Dissociation in How Core Autism Features Relate to Interoceptive Dimensions: Evidence from Cardiac Awareness in Children
Open accessAbstract
Interoception in autism is receiving increasing research attention. Previously, differences were identified in autism on both objective and subjective measures of interoception, and an association with anxiety. Yet, it is currently unknown how interoception relates to core autism features. Here, in 49 autistic children, we consider how interoceptive accuracy (measured with heartbeat detection tasks) and sensibility (subjective judgements of awareness) relate to overall severity on the Autism Diagnostic Observation Schedule, and symptom domains of social-affective and repetitive, restricted behaviors. Socio-affective features were related to interoceptive sensibility, while repetitive restricted behaviors were related to interoceptive accuracy. This dissociation suggests disparate interoceptive mechanisms for the formation and/or maintenance of autistic features.
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In autistic children, social affective difficulties were related to overconfidence in the heartbeat discrimination task, while restricted and repetitive behaviours were associated with higher heartbeat discrimination accuracy.
“Palser et al. (2019) found that social affective difficulties in autistic children were related to overconfidence in the heartbeat discrimination task, while restricted and repetitive behaviours were associated with higher heartbeat discrimination accuracy.”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Palser et al., 2019
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Cardiac interoception is enhanced in blind individualsPreprint
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Associations Between Autism and Self-Reported Dimensions of Interoception
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- Authors
- Palser, E. R., Fotopoulou, A., Pellicano, E., & Kilner, J. M.
- Affiliations
- University of California, San Francisco (US)
- University College London (GB)
- UCL Queen Square Institute of Neurology (GB)
- Corresponding author
- Palser, E. R.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2019-11-09
- Volume
- 50
- Issue
- 2
- Pages
- 572-582
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC6995984
- OpenAlex
- W2985252864
- Cited by
- 28
- References
- 66
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 10 · 2020: 3 · 2019: 1
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Economic and Social Research Council (ES/J500185/1)
- Medical Research Council (MR/J013145/1)
- European Research Council (ERC-2012-STG GA313755)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- autism spectrum disorder, interoception, interoceptive accuracy, interoceptive sensibility, heartbeat detection, children with autism, autism severity, restricted and repetitive behaviors, anxiety
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Anxiety, Attention, Awareness, Child, Cognition, Female, Heart Rate, Humans, Judgment, Male, Young Adult, Interoception
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