J Korean Med Sci.  2023 Jul;38(29):e228. 10.3346/jkms.2023.38.e228.

Developing an Attention Assessment Tool for Individuals With Autism Spectrum Disorder Using Timbre, Rhythm, and Pitch

Affiliations
  • 1Department of Psychiatry, Chung-Ang University Hospital, Seoul, Korea
  • 2Department of Music Therapy, Ewha Womans University, Seoul, Korea
  • 3Department of Oncology, Chung-Ang University Hospital, Seoul, Korea
  • 4School of Social Welfare, Soongsil University, Seoul, Korea
  • 5Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea

Abstract

Background
Music is regarded as a beneficial tool for assessing the clinical symptoms and communication skills in individuals with autism spectrum disorder (ASD) or autism. The present study developed a music-based attention test (MAT) for individuals with autism using music parameters and the algorithm of the comprehensive attention test (CAT).
Methods
We recruited 51 autistic individuals and 50 neurotypical individuals to participate in the CAT, MAT, and social intelligence tests. The reliability and validity of the MAT were assessed using exploratory factor analysis, concurrent validity, and criterion-related validity.
Results
The MAT had sound internal consistency (high Cronbach’s α = 0.948). In addition, the MAT had suitable concurrent validity in the correlation between CAT and MAT, as well as good criterion validity when attention was measured using the MAT and was compared between autistic individuals and neurotypical individuals. Attention evaluated using the MAT was associated with the social quotient in individuals with autism.
Conclusions
The MAT could be a relevant tool for gauging attention in individuals with ASD. Furthermore, attention determined using the MAT may be correlated with social quotient in autistic individuals. Future studies should consider that using music in the field of attention could improve the social quotient of individuals with autism.

Keyword

Music Attention Test; Comprehensive Attention Test; Autism Spectrum Disorder; Social Quotient

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