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S tudies of non-autistic individuals and people with an intellectual disability show that contextual information impacts
positively on emotion recognition ability, however, this area is not well researched with autistic adults. We investigated
this using a static emotion recognition task. Participants completed an emotion recognition task in person or online. In total,
46 autistic participants and 379 non-autistic participants completed the task. A linear mixed model showed that autistic
adults had significantly lower accuracy when identifying emotions across all contexts, compared to control participants,
even when contextual information was present. No significant effect of context was found in either group, nor was gender
shown to be an influential variable. A supplementary analysis showed that higher scores on the Autism-Spectrum Quotient
led to lower scores on the emotion recognition task; no effect of context was found here either. This research adds to the
limited work investigating the influence of contextual factors in emotion recognition in autistic adults. Overall, it shows
that context may not aid emotion recognition in this group in the same way as it does for non-autistic individuals.
Recognising emotional expression is important for predicting emotion recognition ability; people with higher
human communication and social interaction (Harms autistic traits perform more poorly overall (e.g., Martin
et al., 2010). Research investigating people’s recognition et al., 2019). Other studies, however, show that autistic
of emotions shows various factors influence the interpre- adults (e.g., Adolphs et al., 2001) and children (e.g.,
tation of emotions. One such factor is autism spectrum Shanok et al., 2019) perform comparably to non-autistic
disorder (ASD), a condition recognised and diagnosed peers.
based on persistent deficits in social communication and These differences in emotion recognition have been
interaction, as well as demonstrating restricted, repetitive attributed to various factors. One argument is that autistic
patterns of behaviour (American Psychiatric Associa- people attend the eye regions of stimuli differently, which
tion, 2013). Henceforth ASD is referred to as autism, has been evidenced across several studies (e.g., Kliemann
and “autistic people” are referred to in identity-first et al., 2012). Cuve et al.’s (2018) systematic review shows
language. that autistic adults typically attend the eye region differ-
Several reviews and meta-analyses show that overall, ently to non-autistic people; most studies indicate reduced
using a variety of different tasks, autistic people show attenuation of the eyes overall and initially. These factors
reduced accuracy when recognising emotions (Harms potentially lead to information loss and reduce the accu-
et al., 2010; Uljarevic & Hamilton, 2013). A further racy of emotion recognition. Other potential mechanisms
review (Black et al., 2017) concluded that the cognitive include atypical brain activity, evidenced by electroen-
processes employed by autistic people are atypical, but cephalography studies (Black et al., 2017). However,
patterns across studies are inconsistent. These results caution should be exercised here due to the heterogeneity
extend to the non-autistic population, with autistic traits of autistic individuals and that these regions may be
Correspondence should be addressed to Dale Metcalfe, Department of Psychology, Northumbria University, Newcastle upon Tyne NE7 8ST, UK.
(E-mail: dale.r.metcalfe@northumbria.ac.uk)
Dale Metcalfe: Conception, design, data collection and handling, interpretation of results, drafting, and revising the article. Karen McKenzie:
Conception, design, drafting and revising the article. Kristofor McCarty: Conception, design, critically revising the article. Thomas V. Pollet: Data
analysis, interpretation of the data, revising the article. George Murray: Conception, design, critically revising the article.
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any
medium, provided the original work is properly cited.
2 METCALFE ET AL.
responsible for other processes; other tasks requiring those with the condition performing worse on emotion
these regions are unaffected (South et al., 2008). recognition tasks (Ola & Gullon-Scott, 2020).
Disparity in findings may be attributable to method- Despite some inconsistencies in s from existing stud-
ological differences between studies, particularly the ies, overall, it appears that emotion recognition may be
nature of the tasks used. Some studies ask participants challenging for some autistic people. As such, a range of
to match pre-existing labels to emotion stimuli, while interventions have been developed. Reviews of interven-
others require participants to create their own labels. tions for both emotion recognition (Berggren et al., 2018;
The former approach may allow participants to employ Kouo & Egel, 2016) and social skills (Jonsson et al., 2016)
compensatory mechanisms (Harms et al., 2010), thus no show that, while there are benefits, the long-term impact
difference may be found between autistic and non-autistic and generalisability of these programmes are not estab-
individuals in some cases. Other evidence has shown that lished. Kouo and Egel (2016) noted that one factor which
the type of stimuli used has a role to play. Photographs may have impacted the effectiveness of emotion recogni-
lead to poorer emotion recognition in autistic children tion interventions was the type and amount of contextual
while presenting cartoon-like images reveal no difference information available within the learning process.
(Rosset et al., 2008). Differences exist between static A review by Barrett et al. (2011) highlighted that con-
and dynamic stimuli too, with autistic people being textual information can be communicated in different
disadvantaged when dynamic stimuli are used (Enticott ways including body language, situational cues, move-
et al., 2014). Individual differences, such as age and ment and sound within stimuli. This concludes that con-
gender, also appear to influence emotion recognition. For text is highly influential, that its integration into emotion
both autistic and non-autistic people, emotion recognition processing happens automatically and early in the pro-
abilities improve throughout childhood and adolescence cess. Research with atypical populations into the role of
(Thomas et al., 2007) and women perform better than context in emotion recognition is limited and the s are less
their male peers on emotion recognition tasks (Sucksmith conclusive. Two studies including adult participants with
et al., 2013). an intellectual disability (M = 35 and M = 45, respec-
Further individual differences to consider are intelli- tively), found contextual information can aid emotion
gence, familiarity, anxiety and co-occurring alexithymia. recognition (McKenzie et al., 2001; Scotland et al., 2016),
Intelligence has been shown to predict emotion recog- however, another with children (M = 12 years) found
nition (for review see Schlegel et al., 2020), however, a absence of contextual information led to better emotion
meta-analysis indicates that it does not account for emo- recognition (Murray et al., 2018).
tion recognition impairments experienced by autistic peo- Early research with autistic children (M = 14 years)
ple (Lozier et al., 2014). Familiarity is a known influence found that they matched facial expressions to contexts less
on emotion recognition, particularly for autistic people. accurately than their non-autistic peers (Hobson, 1986). A
There is evidence that autistic and non-autistic people per- later study found that the presence of context did not help
form comparably when viewing stimuli featuring familiar young people with autism (7–16 years) to recognise emo-
people, such as their parents (Shanok et al., 2019). How- tions (Wright et al., 2008). A study of children and ado-
ever, when the people in the stimuli are unfamiliar, group lescents (M = 10 years), showed contextual cues aid emo-
differences are revealed in which autistic people iden- tion recognition for both autistic and non-autistic people;
tify the emotions less accurately than their non-autistic however, this study used stimuli that did not depict facial
peers (Harms et al., 2010; Pierce & Redcay, 2008; Shanok expressions (Metcalfe et al., 2019). Sasson et al. (2016)
et al., 2019). This implies that the people featured in found no significant differences in the emotion recog-
the stimuli are important when considering group differ- nition of autistic adults (M = 23 years), compared to
ences. People with anxiety are more sensitive to negative non-autistic controls (M = 35 years), when faces were
emotions (e.g., Gutiérrez-García & Calvo, 2017), how- presented in isolation; but the former performed more
ever, this can lead to misclassification of other observed poorly when emotions were presented in context. These s
emotions (Heuer et al., 2010). Autistic individuals may highlight a lack of clarity about context’s role in emotion
also be affected, (e.g., avoiding viewing faces to avoid recognition for autistic people. Although it appears to be
anxiety Harms et al., 2010) but specific research is lack- less helpful for autistic, compared to non-autistic, adults.
ing. One notable study found that, in children, anxi- Intervention studies suggest that context may be a rele-
ety was unrelated to emotion recognition ability (Wong vant factor. Golan et al. (2010) conducted an intervention
et al., 2012). Lastly, alexithymia is an inability to identify where children watched video clips of animated vehi-
and describe one’s own emotions (Bird & Cook, 2013) cles with human faces which depicted and drew atten-
and is experienced by many autistic people (Kinnaird tion to different emotions across situations. The research
et al., 2019), while remaining distinct from autism itself found children with autism who took part in the interven-
(Cuve et al., 2021). Crucially, alexithymia has been shown tion increased their use of emotion-relevant vocabulary
to predict a person’s emotion recognition ability, with post-intervention. It was suggested that part of the reason
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
CONTEXT, EMOTION RECOGNITION AND AUTISM 3
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
4 METCALFE ET AL.
Figure 1. Examples of stimuli used at each level of context for the emotion “Happy.” Source: http://www.flickr.com/photos/kkoshy/2460058549;
http://www.flickr.com/photos/rileyroxx/225440099.
as sad), or on a list of words that were never cor- were provided with information about the study, a link to
rect (e.g., “unsure”). A response that was not in any of record consent and access to the study materials. Those
the aforementioned lists, was manually marked by the who took part offline were provided a paper equiva-
researchers as either correct or incorrect. These responses lent. Autistic participants were recruited online through
were then added to the relevant list. The initial lists social media and an autism support charity. Autism
of correct and incorrect words were constructed and diagnosis was self-reported and not independently con-
agreed upon prior to the scoring process and then checked firmed by the researchers, however, the charity only
again at the end by multiple members of the research provided support to people with a confirmed diagnosis of
team. autism.
Correct answers were scored as 1 and incorrect as 0.
Performance on this task was the predictor variable. Participants
The level of contextual information was an explanatory
variable. A total of 546 participants started the survey and upon
Lastly, some participants were asked to complete the removal of incomplete data, 425 participants remained.
original Autism-Spectrum Quotient (AQ; Baron-Cohen Forty-six indicated that they were autistic (male = 26,
et al., 2001). This is a measure of autistic-like traits and female = 16, other = 4; M = 28.78 years, SD = 9.83).
is designed for people with average intelligence and read- Of these, 26 participants were recruited from a charity
ing ability. Each item is a statement about the person’s supporting autistic people (formal diagnosis required to
personality, which they respond to on a four-point Likert attend); 20 indicated they were autistic when providing
scale (definitely agree to definitely disagree). Scores are demographic information. Of the latter, on the AQ, 4
collapsed into either indicating (score = 1) or not indi- participants scored below the threshold of 32 (scoring
cating (score = 0) an autistic-like trait, ing scores are 21, 26, 27, 29), 10 scored above 32, and 6 did not
summed. Possible scores range from 0 to 50, with higher complete the AQ. The non-autistic group comprised
scores indicating greater autistic-like traits. Baron-Cohen 379 participants (male = 91, female = 285, other = 3;
et al. (2001) found that 80% of autistic people scored 32+, M = 29.47 years, SD = 13.34). Eight autistic people
while only 2% of the non-autistic participants scored this reported an additional diagnosis: 6 “learning difficulty”
high. In the current study, Cronbach’s alpha showed good and 2 “other.” Thirty-three non-autistic people reported
internal consistency (𝛼 = .87). additional diagnoses: 17 “learning difficulty,” 9 “physical
disability” and 7 “other.” Participants were excluded
Procedure if they had a severe visual impairment or a condition
with a strong evidence base related to emotion recog-
Participants were recruited either online nition impairment other than autism (e.g., intellectual
(via social media) or in person. Prospective participants disability).
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
CONTEXT, EMOTION RECOGNITION AND AUTISM 5
TABLE 1
Means, standard deviations and correlations with confidence intervals
Note: Coding for gender is: 1 = male, 2 = female. The coding for autism diagnosis is: 0 = non-autistic, 1 = autistic. Proportion correct refers to the
mean score of correctly identified emotions across trials: 0 = incorrect, 1 = correct. Values in square brackets indicate the 95% CI. CI = confidence
interval. ∗ p < .05. ∗∗ p < .01.
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
6 METCALFE ET AL.
DISCUSSION
TABLE 2
Model summaries of diagnosis multilevel logistic models (fixed effects)
Correct
Model 1 Model 2 Model 3 Model 4 Model 5
Note: Components included in model can be identified by the presence of a complete cell in a particular row. Model 1 is the null model. Reference
category for “context” is none. AIC = Akaike’s information criteria; BIC = Bayesian information criteria. ∗ p <.05. ∗∗ p <.01. ∗∗∗ p <.001.
TABLE 3
Odds ratios for selected models in the diagnosis analysis, corresponding to Table 2
Correct
Model 2 Model 3 Model 4 Model 5
Note: Components included in model can be identified by the presence of a complete cell in a particular row. Model 1 is the null model. Reference
category for “context” is none. ∗ p <.05. ∗∗ p <.01. ∗∗∗ p <.001.
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
CONTEXT, EMOTION RECOGNITION AND AUTISM 7
TABLE 4
Means, standard deviations and correlations with confidence intervals
Note: Coding for gender is: 1 = male, 2 = female. The coding for autism diagnosis is: 0 = non-autistic, 1 = autistic. Proportion correct refers to the mean
score of correctly identified emotions across trials: 0 = incorrect, 1 = correct. Values in square brackets indicate the 95% CI. AQ = Autism-Spectrum
Quotient; CI = confidence interval. ∗ p <.05. ∗∗ p <.01.
TABLE 5
Model summaries of AQ score multilevel logistic models (fixed effects)
Correct
Model 1 Model 2 Model 3 Model 4 Model 5
Note: Components included in model can be identified by the presence of a complete cell in a particular row. Model 1 is the null model. Reference
category for “context” is none. ‘AIC’ indicates Akaike’s Information Criteria; AQ = Autism-Spectrum Quotient; ‘BIC’ indicates Bayesian Information
Criteria. ∗ p <.05. ∗∗ p <.01. ∗∗∗ p <.001.
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
8 METCALFE ET AL.
research using the same task found emotion recogni- effective interventions with long-lasting and generalisable
tion varied according to context, this was primarily effects (Kouo & Egel, 2016).
with children and people with an intellectual disability
(McKenzie et al., 2001; Scotland et al., 2016), unlike the
Limitations
adults without learning disability in the current research.
This suggests that the impact of context, and the most The first limitation relates to the generalisability of the
helpful level of context, may depend upon the person’s results. As only a subset of autistic people was included,
ability to ignore extraneous cues irrelevant to the emotion it cannot be assumed that these results apply to all autistic
(Murray et al., 2018). While stimuli revealed differences people. A second limitation was that the participants’
between autistic and non-autistic participants, the present autism diagnoses were based on self-report. While many
study suggests that other group-level factors may also autistic participants were recruited through a charity,
be relevant. The older age and higher ability of all par- that required evidence of diagnosis to provide support,
ticipants may have meant that they were able to focus the diagnostic status of those who were recruited via
on relevant cues and ignore extraneous information, social media is less certain. The AQ scores of the latter
across all levels of context. This is, however, speculative group, in-part supported this self-report, but several
as no measures of executive ability or IQ were used participants did not complete the AQ. A third limitation
in this study. Crucially, the fact that context impacts was that the study used static emotion stimuli and the use
results differently across studies using the same stimuli, of hand-drawn cartoon-like imagery in the no-context
implies that the sample has a role to play; this could condition, rather than ecologically valid and dynamic
be investigated in future research by measuring IQ and stimuli. As shown by Rosset et al. (2008) autistic people
assessing its interaction with context. In addition, the often find cartoon-like expressions easier to decode than
stimuli here were static and lacked the complexity of more realistic expressions, however, no evidence to that
real-world encounters, where emotions are dynamic and effect was found here. While results here may not extrap-
often fleeting. Research indicates autistic people show
olate to encounters of emotion displays in the real world,
different patterns of brain activation when viewing static
these stimuli were chosen to reflect materials commonly
and dynamic stimuli (Pelphrey et al., 2007), and are more
used in assessments of, and interventions, for emotion
likely to attend the faces of static rather than dynamic
recognition (e.g., Wood & Kroese, 2007). It is important
stimuli (Speer et al., 2007). This suggests that complexity
to explore the impact of context in these types of stimuli
influences how stimuli are attended and processed.
to inform future interventions. A further notable point
The effect of context may also have differed depend-
is the group sample size imbalance, specifically that the
ing upon the emotion being depicted. Due to the nature
group of autistic people was smaller than the non-autistic
of the task used in the present study (one display of each
group. While this can poses an issue for some analysis
emotion per level of context), further analysis of specific
strategies, it is not necessarily a cause for concern when
emotions would be underpowered. It must be acknowl-
multilevel modelling is applied (see Twisk, 2006); this is
edged, however, that the emotions presented can influence
the principal reason for its application in the present study.
emotion recognition accuracy, as seen in previous work
which shows some difficulties may be emotion specific
(Black et al., 2017; Harms et al., 2010; Sowden et al., CONCLUSION
2021).
Additional research into emotion recognition and con- These results indicate that autistic adults are less accurate
text is needed, which addresses both issues. This has on tasks of emotion recognition than non-autistic adults.
begun in studies with children with autism and the Gender and contextual information were not found to
non-autistic adult population (see Martin et al., 2019; influence emotion recognition accuracy. While this study
Metcalfe et al., 2019). These studies use CGI animated adds to the limited research on the topic of autism, emo-
videos and reveal that an autism diagnosis, increased tion recognition and context, further research is required.
autistic-like-traits, and a lack of contextual cues lead to This would aim to ascertain whether context impacts spe-
less accurate emotion perception. These studies however, cific emotions, as well as implementing more ecologically
are devoid of facial expression and rely solely on body valid, dynamic stimuli.
movement and gesture; both facial and body expressions
should be integrated in future research, to create a more
Data availability statement
ecologically valid investigation of emotion. In addition,
understanding the role of context at different stages of Data and supplementary materials available on the Open
the developmental trajectory of emotion recognition, in Science Framework (OSF) at https://osf.io/gm9eu/.
autistic people, may prove valuable. This may extend
the understanding the socio-emotional development of Manuscript received May 2021
autistic people, while also informing the development of Revised manuscript accepted January 2022
© 2022 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.
CONTEXT, EMOTION RECOGNITION AND AUTISM 9
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