The Behavioral Presentation of Autistic Adults in a Forensic Interview
Negative Interpersonal Judgments of Autistic Adults
Potential Behavioral Characteristics of Autistic Adults
The Study
Methods
Participants and Design
Measure | Diagnosis | ||
---|---|---|---|
Autistic (n = 43) | Non-autistic (n = 41) | ||
Gender | |||
Female | 46.5% (n = 20) | 48.8% (n = 20) | |
Male | 53.5% (n = 23) | 48.8% (n = 20) | |
Non-binary | – | 2.4% (n = 1) | |
Chi-square statistic | χ2(2) = 1.16, p = .559, φ = .118, 95% CI [− .099, .324] | ||
Age | |||
Range | 18 to 69 | 18 to 62 | |
M (SD) | 35.33 (13.57) | 34.32 (10.51) | |
t-test statistic | t(82) = 0.38, p = .705, d = 0.08, 95% CI [− 035, 0.51] | ||
Ethnicity | |||
Caucasian | 97.7% (n = 42) | 100% (n = 41) | |
Non-Caucasian | 2.3% (n = 1) | 0% | |
Chi-square statistic | χ2(1) = 0.00, p = 1.00, φ = .107, 95% CI [− .110, .314] | ||
Verbal intelligence | |||
Range | 79 to 144 | 82 to 151 | |
M (SD) | 113.84 (15.68) | 112.24 (14.71) | |
t-test statistic | t(82) = 0.48, p = .633, d = 0.11, 95% CI [− 032, 0.53] | ||
Verbal paired-associates (VPA)* | |||
Range | 0.5 to 15 | 1.5 to 14.5 | |
M (SD) | 8.39 (4.38) | 8.77 (4.21) | |
t-test statistic | t(80) = 0.40, p = .692, d = 0.09, 95% CI [− 0.35, 0.52] |
Measures
Autism Classification
Depression, Anxiety, and Stress
Procedure
Behavior and Memory Report Coding
DSM-5-TR criteria | Behavior | Operationalization |
---|---|---|
Criteria A: social-emotional reciprocity | ||
1 | Verbal tangents | Total duration (in seconds) that the articulation was either (1) completely irrelevant to the topic of conversation, or (2) relevant to the general topic of conversation but not necessary to answer the interviewer’s question. ICC = .790 [.559, .907] |
2 | Verbal hesitations | Mean duration (in seconds) of silent pauses (lasting more than 0.5 s) when it was their turn to speak. Coded with Praat |
3 | Articulation rate | Mean speed at which participant relayed their speech during the interview. Number of syllables uttered, divided by phonation time. Coded with Praat |
4 | Verbal fillers | Number of meaningless sound(s) used during speech to fill silence. ICC = .952 [.878, .982] |
5 | Literal interpretation | Degree to which interview responses suggested interpretation of the statement in an overly literal manner, indicating that the speaker’s intention when using sarcasm, innuendo and colloquialisms was not understood. Scores ranged from 0 to 6, with higher scores indicating more literal interpretation. ICC = .816 [.575, .927] |
6 | Inappropriate utterances | Number of verbalizations that were rude, unsuitable, or improper for the context of the interaction. ICC = .782 [.506, .912] |
7 | Idiosyncratic language | Number of sentences using standard words or phrases in an unusual way, such that the intended meaning was not readily apparent. ICC = N/A due to no occurrence of behavior |
Criteria A: nonverbal communicative behaviors | ||
8 & 9 | Gaze (maintenance and number of shifts) | Percentage of the interview that gaze was maintained directly into the camera (or where the interviewer’s face would be assumed to appear on the individual’s screen). ICC = .949 [.870, .981] Percentage of the interview when gaze was averted from the gaze maintenance area. ICC = .934 [.832, .975] |
10 | Representational gestures (presence and intensity) | Percentage of the interview that deliberate and relevant movements of the body were made when expressing ideas or as a replacement for speech. ICC = .777 [.498, .910] Percentage of the interview that intense relevant gestures were displayed. ICC = .744 [.436, .896] |
11 | Non- representational gestures (presence and intensity) | Coded as above for representational gestures not connected to the verbal statement. Presence ICC = .911 [.779, .966], intensity ICC = .954 [.882, .983] |
12 | Verbal intonation | Standard deviation associated with the mean vocal pitch, which indicated the level of vocal variation/affect used in verbalizations. Coded with Praat |
13 | Facial expression (presence and intensity) | Percentage of the interview when the face changed from the neutral baseline expression to a positive or negative expression. ICC = .890 [.730, .957] Percentage of the interview that intense facial expression was displayed. ICC = .890 [.731, .957] |
Criteria B: repetitive and stereotyped behaviors | ||
14 | Repetitive motor movement (presence and intensity) | Percentage of the interview that motor movement (not including eye movement) or use of objects was displayed that (1) was not required to meet the demands of the interview or did not appear to serve a functional purpose, and (2) was displayed more than once successively within the duration of the interview. ICC = .853 [.650, .942] Percentage of the interview that intense repetitive motor movement was displayed. ICC = .887 [.724, .956] |
15 & 16 | Verbal speech repeats (one word) or restarts (> one word) | Number of meaningless repetitions of words or phrases immediately after their initial occurrence. A single word repeated = a repeat, ICC = .808 [.557, .924]; a phrase repeated = a restart, ICC = .755 [.457, .901] |
17 | Echolalia (immediate) | Number of repetitions of words or phrases immediately after being spoken by the interviewer. ICC = N/A due to no occurrence of behavior |
Reliability
Analytic Strategy
Results
Sample Characteristics
Measure | Diagnosis | ||
---|---|---|---|
Autistic (n = 43) | Non-autistic (n = 41) | ||
AQ-10 | |||
Range | 2 to 10 | 2 to 8 | |
M (SD) | 6.84 (2.18) | 2.78 (1.97) | |
t-test statistic | t(82) = 8.93, p < .001, d = 1.95 [1.41, 2.45] | ||
ABAS (GAC) | |||
Range | 61 to 117 | 52 to 120 | |
M (SD) | 88.05 (12.68) | 102.56 (15.41) | |
t-test statistic | t(82) = 4.73, p < .001, d = 1.03 [0.57, 1.48] | ||
A-ToM Social | |||
Range | 3 to 12 | 6 to 12 | |
M (SD) | 9.21 (2.00) | 10.00 (1.64) | |
t-test statistic | t(72) = 1.85, p = .068, d = 0.43 [− 0.03, 0.89] | ||
DASS-21 (Total) | |||
Range | 0 to 62 | 0 to 53 | |
M (SD) | 49.15 (33.34) | 26.98 (21.28) | |
t-test statistic | t(71.80) = 3.65, p < .001, d = 0.79 [0.34, 1.23] |
Memory Report
Memory report | Diagnosis | t-test results | |
---|---|---|---|
Autistic (n = 43) | Non-autistic (n = 41) | ||
Interview duration (seconds)tL | 578.79 (142.18) | 561.71 (164.83) | t(82) = 0.70, p = .486, d = 0.15 [− 0.28, 0.58] |
Total detailstL | 66.60 (22.62) | 69.67 (19.85) | t(80) = 0.98, p = .332, d = 0.22 [− 0.22, 0.65] |
Total accurate detailstL | 61.21 (21.30) | 64.56 (19.43) | t(80) = 1.06, p = .292, d = 0.24 [− 0.20, 0.67] |
Accurate study detail | 48.35 (14.42) | 53.54 (13.80) | t(80) = 1.66, p = .101, d = 0.37 [− 0.07, 0.80] |
Inaccurate study detailtS | 4.72 (2.90) | 4.72 (2.26) | t(80) = 0.06, p = .955, d = 0.10 [− 0.42, 0.45] |
Accurate additional detailtL | 12.86 (9.94) | 11.03 (9.16) | t(80) = 1.15, p = .255, d = 0.25 [− 0.18, 0.69] |
Uncertainty expressedtL | 10.98 (6.94) | 9.62 (7.52) | t(80) = 1.31, p = .195, d = 0.29 [− 0.15, 0.72] |
Behavior Patterns
Behavior pattern | Diagnosis | |
---|---|---|
Autistic | Non-autistic | |
Consistent with diagnostic criteria | ||
Verbal hesitations (mean seconds)tL | 1.38 (0.36), n = 43 | 1.20 (0.17), n = 39 |
Literal interpretation (range 0–6)tS | 0.79 (1.08), n = 43 | 0.31 (0.61), n = 39 |
Facial expression present % | 51.59 (20.58), n = 39 | 59.01 (21.35), n = 40 |
Facial expression intensity % | 26.62 (13.89), n = 39 | 29.93 (14.29), n = 40 |
Gaze shifts % | 8.95 (3.62), n = 37 | 9.70 (2.87), n = 39 |
Gaze maintenance % | 60.11 (18.78), n = 37 | 63.75 (16.13), n = 39 |
Verbal tangents (total seconds)* tL | 7.93 (22.21), n = 43 | 11.79 (39.85), n = 39 |
Verbal speech restarts (count of > one word)tL | 1.07 (3.86), n = 43 | 0.44 (0.99), n = 39 |
Repetitive motor movement present % | 67.25 (25.01), n = 41 | 63.23 (31.57), n = 38 |
Inappropriate utterancestS | 0.09 (0.48), n = 43 | 0.05 (0.32), n = 39 |
Verbal fillerstS | 39.37 (23.29), n = 43 | 42.23 (30.38), n = 39 |
Repetitive motor movement intensity % | 31.16 (14.49), n = 41 | 31.03 (17.71), n = 38 |
Inconsistent with diagnostic criteria | ||
Verbal intonation (SD of pitch)tL | 64.61 (25.57), n = 43 | 52.12 (22.76), n = 39 |
Representational gestures intensity % | 12.62 (6.24), n = 43 | 10.75 (5.78), n = 41 |
Verbal repeats (count of one word)tS | 0.74 (1.36), n = 43 | 1.44 (2.50), n = 39 |
Representational gestures present % | 22.12 (9.24), n = 43 | 19.78 (8.97), n = 41 |
Non-representational gestures present % | 28.09 (15.19), n = 43 | 29.57 (15.41), n = 41 |
Articulation rate (mean speed) | 4.28 (0.33), n = 43 | 4.26 (0.28), n = 39 |
Non-representational gestures intensity % | 17.06 (10.55), n = 43 | 17.74 (11.17), n = 41 |
Behavior pattern | ANOVA outcome | Interpretation* |
---|---|---|
Behavior pattern consistent with diagnostic criteria | ||
More verbal hesitations | F (1, 80) = 7.29, p = .008 | Significant |
η2 = .084 [.006, .212] | Medium effect | |
BF10 = 5.11 | Moderate evidence for H1 | |
More literal interpretation | F (1, 80) = 6.02, p = .016 | Significant |
η2 = .070 [.002, .194] | Medium effect | |
BF10 = 3.01 | Moderate evidence for H1 | |
Flatter facial expression | F (1, 77) = 2.48, p = .120 | Non-significant |
η2 = .031 [.000, .137] | Weak effect | |
BF10 = 0.68 | Anecdotal evidence for H0 | |
Flatter facial expression intensity | F (1, 77) = 1.09, p = .300 | Non-significant |
η2 = .014 [.000, .103] | Weak effect | |
BF10 = 0.38 | Anecdotal evidence for H0 | |
Fewer gaze shifts | F (1, 74) = 1.00, p = .320 | Non-significant |
η2 = .013 [.000, .104] | Very weak effect | |
BF10 = 0.37 | Anecdotal evidence for H0 | |
Less gaze maintenance | F (1, 74) = 0.82, p = .367 | Non-significant |
η2 = .011 [.000, .098] | Very weak effect | |
BF10 = 0.34 | Anecdotal evidence for H0 | |
Longer verbal tangents | F (1, 80) = 0.81, p = .372 | Non-significant |
η2 = .010 [.000, .091] | Very weak effect | |
BF10 = 0.33 | Moderate evidence for H0 | |
More verbal speech restarts | F (1, 80) = 0.66, p = .420 | Non-significant |
η2 = .008 [.000, .085] | Negligible effect | |
BF10 = 0.31 | Moderate evidence for H0 | |
More repetitive motor movement | F (1, 77) = 0.40, p = .530 | Non-significant |
η2 = .005 [.000, .078] | Negligible effect | |
BF10 = 0.28 | Moderate evidence for H0 | |
More inappropriate utterances | F (1, 80) = 0.21, p = .647 | Non-significant |
η2 = .003 [.000, .065] | Negligible effect | |
BF10 = 0.25 | Moderate evidence for H0 | |
Fewer verbal fillers | F (1, 80) = 0.09, p = .770 | Non-significant |
η2 = .001 [.000, .053] | Negligible effect | |
BF10 = 0.24 | Moderate evidence for H0 | |
More intense repetitive movement | F (1, 77) = 0.001, p = .972 | Non-significant |
η2 = .000 [.000, .003] | Negligible effect | |
BF10 = 0.23 | Moderate evidence for H0 | |
Behavior Pattern Inconsistent with Diagnostic Criteria | ||
More varied verbal intonation | F (1, 80) = 6.45, p = .013 | Significant |
η2 = .075 [.003, .200] | Medium effect | |
BF10 = 3.61 | Moderate evidence for H1 | |
More intense representational gestures | F (1, 82) = 2.02, p = .159 | Non-significant |
η2 = .024 [.000, .120] | Very weak effect | |
BF10 = 0.55 | Anecdotal evidence for H0 | |
Less repetitive speech | F (1, 80) = 1.43, p = .235 | Non-significant |
η2 = .018 [.000, .109] | Very weak effect | |
BF10 = 0.43 | Anecdotal evidence for H0 | |
More representational gestures | F (1, 82) = 1.39, p = .243 | Non-significant |
η2 = .017 [.000, .105] | Very weak effect | |
BF10 = 0.42 | Anecdotal evidence for H0 | |
Fewer non-representational gestures | F (1, 82) = 0.20, p = .658 | Non-significant |
η2 = .002 [.000, .062] | Negligible effect | |
BF10 = 0.25 | Moderate evidence for H0 | |
Slower articulation rate | F (1, 80) = 0.10, p = .754 | Non-significant |
η2 = .001 [.000, .054] | Negligible effect | |
BF10 = 0.25 | Moderate evidence for H0 | |
Less intense non- representational gestures | F (1, 82) = 0.08, p = .774 | Non-significant |
η2 = .001 [.000, .051] | Negligible effect | |
BF10 = 0.24 | Moderate evidence for H0 |
Verbal hesitations | Literal interpretation | Facial expression present | Facial expression intensity | Gaze shifts | Gaze maintenance | Verbal tangents | Verbal speech restarts | Repetitive motor movement | Inappropriate utterances | Verbal fillers | Repetitive motor intensity | Verbal intonation | Representational intensity | Verbal repeats | Representational present | Non-representational present | Articulation rate | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Verbal hesitationstL | ||||||||||||||||||
Literal interpretationtS | − .137 [− .450, .205] | |||||||||||||||||
Facial expression present % | − .272 [− .555, .067] | .237 [− .105, .528] | ||||||||||||||||
Facial expression intensity % | − .323 [− .592, .012] | .198 [− .145, .498] | .942*** [.887, .971] | |||||||||||||||
Gaze shifts % | − .047 [− .374, .291] | .256 [− .085, .543] | .103 [− .239, .421] | .140 [− .202, .452] | ||||||||||||||
Gaze maintenance % | .057 [− .282, .383] | − .212 [− .509, .130] | .129 [− .213, .444] | .113 [− .229, .430] | − .430* [− .668, − .113] | |||||||||||||
Verbal tangentstL | − .188 [− .491, .155] | .445** [.131, .678] | .013 [− .321, .345] | − .027 [− .357, .309] | .205 [− .137, .504] | − .321 [− .591, .014] | ||||||||||||
Verbal speech restartstL | − .045 [− .372, .293] | .274 [− .065, .556] | .286 [− .052, .565] | .256 [− .085, .543] | .193 [− .150, .494] | − .317 [− .588, .018] | .314 [− .021, .586] | |||||||||||
Repetitive motor movement present % | − .111 [− .428, .231] | − .126 [− .441, .216] | − .120 [− .436, .222] | − .191 [− .492, .152] | .098 [− .243, .418] | − .140 [− .452, .202] | − .070 [− .394, .270] | − .115 [− .432, .227] | ||||||||||
Inappropriate utterancestS | − .123 [− .438, .219] | − .111 [− .428, .231] | − .152 [− .462, .191] | − .112 [− .430, .229] | − .247 [− .536, .094] | − .313 [− .585, .022] | .298 [− .039, .574] | .107 [− .234, .425] | .191 [− .152, .493] | |||||||||
Verbal fillerstS | − .457** [− .686, − .146] | .332 [− .001, .599] | .064 [− .275, .389] | .039 [− .298, .368] | .236 [− .106, .528] | − .377* [− .631, − .050] | .385* [.060 .637] | − .007 [− .340, .327] | − .036 [− .365, .301] | − .129 [− .443, .213] | ||||||||
Repetitive motor movement intensity % | − .096 [− .416, .245] | − .103 [− .422, .239] | − .209 [− .507, .134] | − .247 [− .536, .094] | .166 [− .177, .473] | − .347* [− .610, − .016] | − .093 [− .414, .248] | .051 [− .287, .377] | .846*** [.714, .920] | .299 [− .038, .575] | − .015 [− .346, .320] | |||||||
Verbal intonationtL | − .022 [− .352, .314] | − .011 [− .343, .323] | − .178 [− .483, .165] | − .140 [− .452, .203] | − .156 [− .465, .187] | .025 [− .311, .355] | − .293 [− .571, .044] | − .252 [− .540, .089] | .212 [− .131, .509] | − .249 [− .537, .092] | .107 [− .235, .425] | .172 [− .171, .478] | ||||||
Representational gestures intensity % | − .411* [− .655, − .091] | − .181 [− .485, .162] | .000 [− .333, .333] | .053 [− .285, .379] | .191 [− .152, .493] | − .116 [− .433, .226] | .158 [− .185, .467] | − .100 [− .419, .241] | .068 [− .272, .392] | − .062 [− .388, .277] | .562*** [.281, .754] | .024 [− .312, .355] | − .013 [− .344, .322] | |||||
Verbal repeatstS | − .333 [− .600, .000] | .057 [− .281, .383] | .191 [− .152, .493] | .210 [− .133, .507] | − .141 [− .453, .202] | − .237 [− .529, .104] | .105 [− .237, .423] | .552*** [.268, .748] | .099 [− .243, .418] | .317 [− .018, .588] | .131 [− .212, .445] | .201 [− .141, .501] | .014 [− .321, .345] | .236 [− .105, .528] | ||||
Representational gestures present % | − .473** [− .696, − .166] | − .114 [− .431, .227] | .024 [− .312, .355] | .088 [− .253, .409] | .161 [− .182, .469] | − .098 [− .418, .243] | .182 [− .161, .486] | − .057 [− .383, .282] | .039 [− .298, .367] | − .054 [− .381, .284] | .566*** [.287, .756] | .000 [− .333, .334] | .019 [− .317, .350] | .980*** [.961, .990] | .292 [− .046, .570] | |||
Non- representational gestures present % | − .264 [− .549, .076] | − .140 [− .452, .203] | .051 [− .287, .378] | .080 [− .260, .402] | .032 [− .304, .362] | .232 [− .109, .525] | .204 [− .138, .503] | − .170 [− .477, .173] | − .045 [− .373, .292] | − .005 [− .381, .284] | .214 [− .128, .511] | − .206 [− .505, .137] | − .242 [− .532, .099] | .205 [− .137, .504] | − .061 [− .386, .278] | .208 [− .134, .506] | ||
Articulation rate | − .031 [− .360, .306] | − .273 [− .556, .066] | .246 [− .095, .536] | .200 [− .143, .500] | − .071 [− .395, .269] | − .023 [− .353, .313] | − .177 [− .481, .166] | .178 [− .165, .483] | .086 [− .255, .407] | .040 [− .297, .368] | − .127 [− .442, .215] | .156 [− .187, .465] | .412* [.091, .566] | − .062 [− .387, .277] | .274 [− .065, .557] | − .063 [− .388, .276] | − .068 [− .392, .272] | |
Non- representational gestures intensity % | − .236 [− .528, .105] | − .127 [− .442, .215] | − .027 [− .357, .309] | .057 [− .281, .383] | .133 [− .210, .446] | .111 [− .231, .428] | .175 [− .168, .480] | − .178 [− .483, .165] | − .011 [− .343, .324] | − .035 [− .364, .302] | .237 [− .104, .529] | − .105 [− .423, .236] | − .160 [− .468, .183] | .296 [− .041, .573] | − .053 [− .380, .285] | .296 [− .041, .573] | .934*** [.872, .966] | − .052 [− .379, .286] |