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Theory of Mind Among Swedish Children with ASD, Down Syndrome and Typically Developing Group

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Abstract

The present study examined the role of IQ and the Theory of Mind understanding in children with an autism spectrum disorder and down syndrome. Sixty-six Swedish children with ASD (n = 26), DS (n = 18), and typically developed group (n = 22) ranged between 6 and 12 years old were compared on ToM tasks consisted of standard ToM and IQ tasks. SPSS 25 program was used to analyze data. The results indicated that individuals with ASD reach a better understanding of first-order ToM tasks than children with DS. This picture was the same in the TD group to show better ability than children with ASD and DS on first-order tasks, except one task which was not found significant differences. To employ second-order TD performed better than clinical groups, while, there was no significant difference between ASD and DS. The scores for the third-order task in children with ASD were significantly better than children with DS.

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References

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

  • Anderson, K. L. (2013). The Theory of Mind Test (TOM Test). https://docs.google.com/viewerng/viewer?url=https://vibdoc.com/download/331672.html?reader%3D1

  • Baron-Cohen, S. (1989). The autistic child’s theory of mind: A case of specific developmental delay. Journal of Child Psychology and Psychiatry, 30(2), 285–297. https://doi.org/10.1111/j.1469-7610.1989.tb00241.x

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind”? Cognition, 21(1), 37–46. https://doi.org/10.1016/0010-0277(85)90022-8

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., & Jolliffe, A. T. (1997). Is there a" language of the eyes"? Evidence from normal adults, and adults with autism or Asperger syndrome. Visual Cognition, 4(3), 311–331. https://doi.org/10.1080/713756761

    Article  Google Scholar 

  • Bauminger, N., & Kasari, C. (1999). Brief report: Theory of mind in high-functioning children with autism. Journal of Autism and Developmental Disorders, 29(1), 81–86.

    Article  Google Scholar 

  • Bíró, S., & Russell, J. (2001). The execution of arbitrary procedures by children with autism. Development and Psychopathology, 13(1), 97–110. https://doi.org/10.1017/S0954579401001079

    Article  PubMed  Google Scholar 

  • Boström, L., & Persson, M. (2013). Påverkar testledaren små barns Theory of Mind? Experimentledareffekter i false belief-testet Maxi.

  • Bowler, D. M. (1992). “Theory of Mind” in Asperger's Syndrome. Journal of Child Psychology and Psychiatry, 33(5), 877–893. https://doi.org/10.1111/j.1469-7610.1992.tb01962.x

  • Carlsson, E., Miniscalco, C., Gillberg, C., & Johnels, J. Å. (2018). Assessing false-belief understanding in children with autism using a computer application: A pilot study. Journal of Psycholinguistic Research, 47(5), 1085–1099.

    Article  Google Scholar 

  • Christensen, D. L., Braun, K. V. N., Baio, J., Bilder, D., Charles, J., Constantino, J. N., & Lee, L. C. (2018). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summaries, 65(13), 1. https://doi.org/10.15585/mmwr.ss6513a1

    Article  PubMed Central  Google Scholar 

  • Dahlgren, S., Sandberg, A. D., & Larsson, M. (2010). Theory of mind in children with severe speech and physical impairments. Research in Developmental Disabilities, 31(2), 617–624. https://doi.org/10.1016/j.ridd.2009.12.010

    Article  PubMed  Google Scholar 

  • Frith, U. (1989). A new look at language and communication in autism. International Journal of Language & Communication Disorders, 24(2), 123–150. https://doi.org/10.3109/13682828909011952

    Article  Google Scholar 

  • Giaouri, S., Alevriadou, A., & Tsakiridou, E. (2010). Theory of mind abilities in children with Down syndrome and non-specific intellectual disabilities: An empirical study with some educational implications. Procedia-Social and Behavioral Sciences, 2(2), 3883–3887. https://doi.org/10.1016/j.sbspro.2010.03.609

    Article  Google Scholar 

  • Gopnik, A., & Astington, J. W. (1988). Children's understanding of representational change and its relation to the understanding of false belief and the appearance-reality distinction. Child development, 26–37.

  • Happé, F. G. (1994a). An advanced test of theory of mind: Understanding of story characters’ thoughts and feelings by able autistic, mentally handicapped, and normal children and adults. Journal of Autism and Developmental Disorders, 24(2), 129–154.

    Article  Google Scholar 

  • Happé, F. G. (1994b). Wechsler IQ profile and theory of mind in autism: A research note. Journal of Child Psychology and Psychiatry, 35(8), 1461–1471. https://doi.org/10.1111/j.1469-7610.1994.tb01287.x

    Article  PubMed  Google Scholar 

  • Hoogenhout, M., & Malcolm-Smith, S. (2014). Theory of mind in autism spectrum disorder: does DSM classification predict development? Research in Autism Spectrum Disorders, 8(6), 597–607. https://doi.org/10.1016/j.rasd.2014.02.005

    Article  Google Scholar 

  • Hur, J. W., Byun, M. S., Shin, N. Y., Shin, Y. S., Kim, S. N., Jang, J. H., & Kwon, J. S. (2013). General intellectual functioning as a buffer against theory-of-mind deficits in individuals at ultra-high risk for psychosis. Schizophrenia Research, 149(1–3), 83–87. https://doi.org/10.1016/j.schres.2013.06.019

    Article  PubMed  Google Scholar 

  • Joseph, R. M., & Tager-Flusberg, H. (2004). The relationship of theory of mind and executive functions to symptom type and severity in children with autism. Development and Psychopathology, 16(1), 137–155. https://doi.org/10.1017/S095457940404444X

    Article  PubMed  PubMed Central  Google Scholar 

  • Kasari, C., Freeman, S. F., & Hughes, M. A. (2001). Emotion recognition by children with down syndrome. American Journal on Mental Retardation, 106(1), 59–72. https://doi.org/10.1352/0895-8017(2005)110[378:ERBCWD]2.0.CO;2

    Article  PubMed  Google Scholar 

  • Kunda, M., McGreggor, K., & Goel, A. (2012). Reasoning on the Raven’s advanced progressive matrices test with iconic visual representations. In Proceedings of the Annual Meeting of the Cognitive Science Society (Vol. 34, no. 34).

  • Liddle, B., & Nettle, D. (2006). Higher-order theory of mind and social competence in school-age children. Journal of Cultural and Evolutionary Psychology, 4(3–4), 231–244.

    Article  Google Scholar 

  • Muris, P., Steerneman, P., Meesters, C., Merckelbach, H., Horselenberg, R., van den Hogen, T., & van Dongen, L. (1999). The TOM test: A new instrument for assessing theory of mind in normal children and children with pervasive developmental disorders. Journal of Autism and Developmental Disorders, 29(1), 67–80.

    Article  Google Scholar 

  • Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991). Executive function deficits in high‐functioning autistic individuals: Relationship to theory of mind. Journal of Child Psychology and Psychiatry, 32(7), 1081–1105. https://doi.org/10.1111/j.1469-7610.1991.tb00351.x

  • Pellicano, E. (2007). Links between theory of mind and executive function in young children with autism: Clues to developmental primacy. Developmental Psychology, 43(4), 974.

    Article  Google Scholar 

  • Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of child psychology and psychiatry, 37(1), 51–87. https://doi.org/10.1111/j.1469-7610.1996.tb01380.x

    Article  PubMed  Google Scholar 

  • Perner, J., Leekam, S. R., & Wimmer, H. (1987). Three-year-olds’ difficulty with false belief: The case for a conceptual deficit. British Journal of Developmental Psychology, 5(2), 125–137. https://doi.org/10.1111/j.2044-835X.1987.tb01048.x

    Article  Google Scholar 

  • Raven, J. C., Court, J. H., & Raven, J. C. (1990). Manual for Raven’s progressive matrices and vocabulary scales - Section 2: Coloured progressive matrices. Oxford: Oxford Psychologists Press.

  • Raven, J. C., Court, J. H. & Raven, J. (2002). Raven’s colored progressive matrices. Dr. G. Schuhfried Ges M. B. H. Austria.

  • Raven, J., Raven, J. C., & Court, J. H. (2003). Manual for Raven's progressive matrices and vocabulary scales. San Antonio, TX: Harcourt Assessment.

  • Raven, J., Raven, J. C., & Court, J. H. (1998). Raven manual: Section 3, Standard Progressive Matrices. Oxford Psychologists Press.

    Google Scholar 

  • Robberts, M. (2008). Theory of mind development: A comparison of children with autism spectrum disorders and typically developing South African children. Unpublished honours thesis, University of Cape Town, South Africa.

  • Robinson, J., Roberts, T., & Sherman, P. (2019). Chronic dislocation of radiocarpal joint in two patients with down syndrome.

  • Tager-Flusberg, H. (1993). What language reveals about the understanding of minds in children with autism. In S. Baron-Cohen, H. Tager-Flusberg, & D.J. Cohen (Eds.), Understanding other minds: Perspectives from autism (pp.138–157). NewYork: Oxford University Press.

  • Tager-Flusberg, H. (2007). Evaluating the theory-of-mind hypothesis of autism. Current Directions in Psychological Science, 16, 311–315. https://doi.org/10.1111/j.1467-8721.2007.00527.x

  • Wellman, H. M., Baron-Cohen, S., Caswell, R., Gomez, J. C., Swettenham, J., Toye, E., & Lagattuta, K. (2002). Thought-bubbles help children with autism acquire an alternative to a theory of mind. Autism, 6(4), 343–363. https://doi.org/10.1177/1362361302006004003

    Article  PubMed  Google Scholar 

  • 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. https://doi.org/10.1111/1467-8624.00304

    Article  PubMed  Google Scholar 

  • Williams, D. M., & Happé, F. (2009). What did I say? Versus what did I think? Attributing false beliefs to self amongst children with and without autism. Journal of Autism and Developmental Disorders, 39(6), 865–873. https://doi.org/10.1007/s10803-009-0695-6

    Article  PubMed  Google Scholar 

  • Yirmiya, N., Erel, O., Shaked, M., & Solomonica-Levi, D. (1998). Meta-analyses comparing theory of mind abilities of individuals with autism, individuals with mental retardation, and normally developing individuals. Psychological Bulletin, 124(3), 283. https://doi.org/10.1037/0033-2909.124.3.283

    Article  PubMed  Google Scholar 

  • Yirmiya, N., Solomonica-Levi, D., Shulman, C., & Pilowsky, T. (1996). Theory of mind abilities in individuals with autism, Down syndrome, and mental retardation of unknown etiology: The role of age and intelligence. Journal of Child Psychology and Psychiatry, 37(8), 1003–1014. https://doi.org/10.1111/j.1469-7610.1996.tb01497.x

    Article  PubMed  Google Scholar 

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Correspondence to Zeyun Li.

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Shojaeian, N., Li, Z., Kaurav, R.P.S. et al. Theory of Mind Among Swedish Children with ASD, Down Syndrome and Typically Developing Group. J Autism Dev Disord 52, 4774–4782 (2022). https://doi.org/10.1007/s10803-021-05366-1

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