Differences in prosody (e.g., intonation, rhythm) are among the most obvious languageârelated impairments in autism spectrum disorder (ASD), and significantly impact communication. Subtle prosodic differences have also been identified in a subset of clinically unaffected firstâdegree relatives of individuals with ASD, and may reflect genetic liability to ASD. This study investigated the neural basis of prosodic differences in ASD and firstâdegree relatives through analysis of feedforward and feedback control involved in the planning, production, selfâmonitoring, and selfâcorrection of speech by using a pitchâperturbed auditory feedback paradigm during sustained vowel and speech production. Results revealed larger vocal response magnitudes to pitchâperturbed auditory feedback across tasks in ASD and ASD parent groups, with differences in sustained vowel production driven by parents who displayed subclinical personality and language features associated with ASD (i.e., broad autism phenotype). Both ASD and ASD parent groups exhibited increased response onset latencies during sustained vowel production, while the ASD parent group exhibited decreased response onset latencies during speech production. Vocal response magnitudes across tasks were associated with prosodic atypicalities in both individuals with ASD and their parents. Exploratory eventârelated potential (ERP) analyses in a subgroup of participants during the sustained vowel task revealed reduced P1 ERP amplitudes in the ASD group, with similar trends observed in parents. Overall, results suggest underdeveloped feedforward systems and neural attenuation in detecting audioâvocal feedback may contribute to ASDârelated prosodic atypicalities. Importantly, results implicate atypical audioâvocal integration as a marker of genetic risk to ASD, evident in ASD and among clinically unaffected relatives. Autism Res 2019, 12: 1192â1210. © 2019 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc.
Lay Summary
Previous research has identified atypicalities in prosody (e.g., intonation) in individuals with ASD and a subset of their firstâdegree relatives. In order to better understand the mechanisms underlying prosodic differences in ASD, this study examined how individuals with ASD and their parents responded to unexpected differences in what they heard themselves say to modify control of their voice (i.e., audioâvocal integration). Results suggest that disruptions to audioâvocal integration in individuals with ASD contribute to ASDârelated prosodic atypicalities, and the more subtle differences observed in parents could reflect underlying genetic liability to ASD.