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Theories of Autism: How symptomatic behaviors relate to cognitive theories Amanda Legge Master in Cognitive Neuroscience Trabajo Fin de Máster, 2013 Supervisor: Pedro Macizo

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The main objective of this study was to better understand the underlying behavioral and cognitive interactions of autism. We used a bottom-up approach to analyze the patterns of behavior and cognitive development among autistic individuals to define probable interactions between the two. More specifically, we used the Social Communication Questionnaire to quantify the behavioral symptoms and the Simon, First-Order False Belief, and Global/Local tasks to quantify the cognitive abilities of autistic children in the age range of 5 and 13 years old (n = 20; 17 males and 3 females). Results showed a positive correlation between communication problems and exaggerated inhibitory processes (reflected in less interference on the Simon task). Results also showed a positive correlation between more social interaction problems and a better understanding of first-order mental states. Finally, more restricted and repetitive behaviors were related to an improved performance on global as opposed to local processing tasks. These interaction findings could eventually lead to cognitive, theory-based, intervention methods to treat the behavioral symptoms found in autistic individuals.

TRANSCRIPT

Page 1: Theories of Autism

Theories of Autism:How symptomatic behaviors

relate to cognitive theories

Amanda Legge

Master in Cognitive Neuroscience

Trabajo Fin de Máster, 2013

Supervisor: Pedro Macizo

Page 2: Theories of Autism

What is Autism?

Page 3: Theories of Autism

What is Autism?

• Communication

Deficits

Page 4: Theories of Autism

What is Autism?

• Communication

Deficits

• Social Interaction

Problems

Page 5: Theories of Autism

What is Autism?

• Communication

Deficits

• Social Interaction

Problems

• Restricted and

Repetitive Behaviors

Page 6: Theories of Autism

Communication

Page 7: Theories of Autism

Communication

Interaction

Page 8: Theories of Autism

Communication

RRBsInteraction

Page 9: Theories of Autism

Communication

RRBsInteraction

Triad

of Impairments

Page 10: Theories of Autism

Communication

RRBsInteraction

Triad

of Impairments

Behavioral

Profile

Page 11: Theories of Autism

Behavioral

Profile

Cognitive

Profile

Page 12: Theories of Autism

Cognitive

Profile

Executive

Function

Page 13: Theories of Autism

Cognitive

Profile

Executive

Function

Theory

of

Mind

Page 14: Theories of Autism

Cognitive

Profile

Executive

Function

Theory

of

Mind

Central

Coherence

Page 15: Theories of Autism

Objectives

Page 16: Theories of Autism

Objectives

• Better understand the underlying interactions

between behavior and cognition in autism

Page 17: Theories of Autism

Objectives

• Better understand the underlying interactions

between behavior and cognition in autism

• Investigate the patterns and

relationships between the

'Triad of Impairments'

and the cognitive theories

Page 18: Theories of Autism

1.

2.

3.

Predictions

Page 19: Theories of Autism

1.

2.

3.

Communication

Predictions

Page 20: Theories of Autism

1.

2.

3.

Communication

Interference

Predictions

Page 21: Theories of Autism

1.

2.

3.

Communication

Interaction

Interference

Predictions

Page 22: Theories of Autism

1.

2.

3.

Communication

Interaction

Interference

Ability to Understand

Mental States

Predictions

Page 23: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Interference

Ability to Understand

Mental States

Predictions

Page 24: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Interference

Ability to Understand

Mental States

Local Processing

Predictions

Page 25: Theories of Autism

Who participated?

Page 26: Theories of Autism

Who participated?

Page 27: Theories of Autism

Who participated?

= 17

= 3

Page 28: Theories of Autism

Who participated?

= 17

= 3

15

Page 29: Theories of Autism

Cognitive

Profile

Behavioral

Profile

Page 30: Theories of Autism

Behavioral

Profile Triad of

Impairments

Page 31: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

Page 32: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

1.

2.

3.

Page 33: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

1. Clinical evaluations

2.

3.

Page 34: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

1. Clinical evaluations

2. Collective measurements

3.

Page 35: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

1. Clinical evaluations

2. Collective measurements

3. Approximate symptomatic

severity indexes

Page 36: Theories of Autism

Behavioral

Profile Triad of

Impairments

Social Communication Questionnaire

(SCQ)

1. Clinical evaluations

2. Collective measurements

Approximate symptomatic

severity indexes*

Page 37: Theories of Autism

Behavioral

Profile Triad of

Impairments

Page 38: Theories of Autism

Behavioral

Profile Triad of

Impairments

15 13 8

Page 39: Theories of Autism

Behavioral

Profile Triad of

Impairments %

15 13 8

Page 40: Theories of Autism

Cognitive

Profile

Executive

Function

Theory

of

Mind

Central

Coherence

Page 41: Theories of Autism

Cognitive

Profile

Executive

Function

Theory

of

Mind

Central

Coherence

Page 42: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Page 43: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Page 44: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Page 45: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Page 46: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Page 47: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Page 48: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

Congruent

Page 49: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Page 50: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Page 51: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Incongruent

Page 52: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Page 53: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Neutral

Page 54: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Neutral

Page 55: Theories of Autism

Cognitive

Profile

Executive

Function

Simon Test

+

Neutral

Page 56: Theories of Autism

Theory

of

Mind

Cognitive

Profile

Page 57: Theories of Autism

Theory

of

Mind

Cognitive

ProfileFirst-Order False

Belief Test

Page 58: Theories of Autism

Theory

of

Mind

Cognitive

ProfileFirst-Order False

Belief Test

Page 59: Theories of Autism

Theory

of

Mind

Cognitive

ProfileFirst-Order False

Belief Test

Belief

Page 60: Theories of Autism

Theory

of

Mind

Cognitive

ProfileFirst-Order False

Belief Test

Belief

Reality

Page 61: Theories of Autism

Theory

of

Mind

Cognitive

ProfileFirst-Order False

Belief Test

Belief

Reality

Memory

Page 62: Theories of Autism

Cognitive

Profile

Central

Coherence

Page 63: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local Test

Page 64: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local Test

Page 65: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestGlobal

Page 66: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestGlobal

Page 67: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Page 68: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Incongruent

Page 69: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Page 70: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Congruent

Page 71: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Page 72: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Neutral

Page 73: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Neutral

Page 74: Theories of Autism

Cognitive

Profile

Central

Coherence

Global/Local TestLocal

Neutral

Page 75: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Interference

Ability to Understand

Mental States

Local Processing

Predictions

Page 76: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Interference

Ability to Understand

Mental States

Local Processing

Predictions

Page 77: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Ability to Understand

Mental States

Local Processing

Predictions+

Incongruent

Page 78: Theories of Autism

1.

2.

3.

Communication

RRBs

Local Processing

Predictions+

Incongruent

Interaction

Ability to Understand

Mental States

Page 79: Theories of Autism

1.

2.

3.

Communication

RRBs

Local Processing

Predictions+

Incongruent

Interaction Belief

Reality

Memory

Page 80: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

Local Processing

Predictions+

Incongruent

Belief

Reality

Memory

Page 81: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

+

Incongruent

Belief

Reality

Memory

Local

Global

Predictions

Page 82: Theories of Autism

1.

2.

3.

Communication

Interaction

RRBs

+

Incongruent

Belief

Reality

Memory

Local

Global

Results..?

Page 83: Theories of Autism

Communication

Interaction

RRBs

+

Incongruent

Belief

Reality

Memory

Local

Global

Results..?

1.

2.

3.

Page 84: Theories of Autism

Regressions

Predictor:

Dependent

Variable:

Normalization

Process:

Test:

Page 85: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test:

Page 86: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: Simon

Page 87: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: Simon

RT

Accuracy

Page 88: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: Simon

RT

Accuracy

Incongruent

Improvement

(Cong - Incong)

Page 89: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonFirst-Order

False Belief

RT

Accuracy

Incongruent

Improvement

(Cong - Incong)

Page 90: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonFirst-Order

False Belief

RT

Accuracy---

Incongruent

Improvement

(Cong - Incong)

Page 91: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonFirst-Order

False Belief

RT

Accuracy---

Incongruent

ImprovementFOFB Score

(Cong - Incong)

Page 92: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy---

Incongruent

ImprovementFOFB Score

(Cong - Incong)

Page 93: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

(Cong - Incong)

Page 94: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 95: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 96: Theories of Autism

Regressions

SCQ Communication Index (%)

Inco

ng

ruen

t Im

pro

vem

en

t (m

s)

R2 = .128

β = .358

Page 97: Theories of Autism

Regressions

SCQ Communication Index (%)

Inco

ng

ruen

t Im

pro

vem

en

t (m

s)

R2 = .128

β = .358

Page 98: Theories of Autism

Regressions

SCQ Communication Index (%)

Inco

ng

ruen

t Im

pro

vem

en

t (m

s)

R2 = .128

β = .358

Page 99: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 100: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 101: Theories of Autism

Regressions

SCQ Interaction Index (%)

FO

FB

Sco

reR2 = .127

β = .357

Page 102: Theories of Autism

Regressions

SCQ Interaction Index (%)

FO

FB

Sco

reR2 = .127

β = .357

Page 103: Theories of Autism

Regressions

SCQ Interaction Index (%)

FO

FB

Sco

reR2 = .127

β = .357

Page 104: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 105: Theories of Autism

Regressions

Communication

Predictor:

Interaction RRBs

Dependent

Variable:

Normalization

Process:

Test: SimonGlobal/

LocalFirst-Order

False Belief

RT

Accuracy

RT

Accuracy---

Incongruent

ImprovementFOFB Score

Global

Improvement

(Cong - Incong) (Local - Global)

Page 106: Theories of Autism

Regressions

SCQ RRB Index (%)

Glo

bal Im

pro

vem

en

tR2 = .172

β = .415

Page 107: Theories of Autism

Regressions

SCQ RRB Index (%)

Glo

bal Im

pro

vem

en

tR2 = .172

β = .415

Page 108: Theories of Autism

Regressions

SCQ RRB Index (%)

Glo

bal Im

pro

vem

en

tR2 = .172

β = .415

Page 109: Theories of Autism

Discussion

Page 110: Theories of Autism

• More communication problems

are correlated with exaggerated

inhibitory processesCommunication

Discussion

Page 111: Theories of Autism

• More communication problems

are correlated with exaggerated

inhibitory processesCommunication

• More social interaction problems

are correlated with a better Theory

of Mind understandingInteraction

Discussion

Page 112: Theories of Autism

• More communication problems

are correlated with exaggerated

inhibitory processesCommunication

• More social interaction problems

are correlated with a better Theory

of Mind understanding

• More RRBs are correlated with

better (or at least more equal)

global as compared to local

processing

Interaction

RRBs

Discussion

Page 113: Theories of Autism

Conclusion

Page 114: Theories of Autism

Conclusion• Tentative relationship between behavioral

symptoms and cognitive abilities

Behavioral Symptoms

Co

gn

itiv

e A

bilit

ies

Page 115: Theories of Autism

Conclusion• Tentative relationship between behavioral

symptoms and cognitive abilities

• Unexpected direction

Behavioral Symptoms

Co

gn

itiv

e A

bilit

ies

Page 116: Theories of Autism

Future Work

Page 117: Theories of Autism

Future Work

• Find a non-autistic control group with which

to compare the ASD children

Page 118: Theories of Autism

Future Work

• Find a non-autistic control group with which

to compare the ASD children

• Begin developing and

conducting cognitive

training programs to

evaluate possible

behavioral

improvements

Page 119: Theories of Autism

Thanks for listening!

Page 120: Theories of Autism

Theories of Autism:How symptomatic behaviors

relate to cognitive theories

Amanda Legge

Master in Cognitive Neuroscience

Trabajo Fin de Máster, 2013

Supervisor: Pedro Macizo

Page 121: Theories of Autism

List of Symptoms

Page 122: Theories of Autism

Normalization Process

Reaction Time

Accuracy

2000ms

1.00

1000ms

.751333ms

2000ms

300ms

.103000ms

=

=

=

Reaction Time

2000ms

1000ms

300ms