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From the Institute of Cognitive Neuroscience, University College London, London, United Kingdom (S.J.W., D.C., R.R., U.F.)
Received March 29, 2010; accepted for publication November 12, 2010
Address for correspondence and reprints: Sarah J. White, Institute of Cognitive Neuroscience, University College London, 17 Queen Square, London
WC1N 3AR, UK. E-mail: s.white@ucl.ac.uk
Grant sponsors: Medical Research Council, and Economic and Social Research Council; British Academy; Grant numbers: PTA-037-27-0107; PDF/2009/213.
Published online 5 January 2011 in Wiley Online Library (wileyonlinelibrary.com)
DOI: 10.1002/aur.174
& 2011 International Society for Autism Research, Wiley Periodicals, Inc.
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Method
Participants
Ethical approval for the study was received from the Joint
UCL/UCLH committee on the Ethics of Human Research
and, before the test session, written informed consent
was sought and received from all participants. Sixteen
adults with Autism Spectrum Disorder (ASD) and 15
typically developing adults took part, matched for age
(t(29) 5 0.97), gender (w2(1) 5 0.11), verbal IQ (t(29) 5 0.65),
and performance IQ [t(29) 5 0.85; Wechsler Adult Intelligence Scale, WAIS III-UK, Wechsler, 1997]. The participants
in the ASD group had all received previous diagnosis from a
qualified clinician and all but two also met criteria for an
ASD on the Autism Diagnostic Observation Schedule
[ADOS-G; Lord et al., 2000]. The two remaining participants
were not excluded as their ADOS scores revealed a degree of
communication and social difficulty, which was felt to be
more obviously evident in their daily lives; indeed they both
had an Autism-Spectrum Quotient score [AQ; Baron-Cohen,
Wheelwright, Skinner, Martin, & Clubley, 2001] above the
recommended cut-off of 32. Furthermore, one of these
participants met criteria in the social domain but had a
physical disability that made it impossible to score the two
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Participant Characteristics
N (male:female)
Age (yr)
Verbal IQ
Performance IQ
AQ (cut-off 32)
Clinical diagnosis
ADOS
ASD
Comparison
16 (12:4)
33.00 (10.31)
111.25 (12.74)
106.44 (12.75)
37.06 (8.47)
14 AS
1 HFA
1 ASD
7 Autism
7 Autism Spectrum
2 None
15 (11:4)
36.53 (9.86)
114.13 (11.97)
110.47 (13.71)
19.64 (7.84)
Note. Values are given as mean (SD) unless otherwise stated. Asterisks
indicate when groups significantly differ from one another. ASD, Autism
Spectrum Disorder; AS, Asperger syndrome; HFA, high-functioning autism;
AQ, Autism-Spectrum Quotient.
Po0.001.
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Participants were also informed that after some animations there would be further questions. They were then
presented with two practice animations (GD and ToM)
for familiarization to ensure that they understood the
task. Feedback was given on the practice trials.
In the experimental phase, participants were shown
one animation at a time in a pseudo-randomized order.
The verbal descriptions that participants gave were
recorded for later transcription and scoring. After each
animation, participants were presented with a list of
MCQ-categorization types to choose from. If they
correctly identified a ToM animation, they were then
presented with additional questions (MCQ-feelings) to
test their understanding of the mental states depicted in
the animation. For the MCQ-feelings task, participants
could choose between one of five listed adjectives to best
match the feelings of each of the triangles at the end of
the animation; a separate list was provided for each
triangle in each animation (see Appendix A). In all other
conditions, no additional questions were asked. Throughout the experimental phase, no feedback was given.
Scoring
Objective scoring. Participants could score a total of
12 for the MCQ-categorization. This was divided into a
maximum of 4 for each of the three animation types. For
the MCQ-feelings, a maximum of 8 points could be
scored, corresponding to two possible correct answers for
each of the four ToM animations.
ASD
Comparison
6.27 (1.03)
12.17 (1.85)
6.91 (0.30)
14.07 (1.27)
7.94 (1.95)
2.38 (2.00)
10.00 (0.93)
5.47 (1.30)
0.26 (0.57)
2.24 (0.41)
3.02 (0.49)
0.47 (0.66)
2.21 (0.39)
3.62 (0.60)
4.51 (0.59)
3.04 (0.90)
1.71 (0.70)
4.48 (0.54)
3.45 (0.66)
2.66 (0.98)
Analysis
Background
False-belief tasks (7)
Strange stories (16)
Objective
MCQ-categorisation total (12)
MCQ-feelings (8)
Subjective
Intentionality
Random (5)
Goal-directed (5)
ToM (5)
Appropriateness
Random (5)
Goal-directed (5)
ToM (5)
Note. Values are given as mean (SD) unless otherwise stated. Asterisks
indicate when groups significantly differ from one another.
Po0.05; Po0.01; Po0.001.
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151
4
ASD
Comparison
Accuracy (4 max)
Random
Goal-Directed
ToM
152
Appendix A
MCQ-categorization
Which of these 3 categories best fits the film clip you
have just seen?
(a)
No interaction
(b)
Physical interaction
(c)
Mental interaction
MCQ-feelings
(correct answers in bold)
Coaxing:
How do you think the Little Triangle feels at the end of
the clip?
(a) Proud; (b) No feelings; (c) Secure; (d) Annoyed;
(e) Unsure
How do you think the Big Triangle feels at the end of
the clip?
(a) Frustrated; (b) Loving; (c) Tense; (d) Frivolous;
(e) No feelings
Mocking:
How do you think the Little Triangle feels at the end of
the clip?
(a) No feelings; (b) Fulfilled; (c) Anxious; (d) Mischievous; (e) Devious
How do you think the Big Triangle feels at the end of
the clip?
(a) Aggravated; (b) Puzzled; (c) Lonely; (d) Satisfied;
(e) No feelings
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Seducing:
How do you think the Little Triangle feels at the end of
the clip?
(a) Lost; (b) Cunning; (c) Scared; (d) Composed;
(e) No feelings
How do you think the Big Triangle feels at the end of
the clip?
(a) Excited; (b) Eager; (c) No feelings; (d) Cheerful;
(e) Foolish
Surprising:
How do you think the Little Triangle feels at the end of
the clip?
(a) Provoked; (b) No feelings; (c) Bored; (d) Pleased;
(e) Lucky
How do you think the Big Triangle feels at the end of
the clip?
(a) No feelings; (b) Terrified; (c) Delighted; (d) Disappointed; (e) Uneasy
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