SLPSystematic ReviewAutism : the international journal of research and practice2020

Measuring change in facial emotion recognition in individuals with autism spectrum disorder: A systematic review.

Andrea Trubanova Wieckowski, L Taylor Flynn, J Anthony Richey and 2 others

PMID 32551983

WHAT IT FOUND

Only six of 36 tests used in ASD intervention studies had been used by more than one research team.

The most common test found change in only 7 of 21 studies, so no single measure reliably detects change.

Key findings

01The review found that 65 included articles used 36 different facial emotion recognition measures, and only six of those measures had been used across multiple studies by different research teams.

02The DANVA2 was used in 21 studies, but only 7 reported significant change in facial emotion recognition, and 13 reported no significant change.

03CAM-C showed improvement in all 8 studies, but only 3 used a control condition, and the studies evaluated Mind Reading computerized intervention or broader treatment programs.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The included studies used different designs, analyses, and reporting, so firm conclusions about change across studies cannot be drawn. To compare measures, the review assumed interventions were roughly equally potent, which may not be true. Most studies used cognitively able participants, so the results may not apply to people with intellectual disability. Only six measures had been used across multiple teams, so most measure findings rest on one study or one team. Some measures used assessment materials similar to the intervention materials, so improvement may reflect learning the test rather than general facial emotion recognition. The search keywords were limited, although reference lists were checked for missed studies. The review did not examine intervention dosage or format in depth. The paper did not state the total number of participants analysed.

Declared interests

The article is marked as supported by NIH extramural research funding. No author conflict-of-interest statement is included in the supplied text.

The easy way to misread this

Do not read the CAM-C results as proof that Mind Reading improves facial emotion recognition. Only three of the eight CAM-C studies used a control condition, and the studies evaluated Mind Reading computerized intervention or broader treatment programs. The contribution of any single component cannot be separated.

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