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Facial Feedback and Social Input: Effects on Laughter and Enjoyment in Children with Autism Spectrum Disorders

Journal of Autism and Developmental Disorders volume 46, pages 83–94 (2016)Cite this article

Abstract

Both social input and facial feedback appear to be processed differently by individuals with autism spectrum disorder (ASD). We tested the effects of both of these types of input on laughter in children with ASD. Sensitivity to facial feedback was tested in 43 children with ASD, aged 8–14 years, and 43 typically developing children matched for mental age (6–14), in order to examine whether children with ASD use bodily feedback as an implicit source of information. Specifically, children were asked to view cartoons as they normally would (control condition), and while holding a pencil in their mouth forcing their smiling muscles into activation (feedback condition) while rating their enjoyment of the cartoons. The authors also explored the effects of social input in children with ASD by investigating whether the presence of a caregiver or friend (companion condition), or the presence of a laugh track superimposed upon the cartoon (laugh track condition) increased the children’s self-rated enjoyment of cartoons or the amount of positive affect they displayed. Results showed that the group with ASD was less affected by all three experimental conditions, but also that group differences seemed to have been driven by one specific symptom of ASD: restricted range of affect. The strong relationship between restricted affect and insensitivity to facial feedback found in this study sheds light on the implications of restricted affect for social development in ASD.

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Notes

  1. The DSM-5, released in 2014, eliminated PDD-NOS as a diagnostic category, and altered the diagnostic criteria for autism spectrum disorder, so it is possible that the 17 children in this study diagnosed with PDD-NOS, prior to the release of DSM-5, would not meet DSM-5 criteria for ASD.

References

  • Adelmann, P. K., & Zajonc, R. B. (1989). Facial efference and the experience of emotion. Annual Review of Psychology, 40, 249–280.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Andreasson, P., & Dimberg, U. (2008). Emotional empathy and facial feedback. Journal of Nonverbal Behavior, 32, 215–224.

    Article  Google Scholar 

  • Balconi, M., & Canavesio, Y. (2013). Emotional contagion and trait empathy in prosocial behaviors in young people: The contribution of autonomic (facial feedback) and Balanced Emotional Empathy Scale (BEES) measures. Journal of Clinical and Experimental Neuropsychology, 35, 41–48.

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: An investigation of adults with Asperger’s or High Functioning Autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163–175.

    Article  PubMed  Google Scholar 

  • Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (2005). The Iowa Gambling Task and the Somatic Marker Hypothesis: Some questions and answers. Trends in Cognitive Sciences, 9, 159–162.

    Article  PubMed  Google Scholar 

  • Bush, L. K., Barr, C. L., McHugo, G. J., & Lanzetta, J. T. (1989). The effects of facial control and facial mimicry on subjective reactions to comedy routines. Motivation and Emotion, 13, 31–52.

    Article  Google Scholar 

  • Cappella, J. N. (1993). The facial feedback hypothesis in human interaction: Review and speculation. Journal of Language and Social Psychology, 12, 13–29.

    Article  Google Scholar 

  • Capps, L., Sigman, M., & Mundy, P. (1994). Attachment security in children with autism. Development and Pychopathology, 6, 249–261.

    Article  Google Scholar 

  • Chapman, A. J. (1974). An electromyographic study of social facilitation: A test of the “mere presence” hypothesis. British Journal of Psychology, 65, 123–128.

    Article  PubMed  Google Scholar 

  • Damasio, A. R. (2000). A neural basis for sociopathy. Archives of General Psychiatry, 57, 128–129.

    Article  Google Scholar 

  • Darwin, C. (1872). The expression of the emotions in man and animals. London, England: John Murray.

    Book  Google Scholar 

  • Dethier, M., Blairy, S., Rosenberg, H., & McDonald, S. (2013). Emotional regulation impairments following severe traumatic brain injury: An investigation of the body and facial feedback effects. Journal of the International Neuropsychological Society, 19, 367–379.

    Article  PubMed  Google Scholar 

  • Dimberg, U. (1982). Facial reactions to facial expressions. Psychophysiology, 19, 643–647.

    Article  PubMed  Google Scholar 

  • Dimberg, U. (1990). Facial electromyography and emotional reactions. Psychophysiology, 27, 481–494.

    Article  PubMed  Google Scholar 

  • Dimberg, U., Thunberg, M., & Elmehed, K. (2000). Unconscious facial reactions to emotional facial expressions. Psychological Science, 11, 86–89.

    Article  PubMed  Google Scholar 

  • Eigsti, I.-M. (2013). A review of embodiment in Autism Spectrum Disorders. Frontiers in Psychology, 4, 224.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ekman, P., Levenson, R. W., & Friesen, W. V. (1983). Autonomic nervous system activity distinguishes among emotions. Science, 221, 1208–1210.

    Article  PubMed  Google Scholar 

  • Finzi, E., & Wasserman, E. (2006). Treatment of depression with botulinum toxin A: A case series. Dermatologic Surgery, 32, 645–649.

    PubMed  Google Scholar 

  • Gallese, V. (2006). Intentional attunement: A neurophysiological perspective on social cognition and its disruption in autism. Brain Research, 1079, 15–24.

    Article  PubMed  Google Scholar 

  • Gillberg, C., & Steffenburg, S. (2008). Autistic behavior in Moebius syndrome. Acta Paediatrica Scanda, 78, 314–316.

    Article  Google Scholar 

  • Gur, R. E., & Johnson, A. B. (2006). If your adolescent has schizophrenia; An essential resource for parent. New York: Oxford University Press.

    Google Scholar 

  • Hatfield, E., Cacioppo, J. T., & Rapson, R. L. (1994). Emotional contagion. Cambridge, MA: Cambridge University Press.

    Google Scholar 

  • Havas, D. A., & Matheson, J. (2013). The functional role of the periphery in emotional language comprehension. Frontiers in Psychology, 4, 294.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hecke, V., Vaughan, A., Lebow, J., Bal, E., Lamb, D., Harden, E., et al. (2009). Electroencephalogram and heart rate regulation to familiar and unfamiliar people in children with autism spectrum disorders. Child Development, 80, 1118–1133.

    Article  Google Scholar 

  • Helt, M. S., Eigsti, I.-M., Snyder, P. J., & Fein, D. A. (2010). Contagious yawning in typical and autistic development. Child Development, 81, 1620–1631.

    Article  PubMed  Google Scholar 

  • Hennenlotter, A., Dresel, C., Castrop, F., Ceballos-Baumann, A. O., Wohlschlager, A. M., & Haslinger, B. (2009). The link between facial feedback and neural activity within central circuitries of emotion—new insights from botulinum toxin-induced denervation of frown muscles. Cerebral Cortex, 19, 537–542.

    Article  PubMed  Google Scholar 

  • Hoferhacker, A., Benecke, C., Edlinger, M., Huber, R., Kemmler, G., Rettenbacher, M. A., et al. (2009). Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia. European Psychiatry, 24, 27–32.

    Article  Google Scholar 

  • James, W. (1890). The principles of psychology. New York, NY: Holt.

    Book  Google Scholar 

  • Klin, A., Jones, W., & Schultz, R. (2003). The enactive mind, or from actions to cognition: Lessons from autism. Philisophical Transactions of the Royal Society, 1430, 345–360.

    Article  Google Scholar 

  • Laird, J. D. (1974). Self-attribution of emotion: The effects of expressive behavior on the quality of emotional experience. Journal of Personality and Social Psychology, 29, 475–486.

    Article  PubMed  Google Scholar 

  • Laird, J. D., Alibozak, T., Davainis, D., Deignan, K., Fontanella, K., Hong, J., et al. (1994). Individual differences in the effects of spontaneous mimicry on emotional contagion. Motivation and Emotion, 18, 231–233.

    Article  Google Scholar 

  • Larsen, R. J., Kasimatis, M., & Frey, K. (1992). Facilitating the furrowed brow: An unobtrusive test of the facial feedback hypothesis applied to unpleasant affect. Cognition and Emotion, 6, 321–338.

    Article  Google Scholar 

  • Levenson, R. W., Ekman, P., & Friesen, W. V. (1990). Voluntary facial action generates emotion-specific autonomic nervous system activity. Psychophysiology, 27(4), 363–384.

    Article  PubMed  Google Scholar 

  • Lewis, M. B. (2012). Exploring the positive and negative implications of facial feedback. Emotion, 12, 852–859.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2000). Autism Diagnostic Observation Schedule. Torrance, CA: Western Psychological Services.

    Google Scholar 

  • Magnee, M. J., deGelder, B., van Engeland, H., & Kemner, C. (2007). Multisensory integration and attention in autism spectrum disorder: Evidence from event-related potentials. PLoS One, 6, 1122–1130.

    Google Scholar 

  • Mayer, J. D., Caruso, D. R., & Salovey, P. (1999). Emotional intelligence meets traditional standards for intelligence. Intelligence, 27, 267–298.

    Article  Google Scholar 

  • McIntosh, D. N., Reichmann-Decker, A. W., Wilbarger, P., & Julia, L. (2006). When the social mirror breaks: Deficits in automatic, but not voluntary, mimicry of emotional facial expressions in autism. Developmental Science, 9, 295–302.

    Article  PubMed  Google Scholar 

  • Mclntosh, D. N. (1994). Facial feedback hypotheses: Evidence, implications, and directions. Motivation and Emotion, 20, 121–147.

    Article  Google Scholar 

  • Neal, D. T., & Chartrand, T. L. (2011). Embodied emotion perception: Amplifying and dampening facial feedback modulates emotion perception accuracy. Social Psychological and Personality Science, 2, 673–678.

    Article  Google Scholar 

  • Niedenthal, P. M. (2007). Embodying emotion. Science, 316, 1002–1005.

    Article  PubMed  Google Scholar 

  • Oberman, L. M., Ramachandran, V., & Pineda, J. A. (2008). Modulation of mu suppression in children with autism spectrum disorders in response to familiar or unfamiliar stimuli: The mirror neuron hypothesis. Neuropsychologia, 46, 1558–1565.

    Article  PubMed  Google Scholar 

  • Penn, D. L., & Combs, D. (2000). Modification of affect perception deficits in schizophrenia. Schizophrenia Research, 46, 217–229.

    Article  PubMed  Google Scholar 

  • Pierce, K., Haist, F., Sedaghat, F., & Courchesne, E. (2004). The brain response to personally familiar faces in autism: Findings of fusiform activity and beyond. Brain: A Journal of Neurology, 127, 2703–2716.

    Article  Google Scholar 

  • Provine, R. R. (1992). Contagious laughter: Laughter is a sufficient stimulus for laughs and smiles. Bulletin of the Psychonomic Society, 30, 1–4.

    Article  Google Scholar 

  • Provine, R. R. (1996). Contagious yawning and laughter: Significance for sensory feature detection, motor pattern generation, imitation, and the evolution of social behavior. In C. M. Heyes & B. G. Galef Jr (Eds.), Social learning in animals: The roots of culture (pp. 179–208). San Diego, CA: Academic Press.

    Chapter  Google Scholar 

  • Provine, R. R. (2001). Laughter: A scientific investigation. New York, NY: Penguin press.

    Google Scholar 

  • Ridderinkhof, K. R., Ullsperger, M., Crone, E. A., & Nieuwenhuis, S. (2004). The role of medial frontal cortex in cognitive control. Science, 306, 443–447.

    Article  PubMed  Google Scholar 

  • Rives-Bogart, K., & Matsumoto, D. (2010). Living with Moebius syndrome: Adjustment, social competence, and satisfaction with life. The Cleft Pallette Craniofacial Journal, 47, 134–142.

    Article  Google Scholar 

  • Rogers, S. J., Ozonoff, S., & Maslin-Cole, C. (1991). A comparative study of attachment behavior in young children with autism or other psychiatric disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 483–488.

    Article  PubMed  Google Scholar 

  • Roid, G. H. (2003). Stanford binet intelligence scales (5th ed.). Rolling Hills, IL: Riverside Publishing.

    Google Scholar 

  • Ruch, W. (1993). Exhilaration and humor. In M. Lewis & J. M. Haviland (Eds.), The handbook of emotions (pp. 605–616). New York, NY: Guilford Publications.

    Google Scholar 

  • Scambler, D. J., Hepburn, S. L., Rutherford, M. D., Wehner, E. A., & Rogers, S. J. (2006). Emotional responsivity in children with autism, children with other developmental disabilities, and children with typical development. Journal of Autism and Developmental Disorders, 37, 553–563.

    Article  Google Scholar 

  • Soussignan, R. (2002). Duchenne smile, emotional experience, and autonomic reactivity: A test of the facial feedback hypothesis. Emotion, 2, 52–74.

    Article  PubMed  Google Scholar 

  • Steele, J. D., Kumar, P., & Ebmeier, K. P. (2007). Blunted response to feedback information in depressive illness. Brain, 130, 2367–2374.

    Article  PubMed  Google Scholar 

  • Stel, M., van den Heuvel, C., & Smeets, R. C. (2008). Facial feedback mechanisms in autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 1250–1258.

    Article  PubMed  PubMed Central  Google Scholar 

  • Strack, F., Martin, L. L., & Stepper, S. (1988). Inhibiting and facilitating conditions of the human smile: A nonobtrusive test of the facial feedback hypothesis. Journal of Personality and Social Psychology, 54, 768–777.

    Article  PubMed  Google Scholar 

  • Twerski, A. J., & Twerski, B. (1986). The facial nerve. New York, NY: Thieme Inc.

    Google Scholar 

  • Vanswearington, J. M., Cohn, J. F., & Bajaj-Luthra, A. (1999). Specific impairment of smiling increases the severity of depressive symptoms in patients with facial neuromuscular disorders. Aestethic Plastic Surgery, 23, 416–423.

    Article  Google Scholar 

  • Warren, J. E., Sauter, D. A., Eisner, F., Wiland, J., Dresner, M. Alexander, Wise, Richard J. S., et al. (2006). Positive emotions preferentially engage an auditory-motor “mirror” system. The Journal of Neuroscience, 26, 13067–13075.

    Article  PubMed  Google Scholar 

  • Wilson, R. R., Pascalis, M., & Blades, O. (2007). What do children look at in an adult face with which they are personally familiar? British Journal of Developmental Psychology, 25, 375–382.

    Article  Google Scholar 

  • Yirmiya, N., Kasari, C., Sigman, M., & Mundy, P. (1989). Facial expressions of affect in autistic, mentally retarded and normal children. Journal of Child Psychology and Psychiatry, 30, 725–735.

    Article  PubMed  Google Scholar 

  • Zajonc, R. B., Murphy, S. T., & Inglehart, M. (1989). Feeling and facial efference: Implications of the vascular theory of emotion. Psychological Review, 96, 395–416.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by a pre-doctoral, mentor-based fellowship awarded to Deborah Fein and Molly Helt by Autism Speaks.

Author contributions

Study conception and design: Helt, Fein; Acquisition of data: Helt; Analysis and interpretation of data: Helt; Drafting of manuscript: Helt, Fein; Critical revision: Helt, Fein.

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Authors and Affiliations

  1. Departments of Neuroscience and Psychology, Trinity College, 300 Summit St., Hartford, CT, 06106, USA

    Molly S. Helt

  2. Department of Psychology, University of Connecticut, Hartford, CT, USA

    Deborah A. Fein

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  1. Molly S. Helt
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  2. Deborah A. Fein
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Correspondence to Molly S. Helt.

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Helt, M.S., Fein, D.A. Facial Feedback and Social Input: Effects on Laughter and Enjoyment in Children with Autism Spectrum Disorders. J Autism Dev Disord 46, 83–94 (2016). https://doi.org/10.1007/s10803-015-2545-z

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Keywords

  • Facial feedback
  • Autism
  • Laughter
  • Embodied cognition