Author ORCID Identifier


Corresponding Author

Ratnapriya Chowdhry



The study aimed to assess the parental perception of improvement in prelinguistic skills in children with Autism Spectrum disorder [ASD] after 1 and 2 months of Goal Directed Cognitive Approach. This was assessed by a questionnaire filled by parents of 26 consecutive ASD kids at a neurodevelopmental center. Parents were asked to rate these skills on a Likert scale of 1-5 before and after 1 month and 2 months of GDCA to check for any improvement. 69% of ASD kids were boys. Mean age at presentation was 2.6 years. The children were subjected to GDCA for an average duration of 13.7 months. Of these, 11.5% had seizures and 34.6 % had hyperactivity as a comorbidity. The average duration of sustained eye to eye contact at the time of presentation was 5.96 sec, which improved to 10.3 sec after 1 month ( p-0.0002) and further improved to 12.14 seconds at 2 months (p-0.005). Improvements in turn taking at 1 month( p-0.005) and after 2 months (p-0.002) and purposeful noises after 2 months of GDCA (p-0.003) and imitation after first month of treatment (p-0.0001) were significant. Responding and joint attention did not show any significant change with 2 months of therapy. Therefore, children with autism do improve significantly in eye contact, turn taking, imitation, purposeful noises with 2 months of GDCA. Long term follow up is required to assess responding and joint attention.

Publication Date



Topiwala National Medical College

Conflict of Interest


Word Count


Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.