Abstract
We conducted a meta-analysis of 18 studies to establish whether a relation exists between Reading the Mind in the Eye Test (RMET) performance and intelligence quotient (IQ) in individuals diagnosed with autism-spectrum disorders (ASD) and controls, taking into account relevant characteristics such as age, gender, and autism quotient. Our findings indicate that RMET performance was better in controls compared with those diagnosed with ASD. We found that RMET performance is dependent on full and verbal IQ and age in controls. However, RMET performance is negatively correlated with performance IQ in individuals diagnosed with ASD. These results suggest that the methodology applied by ASD when taking the RMET is different from control individuals and might depend less on verbal abilities.
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Apperly, I. A., Samson, D., Chiavarino, C., Bickerton, W. L., & Humphreys, G. W. (2007). Testing the domain-specificity of a theory of mind deficit in brain-injured patients: evidence for consistent performance on non-verbal, “reality-unknown” false belief and false photograph tasks. Cognition, 103(2), 300–321. https://doi.org/10.1016/j.cognition.2006.04.012.
Baghaei, P., & Tabatabaee, M. (2015). The C-Test: An integrative measure of crystallized intelligence. Journal of Intelligence, 3(2), 46–58.
Baker, C. A., Peterson, E., Pulos, S., & Kirkland, R. A. (2014). Eyes and IQ: A meta-analysis of the relationship between intelligence and “Reading the Mind in the Eyes”. Intelligence, 44, 78–92.
Baron-Cohen, S. (1989). The autistic child’s theory of mind: A case of specific developmental delay. Journal of Child Psychology Psychiatry, 30(2), 285–297.
Baron-Cohen, S. (1993). From attention-goal psychology to belief-desire psychology: The development of a theory of mind, and its dysfunction. In H. T.-F. Simon Baron-Cohen, V. Michael & Lombardo (Eds.), Understanding other minds: Perspectives from developmental social neuroscience (pp. 59–82).
Baron-Cohen, S. (2009). Autism: the empathizing-systemizing (E-S) theory. Annals of the New York Academy Science, 1156, 68–80. https://doi.org/10.1111/j.1749-6632.2009.04467.x.
Baron-Cohen, S., Bowen, D. C., Holt, R. J., Allison, C., Auyeung, B., Lombardo, M. V.,... Lai, M. C. (2015). The “Reading the Mind in the Eyes” Test: Complete absence of typical sex difference in ~ 400 men and women with autism. PLoS ONE, 10(8), e0136521. https://doi.org/10.1371/journal.pone.0136521.
Baron-Cohen, S., Jolliffe, T., Mortimore, C., & Robertson, M. (1997). Another advanced test of theory of mind: Evidence from very high functioning adults with autism or asperger syndrome. Journal of Child Psychology Psychiatry, 38(7), 813–822.
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind”? Cognition, 21(1), 37–46.
Baron-Cohen, S., Ring, H. A., Wheelwright, S., Bullmore, E. T., Brammer, M. J., Simmons, A., & Williams, S. C. (1999). Social intelligence in the normal and autistic brain: An fMRI study. European Journal of Neuroscience, 11(6), 1891–1898.
Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (2001a). The “Reading the Mind in the Eyes” Test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. Journal of Child Psychology Psychiatry, 42(2), 241–251.
Baron-Cohen, S., Wheelwright, S., Spong, A., Scahill, V., & Lawson, J. (2001b). Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. Journal of Developmental and Learning Disorders, 5(1), 47–78.
Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2013). Comprehensive meta-analysis Version 3. Biostatistics.
Brent, E., Rios, P., Happe, F., & Charman, T. (2004). Performance of children with autism spectrum disorder on advanced theory of mind tasks. Autism, 8(3), 283–299. https://doi.org/10.1177/1362361304045217.
Capps, L., Yirmiya, N., & Sigman, M. (1992). Understanding of simple and complex emotions in non-retarded children with autism. Journal of Child Psychology Psychiatry, 33(7), 1169–1182.
Carroll, J. B. (1993). Human cognitive abilities: A survey of factor-analytic studies. New York: Cambridge University Press.
Celani, G., Battacchi, M. W., & Arcidiacono, L. (1999). The understanding of the emotional meaning of facial expressions in people with autism. Jouranl of Autism Development Disorders, 29(1), 57–66.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences, 2nd. Hillsdale: Erlbaum.
Crespi, B. J. (2016). Autism as a disorder of high intelligence. Frontiers Neuroscience, 10, 300. https://doi.org/10.3389/fnins.2016.00300.
Dziobek, I., Fleck, S., Kalbe, E., Rogers, K., Hassenstab, J., Brand, M.,.. . Convit, A. (2006). Introducing MASC: A movie for the assessment of social cognition. Journal of Autism and Development Disorders, 36(5), 623–636. https://doi.org/10.1007/s10803-006-0107-0.
Eagly, A. H., & Wood, W. (1991). Explaining sex differences in social behavior: A meta-analytic perspective. Personality and social psychology bulletin, 17(3), 306–315.
Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634.
Frith, C. D., & Frith, U. (2008). Implicit and explicit processes in social cognition. Neuron, 60(3), 503–510. https://doi.org/10.1016/j.neuron.2008.10.032.
Frith, U. (1994). Autism and theory of mind in everyday life. Social Development, 3(2), 108–124.
Gepner, B., Deruelle, C., & Grynfeltt, S. (2001). Motion and emotion: A novel approach to the study of face processing by young autistic children. Journal of Autism and Development Disorders, 31(1), 37–45.
Golan, O., Baron-Cohen, S., Hill, J. J., & Rutherford, M. D. (2007). The ‘Reading the Mind in the Voice’ test-revised: A study of complex emotion recognition in adults with and without autism spectrum conditions. Journal of Autism and Development Disorders, 37(6), 1096–1106. https://doi.org/10.1007/s10803-006-0252-5.
Golan, O., Sinai-Gavrilov, Y., & Baron-Cohen, S. (2015). The Cambridge Mindreading Face-Voice Battery for Children (CAM-C): Complex emotion recognition in children with and without autism spectrum conditions. Molecular Autism, 6, 22. https://doi.org/10.1186/s13229-015-0018-z.
Happe, F. G. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66(3), 843–855.
Henrich, J. (2015). The secret of our success: How culture is driving human evolution, domesticating our species, and making us smarter. Princeton: Princeton University Press.
Hobson, R. P., Ouston, J., & Lee, A. (1989). Naming emotion in faces and voices: Abilities and disabilities in autism and mental retardation. British Journal of Developmental Psychology, 7(3), 237–250.
Hollocks, M. J., Jones, C. R., Pickles, A., Baird, G., Happe, F., Charman, T., & Simonoff, E. (2014). The association between social cognition and executive functioning and symptoms of anxiety and depression in adolescents with autism spectrum disorders. Autism Research, 7(2), 216–228. https://doi.org/10.1002/aur.1361.
Holt, R. J., Chura, L. R., Lai, M. C., Suckling, J., von dem Hagen, E., Calder, A. J.,.. . Spencer, M. D. (2014). ‘Reading the Mind in the Eyes’: An fMRI study of adolescents with autism and their siblings. Psychological Medicine, 44(15), 3215–3227. https://doi.org/10.1017/S0033291714000233.
Horn, J. (1988). Thinking about human abilities. In Handbook of multivariate experimental psychology (pp. 645–685). Springer.
Horn, J. L., & Cattell, R. B. (1966). Refinement and test of the theory of fluid and crystallized general intelligences. Journal of Educational Psychology, 57(5), 253–270.
Kaland, N., Callesen, K., Moller-Nielsen, A., Mortensen, E. L., & Smith, L. (2008). Performance of children and adolescents with Asperger syndrome or high-functioning autism on advanced theory of mind tasks. Journal of Autism and Developmental Disorders, 38(6), 1112–1123. https://doi.org/10.1007/s10803-007-0496-8.
Kimura, D. (1992). Sex differences in the brain. Scientific American, 267(3), 118–125.
Kirchner, J. C., Hatri, A., Heekeren, H. R., & Dziobek, I. (2011). Autistic symptomatology, face processing abilities, and eye fixation patterns. Journal of Autism and Developmental Disorders, 41(2), 158–167. https://doi.org/10.1007/s10803-010-1032-9.
Kirkland, R. A., Peterson, E., Baker, C. A., Miller, S. F., & Pulos, S. (2013). Meta-analysis reveals adult female superiority in” Reading the Mind in the Eyes Test”. North American Journal of Psychology. 15(1).
Korkmaz, B. (2011). Theory of mind and neurodevelopmental disorders of childhood. Pediatric Research, 69(5 Pt 2), 101R–108R. https://doi.org/10.1203/PDR.0b013e318212c177.
Lai, M. C., Lombardo, M. V., Ruigrok, A. N., Chakrabarti, B., Wheelwright, S. J., Auyeung, B.,... Baron-Cohen, S. (2012). Cognition in males and females with autism: Similarities and differences. PLoS ONE, 7(10), e47198. https://doi.org/10.1371/journal.pone.0047198.
Lindner, J. L., & Rosen, L. A. (2006). Decoding of emotion through facial expression, prosody and verbal content in children and adolescents with Asperger’s syndrome. Journal of Autism and Developmental Disorders, 36(6), 769–777. https://doi.org/10.1007/s10803-006-0105-2.
Lombardo, M. V., Barnes, J. L., Wheelwright, S. J., & Baron-Cohen, S. (2007). Self-referential cognition and empathy in autism. PLoS ONE, 2(9), e883. https://doi.org/10.1371/journal.pone.0000883.
Macdonald, H., Rutter, M., Howlin, P., Rios, P., Le Conteur, A., Evered, C., & Folstein, S. (1989). Recognition and expression of emotional cues by autistic and normal adults. Journal of Child Psychology Psychiatry, 30(6), 865–877.
McArdle, J. J., Hamagami, F., Meredith, W., & Bradway, K. P. (2000). Modeling the dynamic hypotheses of Gf–Gc theory using longitudinal life-span data. Learning and Individual Differences, 12(1), 53–79.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ, 339, b2535. https://doi.org/10.1136/bmj.b2535.
Nader, A. M., Courchesne, V., Dawson, M., & Soulieres, I. (2016). Does WISC-IV underestimate the intelligence of autistic children? Journal of Autism and Developmental Disorders, 46(5), 1582–1589. https://doi.org/10.1007/s10803-014-2270-z.
Nettle, D. (2007). Empathizing and systemizing: what are they, and what do they contribute to our understanding of psychological sex differences? British Journal of Psychology, 98(Pt 2), 237–255. https://doi.org/10.1348/000712606X117612.
Oakley, B. F. M., Brewer, R., Bird, G., & Catmur, C. (2016). Theory of mind is not theory of emotion: A cautionary note on the Reading the Mind in the Eyes Test. Journal of Abnormal Psychology, 125(6), 818–823. https://doi.org/10.1037/abn0000182.
Otsuka, S., Uono, S., Yoshimura, S., Zhao, S., & Toichi, M. (2017). Emotion perception mediates the predictive relationship between verbal ability and functional outcome in high-functioning adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(4), 1166–1182. https://doi.org/10.1007/s10803-017-3036-1.
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1990). Are there emotion perception deficits in young autistic children? Journal of Child Psychology and Psychiatry, 31(3), 343–361.
Peterson, C. (2014). Theory of mind understanding and empathic behavior in children with autism spectrum disorders. International Journal of Developmental Neuroscience, 39, 16–21. https://doi.org/10.1016/j.ijdevneu.2014.05.002.
Peterson, C. C., Slaughter, V., & Brownell, C. (2015). Children with autism spectrum disorder are skilled at reading emotion body language. Journal of Experimental Child Psychology, 139, 35–50. https://doi.org/10.1016/j.jecp.2015.04.012.
Peterson, E., & Miller, S. F. (2012). The eyes test as a measure of individual differences: How much of the variance reflects verbal IQ?. Frontiers in Psychology, 3, 220. https://doi.org/10.3389/fpsyg.2012.00220.
Rosenberg, M. S. (2005). The file-drawer problem revisited: a general weighted method for calculating fail-safe numbers in meta-analysis. Evolution, 59(2), 464–468.
Rueda, P., Fernández-Berrocal, P., & Baron-Cohen, S. (2015). Dissociation between cognitive and affective empathy in youth with Asperger Syndrome. European Journal of Developmental Psychology, 12(1), 85–98.
Saad, L. O., & Celeri, E. H. R. V. (2018). A brief update on intelligence in autism spectrum disorders. Global Journal of Intellectual and Developmental Disabilities. https://doi.org/10.19080/GJIDD.2018.04.555637.
Sabbagh, M. A. (2004). Understanding orbitofrontal contributions to theory-of-mind reasoning: Implications for autism. Brain and Cognition, 55(1), 209–219. https://doi.org/10.1016/j.bandc.2003.04.002.
Schaller, U. M., & Rauh, R. (2017). What difference does it make? Implicit, explicit and complex social cognition in autism spectrum disorders. Journal of Autism and Developmental Disorders, 47(4), 961–979. https://doi.org/10.1007/s10803-016-3008-x.
Schiffer, B., Pawliczek, C., Muller, B. W., Gizewski, E. R., & Walter, H. (2013). Why don’t men understand women? Altered neural networks for reading the language of male and female eyes. PLoS ONE, 8(4), e60278. https://doi.org/10.1371/journal.pone.0060278.
Schipolowski, S., Wilhelm, O., & Schroeders, U. (2014). On the nature of crystallized intelligence: The relationship between verbal ability and factual knowledge. Intelligence, 46, 156–168.
Senju, A., Tojo, Y., Konno, M., Dairoku, H., & Hasegawa, T. (2002). Reading mind from pictures of eyes: theory of mind, language ability, general intellectual ability, and autism. Shinrigaku Kenkyu, 73(1), 64–70.
Spek, A. A., Scholte, E. M., & Van Berckelaer-Onnes, I. A. (2010). Theory of mind in adults with HFA and Asperger syndrome. Journal of Autism and Developmental Disorders, 40(3), 280–289. https://doi.org/10.1007/s10803-009-0860-y.
Vogindroukas, I., Chelas, E. N., & Petridis, N. E. (2014). Reading the Mind in the Eyes Test (Children’s Version): A comparison study between children with typical development, children with high-functioning autism and typically developed adults. Folia Phoniatrica et Logopaedica, 66(1–2), 18–24. https://doi.org/10.1159/000363697.
Wellman, H. M., Cross, D., & Watson, J. (2001). Meta-analysis of theory-of-mind development: The truth about false belief. Child Development, 72(3), 655–684.
Wilson, C. E., Happe, F., Wheelwright, S. J., Ecker, C., Lombardo, M. V., Johnston, P.,... Murphy, D. G. (2014). The neuropsychology of male adults with high-functioning autism or asperger syndrome. Autism Research, 7(5), 568–581. https://doi.org/10.1002/aur.1394.
Witelson, D. F. (1976). Sex and the single hemisphere: specialization of the right hemisphere for spatial processing. Science, 193(4251), 425–427.
Woodruff, G., Premack, D., & Kennel, K. (1978). Conservation of liquid and solid quantity by the chimpanzee. Science, 202(4371), 991–994. https://doi.org/10.1126/science.202.4371.991.
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This research was partially financed by the Spanish Ministry of Economy (PSI2012-37490) and the Innovation and Development Agency of Andalusia, Spain (SEJ-07325).
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IP-C and AS contributed equally to this meta-analysis. IP-C and AS conceptualized and designed the study, conducted the literature search, identified and abstracted data, carried out the analyses, drafted the initial manuscript, and approved the final manuscript. JS-L-J conducted the literature search and critically reviewed and revised the manuscript and approved the final manuscript. PF-B, coordinated and supervised the data collection, critically reviewed and supervised the data collection, critically reviewed the manuscript, and approved the final manuscript.
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Peñuelas-Calvo, I., Sareen, A., Sevilla-Llewellyn-Jones, J. et al. The “Reading the Mind in the Eyes” Test in Autism-Spectrum Disorders Comparison with Healthy Controls: A Systematic Review and Meta-analysis. J Autism Dev Disord 49, 1048–1061 (2019). https://doi.org/10.1007/s10803-018-3814-4
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DOI: https://doi.org/10.1007/s10803-018-3814-4