Right Cerebral Hemisphere Language and Communication Functions in Females and Males with Autism Spectrum Disorders and Normal Intelligence

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The purpose of the study was to compare the functioning of adolescents with autism spectrum disorders (ASD) and typically developing adolescents matched for age and IQ, in terms of right hemisphere language communication. Sex differences in that area were also analyzed. Seventy-nine individuals with normal intelligence with ASD, fluent in their native spoken language and aged 10-20 years (41 females), and 79 typically developing individuals (control group, 39 females) were tested. The Polish adaptation of the Right Hemisphere Language Battery (RHLB-PL) was used for participants aged 13-20 years, while children aged 10-12 years were tested using an experimental version of the RHLBPL for young children designed by E. Łojek. Individuals with ASD scored lower in the Humor Test and Discourse Analysis, and made more remarks in the Comments Test about the tasks than the control group. The two groups scored differently in two measures of verbal intellectual skills in the Wechsler Scale: Arithmetic and Comprehension. Individuals with ASD scored lower than controls on both of those measures. No sex differences were found for any of the measured variables.

American Psychiatric Association (APA) (2013). Diagnostic and Statistical Manual of Mental Disorders (wyd. 5). Washington DC: American Psychiatric Association (APA).

Bal, E., Harden, E., Lamb, D., Van Hecke, A. V., Denver, J. W., & Porges, S. W. (2010). Emotion recognition in children with autism spectrum disorders: Relations to eye gaze and autonomic state. Journal of Autism and Developmental Disorders, 40(3), 358-370. https://doi.org/10.1007/s10803- 009-0884-3.

Balaban, N., Friedmann, N., & Ziv, M. (2016). Theory of mind impairment after right-hemisphere damage. Aphasiology, 30(12), 1399-1423. https://doi.org/10.1080/02687038.2015.1137275.

Banasik, N. (2017). Rozwój wnioskowania społecznego u dzieci. Rozumienie ironii werbalnej a teoria umysłu [Development of social reasoning in children. Verbal irony comprehension and the theory of mind]. https://depotuw.ceon.pl/handle/item/2199.

Banasik N., & Bokus, B. (2013). How non-literal speech is understood and explained by preschool children. Paper presented at the International Pragmatics Conference, 8-13 September 2013. New Delhi, India.

Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from asperger syndrome/ high-functioning autism, malesand females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5-17. https://doi.org/10.1023/A:1005653411471.

Bartczak, M., & Bokus, B. (2015). Cognitive representations (Metaphorical conceptualizations) of past, future, joy, sadness and happiness in depressive and non-depressive subjects: cognitive distortions in depression at the level of notion. Journal of Psycholinguistic Research, 44(2), 159-185. doi:

Barton, M. (2011). It's Raining Cats and Dogs : An Autism Spectrum Guide to the Confusing World of Idioms, Metaphors and Everyday Expressions. London: Jessica Kingsley Publishers.

Beacher, F. D., Radulescu, E., Minati, L., Baron-Cohen, S., Lombardo, M. V., Lai, M. C., Walker, A., Howard, D., Gray, M. A. Harrison, N., & Critchley, H. D. (2012). Sex differences and autism: brain function during verbal fluency and mental rotation. PLoS One, 7(6), e38355. https://doi.org/10.1371/journal.pone.0038355.

Black, D. O., Wallace, G. L., Sokoloff, J. L., & Kenworthy, L. (2009). Brief Report: IQ Split Predicts Social Symptoms and Communication Abilities in High-Functioning Children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 39(11), 1613-1619. doi:

Bokus, B. (2004). Inter-mind phenomena in child narrative discourse. Pragmatics, 14(4), 391-408. doi:

Bryan, K. (1989). The right hemisphere language battery (2nd ed.). London: Whurr Publishers.

Brzeziński, J., Gaul, M., Hornowska, E., Jaworowska, A., Machowski A., & Zakrzewska, M. (2004). WAIS-R (PL) - Skala Inteligencji Wechslera dla Dorosłych - Wersja Zrewidowana. Renormalizacja 2004. Warsaw: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Bryńska, A. (2011). Deficyty komunikacyjne w zespole Aspergera [Communication deficits in Asperger syndrome]. Psychiatria i Psychologia Kliniczna, 11(1), 46-50.

Circelli, K. S., Clark, U. S., & Cronin-Golomb, A. (2013). Visual scanning patterns and executive function in relation to facial emotion recognition in aging. Neuropsychology, Development, and Cognition, Section B, Aging, Neuropsychology, and Cognition, 20, 148-173. doi:

Chang, Y., Ku, L., & Chen, H. (2017). Sex differences in humor processing: An event-related potential study. Brain and Cognition, (162). http://doi.org/10.1016/J.BANDC.2017.11.002.

Christensen, D. L., Baio, J., Van Naarden Braun, K., Zahorodny, W., Pettygrove, S., Durkin, M., Fitzgerald, R., Rice, C., Kurzius-Spencer, M., Baio, J., & Yeargin-Allsopp, M. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites. United States. Surveillance Summaries, 65(3), 1-23. doi:

Demenescu, L. R., Mathiak, K. A., & Mathiak, K. (2014). Age-and gender-related variations of emotion recognition in pseudowords and faces. Experimental Aging Research, 40(2), 187-207. http://doi.org/10.1080/0361073X.2014.882210.

Diehl, J. J., Bennetto, L., Watson, D., Gunlogson, C., & McDonough, J. (2008). Resolving ambiguity: a psycholinguistic approach to understanding prosody processing in high-functioning autism. Brain and Language, 106(2), 144-152. doi:

Dindia, K., & Canary, D. J. (eds.) (2006). Sex differences and similarities in communication. New York, NY: Routledge.

Dryll, E. M., & Bokus, B. (2016). Zrozumieć metaforę - studium z psycholingwistyki rozwojowej. Piaseczno: Studio Lexam.

Du, X., Qin, Y., Tu, S., Yin, H., Wang, T., Yu, C., & Qiu, J. (2013). Differentiation of stages in joke comprehension: Evidence from an ERP study. International Journal of Psychology, 48(2), 149-157. doi:

Emerich, D. M., Creaghead, N. A., Grether, S. M., Murray, D., & Grasha, C. (2003). The comprehension of humorous materials by adolescents with high-functioning autism and asperger's syndrome. Journal of Autism and Developmental Disorders, 33(3), 253-257. http://dx.doi.org/10.1023/A:1024498232284.

Feng, Y.-J., Chan, Y.-C., & Chen, H.-C. (2014). Specialization of neural mechanisms underlying the three-stage model in humor processing: An ERP study. Journal of Neurolinguistics, 32, 59-70. http://dx.doi.org/10.1016/j.jneuroling.2014.08.007.

Ferré, P., & Joanette, Y. (2016). Communication abilities following right hemisphere damage: Prevalence, evaluation, and profiles. Perspectives of the ASHA Special Interest Groups, 1(2), 106-115. doi:

Fitzsimons, M., Sheahan, N., & Staunton, H. (2001). Gender and the integration of acoustic dimensions of prosody: implications for clinical studies. Brain and Language, 78(1), 94-108. https://doi.org/10.1006/brln.2000.2448.

Fombonne, E., Marcin, C., Manero, A. C., Bruno, R., Diaz, C., Villalobos, M., Ramsay, K., & Nealy, B. (2016). Prevalence of autism spectrum disorders in Guanajuato, Mexico: the Leon survey. Journal of Autism and Developmental Disorders, 46, 1669-1685. https://doi.org/10.1007/s10803-016-2696-6.

Garstka, T., & Bokus, B. (2009). Toward a shared metaphoric meaning in children's discourse: The Role of Argumentation. Polish Psychological Bulletin, 40(4), 38-48. doi:

Gebauer, L., Skewes, J., Hørlyck, L., & Vuusta, P. (2014). Atypical perception of affective prosody in Autism Spectrum Disorder. Neuroimage: Clinical, 6, 370-378. doi:

Gernsbacher, M. A., Morson, E. M., & Grace, E. J. (2016). Language and speech in autism. Annual Review of Linguistics, 2, 413-425. doi:

Goldstein, G., Beers, S. R., Siegel, D. J., & Minshew, N. J. (2001). A comparison of WAIS-R profiles in adults with high-functioning autism or differing subtypes of learning disability. Applied Neuropsychology, 8, 148-154. doi:

Grossman, R. B., Bemis, R.H., Skwerer, D.P., & Tager-Flusberg, H. (2010). Lexical and affective prosody in children with high-functioning autism. Journal of Speech, Language, and Hearing Research, 53, 778-793. doi:

Grossman, R. B., Edelson, L. R., & Tager-Flusberg, H. (2013). Emotional facial and vocal expressions during story retelling by children and adolescents with high-functioning autism. Journal of Speech, Language, and Hearing Research, 56(3), 1035-1044. doi:

Hall, J. A., & Matsumoto, D. (2004). Gender differences in judgments of multiple emotions from facial expressions. Emotion, 4, 201-206. doi:

Harms, M. B., Martin, A., & Wallace, G. L. (2010). Facial emotion recognition in autism spectrum disorders: a review of behavioral and neuroimaging studies. Neuropsychology Reviews, 20(3), 290-322. doi:

Hartley, S. L., & Sikora, D. M. (2009). Sex differences in autism spectrum disorder: An examination of developmental functioning, autistic symptoms, and coexisting behavior problems in toddlers. Journal of Autism and Developmental Disorders, 39, 1715-1722. doi.org/10.1007/s10803-009- 0810-8.

Hobson, P. R. (2012). Autism, literal language and concrete thinking: Some developmental considerations. Metaphor and Symbol, 27, 4-21. doi:

Jędrzejowska, N., & Borkowska, A. R. (2011). „Prawopółkulowa” komunikacja językowa a funkcjonowanie intelektualne u dzieci z ADHD [The “right-hemispheric” language communication and intellectual functioning in children with ADHD]. Psychiatria i Psychologia Kliniczna, 11(2), 72-82.

Jodzio, K., Lojek, E., & Bryan, K. (2005). Functional and neuroanatomical analysis of extralinguistic disorders in right hemisphere-damaged patients. Psychology of Language and Communication, 9(1), 55-73.

Kim, S. H., Paul, R., Tager‐Flusberg, H., & Lord, C. (2014). Language and communication in autism. Handbook of Autism and Pervasive Developmental Disorders, Fourth Edition. doi:

Ku, L.-C., Feng, Y.-R., Chan, Y.-C., Wu, C.-L., & Chen, H.-C. (2017). A re-visit of three stage humor processing with readers' surprise, comprehension, and funniness ratings: An ERP study. Journal of Neurolinguistics, 42, 49-62. http://dx.doi.org/10.1016/j.jneuroling.2016.11.008.

Kumazaki, H., Muramatsu, T., Kosaka, H., Fujisawa, T. X., Iwata, K., Tomoda, A., Tsuchiya, K., & Mimura, M. (2015). Sex differences in cognitive and symptom profiles in children with high functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 13-14, 1-7. https://doi.org/10.1016/j.rasd.2014.12.011.

Lai, M. C, Lombardo, M. V., Pasco, G., Ruigrok, A. N. V., Wheelwright, S. J., Sadek, S. A., Chakrabarti, B., MRC AIMS Consortium, & Baron-Cohen, S. (2011). A behavioral comparison of male and female adults with high functioning autism spectrum conditions. PLoS ONE, 13(11): e47198. doi:

Lai, M. C, Lombardo, M. V., Ruigrok, A. N. V., Wheelwright, S. J., Bhismadev, C., Chakrabarti, B., Auyeung, B., Allison, C., MRC AIMS Consortium, & Baron-Cohen, S. (2012). Cognition in males and females with autism: Similarities and differences. PLoS ONE, 7(10): e47198. doi:

Lai, M. C., Lombardo, M. V., Suckling, J., Ruigrok, A. N. V., Bhismadev, C., Ecker, C., Sean, C. L., Deoni, M. C., Craig, D., Murphy, G. M., Bullmore, E. T., MRC AIMS Consortium, & Baron-Cohen, S. (2013). Biological sex affects the neurobiology of autism. Brain. Journal of Neurology, 136(9), 2799-2815.

Lewis, F. M., Woodyatt, G. C., & Murdoch, B. E. (2008). Linguistic and pragmatic language skills in adults with autism spectrum disorder: A pilot study. Research in Autism Spectrum Disorders, 2(1), 176-187. doi:

Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466-474. https://doi.org/10.1016/j.jaac.2017.03.013.

Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services.

Loveland, K., McEvoy, R. E., Kelley, M. L., & Tunali, B. (1990). Narrative story-telling in autism and Down syndrome. Journal of Autism and Developmental Disorders, 21, 177-186. doi:

Luna, B., Doll, S. K., Hegedus, S. J., Minshew, N. J., & Sweeney, J. A. (2007). Maturation of executive function in autism. Biological Psychiatry, 61(4), 474-481. https://doi.org/10.1016/j.biopsych.2006.02.030.

Lyons, M., Schoen Simmons, E., & Paul, R. (2014). Prosodic development in middle childhood and adolescence in high-functioning autism. Autism Research, 7(2), 181-96. doi:

Łojek, E. (2007). RHLB-PL Bateria Testów do Badania Funkcji Językowych i Komunikacyjnych Prawej Półkuli Mózgu [Right Hemisphere Language and Communication Battery of Tests (RHLB-PL)]. Warsaw: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Łojek, E., Skotnicka, M., & Bryan K. (2000). A battery of neuropsychological tests for the assesment of language disorders in right-brain- damaged patients: Preliminary results. Polish Psychological Bulletin, 31, 279-290.

Matczak, A., Piotrowska, A., & Ciarkowska, W. (2008). WISC-R - Skala Inteligencji Wechslera dla Dzieci - Wersja Zmodyfikowana. Warsaw: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego.

Mayes, S. D., & Calhoun, S. L. (2003). Analysis of WISC-III, Stanford-Binet: IV, and academic achievement test scores in children with autism. Journal of Autism and Developmental Disorders, 33(3), 329-341. doi:

McCann, J., & Peppé, S. (2003). Prosody in autism spectrum disorders: a critical review. International Journal of Language and Communication Disorders, 38(4), 325-350. doi:

Mill, A., Allik, J., Realo, A., & Valk, R. (2009). Age-related differences in emotion recognition ability: A cross-sectional study. Emotion, 9, 619-630. doi:

Mouga, S., Cafe, C., Almeida, J., Marques, C., Duque, F., & Oliveira, G. (2016). Intellectual profiles in the autism spectrum and other neurodevelopmental disorders. Journal of Autism and Developmental Disorders, 46, 2940-2955. doi:

Pluta, A., Gawron, N., Sobanska, M., Wójcik, A.D., Łojek, E. (2017). The nature of the relationship between neurocognition and theory of mind impairments in stroke patients. Neuropsychology, 1. doi:

Ross, E. D., & Monnot, M. (2011). Affective prosody: What do comprehension errors tell us about hemispheric lateralization of emotions, sex and aging effects, and the role of cognitive appraisal. Neuropsychologia, 49, 866-877. doi:

Rundbalnd, G., & Annaz, D. (2010). The atypical development of metaphor and metonymy comprehension in children with autism. Autism, 14, 129-146. https://doi.org/10.1177/1362361309340667.

Samson, A. C., & Hegenloh, M. (2010). Stimulus characteristics affect humor processing in individuals with Asperger syndrome. Journal of Autism and Developmental Disorders, 40(4), 438-447. doi:

Samson, A. C., Huber, O., & Ruch, W. (2013). Seven decades after Hans Asperger's observations: A comprehensive study of humor in individuals with Autism Spectrum Disorders. International Journal of Humor Research, 26(3), 441-460. doi:

Schirmer, A., Kotz, S. A., & Friederici, A. D. (2002). Sex differentiates the role of emotional prosody during word processing. Cognitive Brain Research, 14(2), 228-233. doi:

Silva, C., Da Fonseca, D., Esteves, F., & Deruelle, Ch. (2017). Seeing the funny side of things: Humour processing in Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 43-44, 8-17. doi:

Spek, A. A., Scholte, E. M., & van Berckelaer-Onnes, I. A. (2008). Brief report: The use of WAIS-III in adults with HFA and Asperger syndrome. Journal of Autism and Developmental Disorders, 38, 782-787. doi:

Sterponi, L., & Shankey, J. (2014). Rethinking echolalia: Repetition as interactional resource in the communication of a child with autism. Journal of Child Language, 41(2), 275-304. doi:

Tager-Flusberg, H. (2004). Strategies for conducting research on language in autism. Journal of Autism and Developmental Disorders, 34, 75-80. doi:

Tompkins, C. A., Boada, R., & McGarry, K. (1992). The access and processing of familiar idioms by brain-damaged and normally aging adults. Journal of Speech, Language, and Hearing Research, 35(3), 626-637. doi:

Uchiyama, H. T., Saito, D. N., Tanabe, H. C., Harada, T., Seki, A., Ohno, K., et al. (2012). Distinction between the literal and intended meanings of sentences: A functional magnetic resonance imagining study of metaphor and sarcasm. Cortex, 48, 563-583. doi:

Weiss, E. M., Gschaidbauer, B. C., Samson, A. C., Steinbäcker, K., Fink, A., & Papousek, I. (2013). From ice age to Madagascar: Appreciation of slapstick humor in children with Asperger's syndrome. Humor, 26(3), 423-440. doi:

World Health Organization (WHO) (2002). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva: World Health Organization (WHO).

Zheng, Q., JiaZ., & Liang, D. (2015). Metaphor and metonymy comprehension in Chinese-speaking children with high-functioning autism. Research in Autism Spectrum Disorders. 10, 51-58. doi:

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CiteScore 2017: 0.34

SCImago Journal Rank (SJR) 2017: 0.144
Source Normalized Impact per Paper (SNIP) 2017: 0.359


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