Perceptual and Cognitive Load in Autism – An Electrophysiological and Behavioural Approach

Attention is a fundamentally important cognitive process and is required to efficiently navigate the world. Whilst altered attentional processes have been frequently observed in autistic people the differences seen suggest that attentional processes are different, however not necessarily deficient. In fact, aspects of superior visual perceptual ability and enhanced perceptual capacity have frequently been reported. The goal of the present thesis was to extend our knowledge of enhanced perceptual capacity under the framework of the Load Theory and to extend the findings to more active components of attention. To address this aim, the first three empirical studies I conducted, assessed selective and executive attention in autism and in a fourth study I investigated the feasibility of a neurofeedback intervention. Specifically, in Chapter 2, I used behavioural markers of congruency effects to consider whether cognitive capacity would be increased for autistic people, analogous to the enhanced perceptual capacity previously reported. In Chapter 3, I investigated electrophysiological aspects of visual working memory capacity and filtering efficiency. The findings were further expanded upon in Chapter 4 by directly contrasting visual working memory capacity and perceptual capacity using electrophysiological markers. Finally, I sought to assess whether practical steps could be taken to address altered attention experienced by autistic adults. The feasibility of an online neurofeedback intervention was investigated to assess whether aspects of attention and mental health could be improved through the training programme (Chapter 5). The findings of the thesis were then summarised and further discussed, highlighting the contribution to the autism attention literature and offering practical recommendations to harness attentional strengths in autism

The effects of cumulative stressful educational events on the mental health of doctoral students during the Covid-19 pandemic

High rates of psychological distress including anxiety and depression are common in the doctoral community and the learning environment has a role to play. With the coronavirus disease (Covid-19) pandemic taking a toll on mental health it is necessary to explore the risk and protective factors for this population. Using data from the Covid-19: Global Study of Social Trust and Mental Health, the present study examined the relationship between Covid-19-related stressful educational experiences and doctoral students' mental health problems. Moreover, it assessed the role of attentional ability and coping skills in promoting good mental health. One hundred and fifty-five doctoral students completed an online survey where micro-, meso- and macro-level educational stressors were measured. The Patient Health Questionnaire and the Generalized Anxiety Disorder Questionnaire were used to measure depression and anxiety symptoms, respectively. We also measured coping skills using a 13-item scale and attentional ability using a questionnaire. The results of multiple linear regression analyses showed that specific stressful educational experiences were unrelated but cumulative stressful educational experiences were related to increased depression symptoms (but not anxiety symptoms) in fully adjusted models. Additionally, higher coping skills and attentional ability were related to fewer depression and anxiety symptoms. Finally, no associations between demographics and other covariates and mental health problems were found. The experience of multiple educational stressful events in their learning environment due to Covid-19 is a key risk factor for increased mental illness in the doctoral community. This could be explained by the uncertainty that the Covid-19 pandemic has caused to the students

The impact of early stages of COVID-19 on the mental health of autistic adults in the United Kingdom:A longitudinal mixed-methods study

We used mixed methods to learn about the nature and drivers of mental health changes among autistic adults in the United Kingdom during the early stages of the COVID-19 pandemic. In quantitative analyses, we examined the nature and predictors of change in depression, anxiety and stress, prospectively measured in 70 autistic adults at Wave 1 (just before the United Kingdom’s first lockdown) and Wave 2 (10–15 weeks into the United Kingdom’s first lockdown). Retrospective Wave 2 reports of mental health change were also analysed for these 70 participants. For the qualitative analysis, 133 participants (including the 70 from the quantitative analyses) provided reports on their experiences of the pandemic at Wave 2. In quantitative analyses, retrospective reports indicated that participants’ mental health worsened, but prospective data showed a different picture, with overall anxiety and stress scores reducing between Waves 1 and 2. Nevertheless, the mental health impact of the pandemic on autistic adults was variable, with a sizable minority reporting a significant decline in mental health. Qualitative analysis yielded four themes that contributed to mental health changes: (a) adjusting to changes to the social world, (b) living with uncertainty, (c) disruptions to self-regulation, and (d) barriers to fulfilling basic needs. LAY ABSTRACT: During the COVID-19 pandemic, high levels of depression, anxiety and stress have been reported in the general population. However, much less has been reported about the impact of COVID-19 on the mental health of autistic people. What we did: In the present study, we investigated how the mental health of autistic adults in the United Kingdom changed during the early stages of the COVID-19 pandemic. In total, 133 participants completed an online survey at two different time points. Of the 133 participants, 70 completed the survey at the first time point just before the onset of the national lockdown. This allowed us to look at changes in their mental health, from before the lockdown to 10 to 15 weeks during lockdown. All participants (133) told us about their experiences of the pandemic. What we found: While many autistic adults told us that their mental health worsened, people’s experience varied. For some autistic adults, aspects of mental health (e.g. anxiety, stress) actually improved. Participants also described social changes that had occurred, at home and in the outside world. They described feelings of uncertainty during the pandemic, and discussed how the pandemic had affected some of their previous coping strategies. Participants also told us about their difficulties in accessing healthcare services and food during the early stages of the pandemic. In our article, we discuss these findings and focus on what needs to change to ensure that autistic people are better supported as the pandemic continues

‘A storm of post-it notes’:experiences of perceptual capacity in autism and ADHD

Lab-based tasks suggest autistic people have increased perceptual capacity (i.e., process more information at any one time) compared to non-autistic people. Here, we explored whether this increase is reflected in autistic people’s day-to-day perceptual experiences and, when compared to those with ADHD/neurotypical people, whether commonalities/divergences in these experiences can illuminate differences between neurotypes. UK-based adults (108 autistic, 40 with ADHD, 79 autistic with ADHD, 85 neurotypical) completed an online survey about experiences of attention and distraction. Responses were analysed using thematic analysis. We found that participants of all neurotypes experienced periods of intense focus. Neurodivergent participants reported experiencing a barrage of information; autistic participants found this overwhelming, whereas those with ADHD referred to overload. This finding may reflect increased perceptual capacity for autistic people (adding ecological validity to previous findings regarding increased autistic perceptual capacity) vs. difficulties maintaining attentional priorities for those with ADHD. While differences between neurodivergent and neurotypical people were evident, discrepancies between experiences of neurodivergent groups were more subtle, suggesting that increased perceptual capacity may extend beyond autism. Consequently, perceptual capacity offers a useful framework to promote better understanding of one’s own perceptual experiences, and to guide strategies to ameliorate any challenges encountered

Research Passport

A Research Passport designed for use with autistic adults with or without learning disabilitie

Online Meditation study

Effectiveness of an EEG neuro-feedback meditation program on executive function and well-being in autistic adults: a randomised control tria