Severe multisensory speech integration deficits in high-functioning school-aged children with autism spectrum disorder (ASD) and their resolution during early adolescence
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Under noisy listening conditions, visualizing a speaker's articulations substantially improves speech intelligibility. This multisensory speech integration ability is crucial to effective communication, and the appropriate development of this capacity greatly impacts a child's ability to successfully navigate educational and social settings. Research shows that multisensory integration abilities continue developing late into childhood. The primary aim here was to track the development of these abilities in children with autism, since multisensory deficits are increasingly recognized as a component of the autism spectrum disorder (ASD) phenotype. The abilities of high-functioning ASD children (n = 84) to integrate seen and heard speech were assessed cross-sectionally, while environmental noise levels were systematically manipulated, comparing them with age-matched neurotypical children (n = 142). Severe integration deficits were uncovered in ASD, which were increasingly pronounced as background noise increased. These deficits were evident in school-aged ASD children (5-12 year olds), but were fully ameliorated in ASD children entering adolescence (13-15 year olds). The severity of multisensory deficits uncovered has important implications for educators and clinicians working in ASD. We consider the observation that the multisensory speech system recovers substantially in adolescence as an indication that it is likely amenable to intervention during earlier childhood, with potentially profound implications for the development of social communication abilities in ASD children.
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Deficits in multisensory integration are observed between ASD and TD children even when unisensory performance is unimpaired.
“deficits in multisensory integration are noted between children with ASD and their typically developing (TD) peers even when unisensory performance is unimpaired (Foxe et al., 2013; Stevenson et al., 2014c; Stevenson et al., 2014d, e)”
From Behavioral, Perceptual, and Neural Alterations in Sensory and Multisensory Function in Autism Spectrum Disorder (2015) · cites this paper as Foxe et al., 2013
Children with ASD do not benefit as much as TD children from seeing the additional visual information provided by a speaker's face while performing a speech-in-noise task.
“children with ASD do not benefit as much as children with TD from seeing the additional visual information provided by a speaker's face while performing a speech-in-noise task (Foxe et al., 2013)”
From Behavioral, Perceptual, and Neural Alterations in Sensory and Multisensory Function in Autism Spectrum Disorder (2015) · cites this paper as Foxe et al., 2013
Some studies show little unisensory change despite substantial multisensory changes in autism spectrum disorder, while others show complex and difficult-to-interpret differences.
“Although some of these studies have shown little change in unisensory function despite substantial changes in multisensory performance (Foxe et al., 2013; Stevenson et al., 2014c; Stevenson et al., 2014d, e), others have illustrated a complex pattern of differences that are ultimately difficult to interpret (Brandwein et al., 2012; Kwakye et al., 2011; Russo et al., 2010).”
From Behavioral, Perceptual, and Neural Alterations in Sensory and Multisensory Function in Autism Spectrum Disorder (2015) · cites this paper as Foxe et al., 2013
There is evidence of impaired lip-reading ability in ASD.
“There is also evidence of impaired lip-reading ability in ASD (Foxe et al., 2015)”
From The impact of atypical sensory processing on social impairments in autism spectrum disorder (2018) · cites this paper as Foxe et al., 2015
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“There is also evidence of impaired lip-reading ability in ASD (Foxe et al., 2015), which depends on proper detection and integration of congruent audio-visual speech information (Dodd, 1979).”
Multisensory temporal integration in autism spectrum disorders
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Baum, S. H., Stevenson, R. A., & Wallace, M. T. (2015) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2015.09.007 · Cited by 370 · see citing works
Brandwein, A. B., Foxe, J. J., Butler, J. S., Frey, H.-P., Bates, J. C., Shulman, L. H., & Molholm, S. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2212-9 · Cited by 187 · see citing works
Self-citationA computational perspective on autism
Rosenberg, A., Patterson, J. S., & Angelaki, D. E. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1510583112 · Cited by 156 · see citing works
How prior expectations shape multisensory perception
Gau, R., & Noppeney, U. (2016) · NeuroImage · doi:10.1016/j.neuroimage.2015.09.045 · Cited by 109 · see citing works
Zaidel, A., Goin-Kochel, R. P., & Angelaki, D. E. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1506582112 · Cited by 92 · see citing works
Approaches to Understanding Multisensory Dysfunction in Autism Spectrum Disorder
Siemann, J. K., Veenstra‐VanderWeele, J., & Wallace, M. T. (2020) · Autism Research · doi:10.1002/aur.2375 · Cited by 74 · see citing works
“Also, studies, utilizing various psychophysical behavioral measures, have determined that the development of multisensory integration might be delayed in these individuals [Beker et al., 2018; Brandwein et al., 2012; Foxe et al., 2015; Stevenson, Siemann, et al., 2013; Taylor et al., 2010], along with evidence of sex-…”
BackgroundResultStewart, C. R., Sanchez, S. S., Grenesko, E. L., Brown, C. M., Chen, C. P., Keehn, B., Velasquez, F., Lincoln, A. J., & Müller, R.-A. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2367-z · Cited by 46 · see citing works
Schelinski, S., Riedel, P., & von Kriegstein, K. (2014) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2014.09.031 · Cited by 37 · see citing works
Beker, S., Foxe, J. J., & Molholm, S. (2021) · Journal of Neurophysiology · doi:10.1152/jn.00329.2021 · Cited by 35 · see citing works
Self-citationTemporal synchrony and audiovisual integration of speech and object stimuli in autism
Smith, E., Zhang, S., & Bennetto, L. (2017) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2017.04.001 · Cited by 33 · see citing works
Auditory Deficits in Audiovisual Speech Perception in Adult Asperger’s Syndrome: fMRI Study
Tietze, F.-A., Hundertmark, L., Roy, M., Zerr, M., Sinke, C., Wiswede, D., Walter, M., Münte, T. F., & Szycik, G. R. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02286 · Cited by 16 · see citing works
Borgolte, A., Roy, M., Sinke, C., Wiswede, D., Stephan, M., Bleich, S., Münte, T. F., & Szycik, G. R. (2021) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2021.108022 · Cited by 13 · see citing works
- Authors
- Foxe, J. J., Molholm, S., Del Bene, V. A., Frey, H.-P., Russo, N. N., Blanco, D., Saint-Amour, D., & Ross, L. A.
- Affiliations
- City College of New York (US)
- Syracuse University (US)
- Adelphi University (US)
- Corresponding author
- Foxe, John J.
- Venue
- Cerebral Cortex
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-08-28
- Volume
- 25
- Issue
- 2
- Pages
- 298-312
- ISSN
- 1047-3211 (ISSN-L)
- 1460-2199
- PMC
- PMC4303800
- OpenAlex
- W2132545092
- Cited by
- 263
- References
- 87
- Citations by year
- 2026: 21 · 2025: 18 · 2024: 18 · 2023: 29 · 2022: 14 · 2021: 13 · 2020: 46 · 2019: 20 · 2018: 13 · 2017: 17 · 2016: 22 · 2015: 13 · 2014: 16 · 2013: 2
- FWCI
- 23.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cerebral Cortex (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh085322-05, HD071593)
- Intellectual and Developmental Disabilities Research Center (P30 HD071593)
- National Institute of Mental Health (MH 085322)
- National Institute of Child Health and Human Development (HD071593)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NIH P30 HD071593, P30HD071593)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Multisensory perception and integration
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Keywords
- autism spectrum disorder, high-functioning children, visual speech perception, background noise, adolescence, developmental changes, social communication, speech intelligibility, neurotypical comparison
- MeSH terms
- Acoustic Stimulation, Adolescent, Child, Child Development, Child Development Disorders, Pervasive, Child, Preschool, Cross-Sectional Studies, Eye Movements, Humans, Intelligence, Motion Perception, Noise, Photic Stimulation, Psychiatric Status Rating Scales, Speech Perception, Pattern Recognition, Physiological
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