Étude de l'hyperfocalisation autistique et du monotropisme : convergence limitée entre les potentiels liés aux événements, les tâches de laboratoire et les réponses aux questionnaires
Titre original en anglais : Investigating autistic hyperfocus and monotropism: Limited convergence of event-related potentials, laboratory tasks, and questionnaire responses
Dwyer, P., Sillas, A., Saron, C. D., & Rivera, S. M. (2025). Investigating autistic hyperfocus and monotropism: Limited convergence of event-related potentials, laboratory tasks, and questionnaire responses. Research in Autism, 127, 202683. https://doi.org/10.1016/j.reia.2025.202683
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Résumé
Objectif : Le modèle du monotropisme développé par des personnes autistes suggère que l'autisme est caractérisé par une hyperfocalisation vers les intérêts, bien que la recherche sur l'hyperfocalisation n'ait pas exploré les associations entre les mesures d'auto-évaluation/par les aidants et les mesures en laboratoire. D'autres résultats suggèrent que l'attention autistique présente une capacité accrue et/ou est inhabituellement sujette à une capture involontaire. Cette étude a utilisé des questionnaires et des tâches en laboratoire pour étudier l'attention autistique et examiner ses relations avec l'inattention/la distractibilité, les expériences sensorielles et l'anxiété. Méthodes : Dix-huit adolescents autistes et 22 adolescents du groupe de comparaison ont rempli des mesures d'auto-évaluation de l'hyperfocalisation, de l'anxiété et des expériences sensorielles, ainsi que des tâches psychoacoustiques en laboratoire, des tâches d'exactitude et de temps de réaction de mémoire de travail visuelle et de capture attentionnelle intermodale, et un paradigme d'hyperfocalisation reposant sur les potentiels liés aux événements N2pc et Pd. Les aidants des participants ont rempli des questionnaires indirects sur l'hyperfocalisation, l'anxiété, les expériences sensorielles et l'inattention. Résultats : Les participants autistes présentaient une hyperfocalisation plus élevée selon les questionnaires d'auto-évaluation et d'évaluation par les aidants, et manifestaient une capacité de mémoire de travail visuelle plus faible, reflétant potentiellement une difficulté à prêter attention à plusieurs cibles. Cependant, les groupes ne différaient pas quant aux potentiels liés aux événements indexant l'hyperfocalisation, ni quant à la capture attentionnelle intermodale comportementale. Les différents types de mesures de l'attention n'étaient généralement pas liés les uns aux autres. Dans l'ensemble, les participants et leurs aidants considéraient l'impact de l'hyperfocalisation comme modestement positif, avec des opinions individuelles divergentes. L'hyperfocalisation autodéclarée était liée à la misophonie autodéclarée et à l'hyperréactivité sensorielle. Conclusions : Les questionnaires suggèrent que l'hyperfocalisation est accrue dans l'autisme et a des impacts réels mitigés et nuancés. Toutefois, certains paradigmes de laboratoire comportant des instructions explicites dans des environnements très contrôlés, souvent non naturalistes, peuvent avoir des difficultés à saisir les expériences attentionnelles autistiques du monde réel ; des recherches supplémentaires sont nécessaires pour aligner les mesures de laboratoire et les mesures par questionnaire. Cette étude suggère également que les capacités perceptives autistiques ne sont pas globalement accrues.
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