Children with Autism Spectrum Disorder(ASD)have a difficulty understanding facial expressions. This study investigated the ability of recognizing facial expression
and labeling of emotional words in school-age Hard of Hearing children(HH)with ASD. Four groups of children participated: eight children of HH+ASD, 15 with HH
only, 12 with ASD, and 40 Typically Developed(TD).For the first task of Matching Emotional word(ME)wherein 32 pictures were presented to each child, and the
subject categorized the responses into four basic facial expressions(happiness, anger, surprise and sadness).The second task was Free Labeling of facial expression(FL). Five different facial illustrations were presented, and the subject were instructed to label them freely with words. The ME and FL scores of the HH+ASD were compared to the other groups. In addition, correlation between vocabulary and ME as well as FL were analyzed. As the results of the examinations, both ME and FL scores of HH+ASD groups were significantly lower than TD, but no difference was observed among the HH only group. ASD group showed similarity in scores and answering strategies. As for the vocabulary, no correlation was found between the tasks in HH+ASD, but in HH only group. HH children with low vocabulary tended to have low labeling. This research suggested that HH+ASD children had difficulty in basic facial expression recognition as well as the use of emotional words to sense the feelings and/or emotion of others based on the facial expression.
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