Macari Suzanne L, Vernetti Angelina, Chawarska Katarzyna
Yale Child Study Center, Yale University School of Medicine, New Haven, Connecticut, 06511, USA.
Autism Res. 2021 May;14(5):1025-1036. doi: 10.1002/aur.2448. Epub 2020 Dec 7.
Differential emotional reactivity to social and nonsocial stimuli has been hypothesized but rarely examined empirically in ASD despite its potential importance for development of social motivation, cognition, and comorbid psychopathology. This study examined emotional reactivity, regulation, and attention to social and nonsocial threat in toddlers with ASD (n = 42, M : 22 months) and typically developing (TD) toddlers (n = 22, M : 23 months), and their mutual associations with autism symptom severity. Participants were exposed to social (stranger), nonsocial (mechanical objects), and ambiguous (masks) threats, and their intensity of distress (iDistress), attention to threat (Attention), and presence of emotion regulation (ER) strategies were measured. Autism symptom severity was quantified using the Autism Diagnostic Observation Schedule-2. In response to social threat, toddlers with ASD exhibited elevated iDistress (P < 0.038) but lower Attention (P < 0.002) and a wider variety of ER strategies (P < 0.040) compared to TD controls, though their ER strategies were less likely to be social. However, nonsocial and ambiguous threat elicited lower iDistress in ASD than in TD toddlers (P = 0.012 and P = 0.034, respectively), but comparable Attention and ER strategy use. Autism severity was not associated with iDistress. The study demonstrates elevated emotional salience but diminished attentional salience of social threat in ASD. A failure to attend adequately to social threats may restrict opportunities to appraise their threat value and engender often observed in ASD negative emotional responses to novel social situations. Early atypical emotional reactivity may independently contribute to the shaping of complex autism phenotypes and may be linked with later emerging affective and behavioral symptoms. LAY SUMMARY: Compared to typically developing toddlers, toddlers with ASD show diminished attention yet enhanced distress in response to social threat. Poor attention to potential social threat may limit opportunities to assess its threat value and thus contribute to often observed negative emotional responses to novel social situations. Identifying the precursors of atypical emotional reactivity in infancy and its links with later psychopathology will inform about novel treatment targets and mechanisms of change in the early stages of ASD. Autism Res 2021, 14: 1025-1036. © 2020 International Society for Autism Research, Wiley Periodicals, LLC.
尽管对社交动机、认知和共病精神病理学的发展具有潜在重要性,但关于自闭症谱系障碍(ASD)对社交和非社交刺激的差异性情绪反应,虽有相关假设,但很少有实证研究。本研究考察了患有ASD的幼儿(n = 42,平均年龄:22个月)和发育正常(TD)的幼儿(n = 22,平均年龄:23个月)对社交和非社交威胁的情绪反应、调节及注意力,以及它们与自闭症症状严重程度的相互关系。参与者暴露于社交(陌生人)、非社交(机械物体)和模糊(面具)威胁情境中,并测量他们的痛苦强度(iDistress)、对威胁的注意力(Attention)以及情绪调节(ER)策略的运用情况。使用《自闭症诊断观察量表第二版》对自闭症症状严重程度进行量化。与TD对照组相比,面对社交威胁时,患有ASD的幼儿表现出更高的痛苦强度(P < 0.038),但注意力更低(P < 0.002),且情绪调节策略种类更多(P < 0.040),不过他们的情绪调节策略不太可能是社交性的。然而,非社交和模糊威胁在ASD幼儿中引发的痛苦强度低于TD幼儿(分别为P = 0.012和P = 0.034),但在注意力和情绪调节策略的运用上相当。自闭症严重程度与痛苦强度无关。该研究表明,ASD中社交威胁的情绪显著性升高,但注意力显著性降低。未能充分关注社交威胁可能会限制评估其威胁价值的机会,并导致在ASD中经常观察到的对新社交情境的负面情绪反应。早期的非典型情绪反应可能独立地促成复杂自闭症表型的形成,并可能与后期出现的情感和行为症状有关。通俗总结:与发育正常的幼儿相比,患有ASD的幼儿在面对社交威胁时注意力降低,但痛苦增强。对潜在社交威胁的关注不足可能会限制评估其威胁价值的机会,从而导致在新社交情境中经常观察到的负面情绪反应。识别婴儿期非典型情绪反应的先兆及其与后期精神病理学的联系,将为自闭症早期阶段的新治疗靶点和变化机制提供信息。《自闭症研究》2021年,第14卷:1025 - 1036页。© 2020国际自闭症研究协会,威利期刊公司。