Auditory processing in neurodiverse children

Many neurodiverse individuals experience auditory processing differences including hyper- or hyposensitivity to sound, attraction or aversions to sound, and difficulty listening under noisy conditions. However, the origins of these auditory symptoms are not well understood. In this study, we tested 7-to-10-year-old autistic children and age and sex-matched neurotypical comparison participants. To simulate a realistic classroom situation where many people are often speaking simultaneously, we obtained neural and behavioral measures of speech perception in both quiet and noise conditions. Using electroencephalography, we recorded neural responses to naturalistic, continuous speech to assess the cortical encoding of the speech envelope. We also obtained behavioral multitalker speech perception thresholds and estimates of spatial release from masking, a binaural hearing phenomenon in which speech perception improves when distracting speakers are spatially separated from the target speaker. Our preliminary results from both neural and behavioral measures suggest that the autistic group shows worse speech perception in noise and less spatial release from masking than the neurotypical group. These findings suggest that autistic children may benefit from environments with reduced noise to facilitate speech perception. These findings also warrant further investigation into speech perception under real-world conditions and the neural mechanisms underlying sound processing in autistic children.