Déploiement de l'attention auditive chez les jeunes adultes avec un diagnostic de "trouble du spectre de l'autisme"

Aperçu: G.M.

La difficulté à écouter dans des environnements bruyants est une plainte fréquente des personnes avec un diagnostic de "trouble du spectre de l'autisme" (dTSA). Cependant, les mécanismes sous-jacents à ces défis de traitement auditif sont inconnus. 

Cette étude préliminaire a examiné le déploiement de l'attention auditive chez les adultes avec un dTSA. Les participants ont été invités à maintenir ou à changer l'attention entre deux flux vocaux simultanés dans trois conditions: emplacement (co-localisé contre ± 30 ° de séparation), voix (même voix contre contraste homme-femme) et les deux signaux ensemble. 

Les résultats ont montré que les personnes avec un dTSA peuvent diriger l'attention de manière sélective en utilisant l'emplacement ou les indices vocaux, mais la performance était meilleure lorsque les deux signaux étaient présents. En comparaison avec les adultes neurotypiques, la performance globale était moins précise dans toutes les conditions. 

Ces résultats justifient une enquête plus approfondie sur les différences de déploiement de l'attention auditive chez les personnes avec un TSA.

. 2021 May 19.  doi: 10.1007/s10803-021-05076-8. 

Auditory Attention Deployment in Young Adults with Autism Spectrum Disorder

Katherine A Emmons  ¹ , Adrian Kc Lee  ^{2   3} , Annette Estes  ^{1   2} , Stephen Dager  ⁴ , Eric Larson  ³ , Daniel R McCloy  ³ , Tanya St John  ¹ , Bonnie K Lau  ^{5   6}

Affiliations

• PMID: 34013478
• DOI: 10.1007/s10803-021-05076-8

Abstract

Difficulty listening in noisy environments is a common complaint of individuals with autism spectrum disorder (ASD). However, the mechanisms underlying such auditory processing challenges are unknown. This preliminary study investigated auditory attention deployment in adults with ASD. Participants were instructed to maintain or switch attention between two simultaneous speech streams in three conditions: location (co-located versus ± 30° separation), voice (same voice versus male-female contrast), and both cues together. Results showed that individuals with ASD can selectively direct attention using location or voice cues, but performance was best when both cues were present. In comparison to neurotypical adults, overall performance was less accurate across all conditions. These findings warrant further investigation into auditory attention deployment differences in individuals with ASD.

Keywords: Auditory attention; Auditory processing; Autism spectrum disorder; Selective attention; Speech perception.

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La perception de la parole multisensorielle dans le trouble du spectre de l'autisme: du phonème à la perception du mot entier

Aperçu: G.M.

La perception de la parole dans les environnements bruyants est stimulée lorsqu'un auditeur peut voir la bouche du locuteur et intégrer les informations auditives et visuelles de la parole. Les enfants autistes ont une capacité réduite à intégrer l'information sensorielle à travers les modalités, ce qui contribue aux symptômes de base de l'autisme, tels que les déficits dans la communication sociale. L'étude explore les capacités des enfants autistes et les enfants au développement typique (TD) à intégrer les stimuli auditifs et visuels dans divers rapports signal / bruit (SNR).

Au niveau de la reconnaissance des phonèmes, les enfants autistes ont présenté une performance réduite par rapport à leurs pairs TD dans les modalités auditives, visuelles et audiovisuelles. Cependant, contrairement à leur performance au niveau de la reconnaissance des mots entiers, les enfants autistes et TD ont montré des avantages de l'intégration multisensorielle pour la reconnaissance du phonème.

Ainsi, alors que les enfants autistes présentaient des bénéfices multisensoriels typiques lors de la reconnaissance du phonème, ces avantages ne se traduisaient pas par un avantage multisensoriel typique de la reconnaissance du mot entier dans les environnements bruyants.  

Nous posons l'hypothèse que les déficiences sensorielles chez les enfants autistes augmentent le seuil de SNR nécessaire pour extraire des informations significatives à partir d'une entrée sensorielle donnée, ce qui entraîne la non-présentation des avantages comportementaux d'informations sensorielles supplémentaires au niveau de la reconnaissance de mots entiers  

Autism Res. 2017 Mar 24. doi: 10.1002/aur.1776.

Multisensory speech perception in autism spectrum disorder: From phoneme to whole-word perception

Stevenson RA^1,2, Baum SH³, Segers M⁴, Ferber S^5,6, Barense MD^5,6, Wallace MT^7,8,9,10,11.

Author information

1

Department of Psychology, Western University, London, ON, Canada.

2

Brain and Mind Institute, Western University, London, ON, Canada.

3

Department of Psychology, University of Washington, Seattle, WA.

4

York University, Toronto, ON, Canada.

5

Department of Psychology, University of Toronto, Toronto, ON, Canada.

6

Rotman Research Institute, Toronto, ON, Canada.

7

Vanderbilt Brain Institute, Nashville, TN.

8

Vanderbilt Kennedy Center, Nashville, TN, USA.

9

Vanderbilt University, Nashville, TN.

10

Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.

11

Department of Psychology, Vanderbilt University, Nashville, TN.

Abstract

Speech perception in noisy environments is boosted when a listener can see the speaker's mouth and integrate the auditory and visual speech information. Autistic children have a diminished capacity to integrate sensory information across modalities, which contributes to core symptoms of autism, such as impairments in social communication. We investigated the abilities of autistic and typically-developing (TD) children to integrate auditory and visual speech stimuli in various signal-to-noise ratios (SNR). Measurements of both whole-word and phoneme recognition were recorded. At the level of whole-word recognition, autistic children exhibited reduced performance in both the auditory and audiovisual modalities. Importantly, autistic children showed reduced behavioral benefit from multisensory integration with whole-word recognition, specifically at low SNRs. At the level of phoneme recognition, autistic children exhibited reduced performance relative to their TD peers in auditory, visual, and audiovisual modalities. However, and in contrast to their performance at the level of whole-word recognition, both autistic and TD children showed benefits from multisensory integration for phoneme recognition. In accordance with the principle of inverse effectiveness, both groups exhibited greater benefit at low SNRs relative to high SNRs. Thus, while autistic children showed typical multisensory benefits during phoneme recognition, these benefits did not translate to typical multisensory benefit of whole-word recognition in noisy environments. We hypothesize that sensory impairments in autistic children raise the SNR threshold needed to extract meaningful information from a given sensory input, resulting in subsequent failure to exhibit behavioral benefits from additional sensory information at the level of whole-word recognition. Autism Res 2017. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

© 2017 International Society for Autism Research, Wiley Periodicals, Inc.

PMID: 28339177

DOI: 10.1002/aur.1776