Deficiency of object-based attention specific to the gaze cue is independent of top-down attentional strategies.

This study investigated whether modes of attentional selection (location-based or object-based) are modulated by the cue type, specifically social cues such as eye gaze and pointing fingers, or by a non-social cue, such as an arrow. Earlier studies have demonstrated that the object-based attention effect was found only with arrow cues when presenting a spatial cue at either end of a rectangle: gaze cues did not yield object-based facilitation. We examined whether this deficiency of object-based attention is generalized to social cues such as pointing fingers. We measured the reaction times to the target at each cued location, an opposite side of a cued location in the same object, or the location in a different object equidistant from the cued location for each cue. Results indicated that only the gaze cue weakened the object-based attention effect, even under the condition of participants' voluntary extension of their attentional focus. The pointing cue induced sufficient object-based facilitation, as did the arrow cue. These results suggest that the deficiency of object-based attention was observed only for the gaze cue, and that it would be caused by a factor that is unique to the gaze cue, which narrows the attentional focus.

Preliminary efficacy of cognitive-behavioral therapy on emotion regulation in adults with autism spectrum disorder: A pilot randomized waitlist-controlled study.

Previous studies have demonstrated the clinical utility of cognitive-behavioral therapy in improving emotion regulation in children on the autism spectrum. However, no studies have elucidated the clinical utility of cognitive-behavioral therapy in improving emotion regulation in autistic adults. The aim of the present pilot study was to explore the preliminary clinical utility of a group-based cognitive-behavioral therapy program designed to address emotion regulation skills in autistic adults. We conducted a clinical trial based on a previously reported protocol; 31 participants were randomly allocated to the intervention group and 29 to the waitlist control group. The intervention group underwent an 8-week program of cognitive-behavioral therapy sessions. Two participants from the intervention group withdrew from the study, leaving 29 participants (93.5%) in the group. Compared with the waitlist group, the cognitive-behavioral therapy group exhibited significantly greater pre-to-post (Week 0-8) intervention score improvements on the attitude scale of the autism spectrum disorder knowledge and attitude quiz (t = 2.21, p = 0.03, d = 0.59) and the difficulty describing feelings scale of the 20-item Toronto Alexithymia Scale (t = -2.07, p = 0.04, d = -0.57) in addition to pre-to-follow-up (Week 0-16) score improvements on the emotion-oriented scale of the Coping Inventory for Stressful Situations (t = -2.14, p = 0.04, d = -0.59). Our study thus provides preliminary evidence of the efficacy of the group-based cognitive-behavioral therapy program on emotion regulation in autistic adults, thereby supporting further evaluation of the effectiveness of the cognitive-behavioral therapy program in the context of a larger randomized clinical trial. However, the modest and inconsistent effects underscore the importance of continued efforts to improve the cognitive-behavioral therapy program beyond current standards.

Intact lip-reading but weaker McGurk effect in individuals with high autistic traits.

A weaker McGurk effect is observed in individuals with autism spectrum disorder (ASD); weaker integration is considered to be the key to understanding how low-order atypical processing leads to their maladaptive social behaviors. However, the mechanism for this weaker McGurk effect has not been fully understood. Here, we investigated (1) whether the weaker McGurk effect in individuals with high autistic traits is caused by poor lip-reading ability and (2) whether the hearing environment modifies the weaker McGurk effect in individuals with high autistic traits. To confirm them, we conducted two analogue studies among university students, based on the dimensional model of ASD. Results showed that individuals with high autistic traits have intact lip-reading ability as well as abilities to listen and recognize audiovisual congruent speech (Experiment 1). Furthermore, a weaker McGurk effect in individuals with high autistic traits, which appear under the without-noise condition, would disappear under the high noise condition (Experiments 1 and 2). Our findings suggest that high background noise might shift weight on the visual cue, thereby increasing the strength of the McGurk effect among individuals with high autistic traits.

Reduced Brain Activation in Response to Social Cognition Tasks in Autism Spectrum Disorder with and without Depression.

PURPOSE: In clinical settings, diagnosing comorbid depression in individuals with autism spectrum disorder (ASD) is often difficult. Neuroimaging studies have reported reduced activation of frontal and temporal regions during emotional face recognition task (EFRT) in ASD and depression. However, to the best of our knowledge, no study has examined differences in frontotemporal activation during EFRT between ASD with and without comorbid depression. We aimed to compare the frontotemporal hemodynamic responses to the EFRT in ASD with and without depression and to find clues to help in discriminating the characteristics between them. PATIENTS AND METHODS: In 24 drug-naïve young adults with ASD (12 with depression [ASD-Dep(+)] and 12 without depression [ASD-Dep(-)]) and 12 with typical development (TD), frontotemporal hemodynamic responses during an EFRT were measured using functional near-infrared spectroscopy (fNIRS). RESULTS: The ASD groups showed reduced activation during EFRT than the TD group in the right ventrolateral prefrontal cortex (VLPFC). Moreover, the ASD-Dep(+) group showed reduced activation during EFRT than the ASD-Dep(-) group in the right anterior temporal cortex (aTC), and reduced activation than the TD group in the left VLPFC. CONCLUSION: The observed results might reflect reduced regional activation in ASD and ASD with comorbid depression.

Ventrolateral prefrontal hemodynamic responses in autism spectrum disorder with and without depression.

In clinical settings, autism spectrum disorder (ASD) with comorbid depression is often difficult to diagnose, and should be considered in treatment. However, to our knowledge, no functional imaging study has examined the difference between ASD adolescents with and without comorbid depression. We aimed to compare the characteristics and prefrontal brain function of ASD with and without depression in order to identify a biological marker that can be used to detect the difference. Twenty-eight drug-naïve adolescents with ASD (14 ASD with and 14 ASD without depression) and 14 age- and gender-matched adolescents with typical development were evaluated using several variables. These included intelligence quotient, autism quotient, depression severity using the Beck Depression Inventory 2nd edition (BDI-II), and level of social functioning using the Social Adaptation Self-evaluation Scale (SASS). In addition, frontotemporal hemodynamic responses during a verbal fluency task (VFT) were measured using functional near-infrared spectroscopy (fNIRS). The ASD group, including both of the ASD with and ASD without depression groups, showed smaller hemodynamic responses than the typical development group in portions of the left dorsolateral prefrontal cortex (DLPFC), bilateral ventrolateral prefrontal cortex (VLPFC) and anterior part of the temporal cortex (aTC) during the VFT. Moreover, the smaller hemodynamic responses in the right VLPFC during the VFT in the ASD group were associated with the worse BDI-II and SASS scores. Furthermore, the ASD with depression group showed smaller hemodynamic responses in the right VLPFC during the VFT than the ASD without depression group in a direct comparison. Adolescents with ASD showed reduced activation in broad frontotemporal regions during a cognitive task compared with those with typical development. More specifically, the right VLPFC activation reflected the level of self-estimated depression and social functioning in the ASD subjects, and could be used to discriminate between ASD adolescents with and without depression.

Narcissism in independent and interdependent cultures.

Narcissism can manifest in a grandiose form - admiration-seeking, exhibitionism, and dominance - or a vulnerable form - anxiety, withdrawal, and hypersensitivity. While grandiose narcissism is conceptually in line with an independent self-construal, as prevalent in Western countries, the vulnerable form can be assumed to relate more to an interdependent self-construal, as prevalent in Eastern countries. We studied both forms of narcissism in Germany and Japan (Ns = 258, 280), which differ fundamentally in their independent and interdependent self-construal, yet are similar regarding global developmental standards. We tested whether (1) mean differences in both narcissism forms would conform to the predominant self-construal, (2) self-construal would explain variance in narcissism beyond broad personality traits, and (3) there would be stronger mental health tradeoffs for culturally incongruent forms of narcissism. Our results largely confirm these expectations for vulnerable narcissism, which is (1) more prevalent in Japan than Germany, (2) related to self-construal beyond broad traits, and, (3) more strongly related to mental health problems in Germany than Japan. For grandiose narcissism, data analyses indicated that construct equivalence can only be assumed for the entitlement factor, and internal structure and nomological networks differ substantially between cultural contexts.

Prevalence of autism spectrum disorder and autistic traits in children with anorexia nervosa and avoidant/restrictive food intake disorder.

BACKGROUND: Autism spectrum disorder (ASD) and feeding and eating disorders (FEDs) such as anorexia nervosa (AN) are strongly linked as evidenced by frequent comorbidity and overlapping traits. However, eating and social behaviors are shaped by culture, so it is critical to examine these associations in different populations. Moreover, FEDs are heterogeneous, and there has been no examination of autistic traits in avoidant/restrictive food intake disorder (ARFID). METHODS: Therefore, we investigated the prevalence of ASD and autistic traits among Japanese children with AN (n = 92) or ARFID (n = 32) from a prospective multicenter cohort study using the Autism Spectrum Quotient Children's version (AQC) and Children's Eating Attitudes Test (ChEAT26). RESULTS: ASD prevalence was high in both AN and ARFID (16.3 and 12.5%, respectively). The AN group exhibited significantly higher scores on all AQC subscales than an age-matched healthy control (HC) group, but there were no significant correlations between AQC scores and ChEAT26 scores. In the AFRID group, AQC scores did not differ from HCs, but significant correlations were found between total AQC and ChEAT26 scores and between several AQC and ChEAT26 subscales. CONCLUSIONS: Both the AN and ARFID groups had high prevalence rates of ASD. The AN group showed a significantly higher degree of autistic traits than the HC group; however, no difference was found between the ARFID and HC groups. Clinicians need to be aware of these rates when working with children with ED.

The HEXACO-100 Across 16 Languages: A Large-Scale Test of Measurement Invariance.

The HEXACO Personality Inventory-Revised (HEXACO-PI-R) has become one of the most heavily applied measurement tools for the assessment of basic personality traits. Correspondingly, the inventory has been translated to many languages for use in cross-cultural research. However, formal tests examining whether the different language versions of the HEXACO-PI-R provide equivalent measures of the 6 personality dimensions are missing. We provide a large-scale test of measurement invariance of the 100-item version of the HEXACO-PI-R across 16 languages spoken in European and Asian countries (N = 30,484). Multigroup exploratory structural equation modeling and confirmatory factor analyses revealed consistent support for configural and metric invariance, thus implying that the factor structure of the HEXACO dimensions as well as the meaning of the latent HEXACO factors is comparable across languages. However, analyses did not show overall support for scalar invariance; that is, equivalence of facet intercepts. A complementary alignment analysis supported this pattern, but also revealed substantial heterogeneity in the level of (non)invariance across facets and factors. Overall, results imply that the HEXACO-PI-R provides largely comparable measurement of the HEXACO dimensions, although the lack of scalar invariance highlights the necessity for future research clarifying the interpretation of mean-level trait differences across countries.

A cross-cultural study of autistic traits across India, Japan and the UK.

Background: There is a global need for brief screening instruments that can identify key indicators for autism to support frontline professionals in their referral decision-making. Although a universal set of conditions, there may be subtle differences in expression, identification and reporting of autistic traits across cultures. In order to assess the potential for any measure for cross-cultural screening use, it is important to understand the relative performance of such measures in different cultures. Our study aimed to identify the items on the Autism Spectrum Quotient (AQ)-Child that are most predictive of an autism diagnosis among children aged 4-9 years across samples from India, Japan and the UK. Methods: We analysed parent-reported AQ-Child data from India (73 children with an autism diagnosis and 81 neurotypical children), Japan (116 children with autism and 190 neurotypical children) and the UK (488 children with autism and 532 neurotypical children). None of the children had a reported existing diagnosis of intellectual disability. Discrimination indices (DI) and positive predictive values (PPV) were used to identify the most predictive items in each country. Results: Sixteen items in the Indian sample, 15 items in the Japanese sample and 28 items in the UK sample demonstrated excellent discriminatory power (DI ≥ 0.5 and PPV ≥ 0.7), suggesting these items represent the strongest indicators for predicting an autism diagnosis within these countries. Across cultures, good performing items were largely overlapping, with five key indicator items appearing across all three countries (can easily keep track of several different people's conversations, enjoys social chit-chat, knows how to tell if someone listening to him/her is getting bored, good at social chit-chat, finds it difficult to work out people's intentions). Four items indicated potential cultural differences. One item was highly discriminative in Japan but poorly discriminative (DI < 0.3) in the UK and India, and a further item had excellent discrimination properties in the UK but poorly discriminated in the Indian and Japanese samples. Two additional items were highly discriminative in two cultures but poor in the third. Conclusions: Cross-cultural overlap in the items most predictive of an autism diagnosis supports the general notion of universality in autistic traits whilst also highlighting that there can be cultural differences associated with certain autistic traits. These findings have the potential to inform the development of a brief global screening tool for autism. Further development and evaluation work is needed.

Individual differences and the effect of face configuration information in the McGurk effect.

The McGurk effect, which denotes the influence of visual information on audiovisual speech perception, is less frequently observed in individuals with autism spectrum disorder (ASD) compared to those without it; the reason for this remains unclear. Several studies have suggested that facial configuration context might play a role in this difference. More specifically, people with ASD show a local processing bias for faces-that is, they process global face information to a lesser extent. This study examined the role of facial configuration context in the McGurk effect in 46 healthy students. Adopting an analogue approach using the Autism-Spectrum Quotient (AQ), we sought to determine whether this facial configuration context is crucial to previously observed reductions in the McGurk effect in people with ASD. Lip-reading and audiovisual syllable identification tasks were assessed via presentation of upright normal, inverted normal, upright Thatcher-type, and inverted Thatcher-type faces. When the Thatcher-type face was presented, perceivers were found to be sensitive to the misoriented facial characteristics, causing them to perceive a weaker McGurk effect than when the normal face was presented (this is known as the McThatcher effect). Additionally, the McGurk effect was weaker in individuals with high AQ scores than in those with low AQ scores in the incongruent audiovisual condition, regardless of their ability to read lips or process facial configuration contexts. Our findings, therefore, do not support the assumption that individuals with ASD show a weaker McGurk effect due to a difficulty in processing facial configuration context.

The relationship between level of autistic traits and local bias in the context of the McGurk effect.

The McGurk effect is a well-known illustration that demonstrates the influence of visual information on hearing in the context of speech perception. Some studies have reported that individuals with autism spectrum disorder (ASD) display abnormal processing of audio-visual speech integration, while other studies showed contradictory results. Based on the dimensional model of ASD, we administered two analog studies to examine the link between level of autistic traits, as assessed by the Autism Spectrum Quotient (AQ), and the McGurk effect among a sample of university students. In the first experiment, we found that autistic traits correlated negatively with fused (McGurk) responses. Then, we manipulated presentation types of visual stimuli to examine whether the local bias toward visual speech cues modulated individual differences in the McGurk effect. The presentation included four types of visual images, comprising no image, mouth only, mouth and eyes, and full face. The results revealed that global facial information facilitates the influence of visual speech cues on McGurk stimuli. Moreover, individual differences between groups with low and high levels of autistic traits appeared when the full-face visual speech cue with an incongruent voice condition was presented. These results suggest that individual differences in the McGurk effect might be due to a weak ability to process global facial information in individuals with high levels of autistic traits.

How are autism and schizotypy related? Evidence from a non-clinical population.

Both autism spectrum conditions (ASCs) and schizophrenia spectrum conditions (SSCs) involve altered or impaired social and communicative functioning, but whether these shared features indicate overlapping or different etiological factors is unknown. We outline three hypotheses (overlapping, independent, and diametric) for the possible relationship between ASCs and SSCs, and compare their predictions for the expected relationships between autistic and schizotypal phenotypes using the Autism Spectrum Quotient and the Schizotypal Personality Questionnaire-Brief Revised from a large non-clinical sample of undergraduate students. Consistent with previous research, autistic features were positively associated with several schizotypal features, with the most overlap occurring between interpersonal schizotypy and autistic social and communication phenotypes. The first component of a principal components analysis (PCA) of subscale scores reflected these positive correlations, and suggested the presence of an axis (PC1) representing general social interest and aptitude. By contrast, the second principal component (PC2) exhibited a pattern of positive and negative loadings indicative of an axis from autism to positive schizotypy, such that positive schizotypal features loaded in the opposite direction to core autistic features. These overall PCA patterns were replicated in a second data set from a Japanese population. To evaluate the validity of our interpretation of the PCA results, we measured handedness and mental rotation ability, as these are established correlates of SSCs and ASCs, respectively. PC2 scores were significantly associated with hand preference, such that increasingly 'schizotypal' scores predicted reduced strength of handedness, which is consistent with previous research. PC1 scores were positively related to performance on the mental rotation task, suggesting trade-offs between social skills and visual-spatial ability. These results provide novel evidence for an autism-positive schizotypy axis, and highlight the importance of recognizing that psychological variation involving reduced social interest and functioning may have diverse causes.

The correlation between brain gray matter volume and empathizing and systemizing quotients in healthy children.

The abilities to empathize and to systemize, two fundamental dimensions of cognitive style, are characterized by apparent individual differences. These abilities are typically measured using an empathizing quotient (EQ) and a systemizing quotient (SQ) questionnaire, respectively. The purpose of this study was to reveal any correlations between EQ and SQ scores and regional gray matter volumes in healthy children by applying voxel-based morphometry to magnetic resonance images. We collected MRIs of brain structure and administered children's versions of the EQ and SQ questionnaires (EQ-C and SQ-C, respectively) to 261 healthy children aged 5-15 years. Structural MRI data were segmented, normalized, and smoothed using an optimized voxel-based morphometric analysis. Next, we analyzed the correlation between regional gray matter volume and EQ-C and SQ-C scores adjusting for age, sex, and intracranial volume. The EQ-C scores showed significant positive correlations with the regional gray matter volumes of the left fronto-opercular and superior temporal cortices, including the precentral gyrus, the inferior frontal gyrus, the superior temporal gyrus, and the insula, which are functionally related to empathic processing. Additionally, SQ-C scores showed a significant negative correlation with the regional gray matter volume of the left posterior parietal cortex, which is functionally involved in selective attention processing. Our findings suggest that individual differences in cognitive style pertaining to empathizing or systemizing abilities could be explained by differences in the volume of brain structures that are functionally relevant to empathizing and systemizing.

History of thoracoscopic surgery in Japan and the world.

PURPOSE: The aim of this study was to review articles to learn how current thoracoscopic surgery was developed to the present status. MATERIALS AND METHODS: The Internet literature search engines PubMed and Index Medicus were used to search for the published articles. Interpretation of the articles was reflected in the reviewer's personal experience, who was closely associated with the developmental history. RESULTS: Altogether, 49 articles were selected and reviewed. CONCLUSIONS: A variety of applications of thoracoscopy have been developed. It remains the major surgical technique in thoracic surgery.

Sex differences in the relationship between cortisol levels and the Empathy and Systemizing Quotients in humans.

OBJECTIVE: Little is known regarding the relationship between cortisol (a stress hormone) levels and psychological cognitive styles. Baron-Cohen proposed two fundamental cognitive styles, which are measured by the Empathy Quotient (EQ) and the Systemizng Quotient (SQ). Previous studies have examined the influences of prenatal testosterone exposure on EQ and SQ scores. This study aimed to examine the relationships between morning cortisol levels and EQ and SQ scores, and the 'brain types' which were determined by two quotients in both sexes. These relationships are potentially important in the developmental psychopathology of autism and neuroeconomics of empathy. METHODS: We assessed morning cortisol levels with LC/MS (liquid chromatography-mass spectrometry) and ESQ in healthy male and female university students. CONCLUSIONS: Results indicate clear sex differences between brain types: i.e. E-type males and S-type females (participants with atypical cognitive styles) have significantly higher cortisol levels than S-type males and E-type females (participants with typical cognitive styles). Implications for the role of sex in social adaptation of autistic patients are discussed.

[Autism-spectrum quotient (AQ) Japanese children's version " comparison between high-functioning children with autism spectrum disorders and normal controls].

The Autism-Spectrum Quotient (AQ) children's version has confirmed reliability and validity in the UK. In the current study, the children's AQ was administered in Japan to investigate whether the UK results are found in a very different culture. Two groups of children from primary and secondary schools were assessed: Group 1 (n = 81) children with Autism Spectrum Disorders (ASD, including Asperger Syndrome and high-functioning autism); Group 2 (n = 372) randomly selected controls, age-matched with Group 1. The children with ASD had a mean AQ score of 31.9 (SD = 6.69), which was significantly higher than controls (mean AQ = 11.7, SD = 5.94). Males scored significantly higher than females in the control group, but not in the ASD group. The pattern of difference between the Japanese clinical group and the control group was remarkably similar to the findings in the UK.

The autism-spectrum quotient (AQ) children's version in Japan: a cross-cultural comparison.

In the current study, the child AQ was administered in Japan, to examine whether the UK results for reliability and validity generalize to a different culture. Assessment groups were: Group 1: n = 81 children with Asperger Syndrome (AS) or high-functioning autism (HFA); Group 2: n = 22 children diagnosed PDD-NOS with average IQ; and Group 3: n = 372 randomly selected controls from primary and secondary schools. Both clinical groups scored significantly higher than controls (AS/HFA mean AQ = 31.9, SD = 6.93; PDD-NOS mean AQ = 28.0, SD = 6.88; controls mean AQ = 11.7, SD = 5.94). Among the controls, males scored significantly higher than females. The pattern of difference between clinical groups and controls was found to be similar in both countries.

Empathizing and systemizing in adults with and without autism spectrum conditions: cross-cultural stability.

UNLABELLED: This study tests the empathizing-systemizing (E-S) theory of sex differences and the extreme male brain (EMB) theory of autism. Three groups of participants took part: n = 48 people with autism spectrum, n = 137 general population controls, and n = 1,250 university student controls. Each participant completed the Empathy Quotient (EQ) and the Systemizing Quotient (SQ). RESULTS: The autism spectrum condition (ASC) group scored significantly lower than controls on the EQ, and significantly higher on the SQ. Among both control groups, females scored significantly higher than males on the EQ, whilst males scored significantly higher than females on the SQ. The distribution of 'brain types', based on the difference between EQ and SQ scores, showed distinct profiles for people with ASC, control males and control females.

[Individual and gender differences in Empathizing and Systemizing: measurement of individual differences by the Empathy Quotient (EQ) and the Systemizing Quotient (SQ)].

Empathizing is a drive to identify another person's emotions and thoughts and respond to them appropriately. Systemizing is a drive to analyze systems or construct systems. The Empathizing-Systemizing (E-S) model suggests that these are major dimensions in which individuals differ from each other, and women being superior in empathizing and men in systemizing. In this study, we examined new questionnaires, the Empathy Quotient (EQ) and the Systemizing Quotient (SQ). Participants were 1 250 students, 616 men and 634 women, from eight universities, who completed both the EQ and SQ. Results showed that women scored higher than men on the EQ, and the result was reversed on the SQ. Results also showed that humanities majors scored higher than sciences majors on the EQ, and again the result was reversed on the SQ. The results were discussed in relation to the E-S theory of gender differences.

'Autistic' traits in non-autistic Japanese populations: relationships with personality traits and cognitive ability.

We explored the relationships between 'autistic' traits as measured by the AQ (Autism-Spectrum Quotient; Baron-Cohen et al., J. Autism Develop. Disord. (2001b) 31 5) and various personality traits or cognitive ability, which usually coincide with autistic symptoms, for general populations. Results showed the AQ was associated with tendencies toward an obsessional personality as defined by the TCI (Temperament and Character Inventory), higher depression and anxiety, and higher frequency of experience of being bullied. These results parallel the patterns in autism and corroborate the validity of the AQ for general populations. Contrary to our prediction, however, there was no relationship between the AQ and cognitive ability, such as theory of mind, executive functioning, and central coherence, suggesting the AQ does not reflect autism-specific cognitive patterns in general populations.