Assessing the diametrical model of schizotypal and autistic traits in emotion recognition and social functioning in a community sample

• Published in: Schizophrenia research Vol. 261; pp. 194 - 202
• Main Authors: Fan, Linlin, Springfield, Cassi, Klein, Hans, Ackerman, Robert A., Sasson, Noah J., Pinkham, Amy E.
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01-11-2023
• Subjects: Autistic traits; Diametrical model; Psychosis; Social cognition; Psychosis; Diametrical model; Autistic traits; Social cognition
• ISSN: 0920-9964; 1573-2509
• DOI: 10.1016/j.schres.2023.09.038

Some research suggests that schizotypal and autistic traits can produce opposing effects on the mentalizing domain of social cognition. Although such findings support a diametrical model proposing that psychotic and autistic traits represent opposite extremes of the social brain continuum, results from recent studies have been more inconsistent, and the applicability of this model to other social cognition domains remains unclear. To test the diametrical model more broadly, this study examined the interactions between schizotypal and autistic traits on emotion recognition and social functioning.
A total of 791 participants recruited from the general population self-reported schizotypal traits using the Schizotypal Personality Questionnaire-Brief Revised (SPQ-BR) and autistic traits using the Broad Autism Phenotype Questionnaire (BAPQ). Participants also completed the Emotion Recognition 40 task and the Specific Levels of Functioning (SLOF) scale.
The SPQ subscales of interpersonal relationships and disorganized symptoms interacted significantly with social BAP on overall emotion recognition performance and the accuracy of identifying neutral faces. Supporting the diametrical model, elevated levels of both schizotypal and autistic traits contributed to higher emotion recognition accuracy compared to elevations on only one trait. For social functioning, however, the diametrical model was not supported. A main effect was found such that higher interpersonal relationship difficulties on SPQ predicted lower work skills on SLOF, and higher levels of both schizotypal and autistic traits combined to produce even lower social functioning.
These findings suggest that the diametrical model may be more relevant to social cognition than to social functioning.