FACIAL EXPRESSION PROCESSING IN AUTISM SPECTRUM DISORDER AS A FUNCTION OF ALEXITHYMIA: AN EYE MOVEMENT STUDY

The perception and interpretation of faces provides individuals with a wealth of knowledge that enables them to navigate their social environments more successfully. Prior research has hypothesized that the decreased facial expression recognition (FER) abilities observed in autism spectrum disorder (ASD) may be better explained by comorbid alexithymia, the alexithymia hypothesis. The present study sought to further examine the alexithymia hypothesis by collecting data from 59 participants and examining FER performance and eye movement patterns for ASD and neurotypical (NT) individuals while controlling for alexithymia severity. Eye movement-related differences and similarities were examined via eye tracking in conjunction with statistical and machine-learning-based pattern classification analysis. In multiple different classifying conditions, where the classifier was fed 1,718 scanpath images (either at spatial, spatial-temporal, or spatial temporal-ordinal levels) for high-alexithymic ASD, high-alexithymicvi NT, low-alexithymic ASD, and low-alexithymic NT, we could accurately decode significantly above chance level. Additionally, in the cross-decoding analysis where the classifier was fed 1,718 scanpath images for high- and low alexithymic ASD individuals and tested on high- and low-alexithymic NT individuals, results showed that classification accuracy was significantly above chance level when using spatial images of eye movement patterns. Regarding FER performance results, we found that ASD and NT groups performed similarly, but at lower intensities of expressions, ASD individuals performed significantly worse than NT individuals. Together, these findings suggest that there may be eye-movement related differences between ASD and NT individuals, which may interact with alexithymia traits.