially high bar for autistic girls, who often report trying to blend in with other girls. Growing evidence of the distinct social language profiles of autistic and non-autistic girls versus boys should guide researchers and clinicians to assess autism in ways that are sensitive to sex-associated differences and develop interventions that consider the norms of youth's target social circles.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613261417535