Influence of Child Sex on Cognitive and Social Skills of Children with Autism Spectrum Disorder Within Thematic-Play and Storytelling Interventions in Lagos
DOI:
https://doi.org/10.65820/ejes-2vol2-issue1-2026Keywords:
Autism Spectrum Disorder, child sex, cognitive skills, social skills, quasi-experimental designAbstract
Purpose: This study investigated the influence of child sex on the cognitive and social skills of children with Autism Spectrum Disorder (ASD) within thematic-play and storytelling intervention strategies in Lagos, Nigeria.
Methodology: The study adopted a pre-test-post-test, control group quasi-experimental design derived from a 3×2×3 factorial framework. A total of 30 children aged 5–10 years with mild to moderate ASD were purposively selected from six special schools across three local government areas in the Lagos-East Senatorial District. Participants were assigned to two experimental groups (thematic-play and storytelling) and a control group (conventional teaching). Data were collected using the Childhood Autism Rating Scale (CARS) and the Cognitive and Social Skill Test (COSST). Hypotheses were tested using Quade’s Analysis of Covariance (ANCOVA) at a 0.05 level of significance.
Results: Findings revealed that child sex had no significant main effect on cognitive skills acquisition among children with ASD. Similarly, no statistically significant effect was found for social skills, although females recorded marginally higher post-test gains. Overall, both male and female participants responded similarly to the intervention strategies.
Novelty and Contribution: This study contributes to the limited body of empirical research in Nigeria by examining sex as a moderator of ASD intervention outcomes. It provides context-specific evidence that challenges assumptions of gender-based differences in cognitive and social development among children with ASD within structured learning environments.
Practical and Social Implications: The findings suggest that educators and practitioners should prioritise individualised and inclusive instructional strategies rather than gender-based expectations when designing interventions for children with ASD. This has implications for curriculum development, teacher training, and inclusive education policies aimed at improving learning and social outcomes for children on the autism spectrum.
References
Al Ghazi, L. (2018). History of autism. The beginnings. Collisions or serendipity. Journal of educational sciences, 38 (2), 5-17. doi:10.35923/jes.2018.2.01
American Psychiatric Association (2013). Autism spectrum disorder. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Publishing. https://www.physio-pedia.com/images/1/1b/Diagnostic_and_statistical_manual_of_mental_disorders_DSM-5_%28_PDFDrive.com_%29.pdf
Ayirebi, K., & Thomas, G. (2024). What could be considered as effective support for autistic females in high school? A systematic literature review. Journal of Research in Special Educational Needs, 24(1), 3–15. (doi.org in Bing)
Chawarska, K., Ye, S., Shic, F., & Chen, L. (2016). Multilevel differences in spontaneous social attention in toddlers with autism spectrum disorder. Child Development, 87(2), 543-557. https://doi.org/10.1111/cdev.12473
Coscini, N. Srinivasan, R., & Skuse, D. (2020). Validating the Developmental and Well-Being Assessment (DAWBA) in a clinical population with high functioning autism [version 1].F1000 Research, 9, 622–. https://doi.org/10.12688/f1000research.24409.1
Cruz, S., Zubizarreta, S. C., Costa, A. D., Araújo, R., Martinho, J., Tubío-Fungueiriño, M., Sampaio, A., Cruz, R., Carracedo, A., & Fernández-Prieto, M. (2025). Is There a Bias Towards Males in the Diagnosis of Autism? A Systematic Review and Meta-Analysis. Neuropsychology Review, 35(1), 153–176. https://doi.org/10.1007/s11065-023-09630-2
de Giambattista, C., Ventura, P., Trerotoli, P., Margari, F., & Margari, L. (2021). Sex differences in autism spectrum disorder: focus on high functioning children and adolescents. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.539835
Dean, M., Harwood, R., & Kasari, C. (2017). The art of camouflage: Gender differences in the social behaviors of girls and boys with autism spectrum disorder. Autism: The International Journal of Research and Practice, 21(6), 678–689. https://doi.org/10.1177/1362361316671845
Denham, S. A. (2019).m63000111115 Emotional competence during childhood and adolescence. In V. LoBue, K. Pérez-Edgar, & K. A. Buss (Eds.), Handbook of emotional development (pp. 493–541). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-030-17332-6_20
Dickerson, A., & Bond, K. T. (2025). Enhancing Sexual Health Education for Autistic Youth: A Scoping Review of Barriers, Gaps, and Solutions. American journal of sexuality education, 10.1080/15546128.2025.2552489. Advance online publication. https://doi.org/10.1080/15546128.2025.2552489
Fuller, E. A. & Kaiser, A. P. (2019). The effects of early intervention on social communication outcomes for children with autism spectrum disorder: A meta-analysis. Journal of Autism and Developmental Disorders, 1-18. https://doi.org/10.1007/s10803-019-03927-z
Gates, J. A., Gerber, A. H., Miller, C. E., & Lerner, M. D. (2023). Quantifying social skill deficits and strengths profiles in autistic youth. Child Development, 94(3), 659–673. https://doi.org/10.1111/cdev.13889
Geelhand, P., Bernard, P., & Klein, O. (2019). The role of gender in the perception of autism symptom severity and future behavioral development. Molecular Autism, 10, 16. https://doi.org/10.1186/s13229-019-0266-4
Georgantopoulou, M. (2023). Gender Differences in Diagnostic Process for Autistic Spectrum Disorder. A Scoping Review; One-year master's thesis 15 credits: Interventions in Childhood. School of Education and Communication (HLK), Jönköping University. http://hj.diva-portal.org/smash/get/diva2:1786371/FULLTEXT01.pdf
Hull, L., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., Petrides, K.V., & Mandy, W. (2019). Gender differences in self-reported camouflaging in autistic and non-autistic adults. Autism. https://doi.org/10.1177/1362361319864804
Lei, J., Lecarie, E., Jurayj, J., Boland, S., Sukhodolsky, D. G., Ventola, P., Pelphrey, K. A., & Jou, R. J. (2019). Altered neural connectivity in females, but not males, with autism: Preliminary evidence for the female protective effect from a quality-controlled diffusion tensor imaging study. Autism Research, 12(10), 1472–1483. https://doi.org/10.1002/aur.2180
Lesi, F. E. A. Adeyemi, Joseph, D. Aina, Olatunji, F., Oshodi, Yewande, Umeh, Charles, Olagunju, Andrew & Oyibo, Wellington. (2014). Autism in Nigeria: A call for action. Journal of Clinical Sciences. 11. 33. 10.4103/1595-9587.146494.
Loomes, R., Hull, L., & Mandy, W.P.L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, doi: 10.1016/j.jaac.2017.03.013
Malone, T. (2022). Biopsychosocial Explanations for Gender Disparities in Autism. https://www.psychiatrictimes.com/view/biopsychosocial-explanations-for-genderdisparities-in-autism
McVey, A. J., Schiltz, H., Haendel, A., Dolan, B. K., Willar, K. S., Pleiss, S., Karst, J. S., Carson, A. M., Caiozzo, C., Vogt, E., & Van Hecke, A. V. (2017). Brief Report: Does Gender Matter in Intervention for ASD? Examining the Impact of the PEERS® Social Skills Intervention on Social Behavior Among Females with ASD. Journal of Autism and Developmental Disorders, 47(7), 2282–2289. https://pubmed.ncbi.nlm.nih.gov/28391452/
Muzammal. M. S. & Jones, E. A. (2017). Social-communication intervention for toddlers with autism spectrum disorder: Effects on initiating joint attention and interactions with mother. Journal of Developmental and Physical Disabilities, 29(2), 203-221. https://doi.org/10.1007/s10882-016-9519-8
Napolitano. A. Schiavi. S. La Rosa. P, et al. (2022) Sex Differences in Autism Spectrum
Disorder: Diagnostic, Neurobiological, and Behavioral Features. Frontiers in
Psychiatry. ;13:889636. DOI: 10.3389/fpsyt.2022.889636. PMID: 35633791; PMCID: PMC9136002. https://pubmed.ncbi.nlm.nih.gov/35633791/
Selvaraj, A., & Christopher, S. (2020). Social skills enhancement in children with autism: A way forward towards inclusive society. Indian Journal of Public Health Research & Development, 11(4), 33–38. https://www.ijsser.org/2024files/ijsser_09__184.pdf
Sohn, E. (2019). Righting the gender imbalance in autism studies: https://www.spectrumnews.org/features/deep-dive/righting-gender-imbalance-autism-studies/#:~:text=In%20one%20study%20of%20autism...higher.
Tierney, S., Burns, J., & Kilbey, E. (2016). Looking behind the mask: Social coping strategies of girls on the autistic spectrum. Research in Autism Spectrum Disorders, 23, 73–83. https://doi.org/10.1016/j.rasd.2015.11.013
Velikonja, T., Fett, A. K., & Velthorst, E. (2019). Patterns of nonsocial and social cognitive functioning in adults with autism spectrum disorder: a systematic review and meta-analysis. JAMA Psychiatry. 76:35–151. doi: 10.1001/jamapsychiatry.2018.3645
Waisman, T. C., Alba, L. A., & Green, S. A. (2022). Barriers to Inclusive Learning for Autistic Individuals. Pediatrics, 149(Suppl 4), e2020049437Q. https://doi.org/10.1542/peds.2020-049437Q
Williams, E., Frazier, K., & Watson, C. A. (2024). Comparing the Social Skills of Male and Female Children with Autism Using FaceSay. Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses. Retrieved from https://scholarworks.uark.edu/rhrcuht/86
Wood-Downie, H., Wong, B., Kovshoff, H., & Cortese, S. (2020). Research review: A systematic review and meta-analysis of sex/gender differences in social interaction and communication in autistic and nonautistic children and adolescents. Journal of Child Psychology and Psychiatry, 62(8), 922–936. https://doi.org/10.1111/jcpp.13337
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Seun Sulaiman Folorunsho, Opeyemi Shoaga, Taiwo Edun (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
This article is licensed under a Creative Commons Attribution 4.0 International License.




