Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time

BackgroundAutism 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 evalu...

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Main Authors: Maryam Masoomi, Mahdieh Saeidi, Rommy Cedeno, Zahra Shahrivar, Mehdi Tehrani-Doost, Zerimar Ramirez, Divya Aishwarya Gandi, Sasidhar Gunturu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Child and Adolescent Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/frcha.2024.1520854/full
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author Maryam Masoomi
Mahdieh Saeidi
Rommy Cedeno
Rommy Cedeno
Zahra Shahrivar
Mehdi Tehrani-Doost
Zerimar Ramirez
Divya Aishwarya Gandi
Sasidhar Gunturu
Sasidhar Gunturu
author_facet Maryam Masoomi
Mahdieh Saeidi
Rommy Cedeno
Rommy Cedeno
Zahra Shahrivar
Mehdi Tehrani-Doost
Zerimar Ramirez
Divya Aishwarya Gandi
Sasidhar Gunturu
Sasidhar Gunturu
author_sort Maryam Masoomi
collection DOAJ
description BackgroundAutism 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.MethodsThis 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.ResultsIndividuals 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%).ConclusionsThis 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.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627339, PROSPERO (CRD42024627339).
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spelling doaj-art-5648769d62cd4a2c959dbe59f0df823f2025-01-14T06:10:39ZengFrontiers Media S.A.Frontiers in Child and Adolescent Psychiatry2813-45402025-01-01310.3389/frcha.2024.15208541520854Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response timeMaryam Masoomi0Mahdieh Saeidi1Rommy Cedeno2Rommy Cedeno3Zahra Shahrivar4Mehdi Tehrani-Doost5Zerimar Ramirez6Divya Aishwarya Gandi7Sasidhar Gunturu8Sasidhar Gunturu9Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran, Alborz, IranDepartment of Psychiatry, BronxCare Health System, New York, NY, United StatesDepartment of Psychiatry, Columbia University, New York, NY, United StatesDivision of Molecular Therapeutics, Department of Psychiatry, New York State Psychiatric Institute, New York, NY, United StatesDepartment of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran, Alborz, IranResearch Center for Cognitive and Behavioral Sciences, Roozbeh Psychiatry Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Psychiatry, BronxCare Health System, New York, NY, United StatesMedical School, Maharaja Sayajirao University of Baroda, Vadodara, IndiaBronx-Lebanon Hospital Center, New York, NY, United StatesDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesBackgroundAutism 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.MethodsThis 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.ResultsIndividuals 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%).ConclusionsThis 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.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627339, PROSPERO (CRD42024627339).https://www.frontiersin.org/articles/10.3389/frcha.2024.1520854/fullautism spectrum disorderemotion recognitionmeta-analysisresponse timesocial cognition
spellingShingle Maryam Masoomi
Mahdieh Saeidi
Rommy Cedeno
Rommy Cedeno
Zahra Shahrivar
Mehdi Tehrani-Doost
Zerimar Ramirez
Divya Aishwarya Gandi
Sasidhar Gunturu
Sasidhar Gunturu
Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
Frontiers in Child and Adolescent Psychiatry
autism spectrum disorder
emotion recognition
meta-analysis
response time
social cognition
title Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
title_full Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
title_fullStr Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
title_full_unstemmed Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
title_short Emotion recognition deficits in children and adolescents with autism spectrum disorder: a comprehensive meta-analysis of accuracy and response time
title_sort emotion recognition deficits in children and adolescents with autism spectrum disorder a comprehensive meta analysis of accuracy and response time
topic autism spectrum disorder
emotion recognition
meta-analysis
response time
social cognition
url https://www.frontiersin.org/articles/10.3389/frcha.2024.1520854/full
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