Assessment & Research

Cognitive predictors of Social processing in congenital atypical development.

Ferrari et al. (2023) · Journal of autism and developmental disorders 2023
★ The Verdict

In IDD, visuospatial and imitation skills predict social-cognition gains, so build those domains first.

✓ Read this if BCBAs writing social-skills plans for clients with ID or developmental delay.
✗ Skip if Clinicians focused only on severe behavior reduction with no social-cognition target.

01Research in Context

01

What this study did

Ferrari et al. (2023) tested 92 people with intellectual or developmental delay. They wanted to know which thinking skills predict social understanding.

The team gave puzzles that use visuospatial skill, imitation tasks, and social-cognition tests. They looked at who could read faces and who could guess others’ thoughts.

02

What they found

Strong visuospatial skill predicted better emotion recognition and verbal Theory-of-Mind. Good imitation skill predicted better non-verbal Theory-of-Mind.

The link stayed even after they held other factors steady. Visuospatial and imitation skills are clear, teachable levers for social growth.

03

How this fits with other research

Finney et al. (1995) saw only IQ matter for face reading in adults with ID. Elisabetta adds visuospatial and imitation to the list, so we now have more targets than just IQ.

Johnson et al. (2021) showed verbal IQ lowers autism symptom load. Elisabetta flips the lens: instead of asking what eases symptoms, it asks what boosts social insight, and finds visuospatial plus imitation do the job.

Wilkins et al. (2009) found kids with ID+ASD could name emotions yet still respond wrong. Elisabetta agrees that labeling is only half the story; the new twist is that visuospatial and imitation skills predict the deeper social reasoning behind the response.

04

Why it matters

Screen visuospatial and imitation skills during intake. If a client is weak in those areas, fold in block design games, mirror exercises, or video modeling before you teach emotion cards. Strengthen the cognitive base and social lessons stick better.

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Add one 5-minute visuospatial warm-up (puzzle or drawing from memory) right before your emotion-ID lesson.

02At a glance

Intervention
not applicable
Design
other
Sample size
92
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

According to current accounts of social cognition, the emergence of verbal and non-verbal components of social perception might rely on the acquisition of different cognitive abilities. These components might be differently sensitive to the pattern of neuropsychological impairments in congenital neurodevelopmental disorders. Here, we explored the association between social and non-social cognitive domains by administering subtests of the NEPSY-II battery to 92 patients with Intellectual and Developmental Disability (IDD). Regardless the level of intellectual functioning and presence of congenital brain malformations, results revealed that visuospatial skills predicted emotion recognition and verbal component of Theory of Mind, whereas imitation predicted the non-verbal one. Future interventions might focus on spatial and sensorimotor abilities to boost the development of social cognition in IDD.

Journal of autism and developmental disorders, 2023 · doi:10.1080/13803395.2015.1076380