Evidence map›Paper›PMID 40644444›Full record

ArticlePloS one2025

"There is just too much going on there": Nonverbal communication experiences of autistic adults.

Holly Radford, Bronte Reidinger, Steven K Kapp, Ashley de Marchena

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Holly RadfordSchool of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, United Kingdom.
Bronte ReidingerPsychology Department, Rowan University, Glassboro, New Jersey, United States of America.ORCID https://orcid.org/0009-0001-3468-9649
Steven K KappSchool of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, United Kingdom.
Ashley de MarchenaAJ Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0003-4186-6065

Funding

Establishing Intervention Priorities for Nonverbal Communication in Autistic AdultsR21DC020547 · NIDCD · DREXEL UNIVERSITY · PI DE MARCHENA, ASHLEY BROOKE · 2022 to 2024
$720k
NIDCD NIH HHS R21 DC020547
6 · The paper itself

Abstract

backgroundAtypical nonverbal communication is required for a diagnosis of autism, yet little is known about how autistic adults use gestures, facial expressions, and other nonverbal behaviours in social interactions, especially from autistic adults' perspectives. The objectives of this study were to understand: (1) autistic adults' experiences of using nonverbal communication in interactions, (2) how nonverbal communication impacts autistic people's lives, and (3) how autistic adults manage nonverbal communication differences.

methods27 threads from the internet discussion forum wrongplanet.net, all containing dialogue focused on nonverbal communication, were subjected to qualitative analysis. Inductive and deductive coding were used to identify excerpts relevant to miscommunication experiences, communication strengths, and compensatory strategies. A total of 362 excerpts were coded (kappa = .79). Coded excerpts were then extracted and examined for themes, using member checking.

resultsMajor themes included: (1) Cognitive differences resulting in autistic adults requiring more time and energy to manage nonverbal communication in interactions; (2) Miscommunication related to nonverbal communication is bilateral; (3) Nonverbal communication differences can negatively impact the lives and wellbeing of autistic adults; (4) autistic adults use a range of skills and strategies to manage nonverbal communication; and (5) Autistic adults demonstrate variability in the production and interpretation of nonverbal cues.

conclusionSeveral of our themes, including mutual miscommunication and negative impacts of atypical communication, are consistent with previous qualitative work on communication experiences of autistic adults. The current findings provide new insight into the internal and external factors influencing the nonverbal communication experiences of autistic adults, in particular the cognitive processes involved. We advocate for solutions that shift the responsibility for effective communication onto all members of society. For example, sharing and accepting preferred communication modalities, and checking in about whether a message was received correctly instead of making assumptions.

Indexed as

Autistic DisorderNonverbal CommunicationAdultCommunicationFacial ExpressionFemaleGesturesHumansInterpersonal RelationsMaleSocial Interaction

Identifiers

PMID40644444
PMCPMC12250432

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.