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Shifts in Behavioral Synchrony in Response to an Interaction Partner’s Distress in Adolescents With and Without ASD

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Abstract

Individuals with Autism spectrum disorder (ASD) show altered behavioral synchrony and empathic behavior. Yet, an ecologically valid examination of these in adolescents is still required. We employed a social interaction sequence comprising a friendly conversation with a confederate, an expression of distress by her, and a return to friendly conversation. 44 male adolescents (22 with ASD) participated. Socio-emotional behaviors, coded by blind raters and through automated analyses of motion, were analyzed. Results indicated reduced synchrony in the ASD group. Moreover, whereas controls displayed a decrease in synchrony when facing another’s distress, adolescents with ASD showed no such change. No group differences were found on empathic behavior. Findings imply gaps between verbal and non-verbal responses of adolescents with ASD to a distressed interaction partner.

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References

  • Abney, D. H., Paxton, A., Dale, R., & Kello, C. T. (2015). Movement dynamics reflect a functional role for weak coupling and role structure in dyadic problem solving. Cognitive Processing, 16(4), 325–332.

    PubMed  Google Scholar 

  • Allison, C., Baron-Cohen, S., Wheelwright, S. J., Stone, M. H., & Muncer, S. J. (2011). Psychometric analysis of the Empathy Quotient (EQ). Personality and Individual Differences, 51(7), 829–835.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association.

    Google Scholar 

  • Baimel, A., Birch, S. A., & Norenzayan, A. (2018). Coordinating bodies and minds: Behavioral synchrony fosters mentalizing. Journal of Experimental Social Psychology, 74, 281–290.

    Google Scholar 

  • Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34(2), 163–175.

    PubMed  Google Scholar 

  • Behrends, A., Müller, S., & Dziobek, I. (2012). Moving in and out of synchrony: A concept for a new intervention fostering empathy through interactional movement and dance. The Arts in Psychotherapy, 39(2), 107–116.

    Google Scholar 

  • Bellé, N., Cantarelli, P., & Belardinelli, P. (2017). Cognitive biases in performance appraisal: Experimental evidence on anchoring and halo effects with public sector managers and employees. Review of Public Personnel Administration, 37(3), 275–294.

    Google Scholar 

  • Ben-Yosef, D., Anaki, D., & Golan, O. (2017). Context processing in adolescents with autism spectrum disorder: How complex could it be? Autism Research, 10(3), 520–530.

    PubMed  Google Scholar 

  • Bhat, A. N., Landa, R. J., & Galloway, J. C. (2011). Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders. Physical Therapy, 91(7), 1116–1129.

    PubMed  Google Scholar 

  • Bloch, C., Falter-Wagner, C., Georgescu, A. L., & Vogeley, K. (2019). INTRApersonal synchrony as constituent of INTERpersonal synchrony and its relevance for autism spectrum disorder. Frontiers in Robotics and AI, 6, 73.

    PubMed  PubMed Central  Google Scholar 

  • Bölte, S., Poustka, F., & Constantino, J. N. (2008). Assessing autistic traits: Cross‐cultural validation of the social responsiveness scale (SRS). Autism Research, 1(6), 354–363.

    PubMed  Google Scholar 

  • Butler, E. A. (2015). Interpersonal affect dynamics: It takes two (and time) to tango. Emotion Review, 7(4), 336–341.

    Google Scholar 

  • Butler, E. A. (2017). Emotions are temporal interpersonal systems. Current Opinion in Psychology, 17, 129–134.

    PubMed  Google Scholar 

  • Cappella, J. N. (1997). Behavioral and judged coordination in adult informal social interactions: Vocal and kinesic indicators. Journal of Personality and Social Psychology, 72(1), 119.

    Google Scholar 

  • Capps, L., Kasari, C., Yirmiya, N., & Sigman, M. (1993). Parental perception of emotional expressiveness in children with autism. Journal of Consulting and Clinical Psychology, 61(3), 475.

    PubMed  Google Scholar 

  • Charman, T., Swettenham, J., Baron-Cohen, S., Cox, A., Baird, G., & Drew, A. (1997). Infants with autism: An investigation of empathy, pretend play, joint attention, and imitation. Developmental Psychology, 33(5), 781.

    PubMed  Google Scholar 

  • Chartrand, T. L., & Bargh, J. A. (1999). The chameleon effect: The perception–behavior link and social interaction. Journal of Personality and Social Psychology, 76(6), 893.

    PubMed  Google Scholar 

  • Chartrand, T. L., Maddux, W. W., & Lakin, J. L. (2005). Beyond the perception-behavior link: The ubiquitous utility and motivational moderators of nonconscious mimicry. The New Unconscious, 334–361.

  • Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale (SRS). Western Psychological Services.

    Google Scholar 

  • Crompton, C. J., Ropar, D., Evans-Williams, C. V., Flynn, E. G., & Fletcher-Watson, S. (2019). Autistic peer-to-peer information transfer is highly effective. Autism, 24(7), 1704–1712.

    Google Scholar 

  • Dahan, A., Noy, L., Hart, Y., Mayo, A., & Alon, U. (2016). Exit from synchrony in joint improvised motion. PLoS ONE, 11(10), e0160747.

    PubMed  PubMed Central  Google Scholar 

  • de Marchena, A., & Eigsti, I. M. (2010). Conversational gestures in autism spectrum disorders: Asynchrony but not decreased frequency. Autism Research, 3(6), 311–322.

    PubMed  Google Scholar 

  • Dean, M., Harwood, R., & Kasari, C. (2017). The art of camouflage: Gender differences in the social behaviors of girls and boys with autism spectrum disorder. Autism, 21(6), 678–689.

    PubMed  Google Scholar 

  • Decety, J. (2010). The neurodevelopment of empathy in humans. Developmental Neuroscience, 32(4), 257–267.

    PubMed  PubMed Central  Google Scholar 

  • Decety, J., & Lamm, C. (2006). Human empathy through the lens of social neuroscience. The Scientific World Journal, 6, 1146–1163.

    PubMed  PubMed Central  Google Scholar 

  • Delaherche, E., Chetouani, M., Mahdhaoui, A., Saint-Georges, C., Viaux, S., & Cohen, D. (2012). Interpersonal synchrony: A survey of evaluation methods across disciplines. IEEE Transactions on Affective Computing, 3(3), 349–365.

    Google Scholar 

  • Dimitroff, S. J., Kardan, O., Necka, E. A., Decety, J., Berman, M. G., & Norman, G. J. (2017). Physiological dynamics of stress contagion. Scientific Reports, 7(1), 1–8.

    Google Scholar 

  • Dvir, T., Lotan, N., Viderman, R., & Elefant, C. (2020). The body communicates: Movement synchrony during music therapy with children diagnosed with ASD. The Arts in Psychotherapy, 69, 101658.

    Google Scholar 

  • Feniger-Schaal, R., Noy, L., Hart, Y., Koren-Karie, N., Mayo, A. E., & Alon, U. (2016). Would you like to play together? Adults’ attachment and the mirror game. Attachment and Human Development, 18(1), 33–45.

    PubMed  Google Scholar 

  • Fitzpatrick, P., Frazier, J. A., Cochran, D. M., Mitchell, T., Coleman, C., & Schmidt, R. C. (2016). Impairments of social motor synchrony evident in autism spectrum disorder. Frontiers in Psychology, 7, 1323.

    PubMed  PubMed Central  Google Scholar 

  • Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40(10), 1227–1240.

    PubMed  Google Scholar 

  • Frazier, T. W., Strauss, M., Klingemier, E. W., Zetzer, E. E., Hardan, A. Y., Eng, C., & Youngstrom, E. A. (2017). A meta-analysis of gaze differences to social and nonsocial information between individuals with and without autism. Journal of the American Academy of Child and Adolescent Psychiatry, 56(7), 546–555.

    PubMed  PubMed Central  Google Scholar 

  • Galbusera, L., Finn, M. T., Tschacher, W., & Kyselo, M. (2019). Interpersonal synchrony feels good but impedes self-regulation of affect. Scientific Reports, 9(1), 1–12.

    Google Scholar 

  • Georgescu, A. L., Koeroglu, S., Hamilton, A. F., Vogeley, K., Falter-Wagner, C. M., & Tschacher, W. (2020). Reduced nonverbal interpersonal synchrony in autism spectrum disorder independent of partner diagnosis: A motion energy study. Molecular Autism, 11(1), 1–14.

    Google Scholar 

  • Golan, O., Baron-Cohen, S., & Hill, J. (2006). The Cambridge mindreading (CAM) face-voice battery: Testing complex emotion recognition in adults with and without Asperger syndrome. Journal of Autism and Developmental Disorders, 36(2), 169–183.

    PubMed  Google Scholar 

  • 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(1), 22.

    PubMed  PubMed Central  Google Scholar 

  • Gordon, I., & Feldman, R. (2015). A biopsychosocial perspective on synchrony and the development of human parental care. In S. D. Calkins (Ed.), Handbook of infant biopsychosocial development (pp. 283–312). The Guilford Press.

    Google Scholar 

  • Gordon, I., Gilboa, A., Cohen, S., & Kleinfeld, T. (2020). The relationship between physiological synchrony and motion energy synchrony during a joint group drumming task. Physiology and Behavior, 224, 113074.

    PubMed  Google Scholar 

  • Gordon, I., Pratt, M., Bergunde, K., Zagoory-Sharon, O., & Feldman, R. (2017). Testosterone, oxytocin, and the development of human parental care. Hormones and Behavior, 93, 184–192.

    PubMed  Google Scholar 

  • Green, L., Fein, D., Modahl, C., Feinstein, C., Waterhouse, L., & Morris, M. (2001). Oxytocin and autistic disorder: Alterations in peptide forms. Biological Psychiatry, 50(8), 609–613.

    PubMed  Google Scholar 

  • Gresham, F., & Elliott, S. N. (2008). Social skills improvement system rating scales. Minneapolis, MN: Pearson Assessments.

    Google Scholar 

  • Gresham, F. M., Elliott, S. N., Vance, M. J., & Cook, C. R. (2011). Comparability of the social skills rating system to the social skills improvement system: Content and psychometric comparisons across elementary and secondary age levels. School Psychology Quarterly, 26(1), 27.

    Google Scholar 

  • Grossman, R. B., Edelson, L. R., & Tager-Flusberg, H. (2013). Emotional facial and vocal expressions during story retelling by children and adolescents with high-functioning autism. Journal of Speech, Language, and Hearing Research, 56(3), 1035–1044.

    PubMed  Google Scholar 

  • Hamilton, A. F. D. C. (2013). Reflecting on the mirror neuron system in autism: A systematic review of current theories. Developmental Cognitive Neuroscience, 3, 91–105.

    PubMed  Google Scholar 

  • Hess, U., & Blairy, S. (2001). Facial mimicry and emotional contagion to dynamic emotional facial expressions and their influence on decoding accuracy. International Journal of Psychophysiology, 40(2), 129–141.

    PubMed  Google Scholar 

  • Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6(2), 65–70.

    Google Scholar 

  • Kaur, M., Srinivasan, S. M., & Bhat, A. N. (2018). Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism spectrum disorder (ASD). Research in Developmental Disabilities, 72, 79–95.

    PubMed  Google Scholar 

  • Kirschner, S., & Tomasello, M. (2010). Joint music making promotes prosocial behavior in 4-year-old children. Evolution and Human Behavior, 31(5), 354–364.

    Google Scholar 

  • Kleinbub, J., & Ramseyer, F. (2018). rMEA: Synchrony in motion energy analysis (MEA) time-series.

  • Koehne, S., Behrends, A., Fairhurst, M. T., & Dziobek, I. (2016). Fostering social cognition through an imitation-and synchronization-based dance/movement intervention in adults with autism spectrum disorder: A controlled proof-of-concept study. Psychotherapy and Psychosomatics, 85(1), 27–35.

    PubMed  Google Scholar 

  • Kupper, Z., Ramseyer, F., Hoffmann, H., & Tschacher, W. (2015). Nonverbal synchrony in social interactions of patients with schizophrenia indicates socio-communicative deficits. PLoS ONE, 10(12), e0145882.

    PubMed  PubMed Central  Google Scholar 

  • Lai, M. C., Lombardo, M. V., Ruigrok, A. N. V., Chakrabarti, B., Auyeung, B., Szatmari, P., & Consortium MA. (2017). Quantifying and exploring camouflaging in men and women with autism. Autism, 21(6), 690–702.

    PubMed  Google Scholar 

  • Lakin, J. L., & Chartrand, T. L. (2003). Using nonconscious behavioral mimicry to create affiliation and rapport. Psychological Science, 14(4), 334–339.

    PubMed  Google Scholar 

  • Lakin, J. L., Jefferis, V. E., Cheng, C. M., & Chartrand, T. L. (2003). The chameleon effect as social glue: Evidence for the evolutionary significance of nonconscious mimicry. Journal of Nonverbal Behavior, 27(3), 145–162.

    Google Scholar 

  • Lawrence, E. J., Shaw, P., Baker, D., Baron-Cohen, S., & David, A. S. (2004). Measuring empathy: Reliability and validity of the Empathy Quotient. Psychological Medicine, 34(5), 911–920.

    PubMed  Google Scholar 

  • Levenson, R. W., & Gottman, J. M. (1983). Marital interaction: Physiological linkage and affective exchange. Journal of Personality and Social Psychology, 45(3), 587.

    PubMed  Google Scholar 

  • Livingston, L. A., & Happé, F. (2017). Conceptualising compensation in neurodevelopmental disorders: Reflections from autism spectrum disorder. Neuroscience and Biobehavioral Reviews, 80, 729–742.

    PubMed  PubMed Central  Google Scholar 

  • Livingston, L. A., Colvert, E., Social Relationships Study Team, Bolton, P., & Happé, F. (2019). Good social skills despite poor theory of mind: exploring compensation in autism spectrum disorder. Journal of Child Psychology and Psychiatry, 60(1), 102–110.

    PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Western Psychological Corporation.

    Google Scholar 

  • Marsh, K. L., Isenhower, R. W., Richardson, M. J., Helt, M., Verbalis, A. D., Schmidt, R. C., & Fein, D. (2013). Autism and social disconnection in interpersonal rocking. Frontiers in Integrative Neuroscience, 7, 4.

    PubMed  PubMed Central  Google Scholar 

  • McNaughton, K. A., & Redcay, E. (2020). Interpersonal synchrony in autism. Current Psychiatry Reports, 22(3), 12.

    PubMed  Google Scholar 

  • Minio-Paluello, I., Baron-Cohen, S., Avenanti, A., Walsh, V., & Aglioti, S. M. (2009). Absence of embodied empathy during pain observation in Asperger syndrome. Biological Psychiatry, 65(1), 55–62.

    PubMed  Google Scholar 

  • Neumann, R., & Strack, F. (2000). “Mood contagion”: The automatic transfer of mood between persons. Journal of Personality and Social Psychology, 79(2), 211.

    PubMed  Google Scholar 

  • Noel, J. P., De Niear, M. A., Lazzara, N. S., & Wallace, M. T. (2017). Uncoupling between multisensory temporal function and nonverbal turn-taking in autism spectrum disorder. IEEE Transactions on Cognitive and Developmental Systems, 10(4), 973–982.

    Google Scholar 

  • Ochi, K., Ono, N., Owada, K., Kojima, M., Kuroda, M., Sagayama, S., & Yamasue, H. (2019). Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder. PLoS ONE, 14(12), e0225377.

    PubMed  PubMed Central  Google Scholar 

  • Parkinson, B., & Simons, G. (2012). Worry spreads: Interpersonal transfer of problem-related anxiety. Cognition and Emotion, 26(3), 462–479.

    PubMed  Google Scholar 

  • Rabin, S. J., Israel-Yaacov, S., Laugeson, E. A., Mor-Snir, I., & Golan, O. (2018). A randomized controlled trial evaluating the Hebrew adaptation of the PEERS® intervention: Behavioral and questionnaire-based outcomes. Autism Research, 11(8), 1187–1200. https://doi.org/10.1002/aur.1974

    Article  PubMed  Google Scholar 

  • Rabin, S. J., Laugeson, E. A., Mor-Snir, I., & Golan, O. (2020). An Israeli RCT of PEERS®: Intervention effectiveness and the predictive value of parental sensitivity. Journal of Clinical Child and Adolescent Psychology, 1, 1–17.

    Google Scholar 

  • Ramseyer, F. T. (2020). Motion energy analysis (MEA): A primer on the assessment of motion from video. Journal of Counseling Psychology, 67(4), 536.

    PubMed  Google Scholar 

  • Ramseyer, F., & Tschacher, W. (2011). Nonverbal synchrony in psychotherapy: Coordinated body movement reflects relationship quality and outcome. Journal of Consulting and Clinical Psychology, 79(3), 284.

    PubMed  Google Scholar 

  • Ramseyer, F., Ebert, A., Roser, P., Edel, M. A., Tschacher, W., & Brüne, M. (2020). Exploring nonverbal synchrony in borderline personality disorder: A double-blind placebo-controlled study using oxytocin. British Journal of Clinical Psychology, 59(2), 186–207.

    PubMed  Google Scholar 

  • Randall, A. K., Corkery, S. A., Duggi, D., Kamble, S. V., & Butler, E. A. (2011). “We’re having a good (or bad) day”: Differences in emotional synchrony in married couples in the United States and India. Family Science, 2(3), 203–211.

    Google Scholar 

  • Richardson, D. C., Dale, R., & Kirkham, N. Z. (2007). The art of conversation is coordination. Psychological Science, 18(5), 407–413.

    PubMed  Google Scholar 

  • Romero, V., Fitzpatrick, P., Roulier, S., Duncan, A., Richardson, M. J., & Schmidt, R. C. (2018). Evidence of embodied social competence during conversation in high functioning children with autism spectrum disorder. PLoS ONE, 13(3), e0193906.

    PubMed  PubMed Central  Google Scholar 

  • Shamay-Tsoory, S. G. (2011). The neural bases for empathy. The Neuroscientist, 17(1), 18–24.

    PubMed  Google Scholar 

  • Shamay-Tsoory, S. G., Saporta, N., Marton-Alper, I. Z., & Gvirts, H. Z. (2019). Herding brains: A core neural mechanism for social alignment. Trends in Cognitive Sciences, 23(3), 174–186.

    PubMed  Google Scholar 

  • Sigman, M. D., Kasari, C., Kwon, J. H., & Yirmiya, N. (1992). Responses to the negative emotions of others by autistic, mentally retarded, and normal children. Child Development, 63(4), 796–807.

    PubMed  Google Scholar 

  • Srinivasan, S. M., Eigsti, I. M., Gifford, T., & Bhat, A. N. (2016). The effects of embodied rhythm and robotic interventions on the spontaneous and responsive verbal communication skills of children with Autism Spectrum Disorder (ASD): A further outcome of a pilot randomized controlled trial. Research in Autism Spectrum Disorders, 27, 73–87.

    PubMed  PubMed Central  Google Scholar 

  • Travis, L., Sigman, M., & Ruskin, E. (2001). Links between social understanding and social behavior in verbally able children with autism. Journal of Autism and Developmental Disorders, 31(2), 119–130.

    PubMed  Google Scholar 

  • Trevisan, D. A., Hoskyn, M., & Birmingham, E. (2018). Facial expression production in autism: A meta-analysis. Autism Research, 11(12), 1586–1601.

    PubMed  Google Scholar 

  • Tschacher, W., Rees, G. M., & Ramseyer, F. (2014). Nonverbal synchrony and affect in dyadic interactions. Frontiers in Psychology, 5, 1323.

    PubMed  PubMed Central  Google Scholar 

  • Valdesolo, P., & DeSteno, D. (2011). Synchrony and the social tuning of compassion. Emotion, 11(2), 262.

    PubMed  Google Scholar 

  • van Steensel, F. J., & Heeman, E. J. (2017). Anxiety levels in children with autism spectrum disorder: A meta-analysis. Journal of Child and Family Studies, 26(7), 1753–1767.

    PubMed  PubMed Central  Google Scholar 

  • Venuti, P., Bentenuto, A., Cainelli, S., Landi, I., Suvini, F., Tancredi, R., & Muratori, F. (2017). A joint behavioral and emotive analysis of synchrony in music therapy of children with autism spectrum disorders. Health Psychology Report, 5(2), 162–172.

    Google Scholar 

  • Wass, S. V., Smith, C. G., Clackson, K., Gibb, C., Eitzenberger, J., & Mirza, F. U. (2019). Parents mimic and influence their infant’s autonomic state through dynamic affective state matching. Current Biology, 29(14), 2415–2422.

    PubMed  Google Scholar 

  • Wechsler, D. (2008). Wechsler adult intelligence scale–Fourth Edition (WAIS–IV). NCS Pearson, 22(498), 816–827.

    Google Scholar 

  • Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition technical and interpretive manual. NCS Pearson.

    Google Scholar 

  • Zampella, C. J., Bennetto, L., & Herrington, J. D. (2020). Computer vision analysis of reduced interpersonal affect coordination in youth with autism spectrum disorder. Autism Research. https://doi.org/10.1002/aur.2334

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We are grateful to the adolescents who took part in the study, to Prof. Michal Lavidor for her advice, to Dr. Irit Mor-Snir for her support, and to Tomer Kleinfeld, Rolli Azenkot-Levi, Maayan Berkovitch, Anat Chomsky, Heli Cohen, Shulamit Deitch, Bat-Sheva Gans, Roni Golan, Noa Reinhardt and Lior Weil, for assisting with data collection and coding. This study was supported by grants from the Israel Science Foundation (ISF) to Ofer Golan (#1009/15) and to Ilanit Gordon (#2096/15 and #1726/15).

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EZ, IG, SJR and OG designed the study, collected the data and analyzed it, and wrote the manuscript. OG and RN composed the behavioral coding protocol. All authors approved the final manuscript.

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Correspondence to Ofer Golan.

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Zadok, E., Gordon, I., Navon, R. et al. Shifts in Behavioral Synchrony in Response to an Interaction Partner’s Distress in Adolescents With and Without ASD. J Autism Dev Disord 52, 4261–4273 (2022). https://doi.org/10.1007/s10803-021-05307-y

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