OTSLPOtherJournal of autism and developmental disorders2026

Social Functioning in Autistic Children with Below-Average vs. Average IQ: Limited Behavioral and Neural Evidence of Group Differences.

Alexandra P Key, Dorita Jones, Blythe A Corbett

PMID 40075007

WHAT IT FOUND

Autistic children with below-average IQ scored worse on direct face-memory, theory-of-mind, and role-play tasks, but caregivers reported similar everyday social functioning.

Brain responses showed limited differences.

Key findings

01The below-average IQ group scored worse than the higher IQ group on Memory for Faces Delayed, Theory of Mind, vocal expressiveness, and overall rapport.

02Caregiver-reported social functioning did not differ significantly between the IQ groups.

03There were no significant between-group differences in N170 amplitude for faces or houses, but N170 latency was later in the lower IQ group.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The study compared groups at one baseline time point, so it cannot show that lower IQ caused any difference. Participants were recruited from clinical trials of a theatre-based intervention, and only baseline data were used, so the sample may not represent all autistic children. The sample had 23 females and 59 males, which may limit how well sex differences were detected. The authors did not account for socioeconomic status or race/ethnicity because of sample size and number of variables. Some brain-response differences were small, and several did not remain significant after correction for multiple comparisons. The paper reported the average N170 latency difference as approximately 8 ms, and said its practical significance is unclear. The study used a common set of behavioral and EEG measures; results may not apply to other tasks or age groups.

Declared interests

Blythe Corbett is the founder of SENSE Theatre but does not receive financial compensation. Other authors declared no conflicts of interest.

The easy way to misread this

Do not assume a lower IQ automatically means worse everyday social functioning in autistic children. Caregiver reports did not differ between IQ groups, and direct task differences may reflect the cognitive and language demands of the tests.

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 →