RT Journal Article SR Electronic T1 Have It, Know It, but Don’t Show It: Examining Physiological Arousal, Anxiety, and Facial Expressions over the Course of a Social Skills Intervention for Autistic Adolescents JF bioRxiv FD Cold Spring Harbor Laboratory SP 582676 DO 10.1101/582676 A1 Niharika Jain A1 Sheikh Iqbal Ahamed A1 Serdar Bozdag A1 Bridget K. Dolan A1 Alana J. McVey A1 Kirsten S. Willar A1 Sheryl S. Pleiss A1 Christina C. Murphy A1 Christina L. Casnar A1 Stephanie Potts A1 Daniel Cibich A1 Kylie Nelsen-Freund A1 Dana Fernandez A1 Illeana Hernandez A1 Amy Vaughan Van Hecke YR 2019 UL http://biorxiv.org/content/early/2019/03/25/582676.1.abstract AB Facial expressions provide a nonverbal mechanism for social communication, a core challenge for autistic people. Little is known regarding the association between arousal, self-report of anxiety, and facial expressions among autistic adolescents. Therefore, this study investigated session-by-session facial expressions, self-report of anxiety, and physiological arousal via Electrodermal Activity (EDA), of 12 autistic male adolescents in a didactic social skills intervention setting. The goals of this study were threefold: 1) identify physiological arousal levels (“have-it”), 2) examine if autistic adolescents’ facial expressions indicated arousal (“show-it”), and 3) determine whether autistic adolescents were self-aware of their anxiety (“know-it”). Our results showed that autistic adolescents’ self-rated anxiety was significantly associated with peaks in EDA. Both machine learning algorithms and human participant-based methods, however, had low accuracy in predicting autistic adolescents’ arousal state from facial expressions, suggesting that autistic adolescent’s facial expressions did not coincide with their arousal. Implications for understanding social communication difficulties among autistic adolescents, as well as future targets for intervention, are discussed. This project is registered with ClinicalTrials.gov, Identifier: NCT02680015.