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1.
Dev Psychol ; 60(4): 649-664, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38483484

ABSTRACT

Adolescence is a critical developmental period that is marked by drastic changes in face recognition, which are reflected in patterns of bias (i.e., superior recognition for some individuals compared to others). Here, we evaluate how race is perceived during face recognition and whether adolescents exhibit an own-race bias (ORB). We conducted a Bayesian meta-analysis to estimate the summary effect size of the ORB across 16 unique studies (38 effect sizes) with 1,321 adolescent participants between the ages of ∼10-22 years of age. This meta-analytic approach allowed us to inform the analysis with prior findings from the adult literature and evaluate how well they fit the adolescent literature. We report a positive, small ORB (Hedges's g = 0.24) that was evident under increasing levels of uncertainty in the analysis. The magnitude of the ORB was not systematically impacted by participant age or race, which is inconsistent with predictions from perceptual expertise and social cognitive theories. Critically, our findings are limited in generalizability by the study samples, which largely include White adolescents in White-dominant countries. Future longitudinal studies that include racially diverse samples and measure social context, perceiver motivation, peer reorientation, social network composition, and ethnic-racial identity development are critical for understanding the presence, magnitude, and relative flexibility of the ORB in adolescence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Subject(s)
Facial Recognition , Racial Groups , Adolescent , Child , Humans , Young Adult , Bayes Theorem , Peer Group , Recognition, Psychology
2.
Sci Rep ; 14(1): 619, 2024 01 05.
Article in English | MEDLINE | ID: mdl-38182792

ABSTRACT

A core feature of autism involves difficulty perceiving and interpreting eye gaze shifts as nonverbal communicative signals. A hypothesis about the origins of this phenotype is that it emerges from developmentally different social visual attention (SVA). We developed Social Games for Autistic Adolescents (SAGA; Scherf et al. BMJ Open 8(9):e023682, 2018) as a serious game intervention for autistic individuals to discover the significance of eye gaze cues. Previously, we demonstrated the effectiveness of SAGA to improve the perception and understanding of eye gaze cues and social skills for autistic adolescents (Griffin et al. JCPP Adv 1(3):e12041, 2021). Here, we determine whether increases in social visual attention to faces and/or target gazed-at objects, as measured via eye tracking during the same Gaze Perception task in the same study sample, moderated this improvement. In contrast to predictions, SVA to faces did not differentially increase for the treatment group. Instead, both groups evinced a small increase in SVA to faces over time. Second, Prior to the SAGA intervention, attention to faces failed to predict performance in the Gaze Perception task for both the treatment and standard care control groups. However, at post-test, autistic adolescents in the treatment group were more likely to identify the object of directed gaze when they attended longer to faces and longer to target objects. Importantly, this is the first study to measure social visual attention via eye tracking as a treatment response in an RCT for autism. NCT02968225.


Subject(s)
Autistic Disorder , Child Development Disorders, Pervasive , Humans , Adolescent , Child , Autistic Disorder/therapy , Cues , Eye-Tracking Technology , Fixation, Ocular
3.
Perspect Psychol Sci ; : 17456916231197980, 2023 Oct 24.
Article in English | MEDLINE | ID: mdl-37874961

ABSTRACT

There has been slow progress in the development of interventions that prevent and/or reduce mental-health morbidity and mortality. The National Institute of Mental Health (NIMH) launched an experimental-therapeutics initiative with the goal of accelerating the development of effective interventions. The emphasis is on interventions designed to engage a target mechanism. A target mechanism is a process (e.g., behavioral, neurobiological) proposed to underlie change in a defined clinical endpoint and through change in which an intervention exerts its effect. This article is based on discussions from an NIMH workshop conducted in February 2020 and subsequent conversations among researchers using this approach. We discuss the components of an experimental-therapeutics approach such as clinical-outcome selection, target definition and measurement, intervention design and selection, and implementation of a team-science strategy. We emphasize the important contributions of different constituencies (e.g., patients, caregivers, providers) in deriving hypotheses about novel target mechanisms. We highlight strategies for target-mechanism identification using published and hypothetical examples. We consider the decision-making dilemmas that arise with different patterns of results in purported mechanisms and clinical outcomes. We end with considerations of the practical challenges of this approach and the implications for future directions of this initiative.

4.
J Cogn Neurosci ; 35(4): 715-735, 2023 04 01.
Article in English | MEDLINE | ID: mdl-36638228

ABSTRACT

Faces can be represented at a variety of different subordinate levels (e.g., race) that can become "privileged" for visual recognition in perceivers and is reflected as patterns of biases (e.g., own-race bias). The mechanisms encoding privileged status are likely varied, making it difficult to predict how neural systems represent subordinate-level biases in face processing. Here, we investigate the neural basis of subordinate-level representations of human faces in the ventral visual pathway, by leveraging recent behavioral findings indicating the privileged nature of peer faces in identity recognition for adolescents and emerging adults (i.e., ages 18-25 years). We tested 166 emerging adults in a face recognition paradigm and a subset of 31 of these participants in two fMRI task paradigms. We showed that emerging adults exhibit a peer bias in face recognition behavior, which indicates a privileged status for a subordinate-level category of faces that is not predicted based on experience alone. This privileged status of peer faces is supported by multiple neural mechanisms within the ventral visual pathway, including enhanced neural magnitude and neural size in the neural size in the fusiform area (FFA1), which is a critical part of the face-processing network that fundamentally supports the representations of subordinate-level categories of faces. These findings demonstrate organizational principles that the human ventral visual pathway uses to privilege relevant social information in face representations, which is essential for navigating human social interactions. It will be important to understand whether similar mechanisms support representations of other subordinate-level categories like race and gender.


Subject(s)
Brain Mapping , Facial Recognition , Adolescent , Humans , Adult , Young Adult , Recognition, Psychology , Pattern Recognition, Visual
5.
Behav Res Methods ; 54(6): 3071-3084, 2022 12.
Article in English | MEDLINE | ID: mdl-35194750

ABSTRACT

The Cambridge Face Memory Test (CFMT) is one of the most used assessments of face recognition abilities in the science of face processing. The original task, using White male faces, has been empirically evaluated for psychometric properties (Duchaine & Nakayama, 2006), while the longer and more difficult version (CFMT+; Russell et al., 2009) has not. Critically, no version exists using female faces. Here, we present the Female Cambridge Face Memory Test - Long Form (F-CFMT+) and evaluate the psychometric properties of this task in comparison to the Male Cambridge Face Memory Test - Long Form (M-CFMT+). We tested typically developing emerging adults (18 to 25 years old) in both Cambridge face recognition tasks, an old-new face recognition task, and a car recognition task. Results indicate that the F-CFMT+ is a valid, internally consistent measure of unfamiliar face recognition that can be used alone or in tandem with the M-CFMT+ to assess recognition abilities for young adult White faces. When used together, performance on the F-CFMT+ and M-CFMT+ can be directly compared, adding to the ability to understand face recognition abilities for different kinds of faces. The two tasks have high convergent validity and relatively good divergent validity with car recognition in the same task paradigm. The F-CFMT+ will be useful to researchers interested in evaluating a broad range of questions about face recognition abilities in both typically developing individuals and those with atypical social information processing abilities.


Subject(s)
Humans , Female , Male , Adolescent , Young Adult , Adult
6.
J Autism Dev Disord ; 52(5): 2075-2097, 2022 May.
Article in English | MEDLINE | ID: mdl-34060001

ABSTRACT

Autistic individuals often struggle to successfully navigate emerging adulthood (EA). College is an increasingly common context in which individuals learn and hone the necessary skills for adulthood. The goal of this paper is to systematically review and assess the existing research on college as a context of EA development in autistic individuals, particularly in terms of understanding whether and how this context might be critically different for those who are typically developing or developing with other disabilities. Our findings indicate that ASD college students report feeling prepared academically, but exhibit weaknesses in daily living and social skills. Interventions largely focus on social skills, and rarely evaluate outcomes relevant to college success or longer-term emerging adulthood independence. We conclude with hypotheses and recommendations for future work that are essential for understanding and supporting ASD students as they navigate potentially unique challenges in college and their transition to independence during EA.


Subject(s)
Autism Spectrum Disorder , Autistic Disorder , Adult , Humans , Social Skills , Students , Universities
7.
J Cogn Neurosci ; 33(11): 2215-2230, 2021 10 01.
Article in English | MEDLINE | ID: mdl-34272958

ABSTRACT

Despite our differences, there is much about the natural visual world that most observers perceive in common. Across adults, approximately 30% of the brain is activated in a consistent fashion while viewing naturalistic input. At what stage of development is this consistency of neural profile across individuals present? Here, we focused specifically on whether this mature profile is present in adolescence, a key developmental period that bridges childhood and adulthood, and in which new cognitive and social challenges are at play. We acquired fMRI data evoked by a movie shown twice to younger (9-14 years old) and older adolescents (15-19 years old) and to adults, and conducted three key analyses. First, we characterized the consistency of the neural response within individuals (across separate runs of the movie), then within individuals of the same age group, and, last, between age groups. The neural consistency within individuals was similar across age groups with reliable activation in largely overlapping but slightly different cortical regions. In contrast, somewhat differing regions exhibited higher within-age correlations in both groups of adolescents than in the adults. Last, across the whole cortex, we identified regions evincing different patterns of maturation across age. Together, these findings provide a fine-grained characterization of functional neural development in adolescence and uncover signatures of widespread change in cortical coherence that supports the emerging mature stereotypical responses to naturalistic stimuli. These results also offer a more nuanced account of development that obeys neither a rigid linear progression nor a large qualitative change over time.


Subject(s)
Brain , Magnetic Resonance Imaging , Adolescent , Adult , Brain/diagnostic imaging , Brain Mapping , Child , Humans , Motion Pictures , Photic Stimulation , Young Adult
8.
Proc Mach Learn Res ; 173: 242-264, 2021 Oct.
Article in English | MEDLINE | ID: mdl-36540356

ABSTRACT

Human social interaction involves a complex, dynamic exchange of verbal and non-verbal information. Over the last decade, eye-tracking technology has afforded unique insight into the way eye gaze information, including both holding gaze and shifting gaze, organizes live human interactions. For example, while playing a social game together, speakers end their turn by directing gaze at the listener, who begins to speak with averted gaze (Ho et al., 2015). These findings reflect how eye gaze can be used to signal important turn-taking transitions in social interactions. Deficits in conversational turn-taking is a core feature of autism spectrum disorders. Individuals on the autism spectrum also have notable difficulties processing eye gaze information (Griffin & Scherf, 2020). A central hypothesis in the literature is that the difficulties in processing eye gaze information are foundational to the social communication deficits that make social interactions so challenging for individuals on the autism spectrum. Although eye-tracking technology has been used extensively to assess the way individuals on the spectrum attend to stimuli presented on computer screens (for review see Papagiannopoulou et al., 2014), it has rarely been used to evaluate the critical question regarding whether and how autistic individuals process non-verbal social cues from their partners during live social interactions. Here, we review this emerging literature with a focus on characterizing the experimental paradigms and eye-tracking procedures to understand the scope (and limitations) of research questions and findings. We discuss the theoretical implications of the findings from this review and provide recommendations for future work that will be essential to understand whether and how fundamental difficulties in perceiving and processing information about eye gaze cues interfere with social communication skills in autism.

9.
JCPP Adv ; 1(3)2021 Oct.
Article in English | MEDLINE | ID: mdl-36643718

ABSTRACT

Background: Perceiving and interpreting eye gaze cues is foundational for social cognition and social interactions because it involves the ability to use eye gaze direction to predict the actions and intentions of others. Autism is a disability that impacts social interactions. A diagnostic symptom of autism is difficulty understanding eye gaze cues as social signals. This deficit has long-term consequences for understanding goal-directed behavior, language learning, and social communication. We hypothesize that targeted intervention methods designed to improve sensitivity to eye gaze cues may begin to treat core symptoms of autism and potentially alter multiple aspects of social functioning. Social Games for Autistic Adolescents (SAGA) is a serious computer game intervention designed to improve sensitivity to eye gaze cues. Serious games improve targeted skills with the goal of enhancing real life outcomes. In SAGA, participants progress through a narrative storyline and interact with animated characters. In so doing, they implicitly discover that eye gaze cues are useful for guiding their own goal-directed behavior to solve problems in the game. Methods: We evaluated the feasibility and effectiveness of SAGA in a hybrid phase 1/2, randomized controlled trial. Forty adolescents on the autism spectrum were randomized to either the treatment or standard care control group. Adolescents in the treatment group were asked to play SAGA for 30-minute sessions at home 3 times a week over 10 weeks. Results: A group × time interaction revealed that the treatment group developed increasing sensitivity to human eye gaze cues, whereas the standard care group did not. Participants who experienced a sufficient dose of gameplay showed larger treatment-related improvements. Critically, increases in sensitivity to human eye gaze cues were associated with improvements in social skills. Conclusions: This accessible, scalable, and affordable intervention shows promise as an effective tool for improving the ability to interpret and understand eye gaze cues and social skills in adolescents on the autism spectrum.

10.
Psychol Bull ; 147(3): 268-292, 2021 03.
Article in English | MEDLINE | ID: mdl-33104376

ABSTRACT

The ability to recognize an individual face is essential to human social interaction. Even subtle errors in this process can have huge implications for the way we relate to social partners. Because autism spectrum disorder (ASD) is characterized by deficits in social interaction, researchers have theorized about the potential role of atypical face identity processing to the symptom profile of ASD for more than 40 years. We conducted an empirical meta-analysis of this large literature to determine whether and to what extent face identity processing is atypical in ASD compared to typically developing (TD) individuals. We also tested the hypotheses that the deficit is selective to face identity recognition, not perception, and that methodological variation across studies moderates the magnitude of the estimated deficit. We identified 112 studies (5,390 participants) that generated 172 effect sizes from both recognition (k = 119) and discrimination (k = 53) paradigms. We used state-of-the-art approaches for assessing the validity and robustness of the analyses. We found comparable and large deficits in ASD for both face identity recognition (Hedge's g = -0.86) and discrimination (Hedge's g = -0.82). This means that the score of an average ASD individual is nearly 1 SD below the average TD individual on tasks assessing both aspects of face identity processing. These deficits generalize across age groups, sex, IQ scores, and task paradigms. These findings suggest that deficits in face identity processing may represent a core deficit in ASD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Autism Spectrum Disorder/psychology , Discrimination, Psychological , Facial Recognition , Recognition, Psychology , Humans , Research Design
11.
J Exp Child Psychol ; 199: 104907, 2020 11.
Article in English | MEDLINE | ID: mdl-32682101

ABSTRACT

The ability to interpret others' emotions is a critical skill for children's socioemotional functioning. Although research has emphasized facial emotion expressions, children are also constantly required to interpret vocal emotion expressed at or around them by individuals who are both familiar and unfamiliar to them. The current study examined how speaker familiarity, specific emotions, and the acoustic properties that comprise affective prosody influenced children's interpretations of emotional intensity. Participants were 51 7- and 8-year-olds presented with speech stimuli spoken in happy, angry, sad, and nonemotional prosodies by both each child's mother and another child's mother unfamiliar to the target child. Analyses indicated that children rated their own mothers as more intensely emotional compared with the unfamiliar mothers and that this effect was specific to angry and happy prosodies. Furthermore, the acoustic properties predicted children's emotional intensity ratings in different patterns for each emotion. The results are discussed in terms of the significance of the mother's voice in children's development of emotional understanding.


Subject(s)
Emotions/physiology , Mothers/psychology , Perception/physiology , Recognition, Psychology/physiology , Voice/physiology , Adult , Anger , Auditory Perception , Child , Female , Happiness , Humans , Male
12.
Int J Methods Psychiatr Res ; 29(4): 1-9, 2020 12.
Article in English | MEDLINE | ID: mdl-32662167

ABSTRACT

OBJECTIVES: The ability to process information about eye gaze and its use for nonverbal communication is foundational to human social interactions. We developed and validated a database of stimuli that are optimized to investigate the perception and referential understanding of shifts in eye gaze. METHODS: The 245 Gaze Perception stimuli are digital photographs that test the ability to estimate and interpret eye gaze trajectory. The 82 Gaze Following stimuli are digital videos that measure the ability to follow and interpret eye gaze shifts online. Both stimuli were designed for a 4-alternative forced choice paradigm (4AFC) in which the participant identifies the gazed-at object. RESULTS: Each stimulus was validated by independent raters and only included if the endorsement of the correct item was ≥75%. Finally, we provided timestamps for 19 40-second video segments from adolescent-oriented entertainment movies that are matched on several factors. These segments involve social interactions with eye gaze shifts and can be used to measure visual social attention. CONCLUSIONS: This database will be an excellent resource for researchers interested in studying the developmental, behavioral, and/or neural mechanisms supporting the perception and interpretation of eye gaze cues.


Subject(s)
Cues , Fixation, Ocular , Adolescent , Attention , Databases, Factual , Humans , Nonverbal Communication
13.
Mol Autism ; 11(1): 60, 2020 07 21.
Article in English | MEDLINE | ID: mdl-32693828

ABSTRACT

BACKGROUND: Shifts in eye gaze communicate social information that allows people to respond to another's behavior, interpret motivations driving behavior, and anticipate subsequent behavior. Understanding the social communicative nature of gaze shifts requires the ability to link eye movements and mental state information about objects in the world. Autism spectrum disorder (ASD) is characterized by atypical sensitivity to eye gaze cues, which impacts social communication and relationships. We evaluated whether reduced visual attention to faces explains this difficulty in ASD. METHODS: We employed eye-tracking technology to measure visual attention to faces and gazed-at objects in a 4-alternative forced choice paradigm in adolescents with ASD and typically developing (TD) adolescents. Participants determined the target object that an actor was looking at in ecologically rich scenes. We controlled for group differences in task engagement and data quality. RESULTS: In the Gaze Following task, adolescents with ASD were relatively impaired (Cohen's d = 0.63) in the ability to identify the target object. In contrast to predictions, both groups exhibited comparable fixation durations to faces and target objects. Among both groups, individuals who looked longer at the target objects, but not faces, performed better in the task. Finally, among the ASD group, parent SSIS-Social Skills ratings were positively associated with performance on the Gaze Following task. In the Gaze Perception task, there was a similar pattern of results, which provides internal replication of the findings that visual attention to faces is not related to difficulty interpreting eye gaze cues. Together, these findings indicate that adolescents with ASD are capable of following gaze, but have difficulty linking gaze shifts with mental state information. LIMITATIONS: Additional work is necessary to determine whether these findings generalize to individuals across the full autism spectrum. New paradigms that manipulate component processes of eye gaze processing need to be tested to confirm these interpretations. CONCLUSIONS: Reduced visual attention to faces does not appear to contribute to atypical processing of eye gaze cues among adolescents with ASD. Instead, the difficulty for individuals with ASD is related to understanding the social communicative aspects of eye gaze information, which may not be extracted from visual cues alone.


Subject(s)
Attention/physiology , Autism Spectrum Disorder/physiopathology , Cues , Fixation, Ocular/physiology , Visual Perception/physiology , Adolescent , Behavior , Face , Female , Humans , Male , Photic Stimulation
14.
PLoS One ; 15(2): e0228248, 2020.
Article in English | MEDLINE | ID: mdl-32012179

ABSTRACT

The vast majority of empirical work investigating the mechanisms supporting the perception and recognition of facial expressions is focused on basic expressions. Less is known about the underlying mechanisms supporting the processing of complex expressions, which provide signals about emotions related to more nuanced social behavior and inner thoughts. Here, we introduce the Complex Emotion Expression Database (CEED), a digital stimulus set of 243 basic and 237 complex emotional facial expressions. The stimuli represent six basic expressions (angry, disgusted, fearful, happy, sad, and surprised) and nine complex expressions (affectionate, attracted, betrayed, brokenhearted, contemptuous, desirous, flirtatious, jealous, and lovesick) that were posed by Black and White formally trained, young adult actors. All images were validated by a minimum of 50 adults in a 4-alternative forced choice task. Only images for which ≥ 50% of raters endorsed the correct emotion label were included in the final database. This database will be an excellent resource for researchers interested in studying the developmental, behavioral, and neural mechanisms supporting the perception and recognition of complex emotion expressions.


Subject(s)
Databases, Factual , Emotions , Facial Expression , Adolescent , Adult , Female , Humans , Male , Young Adult
15.
Dev Cogn Neurosci ; 39: 100690, 2019 10.
Article in English | MEDLINE | ID: mdl-31450015

ABSTRACT

Although there is a long history of studying the influence of pubertal hormones on brain function/structure in animals, this research in human adolescents is young but burgeoning. Here, we provide a comprehensive review of findings from neuroimaging studies investigating the relation between pubertal and functional brain development in humans. We quantified the findings from this literature in which statistics required for standard meta-analyses are often not provided (i.e., effect size in fMRI studies). To do so, we assessed convergence in findings within content domains (reward, facial emotion, social information, cognitive processing) in terms of the locus and directionality (i.e., positive/negative) of effects. Face processing is the only domain with convergence in the locus of effects in the amygdala. Social information processing is the only domain with convergence of positive effects; however, these effects are not consistently present in any brain region. There is no convergence of effects in either the reward or cognitive processing domains. This limited convergence in findings across domains is not the result of null findings or even due to the variety of experimental paradigms researchers employ. Instead, there are critical theoretical, methodological, and analytical issues that must be addressed in order to move the field forward.


Subject(s)
Adolescent Behavior/physiology , Brain/growth & development , Emotions/physiology , Sexual Maturation/physiology , Adolescent , Adolescent Behavior/psychology , Cognition/physiology , Female , Humans , Magnetic Resonance Imaging/methods , Male , Reward
16.
Hum Brain Mapp ; 40(9): 2581-2595, 2019 06 15.
Article in English | MEDLINE | ID: mdl-30779256

ABSTRACT

There is increasing appreciation that network-level interactions among regions produce components of face processing previously ascribed to individual regions. Our goals were to use an exhaustive data-driven approach to derive and quantify the topology of directed functional connections within a priori defined nodes of the face processing network and evaluate whether the topology is category-specific. Young adults were scanned with fMRI as they viewed movies of faces, objects, and scenes. We employed GIMME to model effective connectivity among core and extended face processing regions, which allowed us to evaluate all possible directional connections, under each viewing condition (face, object, place). During face processing, we observed directional connections from the right posterior superior temporal sulcus to both the right occipital face area and right fusiform face area (FFA), which does not reflect the topology reported in prior studies. We observed connectivity between core and extended regions during face processing, but this limited to a feed-forward connection from the FFA to the amygdala. Finally, the topology of connections was unique to face processing. These findings suggest that the pattern of directed functional connections within the face processing network, particularly in the right core regions, may not be as hierarchical and feed-forward as described previously. Our findings support the notion that topologies of network connections are specialized, emergent, and dynamically responsive to task demands.


Subject(s)
Amygdala/physiology , Facial Recognition/physiology , Nerve Net/physiology , Temporal Lobe/physiology , Adolescent , Adult , Amygdala/diagnostic imaging , Connectome , Female , Humans , Magnetic Resonance Imaging , Male , Nerve Net/diagnostic imaging , Temporal Lobe/diagnostic imaging , Young Adult
17.
Neuropsychologia ; 122: 11-19, 2019 01.
Article in English | MEDLINE | ID: mdl-30528586

ABSTRACT

In addition to semantic content, human speech carries paralinguistic information that conveys important social cues such as a speaker's identity. For young children, their own mothers' voice is one of the most salient vocal inputs in their daily environment. Indeed, qualities of mothers' voices are shown to contribute to children's social development. Our knowledge of how the mother's voice is processed at the neural level, however, is limited. This study investigated whether the voice of a mother modulates activation in the network of regions activated by the human voice in young children differently than the voice of an unfamiliar mother. We collected fMRI data from 32 typically developing 7- and 8-year-olds as they listened to natural speech produced by their mother and another child's mother. We used emotionally-varied natural speech stimuli to approximate the range of children's day-to-day experience. We individually-defined functional ROIs in children's voice-sensitive neural network and then independently investigated the extent to which activation in these regions is modulated by speaker identity. The bilateral posterior auditory cortex, superior temporal gyrus (STG), and inferior frontal gyrus (IFG) exhibit enhanced activation in response to the voice of one's own mother versus that of an unfamiliar mother. The findings indicate that children process the voice of their own mother uniquely, and pave the way for future studies of how social information processing contributes to the trajectory of child social development.


Subject(s)
Brain/growth & development , Brain/physiology , Mothers , Speech Perception/physiology , Brain/diagnostic imaging , Brain Mapping , Child , Female , Humans , Individuality , Magnetic Resonance Imaging , Male , Mother-Child Relations , Pattern Recognition, Physiological/physiology , Psychology, Child
18.
BMJ Open ; 8(9): e023682, 2018 10 04.
Article in English | MEDLINE | ID: mdl-30287612

ABSTRACT

INTRODUCTION: Autism spectrum disorder (ASD) is characterised by impairments in social communication. Core symptoms are deficits in social looking behaviours, including limited visual attention to faces and sensitivity to eye gaze cues. We designed an intervention game using serious game mechanics for adolescents with ASD. It is designed to train individuals with ASD to discover that the eyes, and shifts in gaze specifically, provide information about the external world. We predict that the game will increase understanding of gaze cues and attention to faces. METHODS AND ANALYSIS: The Social Games for Adolescents with Autism (SAGA) trial is a preliminary, randomised controlled trial comparing the intervention game with a waitlist control condition. 34 adolescents (10-18 years) with ASD with a Full-Scale IQ between 70 and 130 and a minimum second grade reading level, and their parents, will be randomly assigned (equally to intervention or the control condition) following baseline assessments. Intervention participants will be instructed to play the computer game at home on a computer for ~30 min, three times a week. All families are tested in the lab at baseline and approximately 2 months following randomisation in all measures. Primary outcomes are assessed with eye tracking to measure sensitivity to eye gaze cues and social visual attention to faces; secondary outcomes are assessed with questionnaires to measure social skills and autism-like behaviours. The analyses will focus on evaluating the feasibility, safety and preliminary effectiveness of the intervention. ETHICS AND DISSEMINATION: SAGA is approved by the Institutional Review Board at Pennsylvania State University (00005097). Findings will be disseminated via scientific conferences and peer-reviewed journals and to participants via newsletter. The intervention game will be available to families in the control condition after the full data are collected and if analyses indicate that it is effective. TRIAL REGISTRATION NUMBER: NCT02968225.


Subject(s)
Autistic Disorder , Fixation, Ocular/physiology , Teaching , Video Games , Adolescent , Attention , Autistic Disorder/psychology , Autistic Disorder/therapy , Cues , Female , Humans , Interpersonal Relations , Male , Social Behavior , Social Skills , Treatment Outcome
19.
Clin Psychol Sci ; 6(2): 280-287, 2018.
Article in English | MEDLINE | ID: mdl-29576931

ABSTRACT

The search for a female autism phenotype is difficult, given the low diagnostic rates in females. Here, we studied potential sex differences in a core feature of autism, difficulty with eye gaze processing, among typically developing individuals who vary in the broad autism phenotype, which includes autistic-like traits that are common, continuously distributed, and similarly heritable in males and females. Participants viewed complex images of an actor in a naturalistic scene looking at one of many possible objects and had to identify the target gazed-at object. Among males, those high in autistic-like traits exhibited worse eye gaze following performance than did those low in these traits. Among females, eye gaze following behavior did not vary with autistic-like traits. These results suggest that deficient eye gaze following behavior is part of the broader autism phenotype for males, but may not be a part of the female autism phenotype.

20.
eNeuro ; 4(3)2017.
Article in English | MEDLINE | ID: mdl-28497111

ABSTRACT

There is interest in understanding the influence of biological factors, like sex, on the organization of brain function. We investigated the influence of biological sex on the behavioral and neural basis of face recognition in healthy, young adults. In behavior, there were no sex differences on the male Cambridge Face Memory Test (CFMT)+ or the female CFMT+ (that we created) and no own-gender bias (OGB) in either group. We evaluated the functional topography of ventral stream organization by measuring the magnitude and functional neural size of 16 individually defined face-, two object-, and two place-related regions bilaterally. There were no sex differences in any of these measures of neural function in any of the regions of interest (ROIs) or in group level comparisons. These findings reveal that men and women have similar category-selective topographic organization in the ventral visual pathway. Next, in a separate task, we measured activation within the 16 face-processing ROIs specifically during recognition of target male and female faces. There were no sex differences in the magnitude of the neural responses in any face-processing region. Furthermore, there was no OGB in the neural responses of either the male or female participants. Our findings suggest that face recognition behavior, including the OGB, is not inherently sexually dimorphic. Face recognition is an essential skill for navigating human social interactions, which is reflected equally in the behavior and neural architecture of men and women.


Subject(s)
Brain/physiology , Facial Recognition/physiology , Recognition, Psychology/physiology , Sex Characteristics , Adolescent , Adult , Brain/diagnostic imaging , Brain Mapping , Female , Humans , Magnetic Resonance Imaging , Male , Neuropsychological Tests , Young Adult
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