Objective: The study compared the performance of adolescents with autistic spectrum disorder (ASD) to that of age-matched peers with typical development (TD) and cognitive language-matched peers with TD on measures of identification and comprehension of “narrow focus.” Participants: Forty-nine participants, 17 autistic, 17 TD peers matched for age and sex, and 15 TD children matched for expressive vocabulary participated in the study. Method: The Hebrew Narrow Focus Test (HNFT) was used. The HNFT includes 3 subtests. The first subtest (A) required identification of the stressed word in the sentence based on psychoacoustic abilities alone. The second (B) and third (C) subtests required understanding the meaning of focused stress in different contexts. In subtest B, the meaning of “narrow focus” was to contrast other possibilities related to the lexical-grammatical role of the stressed word in the sentence, whereas in subtest C, the meaning was to indicate a mistake. Results: ASD participants showed reduced performance compared to peers across all the subtests of the HNFT, but similar performance compared to TD children in subtests A and B and better performance on subtest C. A significant correlation was found between the Raven test for assessing nonverbal intelligence and subtests B and C of the HNFT in the group of adolescents with ASD. Conclusions: Comprehension of narrow focus in adolescents with ASD who study in a special educational system is related to their cognitive-linguistic abilities and not to the autistic condition by itself or to its severity.

1.
Lehiste I: Suprasegmentals. Cambridge, MIT Press, 1970, pp 120–242.
2.
Ladd DR: Intonational Phonology. Cambridge, Cambridge University Press, 1996.
3.
Halliday MAK: Notes on transitivity and theme in English. Part 2. J Linguist 1967; 3: 199–244.
4.
Brown G: Prosodic structure and the given/new distinction; in Cutler A, Ladd DR (eds): Prosody: Models and Measurements. Berlin, Springer, 1983, pp 67–77.
5.
Rooth M: A theory of focus interpretation. Nat Lang Semant 1992; 1: 75–116.
6.
McCann J, Peppé S: Prosody in autism spectrum disorders: a critical review. Int J Lang Commun Disord 2003; 38: 325–350.
7.
McCann J, Peppé S, Gibbon FE, O’Hare A, Rutherford M: Prosody and its relationship to language in school-aged children with high functioning autism. Int J Lang Commun Disord 2007; 42: 682–702.
8.
Wang AT, Lee S, Sigman M, Dapretto M: Neural basis of irony comprehension in children with autism: the role of prosody and context. Brain 2006; 129: 932–943.
9.
Baltaxe C: Use of contrastive stress in normal, aphasic, and autistic children. J Speech Hear Res 1984; 27: 97–105.
10.
Baltaxe CAM, Simmons J: Prosodic development in normal and autistic children; in Schopler E, Mesibov G (eds): Communication Problems in Autism. New York, Plenum Press, 1985, pp 95–125.
11.
Baltaxe C, Simmons JQ: A comparison of language issues in high-functioning autism and related disorders with onset in childhood and adolescence; in Schopler E, Mesibov G (eds): High-Functioning Individuals with Autism. New York, Plenum Press, 1992, pp 201–225.
12.
Green H, Tobin Y: Prosodic analysis is difficult… but worth it: a study in high functioning autism. Int J Speech Lang Pathol 2009; 11: 308–315.
13.
Diehl JJ, Bennetto L, Watson D, Gunlogson C, McDonough J: Resolving ambiguity: a psycholinguistic approach to understanding prosody processing in high-functioning autism. Brain Lang 2008; 106: 144–152.
14.
Koning C, Magill-Evans J: Social and language skills in adolescent boys with Asperger syndrome. Autism 2001; 5: 23–36.
15.
Paul R, Augustyn A, Klin A, Volkmar FR: Perception and production of prosody by speakers with autism spectrum disorders. J Autism Dev Disord 2005; 35: 205–220.
16.
Peppé SJE, Cleland J, Gibbon FE, O’Hare AE, Martínez-Castilla P: Expressive prosody in children with autism spectrum conditions. J Neurolinguistics 2011; 24: 41–53.
17.
Shriberg LD, Paul R, McSweeny JL, Klin A, Cohen DJ, Volkmar FR: Speech and prosody characteristics of adolescents and adults with high-functioning autism and Asperger syndrome. J Autism Dev Disord 2001; 44: 1097–1115.
18.
Baron-Cohen S, Leslie AM, Frith U: Does the autistic child have a “theory of mind”? Cognition 1985; 21: 37–46.
19.
Rutherford MD, Baron-Cohen S, Wheelwright S: Reading the mind in the voice: a study with normal adults and adults with Asperger syndrome and high functioning autism. J Autism Dev Disord 2002; 32: 189–194.
20.
Globerson E, Amir N, Kishon-Rabin L, Golan O: Prosody recognition in adults with high-functioning autism spectrum disorders: from psychoacoustics to cognition. Autism Res 2015; 8: 153–163.
21.
Peppé S, McCann J, Gibbon F, O’Hare A, Rutherford M: Receptive and expressive prosodic ability in children with high-functioning autism. J Speech Lang Hear Res 2007; 50: 1015–1028.
22.
Grzadzinski R, Huerta M, Lord C: DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Mol Autism 2013; 4: 12.
23.
Hill EL, Frith U: Understanding autism: insights from mind and brain. Philos Trans R Soc Lond B Biol Sci 2003; 358: 281–289.
24.
Griffith EM, Pennington BF, Wehner EA, Rogers S: Executive functions in young children with autism. Child Dev 1999; 70: 817–832.
25.
Robinson S, Goddard L, Dritschel B: Executive functions in children with autism spectrum disorders. Brain Cogn 2009; 71: 362–368.
26.
Friedman NP, Miyake A, Corley RP, Young SE, DeFries JC, Hewitt JK: Not all executive functions are related to intelligence. Psychol Sci 2006; 17: 172–179.
27.
Baron-Cohen S, Leslie AM, Frith U: Does the autistic child have a “theory of mind”? Cognition 1985; 21: 37–46.
28.
Frith U: Autism: Explaining the Enigma. Blackwell, Oxford University Press, 1989.
29.
Happe F, Frith U: The weak coherence account: detail-focused cognitive style in autism spectrum disorders. J Autism Dev Disord 2006; 36: 5–25.
30.
Mottron L, Peretz I, Ménard E: Local and global processing of music in high-functioning persons with autism: beyond central coherence? J Child Psychol Psychiatry 2000; 41: 1057–1065.
31.
Shah A, Frith U: Why do autistic individuals show superior performance on the block design task? J Child Psychol Psychiatry 1993; 34: 1351–1364.
32.
Jolliffe T, Baron-Cohen S: Are people with autism or Asperger syndrome faster than normal on the embedded figures test? J Child Psychol Psychiatry 1997; 38: 527–534.
33.
Norbury CF, Bishop DV: Inferential processing and story recall in children with communication problems: a comparison of specific language impairment, pragmatic language impairment and high-functioning autism. Int J Lang Commun Disord 2002; 37: 227–251.
34.
Happé FG: Central coherence and theory of mind in autism: reading homographs in context. Br J Dev Psychol 1997; 15: 1–12.
35.
Kanner L: Autistic disturbances of affective contact. Nervous Child 1943; 2: 217–250.
36.
Baron-Cohen S, Staunton R: Do children with autism acquire the phonology of their peers? An examination of group identification through the window of bilingualism. First Lang 1994; 14: 241–248.
37.
Diehl JJ, Paul R: Acoustic and perceptual measurements of prosody production on the profiling elements of prosodic systems in children by children with autism spectrum disorders. Appl Psycholinguist 2013; 34: 135–161.
38.
Diehl JJ, Paul R: Acoustic differences in the imitation of prosodic patterns in children with autism spectrum disorders. Res Autism Spectr Disord 2012; 6: 123–134.
39.
McCaleb P, Prizant B: Encoding of new versus old information by autistic children. J Speech Lang Hear Res 1985; 50: 230–240.
40.
Baltaxe CA, Guthrie D: The use of primary sentence stress by normal, aphasic, and autistic children. J Autism Dev Disord 1987; 17: 255–271.
41.
DePape AM, Chen A, Hall GBC, Trainor L: Use of prosody and information structure in high functioning adults with autism in relation to language ability. Front Psychol Behav Sci 2012; 3: 72.
42.
Simmons JQ, Baltaxe C: Language patterns of adolescent autistics. J Autism Child Schizophr 1975; 5: 333–351.
43.
DeMyer MK, Barton S, DeMyer WE, Norton JA, Allen J, Steele R: Prognosis in autism: a follow-up study. J Autism Child Schizophr 1973; 3: 199–246.
44.
Paul R, Shriberg LD, McSweeny J, Cicchetti D, Klin A, Volkmar F: Brief report: relations between prosodic performance and communication and socialization ratings in high functioning speakers with autism spectrum disorders. J Autism Dev Disord 2005; 35: 861–869.
45.
Mesibov G: Treatment issues with high-functioning adolescents and adults with autism; in Schopler E, Mesibov G (eds): High Functioning Individuals with Autism. New York, Plenum Press, 1992, pp 143–156.
46.
Van Bourgondien ME, Woods AV: Vocational possibilities for high- functioning adults with autism; in Schopler E, Mesibov G (eds): High Functioning Individuals with Autism. New York, Plenum Press, 1992, pp 227–239.
47.
Boucher J, Lewis V, Collis GM: Voice processing abilities in children with autism children with specific language impairments, and young typically developing children. J Child Psychol Psychiatry 2000; 41: 847–857.
48.
Hobson R, Ouston J, Lee A: Naming emotion in faces and voices: abilities and disabilities in autism and mental retardation. Br J Dev Psychol 1989; 7: 237–250.
49.
Lerner MD, McPartland JC, Morris JP: Multimodal emotion processing in autism spectrum disorders: an event-related potential study. Dev Cogn Neurosci 2013; 3: 11–21.
50.
Stewart ME, McAdam C, Ota M, Peppé S, Cleland J: Emotional recognition in autism spectrum conditions from voices and faces. Autism 2013; 17: 6–14.
51.
Brennand R, Schepman A, Rodway P: Vocal emotion perception in pseudo-sentences by secondary-school children with autism spectrum disorder. Res Autism Spectr Disord 2011; 5: 1567–1573.
52.
Grossman RB, Bemis RH, Skwerer DP, Tager-Flusberg H: Lexical and affective prosody in children with high-functioning autism. J Speech Lang Hear Res 2010; 53: 778–793.
53.
Grossman RB, Tager-Flusberg H: Quality matters! Differences between expressive and receptive non-verbal communication skills in adolescents with ASD. Res Autism Spectr Disord 2012; 6: 1150–1155.
54.
Lambrecht K: Information Structure and Sentence Form. Topic, Focus, and the Mental Representations of Discourse Referents. Cambridge, CUP, 1984.
55.
Wells B, Peppé S, Goulandris N: Intonation development from five to thirteen. J Child Lang 2004; 31: 749–778.
56.
World Health Organisation: The ICD-10 Classification of Mental and Behavioural Disorders. Geneva, World Health Organisation, 1993.
57.
American Psychiatric Society: Diagnostic and Statistical Manual for Mental Disorders – Fourth Edition. Washington, American Psychiatric Publishing, 1994.
58.
Lord C, Risi S, Lambrecht, Cook EH, Leventhal BL, DiLavore PC, Rutter M: The Autism Diagnostic Observation Schedule – Generic: a standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 2000; 30: 205–223.
59.
Bennetto L, Pennington BF, Rogers SJ: Intact and impaired memory functions in autism. Child Dev 1996; 67: 1816–1835.
60.
Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E: The autism spectrum quotient (AQ): evidence from Asperger syndrome/high functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 2001; 3: 5–17.
61.
Woodbury-Smith MR, Robinson J, Wheelwright S, Baron-Cohen S: Screening adults for Asperger syndrome using the AQ: a preliminary study of its diagnostic validity in clinical practice. J Autism Dev Disord 2005; 35: 331–335.
62.
Wheelwright S, Baron-Cohen S, Goldenfeld N, Delaney J, Fine D, Smith R, Wakabayashi A: Predicting autism spectrum quotient (AQ) from the systemizing quotient-revised (SQ-R) and empathy quotient (EQ). Brain Res 2006: 1079: 47–63.
63.
Hoekstra RA, Bartels M, Cath DC, Boomsma DI: Factor structure, reliability and criterion validity of the Autism-Spectrum Quotient (AQ): a study in Dutch population and patient groups. J Autism Dev Disord 2008; 38: 1555–1566.
64.
Kurita H, Koyama T, Osada H: Autism-Spectrum Quotient: Japanese version and its short forms for screening normally intelligent persons with pervasive developmental disorders. Psychiatry Clin Neurosci 2005;59: 490–496.
65.
Golan O, Gold R, Fridenzon S: The Hebrew version of the autism spectrum quotient (AQ-Heb) as a screening instrument for adults with autism spectrum conditions. Poster presented at the 8th Annual International Meeting for Autism Research (IMFAR), Chicago, 2009.
66.
Kavé G: Standardization and norms for a Hebrew naming test. Brain Lang 2005; 92: 204–211.
67.
Raven J, Raven JC, Court JH: Manual for Raven’s Progressive Matrices and Vocabulary Scales. San Antonio, Harcourt Assessment, 1998, section 1: General overview.
68.
Xu Y, Xu CX: Phonetic realization of focus in English declarative intonation. J Phon 2005; 33: 159–197.
69.
Bonnel A, Mottron L, Peretz I, Trudel M, Gallun E, Bonnel AM: Enhanced pitch sensitivity in individuals with autism: a signal detection analysis. J Cogn Neurosci 2003; 15: 226–235.
70.
Heaton P, Hudry K, Ludlow A, Hill E: Superior discrimination of speech pitch and its relationship to verbal ability in autism spectrum disorders. Cogn Neuropsychol 2008; 25: 771–782.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.