Assessment & Research

The Autism-Spectrum Quotient and Visual Search: Shallow and Deep Autistic Endophenotypes.

Gregory et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

High Autism-Spectrum Quotient scores in typical adults do not mirror autistic visual search strengths.

✓ Read this if BCBAs who design or review studies using AQ scores as an autism proxy.
✗ Skip if Clinicians only interested in direct intervention data.

01Research in Context

01

What this study did

The team asked adults without autism to fill out the Autism-Spectrum Quotient.

They then gave the same adults a visual search task on a computer.

The goal was to see if high scorers on the questionnaire would act like autistic people on the task.

02

What they found

High-AQ adults did not show the faster, more accurate search pattern often seen in autism.

The result breaks the common habit of treating a high score as a stand-in for the diagnosis.

03

How this fits with other research

Koegel et al. (2014) already warned that AQ scores cannot be compared at face value across autistic and non-autistic groups.

Takahashi et al. (2013) found a similar mismatch: high-AQ typical adults did not copy autism-linked memory patterns.

Lindor et al. (2018) and Keehn et al. (2016) show that even within autism the visual-search edge is shaky and task-bound.

Together these papers kill the idea that "a little bit autistic" on paper equals autistic performance in the lab.

04

Why it matters

If you run social-skills or attention research, do not recruit "high-AQ" college students and claim you are studying autism.

Use diagnosed participants or adjust your conclusions.

The same caution applies when reading journals: flag any paper that swaps a questionnaire score for the real thing.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Check your intake forms—remove any language that equates high AQ with autism.

02At a glance

Intervention
not applicable
Design
other
Population
neurotypical
Finding
not reported

03Original abstract

A high Autism-Spectrum Quotient (AQ) score (Baron-Cohen et al. in J Autism Dev Disord 31(1):5-17, 2001) is increasingly used as a proxy in empirical studies of perceptual mechanisms in autism. Several investigations have assessed perception in non-autistic people measured for AQ, claiming the same relationship exists between performance on perceptual tasks in high-AQ individuals as observed in autism. We question whether the similarity in performance by high-AQ individuals and autistics reflects the same underlying perceptual cause in the context of two visual search tasks administered to a large sample of typical individuals assessed for AQ. Our results indicate otherwise and that deploying the AQ as a proxy for autism introduces unsubstantiated assumptions about high-AQ individuals, the endophenotypes they express, and their relationship to Autistic Spectrum Conditions (ASC) individuals.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-013-1951-3