Assessment & Research

Psychophysiological and Behavioral Responses to a Novel Intruder Threat Task for Children on the Autism Spectrum.

South et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Autistic kids’ skin-conductance barely budges to a social intruder, but body movement, not autism itself, predicts any spikes you see.

✓ Read this if BCBAs running social-skills or exposure sessions with school-age clients who wear physiological monitors.
✗ Skip if Clinicians who rely only on rating scales and never use skin-conductance or heart-rate data.

01Research in Context

01

What this study did

South et al. (2017) built a new intruder-threat game for kids. A stranger enters the room and stares. The team recorded skin-conductance, heart rate, and motion in the children with autism and 20 typical peers.

All kids were 6-12 years old. Sensors on fingers and chest tracked tiny sweat bursts and movement. The goal: see if autism changes the body’s alarm to social danger.

02

What they found

Children with autism showed almost no skin-conductance spike when the stranger walked in. Typical kids jumped about 30 % above baseline.

Big surprise: how much a child wiggled predicted the spike better than the autism label. A calm typical kid and a calm autistic kid looked the same on the screen.

03

How this fits with other research

Riches et al. (2016) saw the same dampened skin response when kids with autism listened to scary music. The pattern holds across very different cues.

Duerden et al. (2012) looks like the opposite: autistic kids poured out more stress-hormone cortisol during a blood draw. The clash is solved by looking at the trigger. Social stare = low electrodermal answer. Medical poke = high hormone answer. Different systems, different rules.

Eisler (1984) warned us four decades ago: autistic children often give no first electrodermal response. Mikle confirms the old clue and adds that motion, not diagnosis, drives the rare spikes we do see.

04

Why it matters

Before you label a client as under-reactive, check if he is simply sitting still. A squirmy typical child can out-score a calm autistic child on skin-conductance. Use motion sensors or video along with your physiological data. When you plan exposure programs, know that social threat may not spark the body’s alarm you expect—so watch behavior, not just the polygraph line.

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Add a simple motion count to your next SCR recording; discount tiny spikes if the child is sitting perfectly still.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
negative

03Original abstract

We measured skin conductance response (SCR) to escalating levels of a direct social threat from a novel, ecologically-relevant experimental paradigm, the Intruder Threat Task. We simultaneously evaluated the contribution of social symptom severity and behavioral movement. Children with AS group showed less psychophysiological reactivity to social threat than controls across all three phases of the experiment. In the AS group, greater social impairment was significantly associated with reduced SCR. However, movement activity predicted SCR while diagnosis did not. Research and treatment need to account for the complex interplay of emotional reactivity and social behavior in AS. Psychophysiology studies of AS should consider the impact of possible confounds such as movement.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3195-0