Journal of Autism and Developmental Disorders

, Volume 48, Issue 8, pp 2809–2820 | Cite as

The Broader Autism Phenotype and Visual Perception in Children

  • Antoinette Sabatino DiCriscio
  • Vanessa Troiani
Original Paper


Atypical visual perception has increasingly been described in individuals with autism spectrum disorders (ASD) and linked to quantitative, autism-like features that are present in children and adults without ASD. We investigated whether individual differences in visual processing skills were related to quantitative measures of autism traits in a pediatric sample with a range of clinical features. Visual processing was comprehensively characterized using the test of visual perceptual skills (TVPS), a standardized test of visual perception with seven subtests that capture a range of visual processing abilities. The TVPS Figure Ground (TVPS-FG) subtest requires an individual to disembed a smaller figure from a larger scene. TVPS-FG subtest scores were positively correlated with children’s autism features as measured by a parental report of the Broader Autism Phenotype Questionnaire (BAP-Q). The correlation with BAP-Q was specific to the TVPS-FG subtest, as the other TVPS subtest scores were not significantly related to the BAP-Q. This adds to the growing body of research documenting that atypical visual processing is associated with the autism phenotype and highlights the importance of capturing quantitative traits in heterogeneous developmental brain disorders.


Broader autism phenotype Visual perception TVPS Global–local processing Children 



We would like to extend our sincere gratitude to the individuals who participated in this study. We would also like to acknowledge Kayleigh M. Adamson, BS for her assistance with the collection of this data.

Author Contributions

ASD and VT designed the research. ASD collected the data. ASD analyzed the data with guidance from VT. ASD and VT interpreted the data. ASD drafted the manuscript. ASD and VT critically revised the manuscript. All authors have read and approved the final version of the manuscript. All authors reviewed the manuscript.


This study was funded by the Simons Foundation, SFARI Explorer Award #350225.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

10803_2018_3534_MOESM1_ESM.jpg (115 kb)
Supplementary material 1 (JPG 114 KB)


  1. Almeida, R. A., Dickinson, J. E., Maybery, M. T., Badcock, J. C., & Badcock, D. R. (2010). A new step towards understanding embedded figures test performance in the autism spectrum: The radial frequency search task. Neuropsychologia, 48(2), 374–381.CrossRefPubMedGoogle Scholar
  2. 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.CrossRefPubMedGoogle Scholar
  3. Behrmann, M., Avidan, G., Leonard, G. L., Kimchi, R., Luna, B., Humphreys, K., & Minshew, N. (2006). Configural processing in autism and its relationship to face processing. Neuropsychologia, 44(1), 110–129.CrossRefPubMedGoogle Scholar
  4. Bölte, S., Westerwald, E., Holtmann, M., Freitag, C., & Poustka, F. (2011). Autistic traits and autism spectrum disorders: The clinical validity of two measures presuming a continuum of social communication skills. Journal of Autism and Developmental Disorders, 41(1), 66–72.CrossRefPubMedGoogle Scholar
  5. Brock, J., Xu, J. Y., & Brooks, K. R. (2011). Individual differences in visual search: Relationship to autistic traits, discrimination thresholds, and speed of processing. Perception, 40(6), 739–742. Scholar
  6. Channell, M. M., Phillips, B. A., Loveall, S. J., Conners, F. A., Bussanich, P. M., & Klinger, L. G. (2015). Patterns of autism spectrum symptomatology in individuals with down syndrome without comorbid autism spectrum disorder. Journal of Neurodevelopmental Disorders, 7(1), 5.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Constantino, J. N., Davis, S. A., Todd, R. D., Schindler, M. K., Gross, M. M., Brophy, S. L., … Reich, W. (2003). Validation of a brief quantitative measure of autistic traits: Comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of Autism and Developmental Disorders, 33(4), 427–433.CrossRefPubMedGoogle Scholar
  8. Cribb, S. J., Olaithe, M., Di Lorenzo, R., Dunlop, P. D., & Maybery, M. T. (2016). Embedded figures test performance in the broader autism phenotype: A meta-analysis. Journal of Autism and Developmental Disorders, 46(9), 2924–2939.CrossRefPubMedGoogle Scholar
  9. D’Souza, D., Booth, R., Connolly, M., Happé, F., & Karmiloff-Smith, A. (2016). Rethinking the concepts of “local or global processors”: Evidence from Williams syndrome, down syndrome, and autism spectrum disorders. Developmental Science, 19(3), 452–468.CrossRefPubMedGoogle Scholar
  10. Dakin, S., & Frith, U. (2005). Vagaries of visual perception in autism. Neuron, 48(3), 497–507. Scholar
  11. Dale, G., & Arnell, K. M. (2013). Investigating the stability of and relationships among global/local processing measures. Attention, Perception, & Psychophysics, 75(3), 394–406. Scholar
  12. Di Martino, A. M. D., Shehzad, Z., Kelly, C., Roy, A. K., Gee, D. G., Uddin, L. Q., … Milham, M. P. (2009). Relationship between cingulo-insular functional connectivity and autistic traits in neurotypical adults. American Journal of Psychiatry. Retrieved from
  13. Dukette, D., & Stiles, J. (2001). The effects of stimulus density on children’s analysis of hierarchical patterns. Developmental Science, 4(2), 233–251.CrossRefGoogle Scholar
  14. Frazier, T. W., Ratliff, K. R., Gruber, C., Zhang, Y., Law, P. A., & Constantino, J. N. (2013). Confirmatory factor analytic structure and measurement invariance of quantitative autistic traits measured by the Social Responsiveness Scale-2. Autism. Scholar
  15. Guy, J., Mottron, L., Berthiaume, C., & Bertone, A. (2016). A developmental perspective of global and local visual perception in autism spectrum disorder. Journal of Autism and Developmental Disorders. PubMedGoogle Scholar
  16. Happe, F. (1999). Autism: Cognitive deficit or cognitive style? Trends in Cognitive Science, 3(6), 216–222.CrossRefGoogle Scholar
  17. Happé, F., Briskman, J., & Frith, U. (2001). Exploring the cognitive phenotype of autism: Weak “Central Coherence” in parents and siblings of children with autism: I. Experimental tests. Journal of Child Psychology and Psychiatry, 42(3), 299–307. Scholar
  18. Happé, F. G., & Booth, R. D. (2008). The power of the positive: Revisiting weak coherence in autism spectrum disorders. The Quarterly Journal of Experimental Psychology, 61(1), 50–63.CrossRefPubMedGoogle Scholar
  19. Hoekstra, R. A., Bartels, M., Cath, D. C., & Boomsma, D. I. (2008). Factor structure, reliability and criterion validity of the autism-spectrum quotient (AQ): A study in Dutch population and patient groups. Journal of Autism and Developmental Disorders, 38(8), 1555–1566. Scholar
  20. Hurley, R. S. E., Losh, M., Parlier, M., Reznick, J. S., & Piven, J. (2007). The broad autism phenotype questionnaire. Journal of Autism and Developmental Disorders, 37(9), 1679–1690. Scholar
  21. Ingersoll, B. (2010). Broader autism phenotype and nonverbal sensitivity: Evidence for an association in the general population. Journal of Autism and Developmental Disorders, 40(5), 590–598.CrossRefPubMedGoogle Scholar
  22. Ingersoll, B., Hopwood, C. J., Wainer, A., & Donnellan, M. B. (2011). A comparison of three self-report measures of the broader autism phenotype in a non-clinical sample. Journal of Autism and Developmental Disorders, 41(12), 1646–1657.CrossRefPubMedGoogle Scholar
  23. Jobe, L. E., & White, S. W. (2007). Loneliness, social relationships, and a broader autism phenotype in college students. Personality and Individual Differences, 42(8), 1479–1489.CrossRefGoogle Scholar
  24. Jolliffe, T., & Baron-Cohen, S. (1997). Are people with autism and Asperger syndrome faster than normal on the Embedded Figures Test ? Journal of Child Psychology and Psychiatry and Allied Disciplines, 38(5), 527–534.CrossRefGoogle Scholar
  25. Kaldy, Z., Giserman, I., Carter, A. S., & Blaser, E. (2013). The Mechanisms underlying the ASD advantage in visual search. Journal of Autism and Developmental Disorders. Scholar
  26. Kaldy, Z., Kraper, C., Carter, A. S., & Blaser, E. (2011). Toddlers with autism spectrum disorder are more successful at visual search than typically developing toddlers. Developmental Science, 14(5), 980–988. Scholar
  27. Koldewyn, K., Jiang, Y. V., Weigelt, S., & Kanwisher, N. (2013). Global/local processing in autism: Not a disability, but a disinclination. Journal of Autism and Developmental Disorders, 43(10), 2329–2340.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Laje, G., Morse, R., Richter, W., Ball, J., & Smith, A. (2010). Autism spectrum features in Smith–Magenis syndrome. In American journal of medical genetics part C: Seminars in medical genetics (Vol. 154, pp. 456–462). Wiley Online Library. Retrieved from
  29. Landry, R., & Bryson, S. E. (2004). Impaired disengagement of attention in young children with autism. Journal of Child Psychology and Psychiatry, 45(6), 1115–1122. Scholar
  30. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.CrossRefPubMedGoogle Scholar
  31. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.CrossRefPubMedGoogle Scholar
  32. Martin, N. (2006). Test of visual perceptual skills, (TVPS-3). Flórida: PAR.Google Scholar
  33. Martin, I., & McDonald, S. (2003). Weak coherence, no theory of mind, or executive dysfunction? Solving the puzzle of pragmatic language disorders. Brain and Language, 85(3), 451–466.CrossRefPubMedGoogle Scholar
  34. McKone, E., Davies, A. A., Fernando, D., Aalders, R., Leung, H., Wickramariyaratne, T., & Platow, M. J. (2010). Asia has the global advantage: Race and visual attention. Vision Research, 50(16), 1540–1549.CrossRefPubMedGoogle Scholar
  35. Mottron, L., Dawson, M., Soulières, I., Hubert, B., & Burack, J. (2006). Enhanced perceptual functioning in autism: An update, and eight principles of autistic perception. Journal of Autism and Developmental Disorders, 36(1), 27–43. Scholar
  36. Navon, D. (1977). Forest before trees: The precedence of global features in visual perception. Cognitive Psychology, 9(3), 353–383.CrossRefGoogle Scholar
  37. Navon, D. (1981). The forest revisited: More on global precedence. Psychological Research Psychologische Forschung, 43(1), 1–32.CrossRefGoogle Scholar
  38. O’Riordan, M. A., Plaisted, K. C., Driver, J., & Baron-Cohen, S. (2001). Superior visual search in autism. Journal of Experimental Psychology: Human Perception and Performance, 27(3), 719.PubMedGoogle Scholar
  39. Ozonoff, S., Strayer, D. L., McMahon, W. M., & Filloux, F. (1994). Executive function abilities in autism and Tourette syndrome: An information processing approach. Journal of Child Psychology and Psychiatry, 35(6), 1015–1032.CrossRefPubMedGoogle Scholar
  40. Pellicano, E., Maybery, M., Durkin, K., & Maley, A. (2006). Multiple cognitive capabilities/deficits in children with an autism spectrum disorder:“Weak” central coherence and its relationship to theory of mind and executive control. Development and Psychopathology, 18(1), 77–98.CrossRefPubMedGoogle Scholar
  41. Piven, J., Palmer, P., Jacobi, D., & Childress, D. (1997). Broader autism phenotype: Evidence from a family history study of multiple-incidence autism families. American Journal of Psychiatry, 154(2), 185.CrossRefPubMedGoogle Scholar
  42. Piven, J., Wzorek, M., Landa, R., Lainhart, J., Bolton, P., Chase, G. A., … et al. (1994). Personality characteristics of the parents of autistic individuals. Psychological Medicine, 24(3), 783–795.CrossRefPubMedGoogle Scholar
  43. Plaisted, K., O’Riordan, M., & Baron-Cohen, S. (1998). Enhanced discrimination of novel, highly similar stimuli by adults with autism during a perceptual learning task. Journal of Child Psychology and Psychiatry, 39(5), 765–775. Scholar
  44. Plaisted, K., Swettenham, J., & Rees, L. (1999). Children with autism show local precedence in a divided attention task and global precedence in a selective attention task. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 40(5), 733–742.CrossRefPubMedGoogle Scholar
  45. Poirel, N., Mellet, E., Houdé, O., & Pineau, A. (2008). First came the trees, then the forest: Developmental changes during childhood in the processing of visual local-global patterns according to the meaningfulness of the stimuli. Developmental Psychology, 44(1), 245.CrossRefPubMedGoogle Scholar
  46. Poirel, N., Simon, G., Cassotti, M., Leroux, G., Perchey, G., Lanoë, C., … et al. (2011). The shift from local to global visual processing in 6-year-old children is associated with grey matter loss. PLoS ONE, 6(6), e20879.CrossRefPubMedPubMedCentralGoogle Scholar
  47. Reiersen, A. M., Constantino, J. N., Volk, H. E., & Todd, R. D. (2007). Autistic traits in a population-based ADHD twin sample. Journal of Child Psychology and Psychiatry, 48(5), 464–472.CrossRefPubMedGoogle Scholar
  48. Rinehart, N. J., Bradshaw, J. L., Moss, S. A., Brereton, A. V., & Tonge, B. J. (2000). Atypical interference of local detail on global processing in high-functioning autism and Asperger’s disorder. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(6), 769–778.CrossRefGoogle Scholar
  49. Ritter, D. R., & Ysseldyke, J. E. (1976). Convergent and discriminant validation of the trait of visual Figure-Ground perception. Journal of Learning Disabilities, 9(5), 319–325.CrossRefGoogle Scholar
  50. Rutter, M., Le Couteur, A., Lord, C., & et al. (2003). Autism diagnostic interview-revised (Vol. 30, p. 29). Los Angeles, CA: Western Psychological Services.Google Scholar
  51. Ruzich, E., Allison, C., Smith, P., Watson, P., Auyeung, B., Ring, H., & Baron-Cohen, S. (2015). Measuring autistic traits in the general population: A systematic review of the autism-spectrum quotient (AQ) in a nonclinical population sample of 6,900 typical adult males and females. Molecular Autism, 6, 2. Scholar
  52. Sabatino DiCriscio, A., & Troiani, V. (2017). Brief report: Autism-like traits are associated with enhanced ability to disembed visual forms. Journal of Autism and Developmental Disorders, 47(5), 1568–1576. Scholar
  53. Sasson, N. J., Elison, J. T., Turner-Brown, L. M., Dichter, G. S., & Bodfish, J. W. (2011). Brief report: Circumscribed attention in young children with autism. Journal of Autism and Developmental Disorders, 41(2), 242–247. Scholar
  54. Sasson, N. J., Turner-Brown, L. M., Holtzclaw, T. N., Lam, K. S. L., & Bodfish, J. W. (2008). Children with autism demonstrate circumscribed attention during passive viewing of complex social and nonsocial picture arrays. Autism Research: Official Journal of the International Society for Autism Research. Scholar
  55. Scherf, K. S., Behrmann, M., Kimchi, R., & Luna, B. (2009). Emergence of global shape processing continues through adolescence. Child Development, 80(1), 162–177.CrossRefPubMedPubMedCentralGoogle Scholar
  56. Scherf, S., Luna, B., Kimchi, R., Minshew, N., & Behrmann, M. (2008). Missing the big picture: Impaired development of global shape processing in autism. Autism Research, 1(2), 114–129.CrossRefPubMedPubMedCentralGoogle Scholar
  57. Simmons, D. R., Robertson, A. E., McKay, L. S., Toal, E., McAleer, P., & Pollick, F. E. (2009). Vision in autism spectrum disorders. Vision Research, 49(22), 2705–2739. Scholar
  58. Van der Hallen, R., Evers, K., Brewaeys, K., Van den Noortgate, W., & Wagemans, J. (2015). Global processing takes time: A meta-analysis on localglobal visual processing in ASD. American Psychological Association. Retrieved from
  59. Van Eeghen, A. M., Pulsifer, M. B., Merker, V. L., Neumeyer, A. M., Van Eeghen, E. E., Thibert, R. L., … Thiele, E. A. (2013). Understanding relationships between autism, intelligence, and epilepsy: A cross-disorder approach. Developmental Medicine & Child Neurology, 55(2), 146–153.CrossRefGoogle Scholar
  60. Wan, Y.-T., Chiang, C.-S., Chen, S. C.-J., Wang, C.-C., & Wuang, Y.-P. (2015). Profiles of visual perceptual functions in down syndrome. Research in Developmental Disabilities, 37, 112–118.CrossRefPubMedGoogle Scholar
  61. Wang, L., Mottron, L., Peng, D., Berthiaume, C., & Dawson, M. (2007). Local bias and local-to-global interference without global deficit: A robust finding in autism under various conditions of attention, exposure time, and visual angle. Cognitive Neuropsychology, 24(5), 550–574.CrossRefPubMedGoogle Scholar
  62. Warren, M. (1993). A hierarchical model for evaluation and treatment of visual perceptual dysfunction in adult acquired brain injury, part 1. American Journal of Occupational Therapy, 47(1), 42–54.CrossRefPubMedGoogle Scholar
  63. Wechsler, D. (2012). Technical and interpretative manual: WPPSI-IV. NY: Pearson Inc.Google Scholar
  64. Wechsler, D., Psychological Corporation. (2011). WASI-II: Wechsler abbreviated scale of intelligence (2nd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
  65. Witkin, H. A. (1971). A manual for the embedded figures tests. Palo Alto, CA: Consulting Psychologists Press.Google Scholar

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Geisinger Health SystemGeisinger Autism and Developmental Medicine Institute (ADMI)LewisburgUSA

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