Gao Shihuan, Wang Xieshun, Su Yanjie
School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University, 5 Yiheyuan Road, Haidian District, Beijing, 100871, China.
School of Psychology, Shandong Normal University, Jinan, 250014, China.
Psychon Bull Rev. 2023 Oct;30(5):1740-1758. doi: 10.3758/s13423-023-02280-8. Epub 2023 Apr 26.
Theory of mind (ToM) represents a complex ability, while persons with autism spectrum disorder (ASD) encounter difficulties in the processing of ToM. The present ToM-focused studies on adults with ASD report inconsistent results, possibly owing to the differences between tasks. For instance, different ToM-related tasks involve different cognitive abilities, but the development of these cognitive abilities is different among adults with ASD, thereby leading to different behaviors by the same individual with ASD in different tasks. Therefore, it is of vital significance to explore the potential reasons for inconsistencies in the existing studies based on the task classification perspective. Hence, this study primarily reviews the existing ToM tasks used in studies on adults with ASD; afterward, based on the forms and characteristics of the task, the current ToM tasks are classified into four categories-reading comprehension, perceptual scene comprehension, comprehensive scene comprehension , and self-other processing. Subsequently, a meta-analysis is undertaken to determine the difference in each ToM task category between the ASD group and the typically developing (TD) group. As a result, 110 research papers (including 3,205 adults with ASD and 3,675 TD adults) that fulfilled the stated criteria are examined in this study. The study findings suggest that adults with ASD demonstrate worse performance in terms of all four ToM task categories as compared to TD adults. Furthermore, compared with tasks of self-other processing and perceptual scene comprehension, adults with ASD perform worse in reading comprehension and comprehensive scene comprehension. This shows that the differences between tasks may exert a potential influence on the study results. Future studies should focus on different abilities involved in ToM processing and the choice of ToM tasks, in order to elucidate the critical problems of ToM in adults with ASD.
心理理论(ToM)是一种复杂的能力,而自闭症谱系障碍(ASD)患者在心理理论的处理方面存在困难。目前针对患有ASD的成年人的以心理理论为重点的研究报告结果不一致,这可能是由于任务之间的差异。例如,不同的与心理理论相关的任务涉及不同的认知能力,但这些认知能力在患有ASD的成年人中的发展情况不同,从而导致同一个患有ASD的个体在不同任务中的行为表现不同。因此,从任务分类的角度探索现有研究中结果不一致的潜在原因具有至关重要的意义。因此,本研究主要回顾了在针对患有ASD的成年人的研究中使用的现有心理理论任务;之后,根据任务的形式和特点,将当前的心理理论任务分为四类——阅读理解、感知场景理解、综合场景理解和自我-他人加工。随后,进行荟萃分析以确定ASD组与正常发育(TD)组在每个心理理论任务类别上的差异。结果,本研究审查了110篇符合既定标准的研究论文(包括3205名患有ASD的成年人和3675名TD成年人)。研究结果表明,与TD成年人相比,患有ASD的成年人在所有四个心理理论任务类别上的表现都更差。此外,与自我-他人加工和感知场景理解任务相比,患有ASD的成年人在阅读理解和综合场景理解方面表现更差。这表明任务之间的差异可能会对研究结果产生潜在影响。未来的研究应关注心理理论处理中涉及的不同能力以及心理理论任务的选择,以阐明患有ASD的成年人心理理论的关键问题。