Narrative and visual attention in autism spectrum disorder: a cross-cultural perspective - Report - MDSpire

Narrative and visual attention in autism spectrum disorder: a cross-cultural perspective

  • By

  • Jiayin Xing

  • Kritika Nayar

  • Emily Landau

  • Xin Kang

  • Joseph C. Y. Lau

  • Cassandra Stevens

  • Gary E. Martin

  • Patrick C. M. Wong

  • Molly Losh

  • June 10, 2026

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Cultural Influences on Narrative and Visual Attention in ASD

Overview

This study investigates the narrative abilities of individuals with Autism Spectrum Disorder (ASD) across Western and Eastern cultures, revealing significant cultural influences on narrative quality and visual attention during storytelling. Findings indicate that while narrative structure difficulties are consistent across cultures, the use of cognitive and emotional terms varies significantly between the US and Hong Kong groups.

Background

Narrative skills are crucial for social communication and cognitive development, particularly in individuals with ASD, who often face challenges in these areas. Understanding how cultural factors influence narrative abilities can inform tailored interventions and improve communication strategies. This study contributes to the growing body of literature examining the intersection of culture and cognitive processes in ASD.

Data Highlights

GroupKey Findings
US-ASDMissed key story components; fewer descriptions of thoughts/emotions
HK-ASDSimilar narrative structure difficulties but not in emotional attribution

Key Findings

  • Both US-ASD and HK-ASD groups exhibited difficulties in narrative structure.
  • US-ASD group narrated with fewer descriptions and causal attributions compared to controls.
  • HK-ASD group did not show the same deficits in emotional attribution as US-ASD.
  • Correlational analyses indicated a link between decreased social attention and fewer emotional descriptions across groups.
  • Visual attention patterns during narration provide insights into cognitive processes in storytelling.

Clinical Implications

Clinicians should consider cultural context when assessing narrative abilities in individuals with ASD. Tailoring interventions to address specific cultural influences on narrative skills may enhance communication outcomes. Understanding gaze patterns can also inform strategies to improve social attention and narrative coherence.

Conclusion

The study underscores the importance of cultural factors in shaping narrative abilities in ASD, highlighting both universal challenges and culturally specific deficits. These insights can guide more effective, culturally sensitive clinical practices.

Related Resources & Content

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  2. Frontiers in Psychiatry, 2026 -- Factors influencing the sensory profile in patients with autism spectrum disorder from 16 months to 14 years: results of an observational study
  3. npj Digital Medicine, 2026 -- Quantitative Evaluation of Atypical Facial Expression Patterns in Children with Autism Spectrum Disorder Through Naturalistic Interaction Dynamics
  4. BMC Psychiatry (Springer), 2025 -- Evaluating Diagnostic Precision in Emotion Recognition and Visual Preference Tasks for ASD Screening in Children
  5. Autism Spectrum Disorder in Primary Care | AAFP, 2025
  6. Scientific Reports, 2025 -- Enhancing theory of mind in autism through humanoid robot interaction in a randomized controlled trial
  7. Frontiers in Psychiatry, 2025 -- Context effects: discourse structure influences narrative ability in autism and first-degree relatives
  8. Autism Spectrum Disorder in Primary Care | AAFP
  9. Enhancing theory of mind in autism through humanoid robot interaction in a randomized controlled trial | Scientific Reports
  10. Context effects: discourse structure influences narrative ability in autism and first-degree relatives

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