Assessment & Research

How stimulus and task complexity affect monitoring in high-functioning adults with autism spectrum disorder.

Koolen et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

High-functioning adults with autism can track simple stimuli fine, but extra meaning in the pictures slams the brakes on their monitoring speed.

✓ Read this if BCBAs who assess or employ adults with autism in vocational or academic settings.
✗ Skip if Clinicians who work solely with non-speaking children or sensory-motor programs.

01Research in Context

01

What this study did

Koolen et al. (2014) asked high-functioning adults with autism to watch a screen.

Simple shapes popped up one at a time. The adults had to press a key when the same shape appeared twice in a row.

Later the shapes were replaced with hard-to-name abstract pictures. The team timed how fast and how accurately each person responded.

02

What they found

When the shapes were easy, adults with autism kept pace with typical adults.

When the pictures were complex, the same adults slowed down much more than the control group.

Their accuracy stayed okay, but the extra thinking time jumped as soon as semantic detail increased.

03

How this fits with other research

Samson et al. (2006) saw the same pattern in hearing tests: simple tones favored autistic listeners, complex sound streams did not.

Takahashi et al. (2013) looked at neurotypical college students who scored high on autistic traits. Those students did NOT slow down when picture arrays got harder. This seems like a clash, but Junichi used spatial clutter, not meaning. The two studies together show the bottleneck is about meaning, not just visual load.

Li et al. (2021) tracked kids’ eyes while they remembered dot patterns. Autistic children used fewer memory shortcuts and looked longer at single dots. The adult slowdown in Sophieke’s work mirrors the child eye-movement data: both groups skip efficient chunking when complexity rises.

04

Why it matters

If you give an adult client a long verbal chain or a busy visual schedule, build in extra wait time. Swap abstract icons for photos only after the skill is solid. Start simple, then layer meaning once the response is quick and calm.

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Use plain icons first; add realistic photos or text only after the learner hits fluent speed with the basic set.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
30
Population
autism spectrum disorder
Finding
mixed

03Original abstract

The present study examined whether individuals with autism spectrum disorder (ASD) are able to update and monitor working memory representations of visual input, and whether performance is influenced by stimulus and task complexity. 15 high-functioning adults with ASD and 15 controls were asked to allocate either elements of abstract figures or semantically meaningful pictures to the correct category, according to a certain set of rules. In general, the groups did not differ on measures of intelligence, working memory, attention, fluency and memory. For the monitoring of allocation of abstract figures, a similar pattern of reaction times was found for ASD and control participants. For the monitoring of allocation of semantically meaningful pictures, a different response pattern was found, with a stronger increase in response times for the ASD than for the control group when the number of categories increased. This suggests that participants with ASD are able to monitor working memory representations, but suffer under more complex circumstances.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-014-2119-5