The Urgency of Speech Therapy Services to Overcome Social Communication Problems in Autistic Children: Systematic Literature Review

Abstract

Background: Autism spectrum disorder is a biologically based neurodevelopmental disorder that affects a child's social interaction and communication skills. The main problems can be identified in two domains: communication/social interaction and restrictive and repetitive behaviour patterns. Autism spectrum disorder experiences significant social communication challenges that affect major areas of life, including Education and the community environment. With these problems, services are needed that can address the communication problems of autistic children, namely speech therapy.

Method: This study used a systematic and reported design by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. The systematic literature review search strategy was conducted using a database of Scopus-indexed journals in Q1-Q4. Articles searched for from 2019-2024 through the elicit.com search system. The protocol for searching for articles that match the study topic in this study uses keywords to provide higher accuracy, namely "speech therapy OR language therapy AND social communication AND autism OR ASD". The study search was limited from 2019 to 2024.

Result: Based on the study above, it can be seen that speech therapy services are essential for developing social communication in autistic children. The studies are still fascinating, as evidenced by the increasing research on speech therapy services for autism in 2024, where 46 studies were conducted worldwide. The largest country is the United States, with 73 studies. These results can be used as our reference for researching what forms of speech therapy services can benefit autistic children so that they can develop optimally in society and schools later.

Conclusion: These results can be used as our following reference, which will research what forms of speech therapy services can benefit autistic children to develop optimally in society and schools later. Speech therapy services carried out early on, and parental support are the core of successful therapy for autistic children who can have the same social abilities as other normal children.

References

Al Awaji, N. N., Al-Taleb, S. M., Albagawi, T. O., Alshammari, M. T., Sharar, F. A., & Mortada, E. M. (2024). Evaluating Parents' Concerns, Needs, and Levels of Satisfaction with the Services Provided for ASD Children in Saudi Arabia. Journal of multidisciplinary healthcare, 17, 123–146. https://doi.org/10.2147/JMDH.S447151

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). 5th ed., 2013

Błądek-Kolatorska, M. (2022). The role of language in the therapy of children with autism spectrum disorders on the example of therapy carried out with the Krakow Method. Educational Psychology PW, 66(24), 79-90. https://doi.org/10.5604/01.3001.0016.0965.

Bottema-Beutel, K. (2020). Understanding and Addressing Social Communication Difficulties in Children with Autism. In: Vivanti, G., Bottema-Beutel, K., Turner-Brown, L. (eds) Clinical Guide to Early Interventions for Children with Autism. Best Practices in Child and Adolescent Behavioral Health Care. Springer, Cham. https://doi.org/10.1007/978-3-030-41160-2_3

Brignell, A., Chenausky, K. V., Song, H., Zhu, J., Suo, C., & Morgan, A. T. (2018). Communication interventions for autism spectrum disorder in minimally verbal children. The Cochrane database of systematic reviews, 11(11), CD012324. https://doi.org/10.1002/14651858.CD012324.pub2

Cerbo, S. N., & Rabi, N. M. (2019). The Social and Communication Skills Difficulties among Learners with Autism Spectrum Disorder. International Journal of Academic Research in Business and Social Sciences, 9(6), 1152–1162.

Coburn, K. L., & Williams, D. L. (2020). Development of neural structure and function in autism spectrum disorder: Potential implications for learning language. American Journal of Speech-Language Pathology, 29(4), 1783–1797. https://doi.org/10.1044/2020_AJSLP-19-00209

Douglas, S. N., & Gerde, H. K. (2019). A Strategy to Support the Communication of Students with Autism Spectrum Disorder. Intervention in School and Clinic, 55(1), 32-38. https://doi.org/10.1177/1053451219833021

Fuller, E. A., & Kaiser, A. P. (2020). The Effects of Early Intervention on Social Communication Outcomes for Children with Autism Spectrum Disorder: A Meta-analysis. Journal of autism and developmental disorders, 50(5), 1683–1700. https://doi.org/10.1007/s10803-019-03927-z

Gallagher, A. L., Murphy, C. A., Conway, P. F., & Perry, A. (2019). Engaging multiple stakeholders to improve speech and language therapy services in schools: an appreciative inquiry-based study. BMC health services research, 19(1), 226. https://doi.org/10.1186/s12913-019-4051-z

Hage, S. V. R., Sawasaki, L. Y., Hyter, Y., & Fernandes, F. D. M. (2021). Social Communication and pragmatic skills of children with Autism Spectrum Disorder and Developmental Language Disorder. CoDAS, 34(2), e20210075. https://doi.org/10.1590/2317-1782/20212021075

Ibrahimagic, A., Patkovic, N., Radic, B., & Hadzic, S. (2021). Communication and Language Skills of Autistic Spectrum Disorders in Children and Their Parents' Emotions. Materia socio-medica, 33(4), 250–256. https://doi.org/10.5455/msm.2021.33.250-256

Laister, D., Vivanti, G., Marschik, P.B., Fellinger, J., & Holzinger, D. (2021). Enhancement of Social Communication Behaviors in Young Children with Autism Affects Maternal Stress. Frontiers in Psychiatry ,12:797148. doi: 10.3389/fpsyt.2021.797148

Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule ( 2nd ed.). Western Psychological Services.

Luna, A. C., Silva, L. A. F., Barrozo, T. F., Leite, R. A., Wertzner, H. F., & Matas, C. G. (2021). Neuronal plasticity of the auditory pathway in children with speech sound disorder: a study of Long-Latency Auditory Evoked Potentials. Plasticidade neuronal da via auditiva em crianças com transtorno dos sons da fala: estudo dos Potenciais Evocados Auditivos de Longa Latência. CoDAS, 33(4), e20200145. https://doi.org/10.1590/2317-1782/20202020145

Maseri, M., Mamat, M., Yew, H.T., & Chekima, A. (2021). The Implementation of Application Software to Improve Verbal Communication in Children with Autism Spectrum Disorder: A Review. Children, 8 (11), 1 – 29. 1001. 10.3390/children8111001.

O’Shea, D., Lisiecka, D., & McGarty, P. (2024). Speech and language therapy services for autistic children in Munster: An interpretative phenomenological analysis of parental experiences and expectations. Advances in Communication and Swallowing. 1-11. 10.3233/ACS-230010.

Osman, H. A., Haridi, M., Gonzalez, N. A., Dayo, S. M., Fatima, U., Sheikh, A., Puvvada, C. S., Soomro, F. H., & Khan, S. (2023). A Systematic Review of the Efficacy of Early Initiation of Speech Therapy and Its Positive Impact on Autism Spectrum Disorder. Cureus, 15(3), e35930. https://doi.org/10.7759/cureus.35930

Pascoe, M. I., Forbes, K., de la Roche, L., Derby, B., Psaradellis, E., Anagnostou, E., Nicolson, R., Georgiades, S., & Kelley, E. (2023). Exploring the association between social skills struggles and social communication difficulties and depression in youth with autism spectrum disorder. Autism Research, 16(11), 2160–2171. https://doi.org/10.1002/aur.3015

Poppi, K., Jones, J., & Botting, N. (2019). Childhood autism in the UK and Greece: a cross-national study of progress in different intervention contexts. International journal of developmental disabilities, 65(3), 162–174. https://doi.org/10.1080/20473869.2018.1511254

Sabzevari, F., Amelirad, O., Moradi, Z., & Habibi, M. (2023). Artificial intelligence evaluation of COVID-19 restrictions and speech therapy effects on the autistic children’s behavior. Scientific Reports, 13 (1), 1 – 10. 10.1038/s41598-022-25902-y.

Sandham, V., Hill, A. E., & Hinchliffe, F. (2022). The perspectives of Australian speech pathologists in providing evidence-based practices to children with autism. International journal of language & communication disorders, 57(6), 1229–1243. https://doi.org/10.1111/1460-6984.12736

Scharff, R. W. (2019). Speech and Language Therapy Services for Multilingual Children with Migration Background: A Cross-Sectional Survey in Germany. Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP), 71(2-3), 116–126. https://doi.org/10.1159/000495565

Sturrock, A., Chilton, H., Foy, K., Freed, J., & Adams, C. (2022). In their own words: The impact of subtle language and communication difficulties as described by autistic girls and boys without intellectual disability. Autism, 26(2), 332-345. https://doi.org/10.1177/13623613211002047

Tawalah, N., & Gaber, S. (2023). Improving Social Communication and Social Interaction Skills in Students with Autism-Spectrum Disorder through Smart-Board Use. International Journal of Learning, Teaching and Educational Research. 22 (3). 310-324. 10.26803/ijlter.22.3.19.

Vogindroukas, I., Stankova, M., Chelas, E. N., & Proedrou, A. (2022). Language and Speech Characteristics in Autism. Neuropsychiatric Disease and Treatment, 18, 2367–2377. https://doi.org/10.2147/NDT.S331987

Warmbier, W., Perenc, L., Piwoński, P., & Podgórska-Bednarz, J. (2023). Speech development delay in autism spectrum disorder – the perspective of using the “Talk To Me” speech therapy application. European Journal of Clinical and Experimental Medicine. 21. 919-923. 10.15584/ejcem.2023.4.32.

Wilson, K. P., Kaminski-Mainardi, A., Tenbus, J., & Marsack-Topolewski, C. N. (2021). Social communication supports and services for adults with ASD: parents’ perceptions of barriers and needs. Journal of Family Social Work, 24(2), 98–117. https://doi.org/10.1080/10522158.2021.1887037

Yanti, Y. N., Jannah, S. S., Nadia, S., Wahdaniyah, I., & Mutmimah, M. (2022). Speech Therapy to Overcome Language Disorders in Autistic Children. GENIUS: Indonesian Journal of Early Childhood Education, 3(1), 55–66. https://doi.org/10.35719/gns.v3i1.61

Yeo, K., & Teng, K. (2015). Social skills deficits in autism: A study among students with autism spectrum disorder in inclusive classrooms. Universal Journal of Educational Research, 3, 1001–1007. https://doi.org/10.13189/ujer.2015.031208

Yingling, M. E., & Bell, B. A. (2020). Utilization of speech-language, occupational and physical therapy by diagnosis of autism spectrum disorder. Child: care, health and development, 46(5), 563–570. https://doi.org/10.1111/cch.12790

Yoder, P., Rogers, S., Estes, A., Warren, Z., Munson, J., Hellemann, G., & McEachin, J. (2020). Interaction of Treatment Intensity and Autism Severity on Frequency and Maturity of Spontaneous Communication in Toddlers with Autism Spectrum Disorder. Autism research : official journal of the International Society for Autism Research, 13(11), 1902–1912. https://doi.org/10.1002/aur.2416

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How to Cite

Wiliyanto, D. A. (2025). The Urgency of Speech Therapy Services to Overcome Social Communication Problems in Autistic Children: Systematic Literature Review. Journal of Speech Language and Communication Research, 1(1), 18-25. https://doi.org/10.64600/8rkk6w09