Modality effect on contextual integration in people with Williams syndrome

Effect of suppression of otoacoustic emissions in individuals with and without central auditory processing disorder: a systematic review

OBJECTIVE

To investigate, through a systematic review of the literature, whether there are differences in the results of otoacoustic emissions suppression tests in individuals with and without central auditory processing disorder.

METHODS

Searches were carried out in the scientific databases Latin American and Caribbean Health Sciences Literature, PubMed, Scientific Electronic Library Online, Web of Science, Scopus, Science Direct and Cochrane, as well as the databases of gray literature British Library, OpenGrey.eu and Object View and Interaction Design. A systematic review of the literature was carried out, with the descriptors otoacoustic emissions and auditory perceptual disorders and their synonyms, combined by the Boolean operators AND and OR. The reading of the studies was done by peers independently and in case of disagreement in the inclusion of studies, a third researcher was consulted. Original cross-sectional articles with a comparison group that suppressed transient evoked otoacoustic emissions in individuals with and without central auditory processing disorder were included.

RESULTS

Seven studies that evaluated children aged between 7 and 14 years old were included, with methodological variability in the performance and analysis of the exam, the contralateral noise was the most used to elicit suppression. In only three studies did the group with central auditory processing disorder show lower suppression values, however the meta-analysis shows significant differences between the groups, with lower suppression values in the study groups.

CONCLUSION

This study points the need for a protocol that standardizes the measurement of OAE suppression and its findings, aiming to reduce the inclusion of results unrelated to the olivocochlear system.

Multisensory Texture Perception in Individuals with Williams Syndrome

The sensory profile of people with Williams syndrome (WS) is characterised by atypical visual and auditory perceptions that affect their daily lives and learning. However, no research has been carried out on the haptic perception, in particular in multisensory (visual and haptic) situations. The aim of this study was to evaluate the communication of texture information from one modality to the other in people with WS. Children and adults with WS were included, as well as typically developing (TD) participants matched on chronological age (TD-CA), and TD children matched on mental age (TD-MA). All participants (N = 69) completed three matching tasks in which they had to compare two fabrics (same or different): visual, haptic and visuo-haptic. When the textures were different, the haptic and visual performances of people with WS were similar to those of TD-MA participants. Moreover, their visuo-haptic performances were lower than those of the two TD groups. These results suggest a delay in the acquisition of multisensory transfer abilities in individuals with WS. A positive link between MA and visual and visuo-haptic abilities only in people with WS suggests that they could benefit from an early intervention to develop their abilities to process and transfer multisensory information.

Computerized False Belief Tasks Impact Mentalizing Ability in People with Williams Syndrome

People with Williams syndrome (WS) are characterized by hyper sociability, fluency in languages, and advantageous face-processing skills, leading to the proposal of a social module. Previous studies on the mentalizing abilities of people with WS using two-dimensional pictures, including normal-like, delayed, and deviant behaviors, have yielded mixed results. Thus, this study examined the mentalizing ability of people with WS through structured computerized animations of false belief tasks to investigate whether inferences about other people's minds can be improved in this population. Participants were shown animations containing unexpected location and content changes. After viewing each animation, participants had to answer four types of questions relating to character identification, reality, memory, and false belief. Their responses were recorded and analyzed. A comprehension of false belief was observed in 4-year-old healthy children, whereas children with WS showed enhanced comprehension of false belief (until they attained a chronological age [CA] of 5.9 years), suggesting an improvement in the theory of mind resulting from viewing structured computerized animations. This age is earlier than that reported by previous studies for using theory of mind to pass false belief tests (CA 9 years), even challenging the age at which individuals failed to pass the tests (CA 17.11 years). Structured computerized animations enhanced the mentalizing ability of people with WS to a certain extent. Compared to the typically developing controls, people with WS presented with a lower developmental level in processing false belief tasks. This study has educational implications for the development of computerized social skills interventions for people with WS.

Emotion Priming in People with Williams Syndrome

Emotion categories configure the basic semantic knowledge of the human cognitive structure. Previous studies with people with Williams syndrome (WS) investigated their ability to process basic emotions and the dimensions of emotional valences. However, little is known about the categorization of emotions from the subordinate perspective of lexical words in people with WS. In this study, emotion priming was used as the research paradigm. Three types of emotional valence were used as stimuli: positive, neutral, and negative. Each emotional valence was used as a prime matched to a target in one of these same three types of emotional valence. All participants were asked to judge whether the prime and the target were matched in their emotional valence. People with WS (n = 14, 11M/3F, CA = 10.49, and MA = 6.57) showed priming patterns for emotion valences like those of the typically developing controls. When positive primes were presented, accuracy was higher for positive and negative targets than neutral targets. When neutral primes were presented, accuracy was highest for negative targets. When negative primes were presented, accuracy was the lowest for negative targets. All participants showed high priming accuracy for positive emotions; however, they confused neutral with positive targets. A negative priming effect was observed when negative primes preceded negative targets. Considering previous findings that people with WS show developmental delays in the basic emotions of anger and surprise, this study concludes that people with WS responded least accurately to the classification of emotional valence. The findings regarding the categorization of emotions in people with WS not only advance our understanding of their emotion knowledge and socioemotional cognition but also confirm the superficial enrichment of lexical semantics with weak conceptual change in people with WS. This weakness may result in impaired contextual integration in people with WS.

Investigating basic emotion knowledge of people with Williams syndrome

BACKGROUND

Emotional recognition is a key aspect of mentalizing other people's minds. People with Williams syndrome (WS) are reported to be hypersocial and empathetic; however, few studies have investigated their emotion processing ability.

AIMS

This study aimed to examine emotion knowledge in people with WS and to further understand their emotion-related mentalizing ability.

METHODS AND PROCEDURES

Six basic emotions (happiness, sadness, anger, fear, disgust, and surprise) were tested by narrating scenarios targeting specific emotions. Participants with WS (n = 16, 8F/8 M, CA = 8.46, MA = 5.27) listened to each scenario and pointed to an emoticon displayed on a card. Correct percentages of each target emotion and replacement by other emotions were analyzed. Comparison groups comprised mental age-matched controls (n = 16, 8F/8 M, CA = 5.26) and chronological age-matched controls (n = 16, 8 F/8 M, CA = 8.31), sixth graders (n = 20, 10F/10M, CA = 12.04), and college students (n = 20, 10F/10M, CA = 20.03). All were Chinese-speaking participants with right handedness.

OUTCOMES AND RESULTS

People with WS were delayed compared to the mental age-matched group but differed from the chronological age-matched group in emotion processing. The 6th graders showed different patterns from college students, suggesting that development of emotion processing takes time.

CONCLUSIONS AND IMPLICATIONS

These findings suggest (1) a gap in the maturation of emotion knowledge between people with WS and typically developing controls, (2) a nonequivalent chronological emotion-related mentalizing ability in people with WS, and (3) developmental changes in emotion processing from childhood to adulthood.

Understanding emotional language through events and words in people with Williams syndrome

Previous studies have mainly examined emotion recognition through face processing in individuals with Williams syndrome (WS). Contextual integration is an automatic and basic comprehension ability emerged from distinct modalities. This ability requires sensation to global configuration and local elements. However, neurodevelopmental disorders are characterized by local-focusing and global-ignoring in visuospatial perception. This causes cognitive atypicality as compared to typical development, including atypical face processing and emotion recognition. These impairments might result in deficits in theory of mind and social cognition. People with WS demonstrate impaired false-belief attribution, which was reported to be improved with emotional cues. Yet, no previous study has examined knowledge of emotional language in people with WS, which might be one of the factors affecting the development of the theory of mind in people with WS. In the present study, we examined knowledge of emotional language in people with WS by testing three emotions: positive, negative, and neutral. Participants were asked to press buttons indexing emotions in reaction to auditory targets. In the emotional event study, people with WS demonstrated responses to positive events in the normal range, delayed responses to negative events, and deviant responses to neutral events. In the emotion word study, people with WS showed the lowest accuracy and longest reaction times for neutral words. These findings indicated asymmetrical and atypical knowledge of emotional language in people with WS, confirming that knowledge of emotional expressions influences the development of the theory of mind and social cognition.

Contextual effects on semantic grouping in individuals with Down syndrome

OBJECTIVE

Individuals with Down syndrome have impaired linguistic ability but relatively good visuospatial cognition. A verbal-with-visual presentation enhanced the semantic grouping in individuals with Down syndrome, whereas a verbal presentation did not have this effect. This study aims to examine the influence of visual presentation on semantic grouping in individuals with Down syndrome.

METHOD

Pictures that depict backgrounds and targets as pairs were shown to participants who were asked to make judgments according to semantic appropriateness. Targets in the same category were matched to the background in congruent and incongruent conditions.

RESULTS

Unlike two groups of typical developers, the studied group failed to display the congruency effect. They responded slowest to congruent conditions and had the lowest accuracy rates. Error patterns revealed that they exhibited coarse semantic classification.

CONCLUSIONS

Through a visual presentation that provided contexts, an atypical contextual effect on semantic grouping was revealed in individuals with Down syndrome.