Abstract

Despite its impact on everyday functioning, spatial perspective-taking has rarely been investigated in autism spectrum disorders (ASD), and previous findings are surprisingly sparse and inconsistent. In the present study, we aimed to investigate spatial perspective-taking abilities in children and adolescents with ASD without intellectual disabilities, comparing them with a group of typically developing (TD) peers. Our objectives were: (i) to test similarities and differences between these groups in a spatial perspective-taking task; and (ii) to see whether similar or different underlying processes (i.e., fine and gross motor skills, and visuospatial abilities) might account for the groups’ performance in the spatial perspective-taking task. A group of children with ASD (N = 36) was compared with a TD group (N = 39), aged from 8 to 16 years. Participants were administered tasks assessing spatial perspective-taking, fine and gross motor skills, visuo-constructive abilities, visuospatial working memory, visual imagery, and mental rotation. Our results revealed that the ASD group had more difficulty with the spatial perspective-taking task than the TD group. The two groups also had some shared and some different processes that predicted their perspective-taking performance: a significant predictive effect of fine motor skills and visuospatial working memory emerged for both groups, while gross motor skills (i.e., walking heel-to-toe) and visuospatial imagery only revealed a role in the TD group. These findings suggest that different abilities might account for the two groups’ performance in the spatial perspective-taking task. Gross motor skills and complex visuospatial abilities seem to be more important in sustaining spatial perspective-taking ability in typical development than in the event of ASD. Some of the clinical and educational implications of these findings are discussed.

Highlights

  • Autism spectrum disorders (ASD) are characterized by deficits in social communication, social interaction, and obsessive/stereotyped patterns of behavior, interests or activities (American Psychiatric Association, 2013)

  • The results showed that Object Perspective-Taking Test (OPT) performance was positively associated with spatial visualization ability and a preference for spatial imagery strategies, while it was negatively associated with the use of a mental rotation strategy

  • The present study aimed to investigate spatial perspectivetaking abilities in children and adolescents with ASD without intellectual disabilities (ID) comparing them with a group of typically developing (TD) peers

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Summary

Introduction

Autism spectrum disorders (ASD) are characterized by deficits in social communication, social interaction, and obsessive/stereotyped patterns of behavior, interests or activities (American Psychiatric Association, 2013). A vast amount of research on the role of these processing peculiarities in the visuospatial domain in individuals with ASD has revealed a heterogeneous profile of strengths and weaknesses, depending on the type and complexity of the tasks administered (e.g., Edgin and Pennington, 2005; Happé and Frith, 2006; Kuschner et al, 2007; Mammarella et al, 2019; Cardillo et al, 2020). Visuospatial abilities can be trained (Uttal et al, 2013a,b; Meneghetti et al, 2017), so it is fundamentally important to understand the factors that influence performance on measures of these skills (Schmidt et al, 2013; Tarampi et al, 2016)

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