Phonetic discrimination mediates the relationship between auditory brainstem response stability and syntactic performance.

Syntactic, lexical, and phonological/phonetic knowledge are vital aspects of macro level language ability. Prior research has predominantly focused on environmental or cortical sources of individual differences in these areas; however, a growing literature suggests an auditory brainstem contribution to language performance in both typically developing (TD) populations and children with autism spectrum disorder (ASD). This study investigates whether one aspect of auditory brainstem responses (ABRs), neural response stability, which is a metric reflecting trial-by-trial consistency in the neural encoding of sound, can predict syntactic, lexical, and phonetic performance in TD and ASD school-aged children. Pooling across children with ASD and TD, results showed that higher neural stability in response to the syllable /da/ was associated with better phonetic discrimination, and with better syntactic performance on a standardized measure. Furthermore, phonetic discrimination was a successful mediator of the relationship between neural stability and syntactic performance. This study supports the growing body of literature that stable subcortical neural encoding of sound is important for successful language performance.