SLPMeta-AnalysisJournal of autism and developmental disorders2026

Minimal Differences in Auditory and Visual Oddball Tasks in Autism: A Systematic Review and Meta-Analysis.

Sarah G Vassall, William J Quackenbush, Mark T Wallace

PMID 40057661

WHAT IT FOUND

Auditory and visual oddball tasks showed minimal group differences between autistic and non-autistic people.

The pooled differences were small and not consistent. These tasks alone are unlikely to reveal sensory prediction differences.

Key findings

01Auditory oddball neural and behavioral results showed minimal overall group differences, with confidence intervals including zero.

02Visual oddball neural and behavioral results also showed minimal overall group differences, with confidence intervals including zero.

03High between-study variation made the auditory and visual oddball results difficult to interpret as one general group finding.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The visual analysis rested on only 15 studies, so the visual results are less stable than the auditory results. 24 auditory and 5 visual studies were flagged as potential outliers, so the pooled estimates do not describe one consistent group difference. Many included studies did not match autistic and non-autistic participants well on age and IQ. Only 23.08% of studies explicitly excluded syndromic autism, and the authors say this reduced study quality. The samples were often verbal, lower-support autistic individuals, so the results may not apply to people with high support needs or syndromic autism. Some apparent moderator effects, including symptomology in auditory behavioral studies, did not survive the stricter robust variance estimation check. The paper did not test a clinical intervention or a therapy outcome.

The easy way to misread this

Do not conclude that autistic people have no sensory prediction differences. This paper only shows that auditory and visual oddball tasks did not produce a consistent group difference across studies, and the authors note that complex social stimuli may need more research.

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 →