Emotivity and social communication in autism spectrum disorder without intellectual deficit. A review.
Keywords:
Autism Spectrum Disorder, expressed emotion, social cognition, social skills, Interpersonal Relations, emotional regulationAbstract
Background: Autism Spectrum Disorder with basic support needs/level 1 is framed in autism spectrum disorder without associated intellectual deficiency or formal language difficulties. It courses with altered communication and language at a functional or social level and with altered recognition of emotions.
Objectives: The objective of this review is to determine emotional and social communication characteristics in people with autism spectrum disorder without intellectual deficit. To establish comorbid disorders in autism spectrum disorder without intellectual deficit. To expose different mechanisms or techniques to enhance and promote expression and emotional recognition in people with autism spectrum disorder without intellectual deficit.
Methods: Narrative review. The search was carried out on PubMed, Cochrane and Dialnet databases, as well as on the websites of health and research organizations such as the Spanish Autism Confederation, DSM-5, World Health Organization, and the National Statistic Institute. Publications are included between 2011 and 2023.
Results: After a search, 22 articles were selected. People with Autism Spectrum Disorder without intellectual deficit have deficits in individual or other people emotion recognition, at the level of facial expressions and non-verbal language. It is associated with comorbid disorders of depression and anxiety along with a higher prevalence of risk of suicidal behavior. There are different tools such as virtual reality, interactive games or socio-emotional skills training that improve present deficiencies.
Conclusion: Emotional alterations lead to impaired communication and social functioning. Social isolation, rejection, and adaptation problems along with comorbid disorders such as anxiety, depression, and high risk of self-injury, which are prevalent in autism spectrum disorder without intellectual deficit, decrease quality of life. To promote emotional recognition, there are interventions such as virtual reality, games or training of socio-emotional skills that allow contact with real situations of social interaction.
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References
Organización Mundial de la Salud. CIE-11 para estadísticas de mortalidad y morbilidad. Nueva York: Organización Mundial de la Salud. 2024. Disponible en: https://icd.who.int/browse11/l-m/es#/http://id.who.int/icd/entity/120443468
Hosseini SA, Molla M. Asperger Syndrome. StatPearls. 2021. Disponible en : https://www.ncbi.nlm.nih.gov/books/NBK557548/
Ministerio de Asuntos Económicos y Transformación Digital. Instituto Nacional de Estadística. España: Gobierno de España. 2020. Disponible en : https://www.ine.es/
Hirota T, King BH. Autism Spectrum Disorder: A Review. JAMA. 2023;329(2):157-168. doi: 10.1001/jama.2022.23661
Restoy D, Oriol-Escudé M, Alonzo-Castillo T, Magán-Maganto M, Canal-Bedia R, Díez-Villoria E, et al. Emotion regulation and emotion dysregulation in children and adolescents with Autism Spectrum Disorder: A meta-analysis of evaluation and intervention studies. Clin Psychol Rev. 2024; 109:102410. doi: 10.1016/j.cpr.2024.102410. Epub 2024 Feb 21.
Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Disponible en: www.cochrane-handbook.org
Baez S, Rattazzi A, Gonzalez-Gadea ML, Torralva T, Vigliecca NS, Decety J, et al. Integrating intention and context: assessing social cognition in adults with Asperger syndrome. 2012; 6:302. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3492863/
Lartseva A, Dijkstra T, Buitelaar JK. Emotional language processing in autism spectrum disorders: a systematic review. Front Hum Neurosci. 2015 ;8 :991. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285104/
Fernandes JM, Cajão R, Lopes R, Jerónimo R, Barahona-Corrêa JB. Social Cognition in Schizophrenia and Autism Spectrum Disorders: A Systematic Review and Meta-Analysis of Direct Comparisons. Front Psychiatry. 2018 ;9 :504. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232921/#B31
Jordan AL, Marczak M, Knibbs J. ‘I Felt Like I was Floating in Space’: Autistic Adults’ Experiences of Low Mood and Depression. Journal of Autism and Developmental Disorders. 2021; 51:1683-1694. DOI: 10.1007/s10803-020-04638-6 Disponible en: https://pubmed.ncbi.nlm.nih.gov/32830302/
Figueira M, Fuentes Durá I, Ruiz Ruiz JC. Social cognition and communication skills in Asperger syndrome young adults. Psychol. Soc. Educ. 2013 ;5(2) :151-161. Disponible en : https://dialnet.unirioja.es/servlet/articulo?codigo=4761712
Velikonja T, Fett AK, Velthorst E. Patterns of Nonsocial and Social Cognitive Functioning in Adults with Autism Spectrum Disorder: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2019 ;76(2) :135-151. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439743/
Arroyave MA, Castillo LF, Isaza GA. Análisis de la Interacción Social en Patologías Mentales por Medios Computacionales: Caso de Estudio Asperger y Trastorno por Déficit de Atención. Inf. Tecnol. 2018;29(2):63-72. Disponible en: https://scielo.conicyt.cl/pdf/infotec/v29n2/0718-0764-infotec-29-02-00063.pdf
Lehnhardt FG, Gawronski A, Pfeiffer K, Kockler H, Schilbach L, Vogeley K. The investigation and differential diagnosis of Asperger syndrome in adults. Dtsch Arztebl Int. 2013 ;110(45) :755-763. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849991/#BX2
Morie KP, Jackson S, Zhai ZW, Potenza MN, Dritschel B. Mood Disorders in High-Functioning Autism: The Importance of Alexithymia and Emotional Regulation. J Autism Dev Disord. 2019 ;49(7)2935-2945. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7375152/
Kocourkova J, Dudova I, Koutek J. Asperger syndrome related suicidal behavior: two case studies. Neuropsychiatr Dis Treat. 2013 ;9 :1815-1819. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3839807/
Storch EA, Sulkowski ML, Nadeau J, Lewin AB, Arnold EB, Mutch PJ, et al. The phenomenology and clinical correlates of suicidal thoughts and behaviors in youth with autism spectrum disorders. J Autism Dev Disord. 2013 ;43(10) :2450-2459. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808993/
Harkins C, Menezes M, Sadikova E, Mazurek M. Friendship and Anxiety/Depression Symptoms in Boys with and Without Autism Spectrum Disorder. Am J Intellect Dev Disabil. 2023 Mar 1;128(2):119-133. doi: 10.1352/1944-7558-128.2.119
Kandalaft MR, Didehbani N, Krawczyk DC, Allen TT, Chapman SB. Virtual reality social cognition training for young adults with high-functioning autism. J Autism Dev Disord. 2013 ;43(1) :34-44. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536992/#CR7
Fridenson-Hayo S, Berggren S, Lassalle A, Tal S, Pigat D, Meir-Goren N, et al. 'Emotiplay': a serious game for learning about emotions in children with autism: results of a cross-cultural evaluation. Eur Child Adolesc Psychiatry. 2017; 26:979-992. Disponible en: https://link.springer.com/article/10.1007/s00787-017-0968-0
Sandbank M, Bottema-Beutel K, Crowley LaPoint S, Feldman JI, Barrett DJ, Caldwell N, Dunham K, Crank J, Albarran S, Woynaroski T. Autism intervention meta-analysis of early childhood studies (Project AIM): updated systematic review and secondary analysis. BMJ. 2023 Nov 14;383: e076733. doi: 10.1136/bmj-2023-076733
Tebartz van Elst, L., Fangmeier, T., Schaller, U. M., Hennig, O., Kieser, M., Koelkebeck, K., et al. FASTER and SCOTT&EVA trainings for adults with high-functioning autism spectrum disorder (ASD): study protocol for a randomized controlled trial. Trials. 2021;22(1):1-19. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33832537/
Li GK, Ge P, Liu GH, Huang XX, Lu GB, Wang YX, et al. Clinical effect of integrated sandplay therapy in children with Asperger syndrome. Zhongguo Dang Dai Er Ke Za Zhi. 2019 ;21(3) :234-238. Disponible en : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7389368/
Mauren Drysdale TB, Yvonne Martinez J, Thompson L. The Effects of Humorous Literature on Emotion: a Pilot Project Comparing Children with Asperger's Syndrome Before and After Neurofeedback Training and Controls. J Neurother. 2012 ;16(3) :196-209. Disponible en : https://www.cochranelibrary.com/central/doi/10.1002/central/CN00899527/full#keywords
Baghdadli A, Brisot J, Enrique V, Michelon C, Soussana M, Rattaz C, et al. Social skills improvement in children with high-functioning autism: a pilot randomized controlled trial. Eur Child Adolesc Psychiatry. 2013 ;22(7) :433-442. Disponible en: https://link.springer.com/article/10.1007%2Fs00787-013-0388-8
Ratcliffe B, Wong M, Dossetor D, Hayes S. Teaching social-emotional skills to school-aged children with autism spectrum disorder: a treatment versus control trial in 41 mainstream schools. Trastorno del espectro autista de Res. 2014;8(12):1722-1733. Disponible en: https://www.researchgate.net/publication/267159860_Teaching_socialemotional_skills_to_schoolaged_children_with_Autism_Spectrum_Disorder_A_treatment_versus_control_trial_in_41_mainstream_schools
Barnhill GP. Síndrome de Asperger: Guía para padres y educadores. RET. 2016 ;77 : 315. Disponible en : https://www.cat-barcelona.com/uploads/rets/ret_77_sindrome_asperger_guia_para_padres_y_educadores.pdf
Zhao J, Zhang X, Lu Y, Wu X, Zhou F, Yang S, Wang L, Wu X, Fei F. Virtual reality technology enhances the cognitive and social communication of children with autism spectrum disorder. Front Public Health. 2022 Oct 6; 10:1029392. doi: 10.3389/fpubh.2022.1029392
Gaitan-Padilla M, Cifuentes CA, Munera M. Three Study Cases of Social Robotics in Autism Spectrum Disorder Treatment: Personalization and Usability of CASTOR Robot. IEEE Int Conf Rehabil Robot. 2022 Jul; 2022:1-6. doi: 10.1109/ICORR55369.2022.9896590
Breaux R, Baweja R, Eadeh HM, Shroff DM, Cash AR, Swanson CS, Knehans A, Waxmonsky JG. Systematic Review and Meta-analysis: Pharmacological and Nonpharmacological Interventions for Persistent Nonepisodic Irritability. J Am Acad Child Adolesc Psychiatry. 2023 Mar;62(3):318-334. doi: 10.1016/j.jaac.2022.05.012
Hutchinson J, Folawemi O, Bittla P, Kaur S, Sojitra V, Zahra A, Khan S. The Effects of Risperidone on Cognition in People with Autism Spectrum Disorder: A Systematic Review. Cureus. 2023 Sep 19;15(9): e45524. doi: 10.7759/cureus.45524
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