پاسخ های خودکار صورت به محرک عاطفی مختصر ارائه شده در اختلال طیف اوتیسم

Emotion processing, including automatic facial mimicry, plays an important role in social reciprocity. Disruptions in these processes have implications for individuals with impaired social functioning, such as autism spectrum disorders (ASDs). Past research has demonstrated that ASDs are impaired in the recognition of briefly presented emotions and display atypical mimicry of emotions presented for protracted duration. Mimicry (electromyography; EMG) of briefly presented emotions was investigated in adults with ASDs. Concurrent measures of skin conductance and cardiac responses were used as markers of orientation and stimulus detection, respectively. A backward masking task was employed whereby the emotional face (happy, angry) was presented for 30 ms followed by a neutral face “mask”. An implicit comparison task required rapid gender identification. The ASD group failed to differentiate by valence in their EMG (zygomaticus, corrugator) and demonstrated atypical pre- and post-stimulus arousal. These findings may provide a potential mechanism for marked deficits in social reciprocity.

Individuals with autism spectrum disorders (ASDs; including autism and Asperger's Syndrome)1 display marked impairments in social interaction (poor social-emotional reciprocity, deficits in the use of non-verbal communication such as eye-gaze and facial expression) and the presence of repetitive and stereotyped behaviours (APA, 2000 and APA, 2013). Consistent with diagnostic criteria of marked deficits in reciprocal social interaction, individuals with ASDs generally have impaired emotion processing and recognition. Studies have shown that low-functioning children display deficits in the recognition of basic facial emotional expressions (Celani et al., 1999 and Gross, 2004), whereas high-functioning individuals with ASDs appear impaired in the recognition of complex (e.g., sincerity, pride and embarrassment; Capps et al., 1992 and Golan et al., 2007) but not basic emotions (Adolphs et al., 2001, Boucher et al., 2000, Capps et al., 1992, Grossman et al., 2000 and Loveland et al., 1997). As a result, it has been suggested that emotional responsivity and recognition in ASDs increases with cognitive ability (Dissanayake et al., 1996 and Rutherford and McIntosh, 2007). In order to diminish the confound of cognitive ability, emotional stimuli may be presented briefly, thereby shifting the load from higher-level intellectual functioning to more automatic processing abilities. Using a backward masking paradigm, whereby participants are exposed to brief displays that are rapidly masked, or simply rapidly presenting the emotional face without a mask, two recent studies demonstrated that high-functioning children (Hall, West, & Szatmari, 2007) and young adults (Clark, Winkielman, & McIntosh, 2008) with ASDs continue to be impaired in the recognition of basic emotional stimuli (fear/neutral backward masking (33 ms) and happy/angry rapid presentation (30 ms), respectively. Importantly, these deficits were specific to emotion recognition, as recognition of facial identity, age, and gender remained intact (Celani et al., 1999 and Clark et al., 2008). This finding is intriguing and prompts further enquiry as to the basic processes involved in recognising and processing emotional stimuli, in particular, automatic orientation to and mimicry of emotional expressions. Mimicry, including rapid, automatic facial responses to facial emotions and affective scenes, may be conceptualised as a marker of emotional processing and affective response to the environment (Cacioppo et al., 1986, Dimberg and Thunberg, 1998 and Winkielman and Cacioppo, 2001). It is present at an early age, such that typically developing infants actively seek and mimic the facial expressions of their mothers (Haviland & Lelwica, 1987), and use this information to regulate their responses to ambiguous environmental stimuli (Smith, McHugo, & Kappas, 1996). Similarly, automatic facial mimicry is not purely a motor mirroring of environmental stimuli, but reciprocally interacts with emotional state, thus providing important emotional feedback information (Moody, McIntosh, Mann, & Weisser, 2007). Furthermore, mimicry facilitates emotion recognition, whilst preventing or blocking mimicry impairs emotion processing (Neidenthal et al., 2001 and Oberman et al., 2007). Impaired mimicry may therefore have negative effects for social reciprocity (see Hatfield, Cacioppo, & Rapson, 1994 for review). This has important implications for individuals with known impairments in social functioning, such as autism spectrum disorders (ASDs). Mimicry is typically investigated using automatic facial muscle responses (as measured by electromyography; EMG). For example, the corrugator supercilii (frown) muscle is generally increased in response to angry faces and other negative stimuli, whereas the zygomaticus major (smile) muscle is generally increased in response to happy faces/positive stimuli (e.g., Cacioppo et al., 1986, Dimberg, 1982, Lang et al., 1993 and McDonald et al., 2011). These responses occur even when the emotional stimuli are presented very briefly (30 ms; Dimberg, Thunberg, & Elmehed, 2000). A handful of studies have shown that high-functioning children ( Beall, Moody, McIntosh, Hepburn, & Reed, 2008), adolescents and adults ( McIntosh, Reichmann-Decker, Winkielman, & Wilbarger, 2006) with ASDs, and adults with ASD traits ( Hermans, van Wingen, Bos, Putman, & van Honk, 2009), display atypical (delayed or absent) spontaneous/automatic mimicry of passively viewed facial emotional (happy and angry) expressions presented for protracted duration (3–8 s), whilst their voluntary mimicry (production of expression when instructed) remains intact. Whilst this research implies that the early automatic aspects of emotion recognition are impaired in ASDs, the use of protracted exposure times makes it difficult to draw definite conclusions regarding this. Only one study to date has investigated automatic mimicry of briefly (25 ms) presented emotional expressions in a small sample (n = 13) of children with ASDs ( Oberman, Winkielman, & Ramachandran, 2009). Consistent with previous research on protracted presentation of emotional stimuli, this study found that high-functioning children with ASDs were delayed in their mimicry response ( Oberman et al., 2009). Interestingly, they found no deficits in the amplitude of their mimicry responses. This may have been due to the explicit instructions to label the emotional expression, which would have alerted their attention to the emotional content of the stimuli and potentially primed the mimicry system. Furthermore, in comparison tasks, longer presentation time (75 ms and 1000 ms) reduced but did not entirely remove the delay in mimicry response in the children with ASDs ( Oberman et al., 2009). Taken together, these studies demonstrate atypical automatic facial mimicry (EMG) of both protracted and briefly presented emotional stimuli in individuals with ASDs. Despite this impaired affective responsivity, these individuals demonstrate intact ability to recognise facial identity, age, and gender, as well as basic emotions. One potential explanation for these conflicting findings is a lack of motivational engagement in ASDs, which is proposed to result in reduced attention to social stimuli such as faces, voices, and hand gestures (Dawson, Webb, & McPartland, 2005). Similarly, it has been suggested that ASDs may be associated with a disruption in the allocation of emotional significance to facial stimuli (Pinkham, Hopfinger, Pelphrey, Piven, & Penn, 2008). Indeed, recent studies have shown that individuals with ASDs will only show spontaneous mimicry when the task sufficiently engages them in emotion processing (Magnée et al., 2007, Mathersul et al., 2013a and Oberman et al., 2009). Current conceptualisations of this social motivation hypothesis propose that deficits in ASDs occur not just at the basic behavioural level, but also encompass social orienting/attention and social maintaining (Chevallier, Kohls, Troiani, Brodkin, & Schultz, 2012). The majority of support for this comes from eye tracking or visual fixation studies that demonstrate impaired orienting and attention to socially-relevant stimuli such as eyes or people in pictures and movies of social interactions (e.g., Dalton et al., 2005, Klin et al., 2002 and Pelphrey et al., 2002). If this is indeed an accurate representation of this hypothesis, then autonomic measures (e.g., heart rate, skin conductance) provide a potential method of further investigating these processes. Classic notions of orienting propose a combination of behavioural and physiological changes (e.g., heart rate (HR), electrodermal activity (skin conductance), respiration rate, pupillary dilation) in response to novel or significant environmental stimuli, including socially-relevant stimuli (e.g., Sokolov, 1960 and Sokolov, 1963). However, extensive work over the past three decades suggests that skin conductance responses (SCRs) are the only true physiological marker of this orienting response (OR) in that they are elicited by novel stimuli, are modulated by stimulus intensity, and habituate with stimulus repetition (i.e., the Preliminary Process Theory (PPT); see Barry, 1981, Barry, 1996, Barry, 2006 and Barry, 2009). As such, they may be seen to reflect allocation of attention/engagement or (emotional) significance to stimuli over time (e.g., Barry, 1990, Barry and Sokolov, 1993, Maltzman, 1977, Maltzman and Boyd, 1984, Rushby and Barry, 2007, Rushby and Barry, 2009 and Sokolov, 1990). In contrast, evoked cardiac deceleration (ECD) typically occurs as an initial response to stimulus presentation, regardless of novelty, intensity (magnitude) or repetition, and is suggested to reflect early stimulus registration or detection (see Barry, 1981, Barry, 1996, Barry, 2006 and Barry, 2009). Similarly, ECD has been proposed to reflect continued attention to, and interest in, a stimulus (e.g., Graham and Clifton, 1966 and Turpin, 1983). Slower, longer lasting changes in arousal are reflected in skin conductance levels (SCLs), which have the potential to influence task-dependent SCRs (e.g., Barry, 2004, Barry and Sokolov, 1993 and Rushby and Barry, 2007). SCL typically increases (sensitisation) to novel stimuli then rapidly decreases (habituation) with stimulus repetition (Barry, 2004, Groves and Thompson, 1970, Rushby and Barry, 2007 and VaezMousavi et al., 2007). Socially-relevant information (including facial emotional expressions) is particularly salient to humans, and as such, typically elicits an OR and influences autonomic responses generally (Levenson, Ekman, & Friesen, 1990). Past research generally suggests that autonomic responses are disrupted in individuals with ASDs (Bal et al., 2010, Bölte et al., 2008, Corona et al., 1998, Hubert et al., 2009, Jansen et al., 2006, Joseph et al., 2008, Mathersul et al., 2013a, Mathersul et al., 2013b and Van Hecke et al., 2009), although this is not always the case (e.g., Ben Shalom et al., 2006). Importantly though, one recent study demonstrated (through the use of SCL and SCR) disruptions in the allocation of attention and (emotional) significance to socially-relevant stimuli (neutral faces) in ASDs, whilst stimulus registration/detection (ECD) remained intact (Mathersul, McDonald, & Rushby, 2013c). Concurrent autonomic measures therefore provide an important means of investigating allocation of attention and emotional significance to social stimuli (including emotional faces) in ASDs, and may help to explain why automatic mimicry to emotional stimuli is disrupted whilst processing of non-emotional features of faces is not. Thus, the aim of the present study was to investigate automatic facial mimicry (EMG responses) to briefly presented facial emotional stimuli in high-functioning individuals with ASDs. Building and extending on past research, particularly the study by Oberman et al. (2009), the present study investigated 30 adults with ASDs compared to 31 demographically matched, developmentally unremarkable adults, when viewing angry versus happy facial emotional expressions. Specifically, the present study employed two approaches to examining the automatic processing of emotional information. Firstly, a “backward masking” task was employed, where the emotional face was presented for 30 ms, immediately followed by a neutral expression mask. This approach enabled measurement to be focused upon the very early responses to emotional stimuli prior to elaborative processing. Secondly, an “implicit” task, was used in which participants were exposed to a slightly longer time frame but were given explicit instructions to rapidly identify the gender of the face (presented for a maximum of 500 ms), thereby minimising the likelihood that the emotional content of the stimuli was overtly attended to. Importantly, no explicit reference was made in either task to the emotion or valence of the facial stimuli. Given the suggestion that individuals with ASDs will only show spontaneous mimicry of facial expressions when the task sufficiently engages them in emotion processing (Oberman et al., 2009), the implicit task was included as a comparison task to determine whether engagement varies as a function of exposure time in the absence of attention (to the emotional content). Furthermore, concurrent measurements of skin conductance and cardiac responses were employed in both tasks to investigate allocation of attention/engagement and emotional significance to facial stimuli, as well as general stimulus registration or detection. It was hypothesised that if there is no opportunity for elaborative processing or attention to be focused upon the emotional content, facial mimicry (EMG) would be absent for the adults with ASDs in both tasks. It was also hypothesised that this atypical recognition would be reflected in atypical skin conductance (SCR, SCL), indicative of a disruption in the allocation of emotional significance to facial emotional stimuli and overall disruptions in arousal. Given past research suggesting disruptions in emotion processing but intact processing of non-emotional features of faces, it was hypothesised that cardiac responses (initial ECD) would be typical, reflective of intact stimulus registration/detection.