SLPOtherAutism : the international journal of research and practice2026

Listening in a noisy world: The impact of acoustic cues and background music on speech perception in autism.

Jiayin Li, Maleeha Sujawal, Zivile Bernotaite and 2 others

PMID 41420523

WHAT IT FOUND

Autistic adults understood speech in noise less accurately overall.

With both voice and location cues, their accuracy matched non-autistic adults. Background music lowered accuracy overall, with the clearest drop in non-autistic adults when both cues were present.

Key findings

01Autistic participants were less accurate overall than non-autistic participants: 85.9% versus 88.9%.

02When no acoustic cue was present, accuracy was lower than when at least one cue was present; with both cues, autistic and non-autistic accuracy did not differ significantly.

03Background music reduced accuracy overall, and the only significant follow-up music comparison was in non-autistic participants in the both-cues condition.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was adults who were verbally and cognitively able, had normal hearing and no current speech, language or communication needs, so the findings may not apply to children or autistic people with greater communication needs. The task used predictable sentences and neutral instrumental music, which may not match everyday conversation or emotionally engaging music. The study measured behaviour only, so it did not capture listening effort or neural responses. Power calculations relied partly on a small pilot sample, so the precision of the sample-size estimate may be limited. Ten participants did not complete the Navon task, so processing-style correlations were based on 62 participants. No therapy, device or environmental intervention was tested.

Declared interests

The supplied metadata lists non-U.S. government research support. The article text notes funding and conflicts of interest but does not name a commercial sponsor or declare a conflict.

The easy way to misread this

Do not read the music result as evidence that background music is less distracting for autistic clients. The music lowered accuracy overall, and the only significant follow-up music comparison was in non-autistic adults when both cues were present; the study used predictable, emotionally neutral instrumental music.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →