Social Information Processing and Subclinical Autism Spectrum Symptoms in Adolescents: The Moderating Role of Working Memory, Cognitive Flexibility and Mentalizing

Authors
University of Mohaghegh Ardabili
Abstract
High autistic traits in adolescents are associated with a wide range of destructive educational and social consequences. Therefore, it is important to identify the influencing factors. The present study was conducted with the aim of investigating the role of social information processing in the autism spectrum symptoms by moderating working memory, cognitive flexibility and mentalizing.

This research was descriptive and correlational type and was done by structural equation modeling method. The statistical population of the research included all 12th grade students of public schools for boys and girls in Tehran in the academic year 2023-2024, 260 of whom were selected using a multi-stage sampling method. The research tools included the Social Information Processing - Attribution and Emotional Response Questionnaire (SIP-AEQ), the Autism-Spectrum Quotient (AQ), the Reflective Functioning Questionnaire (RFQ), computerized version of the Daneman and Carpenter's Working Memory Task, and the Wisconsin Card Sorting Test. Data analysis was done using Smart PLS 3 software.

The results of structural equation modeling showed that Hostile Attribution Bias (t=2/534 ،β=0/322) and Negative Emotional Responses (t=2/001، β=0/275) have a direct, positive and significant effect on the subclinical symptoms of autism. Mentalizing has a moderating effect on the relationship between hostile attributional bias (t=2/549، β=-0/507) and negative emotional responses (t=3/164، β=-0/632) with subclinical symptoms of autism. Also, the moderating role of working memory in the relationship between hostile attributional bias and subclinical symptoms of autism was confirmed (t=4/389، β=-0/394).

According to the results of the research, the use of Mentalization-Based Treatment (MBT), Working Memory Training and Social Information-Processing Skills Training is suggested to the therapists.
Keywords

References
Asadzadeh, H. (2008). Investigating the Relationship between Working Memory Capacity and Academic Performance among Students in the Third Grade of Junior High School in Tehran. Quarterly Journal of Education, 53(97), 53-69. [persian]
Au-Yeung, S. K., Bradley, L., Robertson, A. E., Shaw, R., Baron-Cohen, S., & Cassidy, S. (2019). Experience of mental health diagnosis and perceived misdiagnosis in autistic, possibly autistic and non-autistic adults. Autism, 23(6), 1508-1518.
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from asperger syndrome/high-functioning autism, malesand females, scientists and mathematicians. Journal of autism and developmental disorders, 31(1), 5-17.
Bauminger-Zviely, N., Alon, M., Brill, A., Schorr-Edelsztein, H., David, T., Tubul, G., & Al-Yagon, M. (2019). Social information processing among children with ASD, SLD, and typical development: the mediational role of language capacities. The Journal of Special Education, 53(3), 153-165.
Boseovski, J. J., & Marcovitch, S. (2012). The hierarchical competing systems model provides a process account of social decision making. Human Development: Letters to the Editor, 55(1), 7-10.
Caporaso, J. S., Boseovski, J. J., & Marcovitch, S. (2019). The individual contributions of three executive function components to preschool social competence. Infant and Child Development, 28(4), e2132.
Caporaso, J. S., Marcovitch, S., & Boseovski, J. J. (2021). Executive function and the development of social information processing during the preschool years. Cognitive development, 58, 101018.
Cavallaro, R., Cavedini, P., Mistretta, P., Bassi, T., Angelone, S. M., Ubbiali, A., & Bellodi, L. (2003). Basal-corticofrontal circuits in schizophrenia and obsessive-compulsive disorder: a controlled, double dissociation study. Biological psychiatry, 54(4), 437-443.
Chen, P., Coccaro, E. F., Lee, R., & Jacobson, K. C. (2012). Moderating effects of childhood maltreatment on associations between social information processing and adult aggression. Psychological medicine, 42(6), 1293-1304.
Chin, W. W. (1998). Commentary: Issues and opinion on structural equation modeling. MIS quarterly, vii-xvi.
Coccaro, E. F., Noblett, K. L., & McCloskey, M. S. (2009). Attributional and emotional responses to socially ambiguous cues: Validation of a new assessment of social/emotional information processing in healthy adults and impulsive aggressive patients. Journal of Psychiatric Research, 43(10), 915-925.
Dahl, A. (2018). New beginnings: An interactionist and constructivist approach to early moral development. Human Development, 61(4-5), 232-247.
Daneman, M., & Carpenter, P. A. (1980). Individual differences in working memory and reading. Journal of verbal learning and verbal behavior, 19(4), 450-466.
Demetriou, E. A., DeMayo, M. M., & Guastella, A. J. (2019). Executive function in autism spectrum disorder: history, theoretical models, empirical findings, and potential as an endophenotype. Frontiers in psychiatry, 10, 753.
Demetriou, E. A., Lampit, A., Quintana, D. S., Naismith, S. L., Song, Y. J. C., Pye, J. E., ... & Guastella, A. J. (2018). Autism spectrum disorders: a meta-analysis of executive function. Molecular psychiatry, 23(5), 1198-1204.
Drogar, E., Fathi, A. A., & Ashrafi, E. (2020). Validity and Reliability Assessment of the Persian Version of the Metallization Questionnaire. Journal of Clinical Psychology,12(1),1-12. [persian]
Ellis Weismer, S., Kaushanskaya, M., Larson, C., Mathée, J., & Bolt, D. (2018). Executive function skills in school-age children with autism spectrum disorder: Association with language abilities. Journal of speech, language, and hearing research, 61(11), 2641-2658.
Embregts, P. J. C. M., & Van Nieuwenhuijzen, M. (2009). Social information processing in boys with autistic spectrum disorder and mild to borderline intellectual disabilities. Journal of Intellectual Disability Research, 53(11), 922-931.
Flood, A. M., Julian Hare, D., & Wallis, P. (2011). An investigation into social information processing in young people with Asperger syndrome. Autism, 15(5), 601-624.
Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y. W., Warren, F., Howard, S., ... & Lowyck, B. (2016). Development and validation of a self-report measure of mentalizing: The reflective functioning questionnaire. PloS one, 11(7), e0158678.
Fontaine, R. G., Yang, C., Dodge, K. A., Pettit, G. S., & Bates, J. E. (2009). Development of Response Evaluation and Decision (RED) and antisocial behavior in childhood and adolescence. Developmental psychology, 45(2), 447.
Guarino, A., Forte, G., Giovannoli, J., & Casagrande, M. (2020). Executive functions in the elderly with mild cognitive impairment: A systematic review on motor and cognitive inhibition, conflict control and cognitive flexibility. Aging & mental health, 24(7), 1028-1045.
Hannant, P., Cassidy, S., Tavassoli, T., & Mann, F. (2016). Sensorimotor difficulties are associated with the severity of autism spectrum conditions. Frontiers in integrative neuroscience, 10, 28.
Happé, F. (2015). Autism as a neurodevelopmental disorder of mind-reading. Journal of the British Academy, 3, 197-209.
Karjalainen, S., Aro, T., & Parviainen, T. (2024). Coactivation of autonomic and central nervous systems during processing of socially relevant information in autism Spectrum disorder: a systematic review. Neuropsychology Review, 34(1), 214-231.
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications.
Kochanska, G., & Kim, S. (2014). A complex interplay among the parent–child relationship, effortful control, and internalized, rule-compatible conduct in young children: Evidence from two studies. Developmental psychology, 50(1), 8.
Lewis, E. M., Stein-O’Brien, G. L., Patino, A. V., Nardou, R., Grossman, C. D., Brown, M., ... & Dölen, G. (2020). Parallel social information processing circuits are differentially impacted in autism. Neuron, 108(4), 659-675.
Lezak, M. D. (2004). Neuropsychological assessment. Oxford University Press, USA.
Mahmoud, M. A. G. (2015). The Effectiveness of a Training Program Based on Dodge's Social Information Processing Model on Improving Social Skills of Children with Autism Disorder. Psycho-Educational Research Reviews, 22-28.
Mazza, M., Mariano, M., Peretti, S., Masedu, F., Pino, M. C., & Valenti, M. (2017). The role of theory of mind on social information processing in children with autism spectrum disorders: A mediation analysis. Journal of autism and developmental disorders, 47(5), 1369-1379.
McCarthy, S. A., Ford, T. C., Lomas, J. E., & Stough, C. (2020). Subclinical autistic traits mediate the relationship between emotional intelligence and resiliency in adolescents. Personality and Individual Differences, 158, 109845.
Mojtabazadeh, M. (2006). Investigating the Relationship between Working Memory, Anxiety and Students Academic Performance among Third Year High School Students in Zanjan. Master's thesis in educational psychology. Faculty of Psychology and Educational Sciences, Allameh Tabatabai University. [persian]
Moradi, A., Jabbari, H., Miraghaee, A., & Parhone, H. (2012). Executive Functions Performance among People with AIDS/HIV. Journal of Modern Psychological Researches, 6(24), 153-173. [persian]
Nejati Safa, A. A., Kazemi, M. R., & Alaghband Rad, J. (2003). Autistic Features in Adult Population: Evidence for Continuity of Autistic Symptoms with Normality. Advances in Cognitive Science, 5(3), 34-39. [persian]
Neuhaus, E., Webb, S. J., & Bernier, R. A. (2019). Linking social motivation with social skill: The role of emotion dysregulation in autism spectrum disorder. Development and psychopathology, 31(3), 931-943.
Powers, J. P., Capistrano, C. G., McIntosh, D. N., Bedacarratz, A. M., & McRae, K. (2023). Reappraisal and mentalizing: Perceived difficulty and effects on negative emotion. Emotion, 23(2), 345.
Riding, R. J., Grimley, M., Dahraei, H., & Banner, G. (2003). Cognitive style, working memory and learning behaviour and attainment in school subjects. British Journal of Educational Psychology, 73(2), 149-169.
Rothschild-Yakar, L., Stein, D., Goshen, D., Shoval, G., Yacobi, A., Eger, G., ... & Gur, E. (2019). Mentalizing self and other and affect regulation patterns in anorexia and depression. Frontiers in Psychology, 10, 2223.
Sasson, N. J., Lam, K. S., Childress, D., Parlier, M., Daniels, J. L., & Piven, J. (2013). The B road A utism P henotype Q uestionnaire: Prevalence and Diagnostic Classification. Autism Research, 6(2), 134-143.
Schuwerk, T., Kaltefleiter, L. J., Au, J. Q., Hoesl, A., & Stachl, C. (2019). Enter the wild: Autistic traits and their relationship to mentalizing and social interaction in everyday life. Journal of autism and developmental disorders, 49(10), 4193-4208.
Skylark, W. J., & Baron-Cohen, S. (2017). Initial evidence that non-clinical autistic traits are associated with lower income. Molecular Autism, 8(1), 1-11.
Smetana, J. G., Jambon, M., & Ball, C. L. (2018). Normative changes and individual differences in early moral judgments: A constructivist developmental perspective. Human Development, 61(4-5), 264-280.
Stevens, A. D. (2009). Social problem-solving and cognitive flexibility: Relations to social skills and problem behavior of at-risk young children. Seattle Pacific University.
Stewart, G. R., Corbett, A., Ballard, C., Creese, B., Aarsland, D., Hampshire, A., ... & Happé, F. (2020). Sleep problems and mental health difficulties in older adults who endorse high autistic traits. Research in Autism Spectrum Disorders, 77, 101633.
Wigham, S., Rodgers, J., Berney, T., Le Couteur, A., Ingham, B., & Parr, J. R. (2019). Psychometric properties of questionnaires and diagnostic measures for autism spectrum disorders in adults: A systematic review. Autism, 23(2), 287-305.
Wu, H., Fung, B. J., & Mobbs, D. (2022). Mentalizing during social interaction: The development and validation of the interactive mentalizing questionnaire. Frontiers in Psychology, 12, 791835.
Xie, R., Sun, X., Yang, L., & Guo, Y. (2020). Characteristic executive dysfunction for high‐functioning autism sustained to adulthood. Autism research, 13(12), 2102-2121.
Yazici, Ö. F., & Mergan, B. (2022). The Predictive Role of Cognitive Flexibility and Cognitive Control on Aggression and Anger in Sports. Mediterranean Journal of Sport Science (MJSS), 5(3), 522-536.
Ziv, Y., Hadad, B. S., & Khateeb, Y. (2014). Social information processing in preschool children diagnosed with autism spectrum disorder. Journal of autism and developmental disorders, 44(4), 846-859.