Reward system dysfunction in autism spectrum disorders
Open accessAbstract
Although it has been suggested that social deficits of autism spectrum disorders (ASDs) are related to reward circuitry dysfunction, very little is known about the neural reward mechanisms in ASD. In the current functional magnetic resonance imaging study, we investigated brain activations in response to both social and monetary reward in a group of children with ASD, relative to matched controls. Participants with ASD showed the expected hypoactivation in the mesocorticolimbic circuitry in response to both reward types. In particular, diminished activation in the nucleus accumbens was observed when money, but not when social reward, was at stake, whereas the amygdala and anterior cingulate cortex were hypoactivated within the ASD group in response to both rewards. These data indicate that the reward circuitry is compromised in ASD in social as well as in non-social, i.e. monetary conditions, which likely contributes to atypical motivated behaviour. Taken together, with incentives used in this study sample, there is evidence for a general reward dysfunction in ASD. However, more ecologically valid social reward paradigms are needed to fully understand, whether there is any domain specificity to the reward deficit that appears evident in ASD, which would be most consistent with the ASD social phenotype.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Deficits in social play in ASD are likely due to disrupted reward-seeking tendencies, especially in social contexts.
“Children diagnosed with autism spectrum disorder (ASD) show deficits in social play (Mundy, 1995;Jordan, 2003) which are likely due to disrupted reward-seeking tendencies, especially in social contexts (Chevallier et al., 2012;Kohls et al., 2012Kohls et al., , 2013)).”
From Vasopressin regulates social play behavior in sex-specific ways through glutamate modulation in the lateral septum (2025) · cites this paper as Kohls et al., 2013
The Introduction links reduced interest in social interactions in ASD to a hypothesized reward-circuit dysfunction, and the Discussion reports altered responses to social rewards in children with ASD. The paper does not examine social play specifically, so it supports the proposed mechanism for social difficulties but not its application to play deficits in particular. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Lord, C., Rutter, M., & Le Couteur, A. (1994) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02172145 · Cited by 9,065 · see citing works
The reward circuit: linking primate anatomy and human imaging
Haber, S. N., & Knutson, B. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.129 · Cited by 3,718 · see citing works
Executive functions and developmental psychopathology.
Pennington, B. F., & Ozonoff, S. (1996) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1996.tb01380.x · Cited by 3,150 · cited 1× · see citing works
“However, reported effect sizes for deficient response inhibition using go/no-go tasks within this population range from small to medium (Pennington and Ozonoff, 1996).”
BackgroundThe social motivation theory of autism
Chevallier, C., Kohls, G., Troiani, V., Brodkin, E. S., & Schultz, R. T. (2012) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2012.02.007 · Cited by 2,072 · see citing works
Self-citationDissecting components of reward: ‘liking’, ‘wanting’, and learning
Berridge, K. C., Robinson, T. E., & Aldridge, J. W. (2009) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2008.12.014 · Cited by 1,942 · see citing works
Standardizing ADOS Scores for a Measure of Severity in Autism Spectrum Disorders
Gotham, K., Pickles, A., & Lord, C. (2009) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0674-3 · Cited by 1,605 · see citing works
Social effects of oxytocin in humans: context and person matter
Bartz, J. A., Zaki, J., Bolger, N., & Ochsner, K. N. (2011) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2011.05.002 · Cited by 1,572 · cited 1× · see citing works
“An increased understanding of the biological mechanisms causing social deficits in ASD can be used to develop therapeutic interventions where, for instance, pharmacological agents (like oxytocin) support social learning via increased reward-based motivation (Bartz et al., 2011).”
BackgroundCortico-Basal Ganglia Reward Network: Microcircuitry
Sesack, S. R., & Grace, A. A. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.93 · Cited by 985 · see citing works
Behavioral treatments in autism spectrum disorder: what do we know?
Vismara, L. A., & Rogers, S. J. (2010) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.121208.131151 · Cited by 376 · see citing works
Scott-Van Zeeland, A. A., Abrahams, B. S., Alvarez-Retuerto, A. I., Sonnenblick, L. I., Rudie, J. D., Ghahremani, D., Mumford, J. A., Poldrack, R. A., Dapretto, M., Geschwind, D. H., et al. (2010) · Science Translational Medicine · doi:10.1126/scitranslmed.3001344 · Cited by 252 · see citing works
Reward circuitry function in autism during face anticipation and outcomes
Dichter, G. S., Richey, J. A., Rittenberg, A. M., Sabatino, A., & Bodfish, J. W. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1221-1 · Cited by 222 · see citing works
Neurobiological correlates of social functioning in autism
Neuhaus, E., Beauchaine, T. P., & Bernier, R. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.05.007 · Cited by 122 · see citing works
Flagged first, then by citations
Research works printed but not linked: 14
- Bjork, J.M., Hommer, D.W. (2007). Anticipating instrumentally obtained and passively-received rewards: a factorial fMRI investigation. Behavioural Brain Research, 177(1), 165-70.
- Hill, E.L. (2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24, 189-233.
- Kalivas, P.W., Volkow, N.D. (2005). The neural basis of addiction: a pathology of motiv- ation and choice. The American Journal of Psychiatry, 162(8), 1403-13.
- Kaufman, J., Birmaher, B., Brent, D., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy for Child and Adolescent Psychiatry, 36, 980-8.
- Kohls, G., Peltzer, J., Schulte-Ru ¨ther, M., et al. (2011). Atypical brain responses to reward cues in autism as revealed by event-related potentials. Journal of Autism and Developmental Disorders, 41, 1523-33.
- Lord, G., Risi, S., Lambrecht, L., et al. (2000). The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits as- sociated with the spectrum of autism. Journal of Autism and Developmental Disorder, 30, 205-23.
- Rinehart, N.J., Bellgrove, M.A., Tonge, B.J., Brereton, A.V., Howells-Rankin, D., Bradshaw, J.L. (2006). An examination of movement kinematics in young people with high-functioning autism and Asperger's disorder: further evidence for a motor planning deficit. Journal of Autism and Developmental Disorder, 36, 757-767.
- Rubia, K., Halari, R., Cubillo, A., Mohammad, A.-M., Brammer, M., Taylor, E. (2009). Methylphenidate normalises activation and functional connectivity deficits in attention and motivation networks in medication-naı ¨ve children with ADHD during a rewarded continuous performance task. Neuropharmacology, 57(7-8), 640-52.
- Schmitz, N., Rubia, K., van Amelsvoort, T., Daly, E., Smith, A., Murphy, D.G.M. (2008). Neural correlates of reward in autism. The British Journal of Psychiatry, 192, 19-24.
- Schultz, R.T. (2005). Developmental deficits in social perception in autism: the role of the amygdala and fusiform face area. International Journal of Developmental Neuroscience, 23, 125-41.
- Schultz, W., Apicella, P., Scarnati, E., Ljungberg, T. (1992). Neuronal activity in monkey ventral striatum related to the expectation of reward. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 12(12), 4595-610.
- South, M., Dana, J., White, S.E., Crowley, M.J. (2011). Failure is not an option: risk-taking is moderated by anxiety and also by cognitive ability in children and adolescents diag- nosed with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 41(1), 55-65.
- Worsley, K.J. (2001). Statistical analysis of activation images. In: Jezzard, P., Matthews, P.M., Smith, S.M., editors. Functional MRI: An Introduction to Methods. New York: Oxford University Press.
- Zink, C.F., Stein, J.L., Kempf, L., Hakimi, S., Meyer-Lindenberg, A. (2010). Vasopressin modulates medial prefrontal cortex-amygdala circuitry during emotion processing in humans. The Journal of Neuroscience, 30(20), 7017-22.
Cited by
Sorted by citations
Hiser, J., & Koenigs, M. (2018) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.10.030 · Cited by 972 · see citing works
Evaluation of the Social Motivation Hypothesis of Autism: A Systematic Review and Meta-analysis
Clements, C. C., Zoltowski, A. R., Yankowitz, L. D., Yerys, B. E., Schultz, R. T., & Herrington, J. D. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1100 · Cited by 316 · see citing works
Self-citationDichter, G. S., Damiano, C. A., & Allen, J. A. (2012) · Journal of Neurodevelopmental Disorders · doi:10.1186/1866-1955-4-19 · Cited by 299 · see citing works
Striatal Circuits as a Common Node for Autism Pathophysiology
Fuccillo, M. V. (2016) · Frontiers in Neuroscience · doi:10.3389/fnins.2016.00027 · Cited by 269 · see citing works
Functional magnetic resonance imaging of autism spectrum disorders
Dichter, G. S. (2012) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2012.14.3/gdichter · Cited by 215 · see citing works
Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications
Kohls, G., Chevallier, C., Troiani, V., & Schultz, R. T. (2012) · Journal of Neurodevelopmental Disorders · doi:10.1186/1866-1955-4-10 · Cited by 197 · see citing works
Self-citationMorphological alterations in the thalamus, striatum, and pallidum in autism spectrum disorder
Schuetze, M., Park, M. T. M., Cho, I. Y., MacMaster, F. P., Chakravarty, M. M., & Bray, S. L. (2016) · Neuropsychopharmacology · doi:10.1038/npp.2016.64 · Cited by 186 · see citing works
Social and monetary reward processing in autism spectrum disorders
Delmonte, S., Balsters, J. H., McGrath, J., Fitzgerald, J., Brennan, S., Fagan, A. J., & Gallagher, L. (2012) · Molecular Autism · doi:10.1186/2040-2392-3-7 · Cited by 180 · see citing works
Kohls, G., Perino, M. T., Taylor, J. M., Madva, E. N., Cayless, S. J., Troiani, V., Price, E., Faja, S., Herrington, J. D., & Schultz, R. T. (2013) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2013.07.020 · Cited by 170 · see citing works
Self-citationBast, N., Poustka, L., & Freitag, C. M. (2018) · European Journal of Neuroscience · doi:10.1111/ejn.13795 · Cited by 121 · see citing works
Drd3 Signaling in the Lateral Septum Mediates Early Life Stress-Induced Social Dysfunction
Shin, S., Pribiag, H., Lilascharoen, V., Knowland, D., Wang, X.-Y., & Lim, B. K. (2018) · Neuron · doi:10.1016/j.neuron.2017.11.040 · Cited by 120 · see citing works
Martins, D., Rademacher, L., Gabay, A. S., Taylor, R., Richey, J. A., Smith, D. V., Goerlich, K. S., Nawijn, L., Cremers, H. R., Wilson, R., et al. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.12.034 · Cited by 119 · see citing works
Chantiluke, K., Christakou, A., Murphy, C. M., Giampietro, V., Daly, E. M., Ecker, C., Brammer, M., Murphy, D. G., & Rubia, K. (2014) · Psychiatry Research: Neuroimaging · doi:10.1016/j.pscychresns.2014.04.006 · Cited by 116 · see citing works
Male-specific deficits in natural reward learning in a mouse model of neurodevelopmental disorders
Grissom, N. M., McKee, S. E., Schoch, H., Bowman, N., Havekes, R., O'Brien, W. T., Mahrt, E., Siegel, S., Commons, K., Portfors, C., et al. (2018) · Molecular Psychiatry · doi:10.1038/mp.2017.184 · Cited by 92 · see citing works
Affective neural response to restricted interests in autism spectrum disorders
Cascio, C. J., Foss‐Feig, J. H., Heacock, J., Schauder, K. B., Loring, W. A., Rogers, B. P., Pryweller, J. R., Newsom, C. R., Cockhren, J., Cao, A., et al. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12147 · Cited by 93 · see citing works
Disrupted prediction errors index social deficits in autism spectrum disorder
Balsters, J. H., Apps, M. A. J., Bolis, D., Lehner, R., Gallagher, L., & Wenderoth, N. (2017) · Brain · doi:10.1093/brain/aww287 · Cited by 85 · see citing works
Kruppa, J. A., Gossen, A., Oberwelland Weiß, E., Kohls, G., Großheinrich, N., Cholemkery, H., Freitag, C. M., Karges, W., Wölfle, E., Sinzig, J., et al. (2019) · Neuropsychopharmacology · doi:10.1038/s41386-018-0258-7 · Cited by 69 · see citing works
Self-citationReputation Management: Evidence for Ability But Reduced Propensity in Autism
Cage, E., Pellicano, E., Shah, P., & Bird, G. (2013) · Autism Research · doi:10.1002/aur.1313 · Cited by 67 · see citing works
Greene, R. K., Spanos, M., Alderman, C., Walsh, E., Bizzell, J., Mosner, M. G., Kinard, J. L., Stuber, G. D., Chandrasekhar, T., Politte, L. C., et al. (2018) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-018-9228-y · Cited by 55 · see citing works
Imaging-genetics of sex differences in ASD: distinct effects of OXTR variants on brain connectivity
Hernandez, L. M., Lawrence, K. E., Padgaonkar, N. T., Inada, M., Hoekstra, J. N., Lowe, J. K., Eilbott, J., Jack, A., Aylward, E., Gaab, N., et al. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-0750-9 · Cited by 54 · see citing works
Carlisi, C. O., Norman, L., Murphy, C. M., Christakou, A., Chantiluke, K., Giampietro, V., Simmons, A., Brammer, M., Murphy, D. G., MRC AIMS consortium, et al. (2017) · Psychological Medicine · doi:10.1017/s0033291717001088 · Cited by 49 · see citing works
Differentiating neural reward responsiveness in autism versus ADHD
Kohls, G., Thönessen, H., Bartley, G. K., Grossheinrich, N., Fink, G. R., Herpertz-Dahlmann, B., & Konrad, K. (2014) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2014.08.003 · Cited by 50 · see citing works
Self-citationAdditive effects of oxytocin receptor gene polymorphisms on reward circuitry in youth with autism
Hernandez, L. M., Krasileva, K., Green, S. A., Sherman, L. E., Ponting, C., McCarron, R., Lowe, J. K., Geschwind, D. H., Bookheimer, S. Y., & Dapretto, M. (2017) · Molecular Psychiatry · doi:10.1038/mp.2016.209 · Cited by 43 · see citing works
Akkermans, S. E. A., Rheinheimer, N., Bruchhage, M. M. K., Durston, S., Brandeis, D., Banaschewski, T., Boecker-Schlier, R., Wolf, I., Williams, S. C. R., Buitelaar, J. K., et al. (2019) · Psychological Medicine · doi:10.1017/s0033291718003136 · Cited by 33 · see citing works
Skewes, J. C., & Gebauer, L. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2774-9 · Cited by 27 · see citing works
Preckel, K., Kanske, P., Singer, T., Paulus, F. M., & Krach, S. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1036-x · Cited by 25 · see citing works
An update on the neurobiology of repetitive behaviors in autism
Yerys, B. E. (2015) · International review of research in developmental disabilities · doi:10.1016/bs.irrdd.2015.06.006 · Cited by 16 · see citing works
Bredewold, R., Washington, C., & Veenema, A. H. (2025) · Neuropsychopharmacology · doi:10.1038/s41386-024-01987-z · Cited by 13 · see citing works
“Children diagnosed with autism spectrum disorder (ASD) show de fi cits in social play [14, 15], which may contribute to their life-long de fi cits in social interaction [16 – 19].”
Torabian, S., & Grossman, E. D. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1168739 · Cited by 10 · see citing works
Waddell, M. M. (2020) · Journal of Disability & Religion · doi:10.1080/23312521.2019.1694463 · Cited by 3 · see citing works
Rudhra, O., & Singh, S. K. (2026) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2026.111822 · Cited by 1 · see citing works
- Authors
- Kohls, G., Schulte-Rüther, M., Nehrkorn, B., Müller, K., Fink, G. R., Kamp-Becker, I., Herpertz-Dahlmann, B., Schultz, R. T., & Konrad, K.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Venue
- Social Cognitive and Affective Neuroscience
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-03-13
- Volume
- 8
- Issue
- 5
- Pages
- 565-572
- ISSN
- 1749-5016 (ISSN-L)
- 1749-5024
- PMC
- PMC3682440
- OpenAlex
- W2141902149
- Cited by
- 259
- References
- 12
- Citations by year
- 2026: 12 · 2025: 16 · 2024: 10 · 2023: 21 · 2022: 11 · 2021: 21 · 2020: 23 · 2019: 9 · 2018: 20 · 2017: 28 · 2016: 23 · 2015: 26 · 2014: 17 · 2013: 17 · 2012: 5
- FWCI
- 10.66
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Social Cognitive and Affective Neuroscience (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft (IRTG1328)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- autism spectrum disorder, reward processing, social reward, monetary rewards, mesocorticolimbic circuitry, nucleus accumbens, amygdala, anterior cingulate cortex, hypoactivation, motivated behavior, children
- MeSH terms
- Adolescent, Analysis of Variance, Brain, Child, Child Development Disorders, Pervasive, Cues, Decision Making, Female, Humans, Image Processing, Computer-Assisted, Learning Disabilities, Magnetic Resonance Imaging, Male, Motivation, Neuropsychological Tests, Oxygen, Photic Stimulation, Surveys and Questionnaires, Reaction Time, Reward, Severity of Illness Index, Case-Control Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review