Expression Recognition Difficulty Is Associated with Social But Not Attention-to-Detail Autistic Traits and Reflects Both Alexithymia and Perceptual Difficulty
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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.
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In a neurotypical sample, alexithymia largely explained the relationship between autistic traits and facial emotion recognition.
“A similar pattern of results have been observed in a neurotypical sample, whereby alexithymia largely explained the relationship between autistic traits and facial emotion recognition (Bothe et al., 2019).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Bothe et al., 2019
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- Adams, R. B., Ambady, N., Macrae, C. N., & Kleck, R. E. (2006). Emotional expressions forecast approach-avoidance behavior. Motivation and Emotion, 30(2), 177-186. doi:10.1007/s11031-006-9020-2 · DOI
- Austin, E. J. (2005). Personality correlates of the broader autism phenotype as assessed by the Autism Spectrum Quotient (AQ). Personality and Individual Differences, 38(2), 451- 460. doi:10.1016/j.paid.2004.04.022 · DOI · Paper page
- Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23-32. doi:10.1016/0022-3999(94)90005-1 · DOI · Paper page
- Bagby, R. M., Taylor, G. J., Parker, J. D., & Dickens, S. E. (2006). The development of the Toronto Structured Interview for Alexithymia: item selection, factor structure, reliability and concurrent validity. Psychotherapy and psychosomatics, 75(1), 25-39. doi: 10.1159/000089224 · DOI
- Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism- spectrum quotient (AQ): Evidence from asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5-17. doi:10.1023/A:1005653411471 · DOI · Paper page
- Berthoz, S., Consoli, S., Perez-Diaz, F., & Jouvent, R. (1999). Alexithymia and anxiety: compounded relationships? A psychometric study. European Psychiatry, 14(7), 372- 378. doi:10.1016/S0924-9338(99)00233-3 · DOI
- Boraston, Z., Blakemore, S.J., Chilvers, R., & Skuse, D. (2007). Impaired sadness recognition is linked to social interaction deficit in autism. Neuropsychologia, 45(7), 1501-1510. doi:10.1016/j.neuropsychologia.2006.11.010 · DOI
- Burton, N., Jeffery, L., Calder, A.J., & Rhodes, G. (2015) How is facial expression coded? Journal of Vision, 15(1), 1-13. doi:10.1167/15.1.1 · DOI
- Castelli, F. (2005). Understanding emotions from standardized facial expressions in autism and normal development. Autism, 9(4), 428-449. doi:10.1177/1362361305056082 · DOI · Paper page
- Cook, R., Brewer, R., Shah, P., & Bird, G. (2013). Alexithymia, not autism, predicts poor recognition of emotional facial expressions. Psychological Science, 24(5), 723-732. doi:10.1177/0956797612463582 · DOI · Paper page
- Cook, R., Brewer, R., Shah, P., & Bird, G. (2014). Intact facial adaptation in autistic adults. Autism Research, 7(4), 481-490. doi:10.1002/aur.1381 Autistic traits and expression recognition 28 · DOI
- Corbett, B. A., Carmean, V., Ravizza, S., Wendelken, C., Henry, M. L., Carter, C., & Rivera, S. M. (2009). A functional and structural study of emotion and face processing in children with autism. Psychiatry Research: Neuroimaging, 173(3), 196-205. doi:10.1016/j.pscychresns.2008.08.005 · DOI · Paper page
- Davis, J., McKone, E., Zirnsak, M., Moore, T., O'Kearney, R., Apthorp, D., & Palermo, R. (2017). Social and attention-to-detail subclusters of autistic traits differentially predict looking at eyes and face identity recognition ability. British Journal of Psychology, 108(1), 191-219. doi:10.1111/bjop.12188 · DOI
- Dawson, G., Webb, S. J., & McPartland, J. (2005). Understanding the nature of face processing impairment in autism: insights from behavioral and electrophysiological studies. Developmental Neuropsychology, 27(3), 403-424. doi:10.1207/s15326942dn2703_6 · DOI · Paper page
- Ekman, P., Rolls, E. T., Perrett, D. I., & Ellis, H. D. (1992). Facial expressions of emotion: an old controversy and new findings. Philosophical Transactions of the Royal Society of London B: Biological Sciences, 335(1273), 63-69. doi:10.1098/rstb.1992.0008 · DOI
- Fujiwara, E. (2018). Looking at the eyes interferes with facial emotion recognition in alexithymia. Journal of Abnormal Psychology, 127(6), 571. doi:10.1037/abn0000361 · DOI
- George, D., & Mallery, M. (2003). Using SPSS for Windows step by step: a simple guide and reference (4 ed.). Boston: Allyn & Bacon. Autistic traits and expression recognition 29
- Gregory, B., & Plaisted-Grant, K. (2016). The autism-spectrum quotient and visual search: Shallow and deep autistic endophenotypes. Journal of autism and developmental disorders, 46(5), 1503-1512. doi:10.1007/s10803-013-1951-3 · DOI
- Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5- 25. doi:10.1007/s10803-005-0039-0 · DOI · Paper page
- Hoaglin, D. C., & Iglewicz, B. (1987). Fine-tuning some resistant rules for outlier labeling. Journal of the American Statistical Association, 82(400), 1147-1149. doi:10.2307/2289392 · DOI
- Hoekstra, R. A., Bartels, M., Cath, D. C., & Boomsma, D. I. (2008). Factor structure, reliability and criterion validity of the Autism-Spectrum Quotient (AQ): a study in Dutch population and patient groups. Journal of Autism and Developmental Disorders, 38(8), 1555-1566. doi:10.1007/s10803-008-0538-x · DOI · Paper page
- Honkalampi, K., Hintikka, J., Tanskanen, A., Lehtonen, J., & Viinamäki, H. (2000). Depression is strongly associated with alexithymia in the general population. Journal of Psychosomatic Research, 48(1), 99-104. doi:10.1016/S0022-3999(99)00083-5 · DOI
- Humphreys, K., Minshew, N., Leonard, G. L., & Behrmann, M. (2007). A fine-grained analysis of facial expression processing in high-functioning adults with autism. Neuropsychologia, 45(4), 685-695. doi:10.1016/j.neuropsychologia.2006.08.003 Autistic traits and expression recognition 30 · DOI
- Hurst, R. M., Mitchell, J. T., Kimbrel, N. A., Kwapil, T. K., & Nelson-Gray, R. O. (2007). Examination of the reliability and factor structure of the Autism Spectrum Quotient (AQ) in a non-clinical sample. Personality and Individual Differences, 43(7), 1938- 1949. doi:10.1016/j.paid.2007.06.012 · DOI · Paper page
- Kinnaird, E., Stewart, C., & Tchanturia, K. (2019). Investigating alexithymia in autism: A systematic review and meta-analysis. European Psychiatry, 55, 80-89. doi:10.1016/j.eurpsy.2018.09.004 · DOI · Paper page
- Lacroix, A., Guidetti, M., Rogé, B., & Reilly, J. (2009). Recognition of emotional and nonemotional facial expressions: A comparison between Williams syndrome and autism. Research in Developmental Disabilities, 30(5), 976-985. doi:10.1016/j.ridd.2009.02.002 · DOI
- Levant, R. F., Hall, R. J., Williams, C. M., & Hasan, N. T. (2009). Gender differences in alexithymia. Psychology of Men & Masculinity, 10(3), 190. doi:10.1037/a0015652 · DOI
- Lewis, G. J., Lefevre, C. E., & Young, A. W. (2016). Functional architecture of visual emotion recognition ability: A latent variable approach. Journal of Experimental Psychology: General, 145(5), 589. doi:10.1037/xge0000160 · DOI
- López, B., Donnelly, N., Hadwin, J., & Leekam, S. (2004). Face processing in high- functioning adolescents with autism: Evidence for weak central coherence. Visual Cognition, 11(6), 673-688. doi:10.1080/13506280344000437 · DOI
- Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism Diagnostic Observation Schedule Second Edition (ADOS-2) Manual (Part 1): Modules 1-4. Torrance, CA: Western Psychological Services.
- Loth, E., Garrido, L., Ahmad, J., Watson, E., Duff, A., & Duchaine, B. (2018). Facial expression recognition as a candidate marker for autism spectrum disorder: how frequent and severe are deficits? Molecular Autism, 9(1), 7. doi:10.1186/s13229-018- 0187-7 · DOI
- Lozier, L. M., Vanmeter, J. W., & Marsh, A. A. (2014). Impairments in facial affect recognition associated with autism spectrum disorders: a meta-analysis. Development and Psychopathology, 26(4pt1), 933-945. doi:10.1017/S0954579414000479 · DOI
- Lundström, S., Chang, Z., Kerekes, N., Gumpert, C. H., Råstam, M., Gillberg, C., . . . Anckarsäter, H. (2011). Autistic-like traits and their association with mental health problems in two nationwide twin cohorts of children and adults. Psychological Medicine, 41(11), 2423-2433. doi:10.1017/S0033291711000377 · DOI · Paper page
- Lundström, S., Chang, Z., Råstam, M., Gillberg, C., Larsson, H., Anckarsäter, H., & Lichtenstein, P. (2012). Autism spectrum disorders and autistic-like traits: similar etiology in the extreme end and the normal variation. Archives of General Psychiatry, 69(1), 46-52. doi:10.1001/archgenpsychiatry.2011.144 · DOI · Paper page
- Palermo, R., Jeffery, L., Lewandowsky, J., Fiorentini, C., Irons, J. L., Dawel, A., . . . Rhodes, G. (2018). Adaptive Face Coding Contributes to Individual Differences in Facial Expression Recognition Independently of Affective Factors. Journal of Experimental Psychology: Human Perception and Performance, 44(4), 503-517. doi:10.1037/xhp0000463 · DOI
- Palermo, R., O'Connor, K. B., Davis, J. M., Irons, J., & McKone, E. (2013). New tests to measure individual differences in matching and labelling facial expressions of emotion, and their association with ability to recognise vocal emotions and facial identity. PloS one, 8(6), e68126. doi:10.1371/journal.pone.0068126 · DOI
- Parker, P. D., Prkachin, K. M., & Prkachin, G. C. (2005). Processing of facial expressions of negative emotion in alexithymia: the influence of temporal constraint. Journal of Personality, 73(4), 1087-1107. doi:10.1111/j.1467-6494.2005.00339.x · DOI
- Pellicano, E., & Burr, D. (2012). When the world becomes 'too real': a Bayesian explanation of autistic perception. Trends in Cognitive Sciences, 16(10), 504-510. doi:10.1016/j.tics.2012.08.009 · DOI · Paper page
- Preece, D., Becerra, R., Allan, A., Robinson, K., & Dandy, J. (2017). Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia. Personality and Individual Differences, 119, 341-352. doi:10.1016/j.paid.2017.08.003 · DOI
- Prkachin, G. C., Casey, C., & Prkachin, K. M. (2009). Alexithymia and perception of facial expressions of emotion. Personality and Individual Differences, 46(4), 412-417. doi:10.1016/j.paid.2008.11.010 · DOI
- Rhodes, G., Burton, N., Jeffery, L., Read, A., Taylor, L., & Ewing, L. (2017). Facial expression coding in children and adolescents with autism: Reduced adaptability but intact norm-based coding. British Journal of Psychology, 109(2), 204-218. doi:10.1111/bjop.12257 · DOI
- Rhodes, G., Jeffery, L., Taylor, L., & Ewing, L. (2013). Autistic traits are linked to reduced adaptive coding of face identity and selectively poorer face recognition in men but not women. Neuropsychologia, 51(13), 2702-2708. doi:10.1016/j.neuropsychologia.2013.08.016 · DOI
- Rhodes, G., Jeffery, L., Taylor, L., Hayward, W. G., & Ewing, L. (2014). Individual differences in adaptive coding of face identity are linked to individual differences in face recognition ability. Journal of Experimental Psychology: Human Perception and Performance, 40(3), 897. doi:10.1037/a0035939 · DOI
- Rhodes, G., Pond, S., Burton, N., Kloth, N., Jeffery, L., Bell, J., . . . Palermo, R. (2015). How distinct is the coding of face identity and expression? Evidence for some common dimensions in face space. Cognition, 142, 123-137. doi:10.1016/j.cognition.2015.05.012 · DOI
- Robertson, C. E., & Baron-Cohen, S. (2017). Sensory perception in autism. Nature Reviews Neuroscience, 18(11), 671. doi:10.1038/nrn.2017.112 · DOI · Paper page
- Ronald, A., Happé, F., Bolton, P., Butcher, L. M., Price, T. S., Wheelwright, S., . . . Plomin, R. (2006). Genetic heterogeneity between the three components of the autism spectrum: a twin study. Journal of the American Academy of Child & Adolescent Psychiatry, 45(6), 691-699. doi:10.1097/01.chi.0000215325.13058. · DOI
- Ronald, A., Happé, F., & Plomin, R. (2005). The genetic relationship between individual differences in social and nonsocial behaviours characteristic of autism. Developmental Science, 8(5), 444-458. doi:DOI 10.1111/j.1467-7687.2005.00433.x · DOI · Paper page
- Russell-Smith, S. N., Maybery, M. T., & Bayliss, D. M. (2011). Relationships between autistic-like and schizotypy traits: An analysis using the Autism Spectrum Quotient and Oxford-Liverpool Inventory of Feelings and Experiences. Personality and Individual Differences, 51(2), 128-132. doi:10.1016/j.paid.2011.03.027 · DOI
- Schultz, R. T. (2005). Developmental deficits in social perception in autism: the role of the amygdala and fusiform face area. International Journal of Developmental Neuroscience, 23(2-3), 125-141. doi:10.1016/j.ijdevneu.2004.12.012 · DOI · Paper page
- Skinner, A. L., & Benton, C. P. (2010). Anti-expression aftereffects reveal prototype- referenced coding of facial expressions. Psychological Science, 21(9), 1248-1253. doi:10.1177/0956797610380702 · DOI
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Boston, MA: Pearson Education.
- Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1999). Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness: Cambridge University Press.
- Uljarevic, M., & Hamilton, A. (2013). Recognition of emotions in autism: a formal meta- analysis. Journal of Autism and Developmental Disorders, 43(7), 1517-1526. doi:10.1007/s10803-012-1695-5 · DOI · Paper page
- West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with nonnormal variables: Problems and remedies. In R. H. Hoyle (Ed.), Structural Equation Autistic traits and expression recognition 35 Modeling: Concepts, Issues, and Applications (pp. 56-75). Thousand Oaks, CA: Sage Publications. Footnotes
- Authors
- Bothe, E., Palermo, R., Rhodes, G., Burton, N., & Jeffery, L.
- Affiliations
- The University of Western Australia (AU)
- Corresponding author
- Bothe, Ellen
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2019-08-14
- Volume
- 49
- Issue
- 11
- Pages
- 4559-4571
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2967161434
- Cited by
- 22
- References
- 69
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 3
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
- Funders
- Australian Research Council Centre of Excellence Grant (CE110001021)
- Research Training Program Stipend
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- facial expression recognition, autistic traits, alexithymia, attention to detail, social skills, perceptual difficulty, adaptive coding, emotion labeling, autism spectrum disorder
- MeSH terms
- Facial Recognition, Adolescent, Adult, Affective Symptoms, Attention, Autistic Disorder, Communication Disorders, Facial Expression, Female, Humans, Male, Sex Characteristics, Young Adult, Social Skills
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