{"title":"儿童和青少年自闭症谱系障碍的情绪识别缺陷：准确性和反应时间的综合荟萃分析。","authors":"Maryam Masoomi, Mahdieh Saeidi, Rommy Cedeno, Zahra Shahrivar, Mehdi Tehrani-Doost, Zerimar Ramirez, Divya Aishwarya Gandi, Sasidhar Gunturu","doi":"10.3389/frcha.2024.1520854","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder is a neurodevelopmental condition characterized by persistent challenges in social communication and restricted, repetitive behaviors. Emotion recognition deficits are a core feature of ASD, impairing social functioning and quality of life. This meta-analysis evaluates emotion recognition accuracy and response time in individuals with autism spectrum disorder compared to neurotypical individuals and those with other neurodevelopmental disorders.</p><p><strong>Methods: </strong>This systematic review with a meta-analysis was conducted following PRISMA guidelines. A comprehensive literature search across PubMed, Scopus, Cochrane Library, and Web of Science identified 13 studies published between 2006 and 2024. Data on emotion recognition accuracy and response times were synthesized using standardized mean differences in random-effects models. Heterogeneity was assessed using the <i>I</i> <sup>2</sup> statistic, and sensitivity analyses were performed to ensure robustness.</p><p><strong>Results: </strong>Individuals with ASD exhibited significantly lower overall emotion recognition accuracy compared to TD individuals (SMD = -1.29, 95% CI: -2.20 to -0.39, <i>p</i> < 0.01) and NDDs (SMD = -0.89, 95% CI: -1.23 to -0.55, <i>p</i> = 0.02). Response times were significantly prolonged in ASD compared to TD individuals (SMD = 0.50, 95% CI: 0.36-0.63, <i>p</i> < 0.01) but not when compared to NDDs. Emotion-specific analyses did not consistently reveal significant differences across emotions (fear, anger, happiness, sadness, disgust, surprise), with substantial heterogeneity observed across studies (<i>I</i> <sup>2</sup> > 50%).</p><p><strong>Conclusions: </strong>This systematic review with a meta-analysis highlights significant impairments in emotion recognition accuracy and processing speed among individuals with autism spectrum disorder, particularly compared to neurotypical individuals. These findings underscore the importance of developing targeted interventions to address these deficits, which are foundational to improving social cognition and quality of life in autism spectrum disorder. Future research should prioritize standardized methodologies and explore cultural and contextual factors influencing emotion recognition abilities.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627339, PROSPERO (CRD42024627339).</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"3 ","pages":"1520854"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772337/pdf/","citationCount":"0","resultStr":"{\"title\":\"Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time.\",\"authors\":\"Maryam Masoomi, Mahdieh Saeidi, Rommy Cedeno, Zahra Shahrivar, Mehdi Tehrani-Doost, Zerimar Ramirez, Divya Aishwarya Gandi, Sasidhar Gunturu\",\"doi\":\"10.3389/frcha.2024.1520854\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Autism spectrum disorder is a neurodevelopmental condition characterized by persistent challenges in social communication and restricted, repetitive behaviors. Emotion recognition deficits are a core feature of ASD, impairing social functioning and quality of life. This meta-analysis evaluates emotion recognition accuracy and response time in individuals with autism spectrum disorder compared to neurotypical individuals and those with other neurodevelopmental disorders.</p><p><strong>Methods: </strong>This systematic review with a meta-analysis was conducted following PRISMA guidelines. A comprehensive literature search across PubMed, Scopus, Cochrane Library, and Web of Science identified 13 studies published between 2006 and 2024. Data on emotion recognition accuracy and response times were synthesized using standardized mean differences in random-effects models. Heterogeneity was assessed using the <i>I</i> <sup>2</sup> statistic, and sensitivity analyses were performed to ensure robustness.</p><p><strong>Results: </strong>Individuals with ASD exhibited significantly lower overall emotion recognition accuracy compared to TD individuals (SMD = -1.29, 95% CI: -2.20 to -0.39, <i>p</i> < 0.01) and NDDs (SMD = -0.89, 95% CI: -1.23 to -0.55, <i>p</i> = 0.02). Response times were significantly prolonged in ASD compared to TD individuals (SMD = 0.50, 95% CI: 0.36-0.63, <i>p</i> < 0.01) but not when compared to NDDs. Emotion-specific analyses did not consistently reveal significant differences across emotions (fear, anger, happiness, sadness, disgust, surprise), with substantial heterogeneity observed across studies (<i>I</i> <sup>2</sup> > 50%).</p><p><strong>Conclusions: </strong>This systematic review with a meta-analysis highlights significant impairments in emotion recognition accuracy and processing speed among individuals with autism spectrum disorder, particularly compared to neurotypical individuals. These findings underscore the importance of developing targeted interventions to address these deficits, which are foundational to improving social cognition and quality of life in autism spectrum disorder. Future research should prioritize standardized methodologies and explore cultural and contextual factors influencing emotion recognition abilities.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627339, PROSPERO (CRD42024627339).</p>\",\"PeriodicalId\":73074,\"journal\":{\"name\":\"Frontiers in child and adolescent psychiatry\",\"volume\":\"3 \",\"pages\":\"1520854\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772337/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in child and adolescent psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/frcha.2024.1520854\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in child and adolescent psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/frcha.2024.1520854","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景：自闭症谱系障碍是一种神经发育障碍，其特征是社会沟通持续困难，行为受限，重复性。情绪识别缺陷是ASD的核心特征，会损害社会功能和生活质量。本荟萃分析评估了自闭症谱系障碍个体与神经正常个体和其他神经发育障碍个体相比的情绪识别准确性和反应时间。方法：本系统综述与荟萃分析遵循PRISMA指南进行。对PubMed、Scopus、Cochrane图书馆和Web of Science进行了全面的文献检索，确定了2006年至2024年间发表的13项研究。使用随机效应模型的标准化平均差异综合情绪识别准确性和反应时间的数据。采用i2统计量评估异质性，并进行敏感性分析以确保稳健性。结果：与TD个体相比，ASD个体表现出明显较低的整体情绪识别准确率（SMD = -1.29, 95% CI: -2.20至-0.39,p p = 0.02）。与TD患者相比，ASD患者的反应时间显著延长（SMD = 0.50, 95% CI: 0.36-0.63, p < 0.05）。结论：本系统综述与荟萃分析强调了自闭症谱系障碍个体在情绪识别准确性和处理速度方面的显著损伤，特别是与神经正常个体相比。这些发现强调了开发有针对性的干预措施来解决这些缺陷的重要性，这是改善自闭症谱系障碍患者社会认知和生活质量的基础。未来的研究应优先考虑标准化的方法，并探索影响情绪识别能力的文化和情境因素。系统评价注册：https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627339, PROSPERO （CRD42024627339）。
Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time.
Background: Autism spectrum disorder is a neurodevelopmental condition characterized by persistent challenges in social communication and restricted, repetitive behaviors. Emotion recognition deficits are a core feature of ASD, impairing social functioning and quality of life. This meta-analysis evaluates emotion recognition accuracy and response time in individuals with autism spectrum disorder compared to neurotypical individuals and those with other neurodevelopmental disorders.
Methods: This systematic review with a meta-analysis was conducted following PRISMA guidelines. A comprehensive literature search across PubMed, Scopus, Cochrane Library, and Web of Science identified 13 studies published between 2006 and 2024. Data on emotion recognition accuracy and response times were synthesized using standardized mean differences in random-effects models. Heterogeneity was assessed using the I2 statistic, and sensitivity analyses were performed to ensure robustness.
Results: Individuals with ASD exhibited significantly lower overall emotion recognition accuracy compared to TD individuals (SMD = -1.29, 95% CI: -2.20 to -0.39, p < 0.01) and NDDs (SMD = -0.89, 95% CI: -1.23 to -0.55, p = 0.02). Response times were significantly prolonged in ASD compared to TD individuals (SMD = 0.50, 95% CI: 0.36-0.63, p < 0.01) but not when compared to NDDs. Emotion-specific analyses did not consistently reveal significant differences across emotions (fear, anger, happiness, sadness, disgust, surprise), with substantial heterogeneity observed across studies (I2 > 50%).
Conclusions: This systematic review with a meta-analysis highlights significant impairments in emotion recognition accuracy and processing speed among individuals with autism spectrum disorder, particularly compared to neurotypical individuals. These findings underscore the importance of developing targeted interventions to address these deficits, which are foundational to improving social cognition and quality of life in autism spectrum disorder. Future research should prioritize standardized methodologies and explore cultural and contextual factors influencing emotion recognition abilities.
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