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Here, we investigated autistic adolescents with and without language delay as compared to non\u2010autistic peers, and we assessed speech perception in steady\u2010state noise, temporally modulated noise, and concurrent speech. We found that autistic adolescents with intact language capabilities and not those with language delay performed worse than NT peers on words\u2010in\u2010stationary\u2010noise perception. For the perception of sentences in stationary noise, we did not observe significant group differences, although autistic adolescents with language delay tend to perform worse in comparison to their TD peers. We also found evidence for a robust deficit in speech\u2010in\u2010concurrent\u2010speech processing in ASD independent of language ability, as well as an association between early language delay in ASD and inadequate temporal speech processing. We propose that reduced voice stream segregation and inadequate social attentional orienting in ASD result in disproportional informational masking of the speech signal. These findings indicate a speech\u2010in\u2010speech processing deficit in autistic adolescents with broad implications for the quality of social communication.<\/jats:p>","DOI":"10.1002\/aur.2966","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T07:00:00Z","timestamp":1686812400000},"page":"1719-1727","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Speech\u2010in\u2010noise perception in autistic adolescents with and without early language delay"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0996-8475","authenticated-orcid":false,"given":"Diego","family":"Ruiz Callejo","sequence":"first","affiliation":[{"name":"Center for Developmental Psychiatry, Department of Neurosciences KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0093-698X","authenticated-orcid":false,"given":"Jan","family":"Wouters","sequence":"additional","affiliation":[{"name":"Research Group ExpORL, Department of Neurosciences KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4718-667X","authenticated-orcid":false,"given":"Bart","family":"Boets","sequence":"additional","affiliation":[{"name":"Center for Developmental Psychiatry, Department of Neurosciences KU Leuven  Leuven Belgium"},{"name":"Leuven Autism Research (LAuRes) KU Leuven  Leuven Belgium"},{"name":"Leuven Brain Institute (LBI) KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2004.t01-1-00303.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006x.75.4.594"},{"key":"e_1_2_8_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"APA","year":"2000"},{"key":"e_1_2_8_5_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"APA","year":"2013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-013-1778-y"},{"key":"e_1_2_8_7_1","first-page":"117","article-title":"The cocktail party phenomenon: A review of research on speech intelligibility in multiple\u2010talker conditions","volume":"86","author":"Bronkhorst A.","year":"2000","journal-title":"Acta Acustica United with Acustica"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/aud.0000000000000692"},{"key":"e_1_2_8_9_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_8_10_1","volume-title":"Social responsiveness scale (SRS)","author":"Constantino J.","year":"2005"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0044084"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206090109073110"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2016.00401"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-05076-8"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/cercor\/bht213"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneumeth.2008.04.020"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2010.505582"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-008-0682-3"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.4873518"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2020.10.003"},{"key":"e_1_2_8_21_1","volume-title":"Handbook of the international phonetic association: A guide to the use of the international phonetic alphabet","author":"IPA","year":"1999"},{"key":"e_1_2_8_22_1","volume-title":"CELF\u20104\u2010NL; Clinical evaluation of language fundamentals","author":"Kort W.","year":"2008"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneumeth.2004.08.015"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01981"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.22.2.6"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361314556782"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0387-7604(02)00191-2"},{"key":"e_1_2_8_28_1","unstructured":"Roeyers H. 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