Consumer and audiologist perspectives on hearables: a qualitative study.

OBJECTIVE: We aimed to explore (i) what adults with hearing difficulties want and need from hearables, which we defined as any non-medical personal sound amplification product, and (ii) what hearing care professionals think about hearables. DESIGN: This was an exploratory, qualitative study conducted using separate focus groups with adults with hearing difficulties and audiologists. Data were analysed inductively using reflexive thematic analysis. STUDY SAMPLE: Participants were 12 adults with hearing difficulties and 6 audiologists. RESULTS: Adults with hearing difficulties expressed desire for trustworthy information and support, described evaluating hearables and other devices according to diverse personal criteria, and expressed willingness to vary their budget according to product quality. Audiologists expressed views that hearables are an inferior product but useful tool, that it is not necessarily their role to assist with hearables, that hearables are a source of uncertainty, and that the provision of hearables by audiologists is not currently practical. CONCLUSION: Adults with hearing difficulties may have complex reasons for considering hearables and may desire a high level of clinical support in this area. Ongoing research into the efficacy and effectiveness of hearables is needed together with research into effective strategies to incorporate hearables into clinical practice.

Autistic traits are associated with differences in the perception of genuineness and approachability in emotional facial expressions, independently of alexithymia.

People with autism and higher levels of autistic traits often have difficulty interpreting facial emotion. Research has commonly investigated the association between autistic traits and expression labeling ability. Here, we investigated the association between two relatively understudied abilities, namely, judging whether expressions reflect genuine emotion, and using expressions to make social approach judgements, in a nonclinical sample of undergraduates at an Australian university (N = 149; data collected during 2018). Autistic traits were associated with more difficulty discriminating genuineness and less typical social approach judgements. Importantly, we also investigated whether these associations could be explained by the co-occurring personality trait alexithymia, which describes a difficulty interpreting one's own emotions. Alexithymia is hypothesized to be the source of many emotional difficulties experienced by autistic people and often accounts for expression labeling difficulties associated with autism and autistic traits. In contrast, the current results provided no evidence that alexithymia is associated with differences in genuineness discrimination and social approach judgements. Rather, differences varied as a function of individual differences in specific domains of autistic traits. More autistic-like social skills and communication predicted greater difficulty in genuineness discrimination, and more autistic-like social skills and attention to details and patterns predicted differences in approach judgements. These findings suggest that difficulties in these areas are likely to be better understood as features of the autism phenotype than of alexithymia. Finally, results highlight the importance of considering the authenticity of emotional expressions, with associations between differences in approach judgements being more pronounced for genuine emotional expressions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Face perception and facial emotional expression recognition ability: Both unique predictors of the broader autism phenotype.

Autism spectrum disorder (ASD) and the broader autistic phenotype (BAP) have been suggested to be associated with perceptual-cognitive difficulties processing human faces. However, the empirical results are mixed, arguably, in part due to inadequate samples and analyses. Consequently, we administered the Cambridge Face Perception Test (CFPT), the Reading the Mind in the Eyes Test (RMET), a vocabulary test, and the Autism Quotient (AQ) to a sample of 318 adults in the general community. Based on a disattenuated path analytic modelling strategy, we found that both face perception ability (ß = -.21) and facial emotional expression recognition ability (ß = -.27) predicted uniquely and significantly the Communication dimension of AQ. Vocabulary failed to yield a significant, direct effect onto the Communication dimension of the AQ. We conclude that difficulties perceiving information from the faces of others may contribute to difficulties in nonverbal communication, as conceptualised and measured within the context of BAP.

Eye Gaze in Autism Spectrum Disorder: A Review of Neural Evidence for the Eye Avoidance Hypothesis.

Reduced eye contact early in life may play a role in the developmental pathways that culminate in a diagnosis of autism spectrum disorder. However, there are contradictory theories regarding the neural mechanisms involved. According to the amygdala theory of autism, reduced eye contact results from a hypoactive amygdala that fails to flag eyes as salient. However, the eye avoidance hypothesis proposes the opposite-that amygdala hyperactivity causes eye avoidance. This review evaluated studies that measured the relationship between eye gaze and activity in the 'social brain' when viewing facial stimuli. Of the reviewed studies, eight of eleven supported the eye avoidance hypothesis. These results suggest eye avoidance may be used to reduce amygdala-related hyperarousal among people on the autism spectrum.

Evidence for a kernel of truth in children's facial impressions of children's niceness, but not shyness.

Adults teach children not to "judge a book by its cover." However, adults make rapid judgments of character from a glance at a child's face. These impressions can be modestly accurate, suggesting that adults may be sensitive to valid signals of character in children's faces. However, it is not clear whether such sensitivity requires decades of social experience, in line with the development of other face-processing abilities (e.g., facial emotion recognition), or whether this sensitivity emerges relatively early, in childhood. An important theoretical question therefore, is whether or not children's impressions are at all accurate. Here, we examined the accuracy in children's impressions of niceness and shyness from children's faces. Children (aged 7-12 years, ∼90% Caucasian) and adults rated 84 unfamiliar children's faces (aged 4-11 years, 48 female, ∼80% Caucasian) for niceness (Study 1) or shyness (Study 2). To measure accuracy, we correlated facial impressions with parental responses to well-established questionnaires about the actual niceness/shyness of those children in the images. Overall, children and adults formed highly similar niceness (r = .94) and shyness (r = .84) impressions. Children also showed mature impression accuracy: Children and adults formed modestly accurate niceness impressions, across different images of the same child's face. Neither children nor adults showed evidence for accurate shyness impressions. Together, these results suggest that children's impressions are relatively mature by middle childhood. Furthermore, these results demonstrate that any mechanisms driving accurate niceness impressions are in place by 7 years, and potentially before. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Associations between hypomania proneness and attentional bias to happy, but not angry or fearful, faces in emerging adults.

Mania, the core feature of bipolar disorder, is associated with heightened and positive emotion responding. Yet, little is known about the underlying cognitive processes that may contribute to heightened positive emotionality observed. Additionally, while previous research has investigated positive emotion biases in non-clinical samples, few if any, account for subthreshold clinical symptoms or traits, which have reliably assessed psychopathological risk. The present study compared continuous scores on a widely used self-report measure of hypomania proneness (HPS-48) with a dot-probe task to investigate attentional biases for happy, angry, fearful, and neutral faces among 66 college student participants. Results suggested that hypomania proneness was positively associated with attentional bias towards happy, but not angry or fearful faces. Results remained robust when controlling for positive affect and did not appear to be affected by negative affect or current symptoms of depression, anxiety, and stress. Findings provide insight into potential behavioural markers that co-occur with heightened positive emotional responding and hypomania in emerging adults.

Adults' facial impressions of children's niceness, but not shyness, show modest accuracy.

Lay wisdom warns against "judging a book by its cover." However, facial first impressions influence people's behaviour towards others, so it is critical that we understand whether these impressions are at all accurate. Understanding impressions of children's faces is particularly important because these impressions can have social consequences during a crucial time of development. Here, we examined the accuracy of two traits that capture the most variance in impressions of children's faces, niceness and shyness. We collected face images and parental reports of actual niceness/shyness for 86 children (4-11 years old). Different images of the same person can lead to different impressions, and so we employed a novel approach by obtaining impressions from five images of each child. These images were ambient, representing the natural variability in faces. Adult strangers rated the faces for niceness (Study 1) or shyness (Study 2). Niceness impressions were modestly accurate for different images of the same child, regardless of whether these images were presented individually or simultaneously as a group. Shyness impressions were not accurate, for images presented either individually or as a group. Together, these results demonstrate modest accuracy in adults' impressions of niceness, but not shyness, from children's faces. Furthermore, our results reveal that this accuracy can be captured by images which contain natural face variability, and holds across different images of the same child's face. These results invite future research into the cues and causal mechanisms underlying this link between facial impressions of niceness and nice behaviour in children.

Expression Recognition Difficulty Is Associated with Social But Not Attention-to-Detail Autistic Traits and Reflects Both Alexithymia and Perceptual Difficulty.

Autistic people often show difficulty with facial expression recognition. However, the degree of difficulty varies widely, which might reflect varying symptom profiles. We examined three domains of autistic traits in the typical population and found that more autistic-like social skills were associated with greater difficulty labelling expressions, and more autistic-like communication was associated with greater difficulty labelling and perceptually discriminating between expressions. There were no associations with autistic-like attention to detail. We also found that labelling, but not perceptual, difficulty was mediated by alexithymia. We found no evidence that labelling or perceptual difficulty was mediated by weakened adaptive coding. Results suggest expression recognition varies between the sub-clinical expressions of autistic symptom domains and reflects both co-occurring alexithymia and perceptual difficulty.