The effect of wearing a face mask during the covid-19 pandemic on face perception in children with autism spectrum disorder

Authors
Shahid Beheshti University of Tehran
Abstract
The purpose of this study is to investigate the effect of wearing a face mask on face perception in children with autism spectrum disorders. 18 children (13 boys, 5 girls) with high functioning autism and normal intelligence in the age range of 7 to 12 years old (Mage = 9.917, SD = 1.7342) participated in the research using an available sampling method. The participants in this research performed a face recognition and discrimination task that included familiar and unfamiliar faces for the child. During the task, the number and duration of fixations in the areas of interest (AOI) were recorded by an eye tracker. Finally, the dependent t-test method was used to analyze the collected data. The results showed that when comparing familiar and unfamiliar faces with face mask, as well as, when comparing familiar and unfamiliar faces without face mask, the number and duration of fixations in the different AOIs are not significantly different. Also, for familiar and unfamiliar faces separately, the number and duration of fixations in the eye area was not significantly different from the face mask area. The pattern of the results obtained from comparing familiar faces with and without face mask was similar to the pattern of the results obtained from the comparison of unfamiliar faces with and without face mask. Overall, the findings indicate that the face mask has a similar effect on the pattern of looking at familiar and unfamiliar faces. Furthermore, the way we look at the eye area is almost comparable to that of the face mask area.
Keywords

Azhdarloo A, Tabiee M, Azhdarloo M. (2021). The Comparison of Quantitative Electroencephalography of Neural Connections between Children aged 6 to 13 years with Autism Spectrum Disorder and Typically Developing Children. CPJ, 9(3), 27-40. http://jcp.khu.ac.ir/article-1-3426-fa.html[persian]
Boucher, J., & Lewis, V. (1992). Unfamiliar Face Recognition in Relatively Able Autistic Children. Journal of Child Psychology and Psychiatry, 33(5), 843-859. https://doi.org/10.1111/j.1469-7610.1992.tb01960.x
Carragher, D. J., & Hancock, P. J. B. (2020). Surgical face masks impair human face matching performance for familiar and unfamiliar faces. Cognitive Research: Principles and Implications, 5(1). https://doi.org/10.1186/s41235-020-00258-x
Dal Martello, M. F., & Maloney, L. T. (2006). Where are kin recognition signals in the human face? Journal of Vision, 6(12), 2. https://doi.org/10.1167/6.12.2
Falck-Ytter, T., Rehnberg, E., & Bölte, S. (2013). Lack of Visual Orienting to Biological Motion and Audiovisual Synchrony in 3-Year-Olds with Autism. PLoS ONE, 8(7), e68816. https://doi.org/10.1371/journal.pone.0068816
Falkmer, M., Larsson, M., Bjällmark, A., & Falkmer, T. (2010). The importance of the eye area in face identification abilities and visual search strategies in persons with Asperger syndrome. Research in Autism Spectrum Disorders, 4(4), 724-730. https://doi.org/10.1016/j.rasd.2010.01.011
Gillespie-Smith, K., Doherty-Sneddon, G., Hancock, P. J. B., & Riby, D. M. (2014). That looks familiar: attention allocation to familiar and unfamiliar faces in children with autism spectrum disorder. Cognitive Neuropsychiatry, 19(6), 554-569. https://doi.org/10.1080/13546805.2014.943365
Gliga, T., Elsabbagh, M., Hudry, K., Charman, T., & Johnson, M. H. (2012). Gaze Following, Gaze Reading, and Word Learning in Children at Risk for Autism. Child Development, 83(3), 926-938. https://doi.org/10.1111/j.1467-8624.2012.01750.x
Hosseinpanahi O, zemestani M. (2020). The effect of Transcranial Direct-Current Stimulation (TDCS) on Neuropsychological indices Associated with Social Skills in Children with Autism. CPJ, 8(1), 94-106. http://jcp.khu.ac.ir/article-1-3268-fa.html [persian]
Howard, P. L., Zhang, L., & Benson, V. (2019). What Can Eye Movements Tell Us about Subtle Cognitive Processing Differences in Autism? Vision, 3(2), 22. https://doi.org/10.3390/vision3020022
Iskra, A., & Tomc, H. G. (2016). Eye-tracking analysis of face observing and face recognition. Journal of Graphic Engineering and Design, 7(1), Article 1. https://doi.org/10.24867/JGED-2016-1-005
Jones, W., Carr, K., & Klin, A. (2008). Absence of Preferential Looking to the Eyes of Approaching Adults Predicts Level of Social Disability in 2-Year-Old Toddlers With Autism Spectrum Disorder. Archives of General Psychiatry, 65(8), 946. https://doi.org/10.1001/archpsyc.65.8.946
Joseph, R. M., & Tanaka, J. (2003). Holistic and part-based face recognition in children with autism. Journal of Child Psychology and Psychiatry, 44(4), 529-542. https://doi.org/10.1111/1469-7610.00142
Klin, A., Jones, W., Schultz, R., Volkmar, F., & Cohen, D. (2002). Visual Fixation Patterns During Viewing of Naturalistic Social Situations as Predictors of Social Competence in Individuals With Autism. Archives of General Psychiatry, 59(9), 809. https://doi.org/10.1001/archpsyc.59.9.809
Kuefner, D. (2010). Early visually evoked electrophysiological responses over the human brain (P1, N170) show stable patterns of face-sensitivity from 4 years to adulthood. Frontiers in Human Neuroscience, 3. https://doi.org/10.3389/neuro.09.067.2009
Ma, X. E., Gu, H., & Zhao, J. (2021). Atypical gaze patterns to facial feature areas in autism spectrum disorders reveal age and culture effects: A meta‐analysis of eye‐tracking studies. Autism Research, 14(12), 2625-2639. https://doi.org/10.1002/aur.2607
Maurer, D., Le Grand, R., & Mondloch, C. J. (2002). The many faces of configural processing. Trends in Cognitive Sciences, 6(6), 255-260. https://doi.org/10.1016/S1364-6613(02)01903-4
Neuhaus, E., Kresse, A., Faja, S., Bernier, R. A., & Webb, S. J. (2016). Face processing among twins with and without autism: social correlates and twin concordance. Social Cognitive and Affective Neuroscience, 11(1), 44-54. https://doi.org/10.1093/scan/nsv085
Oruc, I., Balas, B., & Landy, M. S. (2019). Face perception: A brief journey through recent discoveries and current directions. Vision Research, 157, 1-9. https://doi.org/10.1016/j.visres.2019.06.005
Papagiannopoulou, E. A., Chitty, K. M., Hermens, D. F., Hickie, I. B., & Lagopoulos, J. (2014). A systematic review and meta-analysis of eye-tracking studies in children with autism spectrum disorders. Social Neuroscience, 1-23. https://doi.org/10.1080/17470919.2014.934966
Pierce, K., Marinero, S., Hazin, R., McKenna, B., Barnes, C. C., & Malige, A. (2016). Eye Tracking Reveals Abnormal Visual Preference for Geometric Images as an Early Biomarker of an Autism Spectrum Disorder Subtype Associated With Increased Symptom Severity. Biological Psychiatry, 79(8), 657-666. https://doi.org/10.1016/j.biopsych.2015.03.032
Rutherford, M. D., & Towns, A. M. (2008). Scan Path Differences and Similarities During Emotion Perception in those With and Without Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 38(7), 1371-1381. https://doi.org/10.1007/s10803-007-0525-7
Snow, J., Ingeholm, J. E., Levy, I. F., Caravella, R. A., Case, L. K., Wallace, G. L., & Martin, A. (2011). Impaired Visual Scanning and Memory for Faces in High-Functioning Autism Spectrum Disorders: It's Not Just the Eyes. Journal of the International Neuropsychological Society, 17, 1021-1029.
Spezio, M. L., Adolphs, R., Hurley, R. S. E., & Piven, J. (2007). Abnormal Use of Facial Information in High-Functioning Autism. Journal of Autism and Developmental Disorders, 37(5), 929-939. https://doi.org/10.1007/s10803-006-0232-9
Sterling, L., Dawson, G., Webb, S., Murias, M., Munson, J., Panagiotides, H., & Aylward, E. (2008). The role of face familiarity in eye tracking of faces by individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(9), 1666-1675. https://doi.org/10.1007/s10803-008-0550-1
Tanaka, J. W., & Farah, M. J. (1993). Parts and wholes in face recognition. The Quarterly Journal of Experimental Psychology A: Human Experimental Psychology, 46A(2), 225-245. https://doi.org/10.1080/14640749308401045
Tanaka, J. W., & Sengco, J. A. (1997). Features and their configuration in face recognition. Memory & Cognition, 25(5), 583-592. https://doi.org/10.3758/bf03211301
Tanaka, J. W., & Sung, A. (2016). The “eye avoidance” hypothesis of autism face processing. Journal of Autism and Developmental Disorders, 46(5), 1538–1552. https://doi.org/10.1007/s10803-013-1976-7
Taylor, M. J., Batty, M., & Itier, R. J. (2004). The Faces of Development: A Review of Early Face Processing over Childhood. Journal of Cognitive Neuroscience, 16(8), 1426-1442. https://doi.org/10.1162/0898929042304732
Trepagnier, C., Sebrechts, M. M., & Peterson, R. (2002). Atypical Face Gaze in Autism. CyberPsychology & Behavior, 5(3), 213-217. https://doi.org/10.1089/109493102760147204
Van Der Geest, J. N., Kemner, C., Verbaten, M. N., & Van Engeland, H. (2002). Gaze behavior of children with pervasive developmental disorder toward human faces: a fixation time study. Journal of Child Psychology and Psychiatry, 43(5), 669-678. https://doi.org/10.1111/1469-7610.00055
Wang, Y., Shao, Z., Zhang, L., & Feng, T. (2022). Visual scanning and recognition of ambiguous faces in children with autism: The effects of morphing levels and facial identities. Research in Autism Spectrum Disorders, 92, 101931. https://doi.org/10.1016/j.rasd.2022.101931
Ward, T., & Bernier, R. (2013). Face Perception. In F. R. Volkmar (Ed.), Encyclopedia of Autism Spectrum Disorders (pp. 1215-1222) Springer. https://doi.org/10.1007/978-1-4419-1698-3_728
Webb, S., Faja, S., & Dawson, G. (2011). Face processing in autism. In A. Calder, G. Rhodes, M. Johnson, & J. Haxby (Eds.), Oxford Handbook of Face Perception (pp. 839-856). Oxford University Press.
Webb, S. J., Neuhaus, E., & Faja, S. (2017). Face Perception and Learning in Autism Spectrum Disorders. Quarterly Journal of Experimental Psychology, 70(5), 970-986. https://doi.org/10.1080/17470218.2016.1151059
Wilson, C. E., Palermo, R., & Brock, J. (2012). Visual Scan Paths and Recognition of Facial Identity in Autism Spectrum Disorder and Typical Development. PLoS ONE, 7(5), e37681. https://doi.org/10.1371/journal.pone.0037681
Wilson, R., Pascalis, O., & Blades, M. (2007). Familiar Face Recognition in Children with Autism: The Differential use of Inner and Outer Face Parts. Journal of Autism and Developmental Disorders, 37(2), 314-320. https://doi.org/10.1007/s10803-006-0169-z
Zhang, Q., Zhang, Y., Liu, N., & Sun, X. (2024). Understanding of facial features in face perception: Insights from deep convolutional neural networks. Frontiers in Computational Neuroscience, 18, 1209082. https://doi.org/10.3389/fncom.2024.1209082
Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23(2-3), 143-152. https://doi.org/10.1016/j.ijdevneu.2004.05.001