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Title Pitch perception in individuals of Cantonese-speaking adults with autism spectrum disorders Author(s) Cheng, Tsz-ting; 鄭梓婷 Citation Cheng, T. [鄭梓婷]. (2014). Pitch perception in individuals of Cantonese-speaking adults with autism spectrum disorders. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Issued Date 2014 URL http://hdl.handle.net/10722/238942 Rights This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License.; The author retains all proprietary rights, (such as patent rights) and the right to use in future works. brought to you by CORE View metadata, citation and similar papers at core.ac.uk provided by HKU Scholars Hub

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Page 1: 2014). Pitch perception in individuals of Citation Cantonese … · 2017. 12. 9. · was observed in visual perception. For example, Bertone, Mottron, Jelenic, and Faubert (2005)

Title Pitch perception in individuals of Cantonese-speaking adultswith autism spectrum disorders

Author(s) Cheng, Tsz-ting; 鄭梓婷

CitationCheng, T. [鄭梓婷]. (2014). Pitch perception in individuals ofCantonese-speaking adults with autism spectrum disorders.(Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR.

Issued Date 2014

URL http://hdl.handle.net/10722/238942

Rights

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.; Theauthor retains all proprietary rights, (such as patent rights) andthe right to use in future works.

brought to you by COREView metadata, citation and similar papers at core.ac.uk

provided by HKU Scholars Hub

Page 2: 2014). Pitch perception in individuals of Citation Cantonese … · 2017. 12. 9. · was observed in visual perception. For example, Bertone, Mottron, Jelenic, and Faubert (2005)

Running head: PITCH PERCEPTION IN ADULTS WITH ASD

Pitch Perception in Individuals of Cantonese-speaking adults with

Autism Spectrum Disorders

Cheng Tsz Ting

A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science

(Speech and Hearing Sciences), The University of Hong Kong, June 30, 2014.

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PITCH PERCEPTION IN ADULTS WITH ASD 2

Pitch Perception in Individuals of Cantonese-speaking adults with

Autism Spectrum Disorders

Cheng Tsz Ting

Abstract

Studies showed that individuals with Autism Spectrum Disorders (ASD) demonstrated

enhanced pitch perception ability when compared to typical individuals. This study compared

pitch perception of 20 adults with ASD and 20 matched neurotypical (NT) controls who spoke

Cantonese as their native language. The matching parameters included gender, age, education

background, and experience of formal musical training. Real word, nonsense word, and

non-speech stimulus pairs with different levels of pitch differences were synthesized. In an

auditory discrimination task, participants had to determine whether the stimuli in a pair were

the same or different. Results revealed no significant difference between the ASD and the

control groups in the three stimulus types implying that individuals with ASD did not have

superior pitch perception ability when compared to NT controls. Instead, people with musical

training, regardless of group membership, showed better performance in detecting small

differences in pairs in all three stimulus types.

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PITCH PERCEPTION IN ADULTS WITH ASD 3

Introduction

Background

Under the Fifth Edition of Diagnostic and Statistical Manual of Mental Disorders,

Autism spectrum disorders (ASD) are diagnosed based on one’s social communication and

interaction deficits; and restricted, repetitive behaviors, or interests (DSM-5, American

Psychiatric Association, 2013). According to the DSM-5, being hyper- or hypo-active to

sensory input was one of the four diagnostic symptoms under the domain of restricted,

repetitive behaviors, or interests. In addition, in the study conducted by Leekam, Nieto,

Libby, Wing, and Gould (2007), most of the children with ASD demonstrated sensory

abnormalities in different sensory domains, including sight, hearing, smell, taste and touch.

Previous studies showed that individuals with ASD may demonstrate idiosyncratic

responses which involved both hyposensitive and hypersensitive reactions to auditory stimuli

(see Bonnel et al., 2010; Samson, Mottron, Jemel, Belin, & Ciocca, 2006). For auditory

hyposensitivity, it was mentioned by Grandin and Scariano (1986) that children with ASD

often appeared to be deaf even they had normal hearing. For example, unlike the normally

developing infants, infants with ASD might not response to auditory input in their ambient

environment, such as parents’ speech. On the other hand, enhanced pitch discrimination

ability (Heaton, Hudry, Ludlow, & Hill, 2008) and absolute pitch (Heaton, 2003; Heaton,

Davis, & Happé, 2008) were evidences of auditory hypersensitivity. Absolute pitch was

defined as “the ability to identify the names of musical pitch (pitch classes or tone chromas)

of isolated tones accurately and quickly without reference to an external standard” (Miyasaki,

Makomaska, & Rakowski, 2012, p. 3484). Although the findings were still mixed, in which

there was study showing no significant difference in auditory processing ability between ASD

and NT group (Jones et al., 2009), superior auditory processing ability in ASD was supported

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PITCH PERCEPTION IN ADULTS WITH ASD 4

by a majority of studies using different auditory tasks. For example, enhanced ability in

discriminating if the pure tones had same or different pitches and categorizing the tones as

high or low was observed in adolescents and young adults with ASD (Bonnel et al., 2003);

and better performance in identifying the pitch order of two pitches with subtle difference

was observed in children with ASD (Heaton, 2005).

Explanations on Disproportionate Auditory Processing in ASD

Various theories have been put forward to explain the disproportionate auditory

processing in ASD when compared to neurotypical (NT) individuals. Järvinen-Pasley and

Heaton (2007) conducted an experiment to investigate whether auditory processing in ASD

was domain-specific. In other words, whether their pitch perception ability would be

affected by speech content liked the NT individuals. Their study compared the pitch

sequence discrimination ability of individuals with ASD and the NT controls. Both music

and speech pitch sequence were used. Each speech sequence was composed of a word with

four syllables which were spoken by a native English-speaking female with different pitches,

and for each speech sequence, a music sequence with four acoustic piano tones carrying the

same pitch and timing features as the speech syllables was generated. The stimuli were

manipulated into three types of pairs, including music-music, speech-speech and

speech-music. For each type of pairs, both “same” and “different” pairs were generated.

The “same” pairs were composed of two sequences with exactly the same pitches for the four

tones or syllables, whereas the “different” pairs were composed of two sequences with the

second and the third tones or syllables having different pitches. Participants were asked to

discriminate whether the sequence pairs were same or different. Their test revealed no

significant difference in the performance across the types of stimuli for the ASD group,

whereas significantly better performance in music stimuli was observed for the control group.

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PITCH PERCEPTION IN ADULTS WITH ASD 5

In addition, the ASD group performed significantly better than the controls for the two

conditions involving speech stimuli. They concluded that the pitch perception of ASD was

not affected by the speech content of stimuli and therefore proposed the domain-general

principle in pitch processing in ASD. Järvinen-Pasley and Heaton (2007) explained their

results using the “Enhanced Perceptual Functioning” (EPF) model (Mottron & Burack, 2001;

Mottron, Dawson, Soulières, Hubert, & Burack, 2006) and the “Weak Central Coherence”

(WCC) theory (Happé & Frith, 2006). According to the updated EPF model by Mottron et

al. (2006), it was suggested that the low-level perceptual process was superior in ASD.

They suggested that pitch discrimination was a low-level perceptual process, which was the

simplest auditory tasks in terms of neural complexity required. As the participants were

asked to discriminate in terms of pitch which is considered a low-level perceptual process and

does not involve higher-level perception such as speech perception in Järvinen-Pasley and

Heaton’s study, the ASD groups showed superior performance when compared to the controls

in discrimination task involving speech stimuli. This model was also supported by a

subsequent study by Heaton, Hudry, et al. (2008) who found that children with ASD showed

enhanced pitch discrimination ability for both speech and non-speech stimuli when compared

to the matched controls.

The WCC theory was used by Järvinen-Pasley and Heaton (2007) to explain the

phenomenon that no significant difference was observed in pitch perception performance

across stimulus types in the ASD group. The WCC theory suggested that individuals with

ASD might have weak verbal-semantic coherence (Happé, 1999) and often process

information from the surrounding with a detail-focused approach rather than a global or

wholistic approach (Happé & Frith, 2006). Järvinen-Pasley and Heaton (2007) suggested

that the participants in the ASD group in their study mainly focuses on pitch discrimination as

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PITCH PERCEPTION IN ADULTS WITH ASD 6

instructed and ignored other input including verbal-semantic information. As a result, their

pitch discrimination performance was not affected by the semantic content liked the NT

controls.

On the contrary, some researchers proposed that the complexity of stimuli, which

required different levels of neuro-integrative processing, affected auditory processing in ASD

(Bonnel et al., 2010; Samson et al., 2006). Evidence of this neuro-integrating processing

was observed in visual perception. For example, Bertone, Mottron, Jelenic, and Faubert

(2005) suggested that individuals with ASD demonstrated better performance than the

controls in identifying the orientation of first-order static visual stimuli, but they performed

poorer than the controls in similar task with second-order static visual stimuli. As

processing the first-order and second order visual stimuli involved only one and more than

one visual areas in brain respectively, Bertone et al. suggested that the visual processing in

ASD was affected by the neural complexity. In order to investigate whether auditory

perception in ASD was affected by neural complexity in a similar way as observed in visual

perception, Samson et al. conducted a review on studies on auditory perception in ASD and

concluded that individuals with ASD exhibited a dissociation in performance of auditory

perception between spectro-temporally simple and complex stimuli, with the former better

than the latter.

Cantonese

Cantonese is a tone language consists of six lexical tones which could be described in

terms of tone height and tone contours (Bauer & Benedict, 1997). This study adopted the

tone number system used by Lau (1972). The relations between tone height and contours,

and the 6 lexical tones are illustrated in Figure 1.

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PITCH PERCEPTION IN ADULTS WITH ASD 7

Figure 1. Cantonese lexical tones.

Different lexical meanings can be encoded by changing lexical tones carried on the

same syllable. For example, from Tone 1 to Tone 6, the syllable /jɐu/ means “rest”,

“grapefruit”, “young”, “oil”, “have” and “right side” respectively.

Research Questions and Hypotheses

Although there were studies comparing pitch discrimination of ASD in speech and

music stimuli, there has been no similar study for Cantonese speakers. Much evidence

attested that individuals who speak a tone language as native language demonstrates higher

ability in pitch discrimination (e.g., Giuliano, Pfordresher, Stanley, Narayana, & Wicha,

2011). Given the tonal features of Cantonese, speakers of this language provides an

interesting basis for examining if individuals with ASD speaking this language process

non-linguistic pitches and linguistic lexical tones differently.

The present study aimed to compare pitch perception ability of Cantonese-speaking

high-functioning ASD adults and their NT controls. Three research questions were

addressed. Firstly, how was the pitch discrimination of the ASD and the NT group different

from each other? Secondly, did the ASD group exhibit superior ability in detecting smaller

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PITCH PERCEPTION IN ADULTS WITH ASD 8

difference between pitch levels? Thirdly, how was pitch perception affected by the nature of

auditory stimuli (i.e., syllables with tonal differences as opposed to non-speech tones) and the

presence of semantic information (i.e., nonsense syllables as opposed to real syllables) in the

two groups?

Based on the EPF model, it was hypothesized that better performance in pitch

discrimination would be found across all conditions in the ASD group than the NT group,

especially for the stimulus pairs with smaller differences in pitch level. Concerning the

performance in different conditions within ASD group, two contrastive hypotheses were

made based on different theories. If the ASD group showed significantly poorer

performance in speech than non-speech stimuli, it would support the neural complexity

hypothesis, which stated that auditory perception in ASD would be affected by the

spectro-temporal complexity of stimuli. On the other hand, if there were no significant

difference across stimulus types, it supports the WCC theory, which suggested that pitch

discrimination ability in the ASD group would not be affected by the semantic information of

stimuli. In contrast to the ASD group, semantic information was believed to be adversely

affecting the lexical tone discrimination in NT individuals (Heaton, Hudry, et al., 2008;

Järvinen-Pasley & Heaton, 2007), it was hypothesized that NT adults would performance

significantly better in non-speech and nonsense word condition than real word condition

Method

Participants

ASD Group. Twenty-one Cantonese-speaking adults with a formal diagnosis of

Autism Spectrum Disorders (ASD) by clinical psychologists or pediatricians according to

DSM-IV-TR (American Psychiatric Association, 2000) during their childhood participated in

this study. They were recruited from organizations and social groups for people with

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PITCH PERCEPTION IN ADULTS WITH ASD 9

high-functioning ASD in Hong Kong. The hearing ability of all participants was screened

with a GSI 18 screening audiometer in a sound proof room, with the passing criteria set at

“responses to pure-tone air-conduction stimuli at 25 dB HL at frequencies of 1000, 2000 and

4000 Hz are obtained in both ear” (American Speech-Language-Hearing Association, 1997).

Only those who could pass the hearing screening were included. One of these 21

participants failed in the hearing screening and was therefore excluded from the study. All

selected participants had primary education at mainstream schools in Hong Kong, normal

intelligence and normal visual acuity with or without correction. The information of

medical and education background was self-reported.

NT Group. Twenty NT adults who met the inclusion criteria, including having

primary education at mainstream schools in Hong Kong, normal hearing acuity with hearing

screening passed, normal visual acuity with or without correction, and normal intelligence,

were recruited as the control group. The participants in the ASD group were matched

individually with those in the NT group for gender, chronological age, education background,

as well as the experience of formal musical training, which may have potential confounding

effects on their performance (Schön, Magne, & Besson, 2004). The characteristics of the

selected participants are summarized in Table 1. There was no significant between-group

difference in age, t(38) = 0.86, p = .39.

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PITCH PERCEPTION IN ADULTS WITH ASD 10

Table 1

Participant Characteristics of the ASD and the NT Groups

CA (years) Gender Education MT (years)

Mean

(SD) Range M F Sec. Ter. Voc.

0 - 5 > 10

ASD

(n = 20)

24.59

(3.22)

17.82 –

32.38

17 3 2 17 1 13 7

NT

(n = 20)

23.65

(3.64)

17.44 –

34.2

17 3 2 17 1 13 7

Note. ASD = autism spectrum disorders, NT = neurotypical controls, CA = chronological age,

M = Male, F = Female, Sec. = Secondary, Ter. = Tertiary, Voc. = Vocational, MT = musical

training.

Given that one’s experience in receiving formal musical training affected his/her

ability in pitch processing (Schön, Magne, & Besson, 2004), formal musical training

experience was also included in the data analysis. All participants recruited were having

either more than ten years or less than five years experience of formal musical training. A

dichotomous coding was used: participants were regarded as musicians when they had

received formal musical training for more than ten years, whereas those who received formal

musical training less than five years were regarded as non-musicians.

Stimuli

The pitch discrimination experiment consisted of three types of auditory stimuli, real

words, nonsense words, and non-speech sounds. Two monosyllabic words were used in

each of the real word and nonsense word condition, and they were composed of a fricative or

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PITCH PERCEPTION IN ADULTS WITH ASD 11

a glide and the vowel /ɐm/ or /ɛ/. Cantonese syllables /jɐm/ and /sɛ/ and nonsense syllables

/fam/ and /wɛ/ that violate the phonotactic rules of Cantonese were used for the real word and

nonsense word conditions respectively. These two types of stimuli were produced by a male

native Cantonese speaker with Tone 1, i.e., high level (55) tone in Cantonese. For each

monosyllabic word, four stimuli with different pitches were synthesized from the original

stimulus by shifting the pitch contour down by about one semitone in a stepwise manner

using the PRAAT programme (Boersma & Weenink, 2001). As a result, each monosyllabic

word consisted of stimuli with five different pitches as illustrated in Figure 2.

Figure 2. Fundamental frequencies of word stimuli

0 100 200 300 0

50

100

150

200

Original 1 semitone 2 semitones 3 semitones 4 semitones

Time (ms)

F0 (H

z)

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PITCH PERCEPTION IN ADULTS WITH ASD 12

The tones of the original stimulus, the stimuli which were two semitones and four

semitones away from the original stimulus were judged by two phonetically-trained

Cantonese native listeners as Tone 1, Tone 3, and Tone 6 in Cantonese (Lau, 1972)

respectively. A total of 25 pairs of stimuli with different interval sizes (i.e., one semitone,

two semitones, three semitones, four semitones, and no difference) were generated for each

syllable, in which the occurrence of the five tones was counterbalanced. As two syllables

were used in each speech condition, 50 trials were resulted for each condition.

For the non-speech stimuli, the value of fundamental frequency was extracted from

the real word stimuli. Then croaking-like non-speech stimuli were generated using PRAAT.

The resulting stimuli were combined to produce 25 pairs of stimuli as a similar fashion as the

speech stimuli. All pairs of stimuli were repeated and 50 trials were involved for the

non-speech condition.

Procedures

All participants completed the test in a quiet room individually. The experiment was

conducted as an auditory discrimination task in which the stimulus pairs were presented by a

computer. Stimuli were blocked according to their types. Within each block, stimuli were

presented randomly using the E-PRIME programme. Two practice trials with feedback

informing the participant the correct answers were included in each block. Within each pair,

the inter-stimulus interval was around 700ms. When a pair of stimuli was presented,

participants were asked to indicate whether the stimuli were the same or different by pressing

the corresponding keys on the keyboard. The number of correct responses made was

recorded and scored by the E-Prime Programme. The blocks were presented in an order

which was counterbalanced across participants from the same group.

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PITCH PERCEPTION IN ADULTS WITH ASD 13

Results

All data of the pitch discrimination task recorded in the E-prime programme were

imported to the SPSS programme for statistical analysis. Descriptive data for the results of

different stimuli types in the pitch discrimination task are displayed in Table 2.

Table 2

Mean Percentages of Correct Trials across Conditions (SDs, in parentheses)

Group Tone Interval Size

1 semitone 2 semitones 3 semitones 4 semitones No difference

Real word condition

ASD 62.2 (29.4) 89.2 (16.9) 95 (13.1) 95 (22.4) 96 (6.81)

NT 68.8 (23.1) 92.1 (16.8) 96.9 (8.95) 98.8 (5.59) 97.5 (6.39)

Nonsense word condition

ASD 70.3 (26.7) 92.1 (12.5) 95.6 (12.4) 92.5 (20.0) 92.5 (10.2)

NT 70.3 (25.9) 93.3 (13.4) 94.4 (17.0) 96.3 (12.2) 93.5 (9.88)

Non-speech condition

ASD 81.3 (22.1) 92.5 (16.2) 94.4 (16.0) 100 (0) 95.0 (13.6)

NT 82.8 (21.4) 97.1 (8.23) 96.3 (12.2) 97.5 (11.2) 96.5 (7.45)

Note: ASD = autism spectrum disorders, NT = neurotypical controls

Data were analyzed using a mixed effect model of analysis of variance (ANOVA)

with group (ASD and controls) and musical experience (musicians and non-musicians) as

between-subject factors, and stimulus types (real words, nonsense words, and non-speech)

and interval size (one semitone, two semitones, three semitones, four semitones, and no

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PITCH PERCEPTION IN ADULTS WITH ASD 14

difference) as within-subject factors. The percentage of correct trials at each level of

interval size in different stimulus types was chosen as dependent variable.

There was no significant main effect of group, F(1,36) = 0.21, p = .649, ηp2 = .006,

indicating that there were no significant difference between the ASD and the NT groups in

the pitch discrimination experiment. Yet, the effect of musical experience was significant,

F(1,36) = 7.01, p = .012, ηp2 = .163, with participants who were musicians scored

significantly higher than the non-musicians. The group by music interaction was not

significant, F(1,36) = 0.18, p = .672, ηp2 = .005.

Mauchly’s test of Sphericity was conducted for the two within-subject variables and

their interaction. The test indicated that the assumption of sphericity had been violated for

all stimulus type, χ2(2) = 6.72, p = .035, interval size, χ2(9) = 77.09, p < .001, and interaction

of these two within-subject factors, χ2(35) = 125.38, p < .001. Thus, the degrees of freedom

were corrected using Greenhouse-Geisser estimates of sphericity (ε = 0.85, ε = 0.51, and ε =

0.56 for stimulus type, interval size, and their interaction respectively). There was

significant main effect of stimulus type, F(1.703) = 5.97, p = .006, 𝜂𝜂𝑝𝑝2 = .142, with

participants making significantly more correct trials in non-speech condition than the real

word and nonsense word conditions. The main effect of interval size was also significant,

F(2.033) = 31.17, p < .001, 𝜂𝜂𝑝𝑝2 = .464, with participants scoring significantly lower for pairs

with one semitone difference than the others. There were significant stimulus type by

interval size interaction, F(4.496) = 6.23, p < .001, ηp2 = .148, and interval size by music

interaction, F(2.033) = 4.11, p = .020, ηp2 = .103. Yet, the stimulus type by group

interaction was not significant, F(1.703) = 0.36, p = .666, ηp2 = .010.

Follow-up ANOVAs were conducted separately for each levels of interval size.

Results revealed that musicians made significantly more correct trials than non-musicians on

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PITCH PERCEPTION IN ADULTS WITH ASD 15

stimuli pairs with one semitone difference, F(1,36) = 7.91, p = .008, 𝜂𝜂𝑝𝑝2 = .180, and two

semitones difference, F(1,36) = 5.94, p = .020, ηp2 = .142, but not the other levels of interval

size, three semitones, F(1,36) = 3.04, p = .090, ηp2 = .078; four semitones, F(1,36) = 2.50, p

= .122, ηp2 = .065; no difference, F(1,36) = 0.424, p = .519, ηp

2 = .012. The result is shown

in Figure 3.

Figure 3. Effects of musical training on discrimination of pitches with different interval sizes

The analysis also revealed that the main effect of stimulus type was significant only

on pairs with one semitone difference, F(2) = 15.66, p < .001, ηp2 = .303, but not those on

the other levels, two semitones, F(2) = 1.67, p = .196, ηp2 = .044; three semitones, F(1.59) =

0.11, p = .855, ηp2 = .003; four semitones, F(2) = 0.65, p = .525, ηp

2 = .018; no difference,

F(2) = 2.40, p = .098, ηp2 = .063. For interval size of one semitone, there was no

significant stimulus type by group interaction, F(2) = 0.74, p = .481, ηp2 = .020, and a

pairwise comparisons adjusted by the Bonferroni method showed that the percentage of

0

20

40

60

80

100

120

1 semitone 2 semitones 3 semitones 4 semitones No difference

Mea

n %

of c

orre

ct tr

ials

Interval Size Non-musicians

Musicians

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PITCH PERCEPTION IN ADULTS WITH ASD 16

correct trials was significantly higher in non-speech condition (M = 84.74, SE = 3.32) than

real word condition (M = 67.57, SE = 4.33, p < .001) and nonsense word condition (M =

74.18, SE = 3.88, p < .001). Yet, there was no significant difference between the

performance in real word and nonsense word condition (p = .145). The result is shown in

Figure 4.

Figure 4. Effects of stimulus types on discrimination of pitches with different interval sizes

In summary, the participants with ASD did not show higher pitch discrimination

ability than the NT group as predicted. Yet, participants who had received formal musical

training for more than ten years demonstrated higher ability in pitch discrimination in general,

with significant differences in pairs with one or two semitones difference. In addition,

participants made significantly more correct trials for stimuli in non-speech condition than

0

20

40

60

80

100

120

1 semitone 2 semitones 3 semitones 4 semitones No difference

Mea

n %

of c

orre

ct tr

ials

Interval Size Real wordNonsense wordNon-speech

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PITCH PERCEPTION IN ADULTS WITH ASD 17

the two speech conditions only in discrimination of pairs with one semitone difference but

not the other levels.

Discussion

The results of the current study showed that individuals with ASD did not perform

differently in pitch discrimination as the NT controls for all types of auditory stimuli. The

findings failed to support our hypothesis which was set based on the EPF model that

individuals with ASD would perform better in pitch perception than NT controls. Although

this finding was contradictory to most previous studies suggesting enhanced pitch

discrimination ability in ASD (e.g., Bonnel et al., 2010; Heaton, Hudry, et al., 2008), it was

similar to the result of some previous studies (e.g., Jones et al., 2009). Jones et al.

investigated the auditory discrimination ability of adolescents with ASD and their controls.

The study revealed no significant difference between groups in the performance on detecting

differences in frequency, intensity, and duration. Yet, enhanced pitch discrimination was

observed in a small proportion of the ASD participants. Hence, they proposed that enhanced

pitch discrimination might be a characteristic of a particular group in ASD population.

Heaton, Williams, Cummins, and Happé (2008) also provided evidence to the view that

superior pitch processing ability would only be observed in a subgroup of ASD population.

As revealed in the present study, the standard deviations in the ASD group appeared to be

generally higher in all interval sizes except the four semitones. The suggestion by Jones et

al. might account for the non-significant difference between the performances in pitch

discrimination tasks of the two groups.

Another possible explanation for the non-significant difference between the ASD

group and the NT group may be the tone language background of the participants in the

present study. All previous research investigating enhanced pitch discrimination ability in

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PITCH PERCEPTION IN ADULTS WITH ASD 18

ASD (e.g., Bonnel et al., 2010; Heaton, Hudry, et al., 2008) studied non-tone language

speakers. Typical native tone language speakers were found to demonstrate higher ability in

pitch perception (e.g., Giuliano et al., 2011; Pfordresher & Brown, 2009). For example,

Giuliano et al. compared the ability of native Mandarin Chinese (a tone language) and

English (a non-tone language) speakers in two perceptual pitch discrimination tasks. In the

first task, pure tone pairs consisted of two tones carrying same or different pitches with

different intervals were used, and the participants were asked to judge whether the two

stimuli in each pure tone pair were same or different. In the second task, the pure tone pairs

prepared in the first task were used, and the participants were asked to judge whether the

intervals of two consecutive tone pairs were same or different. The results attested that the

native tone language speakers performed better than the native non-tone language speakers in

both tasks. The findings suggested that long-term use of a tone language would enhance

one’s pitch perception ability. The intense effect of exposure to tone language may also

provide an explanation for the non-significant difference between the ASD and the NT group

in the present study. The participants in the NT group in the present study may also have

enhanced pitch perception ability given their tone language background when compared to

the counterparts speaking a non-tone language. Their performance in pitch discrimination

may therefore not differ much with that of the individuals with ASD. This can be seen in

the consistently high scores in all conditions (real word, nonsense, and non-speech) and tone

interval size except the one semitone difference (see Table 2).

Concerning the effects of linguistic nature and the semantic content on pitch

perception, the results showed that participants in both ASD and NT groups demonstrated

significantly weaker performance in discriminating pitch pairs with one semitone difference

for real word and nonsense word stimuli than the non-speech stimuli. Yet, they showed

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PITCH PERCEPTION IN ADULTS WITH ASD 19

similar pitch discrimination ability across stimulus types for pairs with more than one

semitone or no difference. The findings supported the neural complexity hypothesis

(Samson et al., 2006) and also replicated previous research which showed that individuals

with ASD demonstrated better pitch discrimination ability for pairs consisted of

spectro-temporally simpler tones (Bonnel et al., 2010; Samson et al., 2006). The findings

suggested that for detecting subtle differences in pitch, the ability might be affected by the

nature of stimuli, in which the linguistic nature, which was believed to be more

spectro-temporally complex, of stimuli may hinder pitch discrimination ability in ASD. On

the other hand, the WCC theory (Happé & Frith, 2006) which claimed that pitch processing

would not be affected by the nature of stimuli in ASD was not supported. The ASD

participants were able to detect pitch differences of one semitone more accurately for

non-speech stimuli than the real word and nonsense word stimuli. The ASD participants in

the present study may have in fact drawn on extra information during the real words and

nonsense words processing when compared to the non-speech condition. In addition, the

current results supported the prediction that semantic content could hinder the pitch

discrimination ability of the NT individuals, in which they also performed better in detecting

the one semitone difference in non-speech stimuli than the speech, including both real word

and nonsense word, stimuli. Our results were also consistent with Heaton, Hudry, et al.

(2008) who reported no significant difference in pitch perception of real word and nonsense

word stimuli. It was therefore concluded that, similar to English, the pitch discrimination

was affected by the nature of speech sound but not the content of speech.

Apart from the targeted research hypotheses, the confounding factor of formal

musical training experience on pitch discrimination ability was found to be significant.

Knowing that people with musical training were proven to have enhanced pitch processing

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PITCH PERCEPTION IN ADULTS WITH ASD 20

ability in both music and language (Schön, Magne, & Besson, 2004), this factor was

controlled and matched between participants in ASD and NT groups. As musical training

experience was not a main focus of the study, whether one was a musician or not was not an

inclusion criterion. Thus, the numbers of musicians and non-musicians were not the same.

Across the ASD and the NT groups, musicians performed better than non-musicians in pitch

discrimination, significantly for pairs with one or two semitones differences. The findings

may be supported by some previous studies showing that musicians showed enhanced pitch

processing ability than non-musicians for both musical and linguistic stimuli (e.g., Schön,

Magne, & Besson, 2004). Schön et al., compared pitch processing in music and language in

NT musicians and non-musicians. Auditory stimuli including short musical and linguistic

phrases were presented to participants aurally. The final musical note or word was

harmonious or inharmonious in melody or prosody. The pitch of the final notes or the

fundamental frequency of the final words were manipulated to be increased and became in

harmonious. Results showed that the musicians group performed better not only in

detecting difference in melodic phrases in music but also in pitch variations in sentential

prosody. Similar results were observed when the participants were changed from adults to

children (Magne, Schön, & Besson, 2006). As musical training experience was proven to

have positive effect on individual’s pitch processing ability in both music and language, it is

possible that the musical training experience of the musicians in generally facilitated their

pitch discrimination. These studies suggested that musical training might affect particular

areas in brain which are not absolutely related to music. In other words, long-term musical

experience might induce positive influence on language processing. Apart from these,

Wong, Skoe, Russo, Dees, and Kraus (2007) discovered that individuals’ exposure to music

could affect the encoding of linguistic pitch in brainstem. It was also suggested that

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PITCH PERCEPTION IN ADULTS WITH ASD 21

musicians might be more beneficial than non-musicians in learning tone language. These

may be account for the superior performance of musicians in detecting subtle differences in

pitch intervals than non-musicians across stimulus types.

Limitations and Future Research

There were some limitations in the current study. Firstly, the sample size was small.

As mentioned in the discussion part, the enhanced pitch discrimination may only be observed

in a small proportion of individuals with ASD. Thus, the sample size of 20 participants in

each group may be insufficient to detect significant results. Secondly, as mentioned in the

discussion part, since musical training experience was not the main focus of the study, the

numbers of musicians and non-musicians were not the same. This may affect the

significance of the findings about the effect of musical training on pitch perception.

As native use of tone-language and musical training seemed to be factors affecting the

pitch perception in both ASD and NT individuals, future research may investigate the effect

of musical training or native use of tone language on pitch perception in both ASD and

normal populations.

In addition, the current study focused on pitch discrimination at monosyllabic level

only. Future research may make use of music and speech sequence constructed in a similar

fashion as Järvinen-Pasley and Heaton (2007), in order to investigate whether the ASD

population can detect pitch differences in a series of musical tones or speech syllables better

than the NT population.

Acknowledgements

Firstly, I would like to thank my supervisor, Dr. Carol K. S. To. This dissertation

would have never been completed without her supervision and guidance. Secondly, I would

like to thank Dr. I-Fan Su and Dr. Felix Chen for their assistance in the application of

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PITCH PERCEPTION IN ADULTS WITH ASD 22

E-prime programme and plotting of time-frequency graph. Thirdly, I would like to thank Dr.

Joanne Wong and Miss Deborah Kwong from SAHK, and Mr. David Chung for their

assistance in the recruitment of participants. Fourthly, I would like to thank Mr. Gary Lam

for the preparation of test stimuli. Lastly, I would also like to express my thanks to the

participants for their participations.

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PITCH PERCEPTION IN ADULTS WITH ASD 23

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