Interaction between central and peripheral vision: Influence of distance and spatial frequencies.

Visual scene perception is based on reciprocal interactions between central and peripheral information. Such interactions are commonly investigated through the semantic congruence effect, which usually reveals a congruence effect of central vision on peripheral vision as strong as the reverse. The aim of the present study was to further investigate the mechanisms underlying central-peripheral visual interactions using a central-peripheral congruence paradigm through three behavioral experiments. We presented simultaneously a central and a peripheral stimulus, that could be either semantically congruent or incongruent. To assess the congruence effect of central vision on peripheral vision, participants had to categorize the peripheral target stimulus while ignoring the central distractor stimulus. To assess the congruence effect of the peripheral vision on central vision, they had to categorize the central target stimulus while ignoring the peripheral distractor stimulus. Experiment 1 revealed that the physical distance between central and peripheral stimuli influences central-peripheral visual interactions: Congruence effect of central vision is stronger when the distance between the target and the distractor is the shortest. Experiments 2 and 3 revealed that the spatial frequency content of distractors also influence central-peripheral interactions: Congruence effect of central vision is observed only when the distractor contained high spatial frequencies while congruence effect of peripheral vision is observed only when the distractor contained low spatial frequencies. These results raise the question of how these influences are exerted (bottom-up vs. top-down) and are discussed based on the retinocortical properties of the visual system and the predictive brain hypothesis.

Radial bias in face identification.

Human vision in the periphery is most accurate for stimuli that point towards the fovea. This so-called radial bias has been linked with the organization and spatial selectivity of neurons at the lowest levels of the visual system, from retinal ganglion cells onwards. Despite evidence that the human visual system is radially biased, it is not yet known whether this bias persists at higher levels of processing, or whether high-level representations are invariant to this low-level orientation bias. We used the case of face identity recognition to address this question. The specialized high-level mechanisms that support efficient face recognition are highly dependent on horizontally oriented information, which convey the most useful identity cues in the fovea. We show that face selective mechanisms are more sensitive on the horizontal meridian (to the left and right of fixation) compared to the vertical meridian (above and below fixation), suggesting that the horizontal cues in the face are better extracted on the horizontal meridian, where they align with the radial bias. The results demonstrate that the radial bias is maintained at high-level recognition stages and emphasize the importance of accounting for the radial bias in future investigation of visual recognition processes in peripheral vision.

Impact of glaucoma on the spatial frequency processing of scenes in central vision.

Glaucoma is an eye disease characterized by a progressive vision loss usually starting in peripheral vision. However, a deficit for scene categorization is observed even in the preserved central vision of patients with glaucoma. We assessed the processing and integration of spatial frequencies in the central vision of patients with glaucoma during scene categorization, considering the severity of the disease, in comparison to age-matched controls. In the first session, participants had to categorize scenes filtered in low-spatial frequencies (LSFs) and high-spatial frequencies (HSFs) as a natural or an artificial scene. Results showed that the processing of spatial frequencies was impaired only for patients with severe glaucoma, in particular for HFS scenes. In the light of proactive models of visual perception, we investigated how LSF could guide the processing of HSF in a second session. We presented hybrid scenes (combining LSF and HSF from two scenes belonging to the same or different semantic category). Participants had to categorize the scene filtered in HSF while ignoring the scene filtered in LSF. Surprisingly, results showed that the semantic influence of LSF on HSF was greater for patients with early glaucoma than controls, and then disappeared for the severe cases. This study shows that a progressive destruction of retinal ganglion cells affects the spatial frequency processing in central vision. This deficit may, however, be compensated by increased reliance on predictive mechanisms at early stages of the disease which would however decline in more severe cases.

Semantic and Physical Properties of Peripheral Vision Are Used for Scene Categorization in Central Vision.

Theories of visual recognition postulate that our ability to understand our visual environment at a glance is based on the extraction of the gist of the visual scene, a first global and rudimentary visual representation. Gist perception would be based on the rapid analysis of low spatial frequencies in the visual signal and would allow a coarse categorization of the scene. We aimed to study whether the low spatial resolution information available in peripheral vision could modulate the processing of visual information presented in central vision. We combined behavioral measures (Experiments 1 and 2) and fMRI measures (Experiment 2). Participants categorized a scene presented in central vision (artificial vs. natural categories) while ignoring another scene, either semantically congruent or incongruent, presented in peripheral vision. The two scenes could either share the same physical properties (similar amplitude spectrum and spatial configuration) or not. Categorization of the central scene was impaired by a semantically incongruent peripheral scene, in particular when the two scenes were physically similar. This semantic interference effect was associated with increased activation of the inferior frontal gyrus. When the two scenes were semantically congruent, the dissimilarity of their physical properties impaired the categorization of the central scene. This effect was associated with increased activation in occipito-temporal areas. In line with the hypothesis of predictive mechanisms involved in visual recognition, results suggest that semantic and physical properties of the information coming from peripheral vision would be automatically used to generate predictions that guide the processing of signal in central vision.

Isolated face features are sufficient to elicit ultra-rapid and involuntary orienting responses toward faces.

Previous studies have shown that face stimuli influence the programming of eye movements by eliciting involuntary and extremely fast saccades toward them. The present study examined whether holistic processing of faces mediates these effects. We used a saccadic choice task in which participants were presented simultaneously with two images and had to perform a saccade toward the one containing a target stimulus (e.g., a face). Across three experiments, stimuli were altered via upside-down inversion (Experiment 1) or scrambling of thumbnails within the images (Experiments 2 and 3) in order to disrupt holistic processing. We found that disruption of holistic processing only had a limited impact on the latency of saccades toward face targets, which remained extremely short (minimum saccadic reaction times of only ∼120-130 ms), and did not affect the proportion of error saccades toward face distractors that captured attention more than other distractor categories. It, however, resulted in increasing error rate of saccades toward face targets. These results suggest that the processing of isolated face features is sufficient to elicit extremely fast and involuntary saccadic responses toward them. Holistic representations of faces may, however, be used as a search template to accurately detect faces.

Influence of peripheral vision on object categorization in central vision.

Predictive models of visual recognition state that predictions based on the rapid processing of low spatial frequencies (LSF) may guide the subsequent processing of high spatial frequencies (HSF). While the HSF signal necessarily comes from central vision, most of the LSF signal comes from peripheral vision. The present study aimed at understanding how LSF in peripheral vision may be used to generate predictive signals that guide visual processes in central vision. In two experiments, participants performed an object categorization task in central vision while a semantically congruent or incongruent scene background was displayed in peripheral vision. In Experiment 1, results showed a congruence effect when the peripheral scene was displayed before the object onset. In Experiment 2, results showed a congruence effect only when the peripheral scene was intact, thus carrying a semantic meaning, but not when it was phase-scrambled, thus carrying only low-level information. The study suggests that the low resolution of peripheral vision facilitates the processing of foveated objects in the visual scene, in line with predictive models of visual recognition.

Track-weighted imaging for neuroretina: Evaluations in healthy volunteers and ischemic optic neuropathy.

BACKGROUND: The use of MRI-tractography to explore the human neuroretina is yet to be reported. Track-weighted imaging (TWI) was recently introduced as a qualitative tractography-based method with high anatomical contrast. PURPOSE: To explore the human retina in healthy volunteers and patients with anterior ischemic optic neuropathy (AION) using TWI reconstructions. STUDY TYPE: Prospective. POPULATION: Twenty AION patients compared with 20 healthy volunteers. FIELD STRENGTH/SEQUENCE: 3.0T MRI diffusion-weighted imaging (DWI) with b-value of 1000 s/mm2 and 60 diffusion-weighting noncollinear directions. ASSESSMENT: We performed constrained spherical deconvolution from the diffusion-weighted signal and volumetric tractography method, whereby 10 million streamlines are initiated from seed points randomly distributed throughout the orbital area. We then reconstructed TWI maps with isotropic voxel size of 300 µm. STATISTICAL TESTS: We tested the effect of the number of diffusion-weighting directions, ocular laterality, and ocular dominance on healthy retinal fascicles distribution. We then performed factorial analysis of variance to test the effects of the presence/absence of the fascicles on the visual field defect in patients. RESULTS: In healthy volunteers, we found more temporal fascicle in right eyes (P = 0.001), more superior fascicles in dominant eyes (P = 0.014), and fewer fascicles with tractography maps based on 30 directions than those based on 45 directions (P = 9 × 10-8 ) and 60 directions (P = 6 × 10-7 ). Eight out of 20 AION patients presented with complete absence of neuroretinal fascicle, side of the disease, which was correlated with visual field mean deviation at the 6-month visit [F(1,17) = 6.97, P = 0.016]. Seven patients presented with a temporal fascicle in the injured eye; this fascicle presence was linked to visual field mean deviation at the 6-month visit [F(1,17) = 8.43, P = 0.009]. DATA CONCLUSION: In AION patients, the presence of the temporal neuroretinal fascicle in the affected eye provides an objective outcome radiological sign correlated with visual performance. LEVEL OF EVIDENCE: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018.

Age-related macular degeneration changes the processing of visual scenes in the brain.

In age-related macular degeneration (AMD), the processing of fine details in a visual scene, based on a high spatial frequency processing, is impaired, while the processing of global shapes, based on a low spatial frequency processing, is relatively well preserved. The present fMRI study aimed to investigate the residual abilities and functional brain changes of spatial frequency processing in visual scenes in AMD patients. AMD patients and normally sighted elderly participants performed a categorization task using large black and white photographs of scenes (indoors vs. outdoors) filtered in low and high spatial frequencies, and nonfiltered. The study also explored the effect of luminance contrast on the processing of high spatial frequencies. The contrast across scenes was either unmodified or equalized using a root-mean-square contrast normalization in order to increase contrast in high-pass filtered scenes. Performance was lower for high-pass filtered scenes than for low-pass and nonfiltered scenes, for both AMD patients and controls. The deficit for processing high spatial frequencies was more pronounced in AMD patients than in controls and was associated with lower activity for patients than controls not only in the occipital areas dedicated to central and peripheral visual fields but also in a distant cerebral region specialized for scene perception, the parahippocampal place area. Increasing the contrast improved the processing of high spatial frequency content and spurred activation of the occipital cortex for AMD patients. These findings may lead to new perspectives for rehabilitation procedures for AMD patients.

The Neural Bases of the Semantic Interference of Spatial Frequency-based Information in Scenes.

Current models of visual perception suggest that during scene categorization, low spatial frequencies (LSF) are processed rapidly and activate plausible interpretations of visual input. This coarse analysis would then be used to guide subsequent processing of high spatial frequencies (HSF). The present fMRI study examined how processing of LSF may influence that of HSF by investigating the neural bases of the semantic interference effect. We used hybrid scenes as stimuli by combining LSF and HSF from two different scenes, and participants had to categorize the HSF scene. Categorization was impaired when LSF and HSF scenes were semantically dissimilar, suggesting that the LSF scene was processed automatically and interfered with categorization of the HSF scene. fMRI results revealed that this semantic interference effect was associated with increased activation in the inferior frontal gyrus, the superior parietal lobules, and the fusiform and parahippocampal gyri. Furthermore, a connectivity analysis (psychophysiological interaction) revealed that the semantic interference effect resulted in increasing connectivity between the right fusiform and the right inferior frontal gyri. Results support influential models suggesting that, during scene categorization, LSF information is processed rapidly in the pFC and activates plausible interpretations of the scene category. These coarse predictions would then initiate top-down influences on recognition-related areas of the inferotemporal cortex, and these could interfere with the categorization of HSF information in case of semantic dissimilarity to LSF.

Spatial frequency processing in scene-selective cortical regions.

Visual analysis begins with the parallel extraction of different attributes at different spatial frequencies. Low spatial frequencies (LSF) convey coarse information and are characterized by high luminance contrast, while high spatial frequencies (HSF) convey fine details and are characterized by low luminance contrast. In the present fMRI study, we examined how scene-selective regions-the parahippocampal place area (PPA), the retrosplenial cortex (RSC) and the occipital place area (OPA)-responded to spatial frequencies when contrast was either equalized or not equalized across spatial frequencies. Participants performed a categorization task on LSF, HSF and non-filtered scenes belonging to two different categories (indoors and outdoors). We either left contrast across scenes untouched, or equalized it using a root-mean-square contrast normalization. We found that when contrast remained unmodified, LSF and NF scenes elicited greater activation than HSF scenes in the PPA. However, when contrast was equalized across spatial frequencies, the PPA was selective to HFS. This suggests that PPA activity relies on an interaction between spatial frequency and contrast in scenes. In the RSC, LSF and NF elicited greater response than HSF scenes when contrast was not modified, while no effect of spatial frequencies appeared when contrast was equalized across filtered scenes, suggesting that the RSC is sensitive to high-contrast information. Finally, we observed selective activation of the OPA in response to HSF, irrespective of contrast manipulation. These results provide new insights into how scene-selective areas operate during scene processing.

Effective connectivity in the neural network underlying coarse-to-fine categorization of visual scenes. A dynamic causal modeling study.

According to current models of visual perception scenes are processed in terms of spatial frequencies following a predominantly coarse-to-fine processing sequence. Low spatial frequencies (LSF) reach high-order areas rapidly in order to activate plausible interpretations of the visual input. This triggers top-down facilitation that guides subsequent processing of high spatial frequencies (HSF) in lower-level areas such as the inferotemporal and occipital cortices. However, dynamic interactions underlying top-down influences on the occipital cortex have never been systematically investigated. The present fMRI study aimed to further explore the neural bases and effective connectivity underlying coarse-to-fine processing of scenes, particularly the role of the occipital cortex. We used sequences of six filtered scenes as stimuli depicting coarse-to-fine or fine-to-coarse processing of scenes. Participants performed a categorization task on these stimuli (indoor vs. outdoor). Firstly, we showed that coarse-to-fine (compared to fine-to-coarse) sequences elicited stronger activation in the inferior frontal gyrus (in the orbitofrontal cortex), the inferotemporal cortex (in the fusiform and parahippocampal gyri), and the occipital cortex (in the cuneus). Dynamic causal modeling (DCM) was then used to infer effective connectivity between these regions. DCM results revealed that coarse-to-fine processing resulted in increased connectivity from the occipital cortex to the inferior frontal gyrus and from the inferior frontal gyrus to the inferotemporal cortex. Critically, we also observed an increase in connectivity strength from the inferior frontal gyrus to the occipital cortex, suggesting that top-down influences from frontal areas may guide processing of incoming signals. The present results support current models of visual perception and refine them by emphasizing the role of the occipital cortex as a cortical site for feedback projections in the neural network underlying coarse-to-fine processing of scenes.

Coarse-to-fine categorization of visual scenes in scene-selective cortex.

Neurophysiological, behavioral, and computational data indicate that visual analysis may start with the parallel extraction of different elementary attributes at different spatial frequencies and follows a predominantly coarse-to-fine (CtF) processing sequence (low spatial frequencies [LSF] are extracted first, followed by high spatial frequencies [HSF]). Evidence for CtF processing within scene-selective cortical regions is, however, still lacking. In the present fMRI study, we tested whether such processing occurs in three scene-selective cortical regions: the parahippocampal place area (PPA), the retrosplenial cortex, and the occipital place area. Fourteen participants were subjected to functional scans during which they performed a categorization task of indoor versus outdoor scenes using dynamic scene stimuli. Dynamic scenes were composed of six filtered images of the same scene, from LSF to HSF or from HSF to LSF, allowing us to mimic a CtF or the reverse fine-to-coarse (FtC) sequence. Results showed that only the PPA was more activated for CtF than FtC sequences. Equivalent activations were observed for both sequences in the retrosplenial cortex and occipital place area. This study suggests for the first time that CtF sequence processing constitutes the predominant strategy for scene categorization in the PPA.

Neural correlates underlying local and global processing during visual search across adulthood.

Visual processing relies on the identification of both local and global features of visual stimuli. While well investigated at the behavioral level, the underlying brain mechanisms are less clear, especially in the context of aging. Using fMRI, we aimed to investigate the neural correlates underlying local and global processing in early and late adulthood. We recruited 77 healthy adults aged 19-77 who completed a visual search task based on 2-level hierarchical stimuli made of squares and/or circles. Participants were instructed to detect a target (a square) at either a local (small) or global (large) level of a hierarchical geometrical form, in the presence or absence of other hierarchical geometrical forms (distractors). At the behavioral level, we revealed high accuracy for all participants, but older participants were slower to detect local targets, specifically in presence of distractors. At the brain level, while both local and global processing were associated with occipital activation, local processing also recruited the anterior insula and dorsal anterior cingulate cortex, that are core regions of the salience network. However, while the presence of distractors in the local condition elicited specifically stronger activation within the right anterior insula for the young group, it was not observed for older participants. In addition, older participants showed less activation than younger participants in the occipital cortex, especially for the most complex conditions. Our findings suggest that the brain correlates underlying local and global processing change with aging, especially for complex visual patterns. These results are discussed in terms of top-down reduction effects from the salience network on primary visual areas, that may lead to specific difficulties to process local visual details in older adults.

Retinotopic and lateralized processing of spatial frequencies in human visual cortex during scene categorization.

Using large natural scenes filtered in spatial frequencies, we aimed to demonstrate that spatial frequency processing could not only be retinotopically mapped but could also be lateralized in both hemispheres. For this purpose, participants performed a categorization task using large black and white photographs of natural scenes (indoors vs. outdoors, with a visual angle of 24° × 18°) filtered in low spatial frequencies (LSF), high spatial frequencies (HSF), and nonfiltered scenes, in block-designed fMRI recording sessions. At the group level, the comparison between the spatial frequency content of scenes revealed first that, compared with HSF, LSF scene categorization elicited activation in the anterior half of the calcarine fissures linked to the peripheral visual field, whereas, compared with LSF, HSF scene categorization elicited activation in the posterior part of the occipital lobes, which are linked to the fovea, according to the retinotopic property of visual areas. At the individual level, functional activations projected on retinotopic maps revealed that LSF processing was mapped in the anterior part of V1, whereas HSF processing was mapped in the posterior and ventral part of V2, V3, and V4. Moreover, at the group level, direct interhemispheric comparisons performed on the same fMRI data highlighted a right-sided occipito-temporal predominance for LSF processing and a left-sided temporal cortex predominance for HSF processing, in accordance with hemispheric specialization theories. By using suitable method of analysis on the same data, our results enabled us to demonstrate for the first time that spatial frequencies processing is mapped retinotopically and lateralized in human occipital cortex.

An FMRI investigation of the cortical network underlying detection and categorization abilities in hemianopic patients.

The current study aims to investigate visual scene perception and its neuro-anatomical correlates for stimuli presented in the central visual field of patients with homonymous hemianopia, and thereby to assess the effect of a right or a left occipital lesion on brain reorganization. Fourteen healthy participants, three left brain damaged (LBD) patients with right homonymous hemianopia and five right brain damaged (RBD) patients with left homonymous hemianopia performed a visual detection task (i.e. "Is there an image on the screen?") and a categorization task (i.e. "Is it an image of a highway or a city?") during a block-designed functional magnetic resonance imaging recording session. Cerebral activity analyses of the posterior areas-the occipital lobe in particular-highlighted bi-hemispheric activation during the detection task but more lateralized, left occipital lobe activation during the categorization task in healthy participants. Conversely, in patients, the same network of activity was observed in both tasks. However, LBD patients showed a predominant activation in their right hemisphere (occipital lobe and posterior temporal areas) whereas RBD patients showed a more bilateral activation (in the occipital lobes). Overall, our preliminary findings suggest a specific pattern of cerebral activation depending on the task instruction in healthy participants and cerebral reorganization of the posterior areas following brain injury in hemianopic patients which could depend upon the side of the occipital lesion.

Subjective perception of objects depends on the interaction between the validity of context-based expectations and signal reliability.

Predictive coding theories of visual perception assume that expectations based on prior knowledge modulate the processing of information. However, the underlying mechanisms remain debated. Some accounts propose that expectations enhance the perception of expected relative to unexpected stimuli while others assume the opposite. Recently, the opposing process theory suggested that enhanced perception of expected vs. unexpected stimuli may occur alternatively depending upon the reliability of the visual signal. When the signal is noisy, perception would be biassed toward what is expected since anything else may be too noisy to be resolved. When the signal is unambiguous, perception would be biassed toward what diverges from expectations and is more informative. Our study tested this hypothesis, using a perceptual matching task to investigate the influence of expectations on the perceived sharpness of objects in context. Participants saw two blurred images depicting the same object and had to adjust the blur level of one object to match the blur level of the other one. We manipulated the validity of expectations about objects by varying their scene context (congruent or incongruent context leading to valid or invalid expectations about the object). We also manipulated the reliability of the visual signal by varying the initial blur level of object pairs. Results showed that expectations validity differentially affected the perception of objects depending on signal reliability. Perception of validly expected objects was enhanced (sharpened) relative to unexpected objects when visual inputs were unreliable while this effect reversed to the benefit of unexpected objects when the signal was more reliable.

Does alcohol automatically capture drinkers' attention? Exploration through an eye-tracking saccadic choice task.

RATIONALE: Dominant theoretical models postulate the presence of an automatic attentional bias (AB) towards alcohol-related stimuli in alcohol use disorder, such AB constituting a core feature of this disorder. An early alcohol AB has been documented in subclinical populations such as binge drinking (i.e., a drinking pattern prevalent in youth and characterized by repeated alternation between alcohol intoxications and withdrawals, generating cerebral consequences). However, the automatic nature of AB remains to be established. OBJECTIVES: We investigated the automatic nature of AB in binge drinkers through the saccadic choice task. This eye-tracking paradigm consistently highlights the extremely fast and involuntary saccadic responses elicited by faces in humans, relative to other object categories. Through an alcohol-related adaptation of the saccadic choice task, we tested whether the early and automatic capture of attentional resources elicited by faces can also be found for alcohol-related stimuli in binge drinkers, as predicted by theoretical models. METHODS: Forty-three binge drinkers and 44 control participants performed two versions of the saccadic choice task. In the original version, two images (a face, a vehicle) were displayed on the left and right side of the screen respectively. Participants had to perform a saccade as fast as possible towards the target stimulus (either face or vehicle). In the alcohol-related version, the task was identical, but the images were an alcoholic beverage and a non-alcoholic stimulus. RESULTS: We replicated the automatic attraction towards faces in both groups, as faces generated higher saccadic accuracy, speed, and amplitude than vehicles, as well as higher corrective saccade proportion. Concerning the alcohol-related adaptation of the task, groups did not differ for the accuracy, speed, and amplitude of the first saccade towards alcohol. However, binge drinkers differed from controls regarding the proportion of corrective saccade towards non-alcoholic stimuli after an error saccade towards alcohol, suggesting the presence of an alcohol disengagement bias specific to binge drinkers. CONCLUSIONS: Alcohol-related AB in binge drinkers is not characterized by an early and automatic hijacking of attention towards alcohol. This AB rather relies on later and more controlled processing stages, namely a difficulty to disengage attentional resources from alcohol-related stimuli.

Detection of emotional faces: The role of spatial frequencies and local features.

Models of emotion processing suggest that threat-related stimuli such as fearful faces can be detected based on the rapid extraction of low spatial frequencies. However, this remains debated as other models argue that the decoding of facial expressions occurs with a more flexible use of spatial frequencies. The purpose of this study was to clarify the role of spatial frequencies and differences in luminance contrast between spatial frequencies, on the detection of facial emotions. We used a saccadic choice task in which emotional-neutral face pairs were presented and participants were asked to make a saccade toward the neutral or the emotional (happy or fearful) face. Faces were displayed either in low, high, or broad spatial frequencies. Results showed that participants were better to saccade toward the emotional face. They were also better for high or broad than low spatial frequencies, and the accuracy was higher with a happy target. An analysis of the eye and mouth saliency ofour stimuli revealed that the mouth saliency of the target correlates with participants' performance. Overall, this study underlines the importance of local more than global information, and of the saliency of the mouth region in the detection of emotional and neutral faces.

It makes sense, so I see it better! Contextual information about the visual environment increases its perceived sharpness.

Predictive coding theories of visual perception postulate that expectations based on prior knowledge modulate the processing of information by sharpening the representation of expected features of a stimulus in visual cortex but few studies directly investigated whether expectations qualitatively affect perception. Our study investigated the influence of expectations based on prior experience and contextual information on the perceived sharpness of objects and scenes. In Experiments 1 and 2, we used a perceptual matching task. Participants saw two blurred images depicting the same object or scene and had to adjust the blur level of the right image to match the blur level of the left one. We manipulated the availability of relevant information to form expectations about the image's content: one of the two images contained predictable information while the other one unpredictable. At an equal level of blur, predictable objects and scenes were perceived as sharper than unpredictable ones. Experiment 3 involving explicit sharpness judgments confirmed these results. Our findings support the sharpening account of predictive coding theories by showing that expectations increase the perceived sharpness of the visual signal. Expectations about the visual environment help us understand it more easily, but also makes us perceive it better. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Flexibility in autism during unpredictable shifts of socio-emotional stimuli: Investigation of group and sex differences.

LAY ABSTRACT: Flexibility difficulties in autism might be particularly common in complex situations, when shifts (i.e. the switch of attentional resources or strategy according to the situation) are unpredictable, implicit (i.e. not guided by explicit rules) and the stimuli are complex. We analyzed the data of 101 autistic and 145 non-autistic adults, without intellectual deficiency, on two flexibility tasks performed online. The first task involved unpredictable and non-explicit shifts of complex socio-emotional stimuli, whereas the second task involved predictable and explicit shifts of character stimuli. Considering the discrepancies between laboratory results and the real-life flexibility-related challenges faced by autistic individuals, we need to determine which factor could be of particular importance in flexibility difficulties. We point out that the switch cost (i.e. the difference between shift and non-shift condition) was larger for autistic than for non-autistic participants on the complex flexibility task with unpredictable and non-explicit shifts of socio-emotional stimuli, whereas this was not the case when shifts were predictable, explicit and involved less complex stimuli. We also highlight sex differences, suggesting that autistic females have better social skills than autistic males and that they also have a specific cognitive profile, which could contribute to social camouflaging. The findings of this work help us understand which factors could influence flexibility difficulties in autism and are important for designing future studies. They also add to the literature on sex differences in autism which underpin better social skills, executive function, and camouflaging in autistic females.