Evidence map›Paper›PMID 30392624›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2018

Emotional Expressivity in Toddlers With Autism Spectrum Disorder.

Suzanne Macari, Lauren DiNicola, Finola Kane-Grade, Emily Prince, Angelina Vernetti, Kelly Powell, Scuddy Fontenelle, Katarzyna Chawarska

Erratum issuedAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Review and Developmental Model: Early Childhood Emotion Regulation and Co-Regulation in Autism.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Dialectical Behavior Therapy in Autism.Current psychiatry reports · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Elevated symptoms of executive dysfunction predict lower adaptive functioning in 3-year-olds with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2022
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Suzanne MacariYale Child Study Center, New Haven, CT.
Lauren DiNicolaYale Child Study Center, New Haven, CT.
Finola Kane-GradeYale Child Study Center, New Haven, CT.
Emily PrinceYale Child Study Center, New Haven, CT.
Angelina VernettiYale Child Study Center, New Haven, CT.
Kelly PowellYale Child Study Center, New Haven, CT.
Scuddy FontenelleYale Child Study Center, New Haven, CT.
Katarzyna ChawarskaYale Child Study Center, New Haven, CT. Electronic address: Katarzyna.chawarska@yale.edu.
Yale University · US

Funding

Attentional, temperamental, and physiological process underlying anxiety in preschoolers with ASDR01MH111652 · NIMH · YALE UNIVERSITY · PI CHAWARSKA, KATARZYNA · 2017 to 2021
$3.9M
Components of Emotional Processing in Toddlers with ASDR01MH100182 · NIMH · YALE UNIVERSITY · PI CHAWARSKA, KATARZYNA · 2013 to 2017
$3.4M
NIMH NIH HHS R01 MH100182NIMH NIH HHS R01 MH111652
6 · The paper itself

Abstract

objectiveThere is a prevailing notion that children with autism spectrum disorder (ASD) exhibit intense negative and attenuated positive emotions, although the empirical evidence regarding their emotional expressiveness (EE) is limited. Given the importance of emotions in shaping social and cognitive development, we examined intensity and valence of EE and links between EE and autism severity and parent-reported temperament in ASD.

methodToddlers (aged 21.2 months) with ASD (n = 43), developmental delay (DD, n = 16), and typical development (TD, n = 40) underwent standardized probes designed to induce anger, joy, and fear. Intensity of EE through facial and vocal channels were coded offline. Autism severity and temperament were quantified using the Autism Diagnostic Observation Schedule-2 (ADOS-2) and Early Childhood Behavior Questionnaire (ECBQ).

resultsThe ASD group exhibited less intense fear compared to both the DD and TD groups, more intense anger than DD but not TD, with no differences in joy intensity. All groups showed similar levels of incongruous negative EE. Intensity of fear and anger were not associated with severity of autism symptoms, but lower intensity of joy was related to greater autism severity. Expressed fear and joy were associated with temperament.

conclusionThe study provides no support for a negative emotionality bias in ASD. Instead, toddlers with ASD display a muted response to threat and an accentuated response to goal blockage, whereas the ability to express positive emotions appears intact. Negative emotionality and social disability dimensions are independent. The study demonstrates the complexity of EE in ASD and motivates investigations into underlying mechanisms as well as its role in shaping complex phenotypes of affected children.

Indexed as

Autism Spectrum DisorderChild BehaviorChild, PreschoolDevelopmental DisabilitiesEmotionsFemaleHumansInfantMaleTemperamentautismemotional expressiontemperamenttoddlers

Identifiers

PMID30392624
PMCPMC6844292
OpenAlexW2889534022

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.