Evidence map›Paper›PMID 41808210›Full record

ArticleMolecular autism2026

Reduced task adaptation and contextual awareness in autistic adults during facial emotion recognition: evidence from mixed-effects modeling and automated facial analysis.

Simon Kirsch, Hanna Drimalla, William Saakyan, Bastian Elmar Alexander Sajonz, Justus Gritzmann, Simon Maier, Thomas Fangmeier, Muyu Lin, Simón Guendelman, Christian Kaufmann and 2 more

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Article in Molecular autism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Simon KirschDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany. simon.kirsch@uniklinik-freiburg.de.
Hanna DrimallaCenter for Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, Germany.
William SaakyanCenter for Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, Germany.
Bastian Elmar Alexander SajonzDepartment of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.
Justus GritzmannDepartment of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.
Simon MaierDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Thomas FangmeierDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Muyu LinHumboldt-Universität zu Berlin, Institute of Psychology, Berlin, Germany.
Simón GuendelmanHumboldt-Universität zu Berlin, Institute of Psychology, Berlin, Germany.
Christian KaufmannHumboldt-Universität zu Berlin, Institute of Psychology, Berlin, Germany.
Isabel DziobekHumboldt-Universität zu Berlin, Institute of Psychology, Berlin, Germany.
Ludger Tebartz van ElstDepartment of Psychiatry and Psychotherapy, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite significant advances in understanding facial emotion recognition (FER) in autistic adults in recent decades, the mechanisms underlying FER difficulties in individuals with autism remain unclear, with inconsistent findings across studies. A key limitation may be the reliance on aggregate accuracy scores, which overlook item- and subject-level variability. Here, we investigated the effects of task adaptation and stimulus properties on FER performance in autistic and non-autistic adults using mixed-effects modelling.

methodsA total of 120 autistic and 116 non-autistic participants completed the Berlin Emotion Recognition Test 2. Performance was analyzed on a trial-by-trial basis, considering trial number, stimulus properties—derived from automated facial analysis—and their interactions with diagnostic group. Response times were analyzed using mixed-effects linear regression models, while accuracy was analyzed using mixed-effects logistic regression models.

resultsCompared with non-autistic participants, autistic participants demonstrated lower overall accuracy and slower responses, accompanied by significantly reduced task adaptation. Contextual ambiguity of stimulus faces moderated group differences in FER accuracy, with non-autistic subjects showing greater use of contextual information. Social-cognitive traits further moderated the effect of contextual ambiguity in autistic subjects. LIMITATIONS: Our findings are specific to the design and stimulus material of the Berlin Emotion Recognition Test 2 and may not generalize to other FER tasks. Furthermore, our sample did not include individuals with intellectual disabilities, limiting generalizability across the autism spectrum. Lastly, the reliability of stimulus property estimates derived from automated facial analysis may require validation on a larger sample of stimulus faces.

conclusionsOur findings reveal that differences in task adaptation and contextual cue processing underlie FER performance differences in individuals with autism, emphasizing the importance of participant- and item-level analysis. These results may inform future study designs and highlight the advantages of integrating automated FER with mixed-effects modeling in autism research.

Indexed as

Autistic DisorderAwarenessEmotionsFacial ExpressionFacial RecognitionAdultFemaleHumansMaleReaction TimeRecognition, PsychologyYoung AdultAdultsAutismAutomated analysisComputer visionEmotion recognitionFacial expressionMixed effects modelling

Identifiers

PMID41808210
PMCPMC12983792

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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.