Autism spectrum disorder and interoception: Abnormalities in global integration?
Abstract
Research over the past three decades has seen a revived interest in the way the human body—and the way in which it is perceived—interacts with aspects of our experience. Consequently, interoception (i.e. the perception of physiological feedback from the body) has recently been shown to be associated with a wide range of cognitive, emotional, and affective functions, making it broadly relevant to the study of autism spectrum disorder. Although limited qualitative accounts and empirical studies suggest that individuals with autism spectrum disorder encounter abnormalities when perceiving and integrating physiological feedback from their bodies, other studies have suggested that people with/without autism spectrum disorder do not differ in interoceptive ability after accounting for alexithymia. In this article, we discuss the newly recognized importance of interoception in autism spectrum disorder with a focus on how deficits in the perception of bodily feedback might relate to the core features and co-occuring psychopathology of autism spectrum disorder. Finally, a new integrated theory is advanced which posits that people with autism spectrum disorder may experience a reduced capacity to integrate interoceptive information that may result in a narrow attentional bodily focus and reduced motivational and behavioral drives.
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.
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
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
(1943) · The Nervous child · Cited by 8,870 · see citing works
How do you feel — now? The anterior insula and human awareness
(Bud) Craig, A. D. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2555 · Cited by 6,657 · cited 2× · see citing works
“…neuroimaging studies suggest that activation of the anterior insula is uniquely associated with various subjective feelings including internal bodily states (e.g. pain, temperature, heart rate) and the experience of emotion (Craig, 2002, 2009, 2011; Kober et al., 2008; Zaki et al., 2012).”
BackgroundCognitive, social, and physiological determinants of emotional state.
Schachter, S., & Singer, J. (1962) · Psychological Review · doi:10.1037/h0046234 · Cited by 6,223 · see citing works
How do you feel? Interoception: The sense of the physiological condition of the body
Craig, A. D. (2002) · Nature Reviews Neuroscience · doi:10.1038/nrn894 · Cited by 6,006 · see citing works
Forest before trees: The precedence of global features in visual perception
Navon, D. (1977) · Cognitive Psychology · doi:10.1016/0010-0285(77)90012-3 · Cited by 4,005 · see citing works
JAMES, W. (1884) · Mind · doi:10.1093/mind/os-ix.34.188 · Cited by 3,446 · see citing works
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e318179964f · Cited by 3,399 · see citing works
Autonomic nervous system activity in emotion: a review
Kreibig, S. D. (2010) · Biological Psychology · doi:10.1016/j.biopsycho.2010.03.010 · Cited by 3,188 · cited 1× · see citing works
“Thus, when we are afraid, we will experience symptoms associated with autonomic arousal symptoms (e.g. elevated heart and breathing rate, sweating, piloerection, vasoconstriction, and pupil dilation; Kreibig, 2010; Levenson, 2003).”
BackgroundThe weak coherence account: detail-focused cognitive style in autism spectrum disorders
Happé, F., & Frith, U. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-005-0039-0 · Cited by 2,884 · see citing works
(1989) · UCL Discovery (University College London) · Cited by 2,724 · see citing works
Interoception: the sense of the physiological condition of the body
(Bud) Craig, A. (2003) · Current Opinion in Neurobiology · doi:10.1016/s0959-4388(03)00090-4 · Cited by 2,556 · see citing works
Lai, M.-C., Lombardo, M. V., & Baron-Cohen, S. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61539-1 · Cited by 2,371 · see citing works
The Integrative Action of the Nervous System
Smith, W. (1907) · Nature · doi:10.1038/076122a0 · Cited by 2,082 · see citing works
Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness
Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015) · Biological Psychology · doi:10.1016/j.biopsycho.2014.11.004 · Cited by 1,624 · see citing works
Just, M. A. (2004) · Brain · doi:10.1093/brain/awh199 · Cited by 1,589 · see citing works
The multidimensional assessment of interoceptive awareness (MAIA)
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0048230 · Cited by 1,429 · see citing works
Heart beat perception and emotional experience
Schandry, R. (1981) · Psychophysiology · doi:10.1111/j.1469-8986.1981.tb02486.x · Cited by 1,335 · see citing works
The nature of feelings: evolutionary and neurobiological origins
Damasio, A., & Carvalho, G. B. (2013) · Nature Reviews Neuroscience · doi:10.1038/nrn3403 · Cited by 1,280 · cited 2× · see citing works
“Subjective emotion can also be viewed as the unified representation of physiological activity, and consequently, both historical and contemporary models of emotional processing have suggested that the subjective experience of an emotion arises from the perception of physiological feedback from the body (Damasio and Ca…”
BackgroundAutism and Abnormal Development of Brain Connectivity: Figure 1.
Belmonte, M. K., Allen, G., Beckel-Mitchener, A., Boulanger, L. M., Carper, R. A., & Webb, S. J. (2004) · The Journal of Neuroscience · doi:10.1523/jneurosci.3340-04.2004 · Cited by 1,217 · see citing works
Visceral influences on brain and behavior
Critchley, H. D., & Harrison, N. A. (2013) · Neuron · doi:10.1016/j.neuron.2013.02.008 · Cited by 1,177 · cited 1× · see citing works
“Many contemporary studies that have examined the awareness of bodily sensations highlight the importance of physiological feedback from the body to various cognitive, motivational, emotional, and affective functions (Critchley and Harrison, 2013).”
BackgroundKober, H., Barrett, L. F., Joseph, J., Bliss-Moreau, E., Lindquist, K., & Wager, T. D. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2008.03.059 · Cited by 1,144 · see citing works
Just, M. A., Cherkassky, V. L., Keller, T. A., Kana, R. K., & Minshew, N. J. (2007) · Cerebral Cortex · doi:10.1093/cercor/bhl006 · Cited by 1,081 · see citing works
Interoception in anxiety and depression
Paulus, M. P., & Stein, M. B. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0258-9 · Cited by 952 · see citing works
An islet of ability in autistic children: a research note
Shah, A., & Frith, U. (1983) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1983.tb00137.x · Cited by 888 · see citing works
Are People with Autism and Asperger Syndrome Faster Than Normal on the Embedded Figures Test?
Jolliffe, T., & Baron‐Cohen, S. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01539.x · Cited by 744 · see citing works
Empathic brain responses in insula are modulated by levels of alexithymia but not autism
Bird, G., Silani, G., Brindley, R., White, S., Frith, U., & Singer, T. (2010) · Brain · doi:10.1093/brain/awq060 · Cited by 655 · see citing works
Significance of the insula for the evolution of human awareness of feelings from the body
(Bud) Craig, A. D. (2011) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2011.05990.x · Cited by 646 · see citing works
Craig, A. D. (. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0248-y · Cited by 600 · see citing works
Mixed emotions: the contribution of alexithymia to the emotional symptoms of autism
Bird, G., & Cook, R. (2013) · Translational Psychiatry · doi:10.1038/tp.2013.61 · Cited by 592 · see citing works
Domschke, K., Stevens, S., Pfleiderer, B., & Gerlach, A. L. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.08.008 · Cited by 580 · see citing works
Autism as a neural systems disorder: A theory of frontal-posterior underconnectivity
Just, M. A., Keller, T. A., Malave, V. L., Kana, R. K., & Varma, S. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.02.007 · Cited by 578 · see citing works
Martino, A. D., Ross, K. V., Uddin, L. Q., Sklar, A. B., Castellanos, F. X., & Milham, M. P. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.09.022 · Cited by 574 · see citing works
On the embodiment of emotion regulation: interoceptive awareness facilitates reappraisal
Füstös, J., Gramann, K., Herbert, B. M., & Pollatos, O. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss089 · Cited by 530 · see citing works
The development of autism: Perspectives from theory and research.
Howlin, P. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.t01-9-00044 · Cited by 526 · see citing works
Discrepancies between dimensions of interoception in autism: implications for emotion and anxiety
Garfinkel, S. N., Tiley, C., O'Keeffe, S., Harrison, N. A., Seth, A. K., & Critchley, H. D. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2015.12.003 · Cited by 512 · see citing works
Levels of emotional awareness and autism: an fMRI study
Silani, G., Bird, G., Brindley, R., Singer, T., Frith, C., & Frith, U. (2008) · Social Neuroscience · doi:10.1080/17470910701577020 · Cited by 485 · see citing works
Overlapping activity in anterior insula during interoception and emotional experience
Zaki, J., Davis, J. I., & Ochsner, K. N. (2012) · NeuroImage · doi:10.1016/j.neuroimage.2012.05.012 · Cited by 462 · see citing works
The Body Awareness Questionnaire: Reliability and Validity
Shields, S. A., Mallory, M. E., & Simon, A. (1989) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5304_16 · Cited by 459 · see citing works
Müller, R., Shih, P., Keehn, B., Deyoe, J. R., Leyden, K. M., & Shukla, D. K. (2011) · Cerebral Cortex · doi:10.1093/cercor/bhq296 · Cited by 450 · see citing works
Diffusion tensor imaging in autism spectrum disorder: a review
Travers, B. G., Adluru, N., Ennis, C., Tromp, D. P. M., Destiche, D., Doran, S., Bigler, E. D., Lange, N., Lainhart, J. E., & Alexander, A. L. (2012) · Autism Research · doi:10.1002/aur.1243 · Cited by 450 · see citing works
Decreased interhemispheric functional connectivity in autism
Anderson, J. S., Druzgal, T. J., Froehlich, A., DuBray, M. B., Lange, N., Alexander, A. L., Abildskov, T., Nielsen, J. A., Cariello, A. N., Cooperrider, J. R., et al. (2011) · Cerebral Cortex · doi:10.1093/cercor/bhq190 · Cited by 438 · see citing works
Koshino, H., Kana, R. K., Keller, T. A., Cherkassky, V. L., Minshew, N. J., & Just, M. A. (2008) · Cerebral Cortex · doi:10.1093/cercor/bhm054 · Cited by 436 · see citing works
The anterior insula in autism: Under-connected and under-examined
Uddin, L. Q., & Menon, V. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.06.002 · Cited by 424 · see citing works
The temporal binding deficit hypothesis of autism
BROCK, J., BROWN, C. C., BOUCHER, J., & RIPPON, G. (2002) · Development and Psychopathology · doi:10.1017/s0954579402002018 · Cited by 419 · see citing works
Alexithymia: A general deficit of interoception
Brewer, R., Cook, R., & Bird, G. (2016) · Royal Society Open Science · doi:10.1098/rsos.150664 · Cited by 400 · see citing works
Autism, oxytocin and interoception
Quattrocki, E., & Friston, K. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2014.09.012 · Cited by 393 · see citing works
Garfinkel, S. N., & Critchley, H. D. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nss140 · Cited by 386 · see citing works
High motion coherence thresholds in children with autism
Milne, E., Swettenham, J., Hansen, P., Campbell, R., Jeffries, H., & Plaisted, K. C. (2002) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00018 · Cited by 382 · see citing works
Parents of Children with Asperger Syndrome: What is the Cognitive Phenotype?
Baron‐Cohen, S., & Hammer, J. (1997) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.1997.9.4.548 · Cited by 363 · see citing works
Interoception in emotional experience
Wiens, S. (2005) · Current Opinion in Neurology · doi:10.1097/01.wco.0000168079.92106.99 · Cited by 356 · see citing works
LEVENSON, R. W. (2003) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1280.016 · Cited by 335 · see citing works
Alexithymia, not autism, is associated with impaired interoception
Shah, P., Hall, R., Catmur, C., & Bird, G. (2016) · Cortex · doi:10.1016/j.cortex.2016.03.021 · Cited by 326 · see citing works
Interoceptive dimensions across cardiac and respiratory axes
Garfinkel, S. N., Manassei, M. F., Hamilton-Fletcher, G., In den Bosch, Y., Critchley, H. D., & Engels, M. (2016) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2016.0014 · Cited by 326 · see citing works
Pellicano, E., Gibson, L., Maybery, M., Durkin, K., & Badcock, D. R. (2005) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2004.10.003 · Cited by 322 · see citing works
Distortions and disconnections: Disrupted brain connectivity in autism
Wass, S. V. (2010) · Brain and Cognition · doi:10.1016/j.bandc.2010.10.005 · Cited by 317 · see citing works
Cerebral correlates of preserved cognitive skills in autism
RING, H. A., Baron‐Cohen, S., Wheelwright, S. J., Williams, S., Brammer, M. J., Andrew, C., & Bullmore, E. T. (1999) · Brain · doi:10.1093/brain/122.7.1305 · Cited by 306 · see citing works
Herbert, B. M., Muth, E. R., Pollatos, O., & Herbert, C. (2012) · PLoS ONE · doi:10.1371/journal.pone.0036646 · Cited by 287 · see citing works
Keown, C. L., Shih, P., Nair, A., Peterson, N., Mulvey, M. E., & Müller, R. (2013) · Cell Reports · doi:10.1016/j.celrep.2013.10.003 · Cited by 283 · see citing works
The Power of the Positive: Revisiting Weak Coherence in Autism Spectrum Disorders
Happe, F. G. E., & Booth, R. D. L. (2007) · Quarterly Journal of Experimental Psychology · doi:10.1080/17470210701508731 · Cited by 280 · see citing works
Ebisch, S. J. H., D, V. G. M., Willems, R. M., Mantini, D., Groen, W. B., Romani, G. L., Buitelaar, J. K., & Harold Bekkering, A. (2010) · Human Brain Mapping · doi:10.1002/hbm.21085 · Cited by 278 · see citing works
Mindfulness-based therapy in adults with an autism spectrum disorder: a randomized controlled trial
Spek, A. A., van Ham, N. C., & Nyklíček, I. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.08.009 · Cited by 274 · cited 1× · see citing works
“In fact, adults with ASD showed significant reductions in depression, anxiety, and rumination and an increase in positive affect in a randomized-controlled trial of mindfulness-based therapy which included a bodyscan component (Spek et al., 2013).”
BackgroundÜber den Einfluß der Erfahrung auf die Wahrnehmung von Figuren
Gottschaldt, K. (1926) · Psychological Research · doi:10.1007/bf02411523 · Cited by 269 · see citing works
Connectivity in Autism: A Review of MRI Connectivity Studies
Rane, P., Cochran, D., Hodge, S. M., Haselgrove, C., Kennedy, D. N., & Frazier, J. A. (2015) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000072 · Cited by 234 · see citing works
Central coherence in eating disorders: a systematic review
López, C., Tchanturia, K., Stahl, D. R., & Treasure, J. L. (2008) · Psychological Medicine · doi:10.1017/s0033291708003486 · Cited by 230 · see citing works
Association between interoception and empathy: Evidence from heartbeat-evoked brain potential
Fukushima, H., Terasawa, Y., & Umeda, S. (2011) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2010.10.015 · Cited by 209 · see citing works
Linking theory of mind and central coherence bias in autism and in the general population.
Jarrold, C., Butler, D. W., Cottington, E. M., & Jimenez, F. (2000) · Developmental Psychology · doi:10.1037/0012-1649.36.1.126 · Cited by 198 · see citing works
Interoception in autism Spectrum disorder: a review
DuBois, D., Ameis, S. H., Lai, M., Casanova, M. F., & Desarkar, P. (2016) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2016.05.001 · Cited by 192 · see citing works
Waiter, G. D., Williams, J. H. G., Murray, A. D., Gilchrist, A., Perrett, D. I., & Whiten, A. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.08.049 · Cited by 188 · see citing works
Interoceptive Ability and Body Awareness in Autism Spectrum Disorder
Schauder, K. B., Mash, L. E., Bryant, L. K., & Cascio, C. J. (2015) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2014.11.002 · Cited by 187 · see citing works
Serpa, J. G., Taylor, S. L., & Tillisch, K. (2014) · Medical Care · doi:10.1097/mlr.0000000000000202 · Cited by 169 · see citing works
Damarla, S. R., Keller, T. A., Kana, R. K., Cherkassky, V. L., Williams, D. L., Minshew, N. J., & Just, M. A. (2010) · Autism Research · doi:10.1002/aur.153 · Cited by 165 · see citing works
Visuo-Spatial Performance in Autism: A Meta-analysis
Muth, A., Hönekopp, J., & Falter, C. M. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2188-5 · Cited by 163 · see citing works
Brief body-scan meditation practice improves somatosensory perceptual decision making
Mirams, L., Poliakoff, E., Brown, R. J., & Lloyd, D. M. (2013) · Consciousness and Cognition · doi:10.1016/j.concog.2012.07.009 · Cited by 157 · see citing works
Self-citationIndividual differences in the interoceptive states of hunger, fullness and thirst
Stevenson, R. J., Mahmut, M. K., & Rooney, K. B. (2015) · Appetite · doi:10.1016/j.appet.2015.06.008 · Cited by 132 · see citing works
Schaefer, M., Egloff, B., Gerlach, A. L., & Witthöft, M. (2014) · Biological Psychology · doi:10.1016/j.biopsycho.2014.05.012 · Cited by 130 · see citing works
Methodological recommendations for a heartbeat detection-based measure of interoceptive sensitivity
Kleckner, I. R., Wormwood, J. B., Simmons, W. K., Barrett, L. F., & Quigley, K. S. (2015) · Psychophysiology · doi:10.1111/psyp.12503 · Cited by 124 · see citing works
Emotional decision-making in autism spectrum disorder: the roles of interoception and alexithymia
Shah, P., Catmur, C., & Bird, G. (2016) · Molecular Autism · doi:10.1186/s13229-016-0104-x · Cited by 113 · see citing works
Craig, A. D. (2014) · Princeton University Press eBooks · doi:10.23943/princeton/9780691156767.001.0001 · Cited by 112 · see citing works
FMRI study of recognition of facial expressions in high-functioning autistic patients
Ogai, M., Matsumoto, H., Suzuki, K., Ozawa, F., Fukuda, R., Uchiyama, I., Suckling, J., Isoda, H., Mori, N., & Takei, N. (2003) · NeuroReport · doi:10.1097/00001756-200303240-00006 · Cited by 107 · see citing works
VISCERAL SENSORY NEUROSCIENCE: INTEROCEPTION
Fowler, C. J. (2003) · Brain · doi:10.1093/brain/awg120 · Cited by 106 · see citing works
Fairclough, S. H., & Goodwin, L. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.10.017 · Cited by 93 · see citing works
Investigating interoception and body awareness in adults with and without autism spectrum disorder
Fiene, L., & Brownlow, C. (2015) · Autism Research · doi:10.1002/aur.1486 · Cited by 91 · cited 9× · see citing works
“, 1989) and a novel Thirst Awareness Scale (TAS; Fiene and Brownlow, 2015), respectively.”
BackgroundMethodResultInfluentialRight-Hemisphere Dysfunction in Asperger's Syndrome
McKelvey, J. R., Lambert, R., Mottron, L., & Shevell, M. I. (1995) · Journal of Child Neurology · doi:10.1177/088307389501000413 · Cited by 91 · see citing works
Volberg, G., & Hübner, R. (2004) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2004.04.017 · Cited by 86 · see citing works
Autobiographical Accounts of Sensing in Asperger Syndrome and High-Functioning Autism
Elwin, M., Ek, L., Schröder, A., & Kjellin, L. (2012) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2011.10.003 · Cited by 84 · see citing works
Barttfeld, P., Wicker, B., Cukier, S., Navarta, S., Lew, S., Leiguarda, R. C., & Sigman, M. (2012) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2012.09.047 · Cited by 79 · see citing works
Asymmetrical hemisphere activation enhances global–local processing
Gable, P. A., Poole, B. D., & Cook, M. S. (2013) · Brain and Cognition · doi:10.1016/j.bandc.2013.09.012 · Cited by 58 · see citing works
Is Sexual Concordance Related to Awareness of Physiological States?
Suschinsky, K. D., & Lalumière, M. L. (2012) · Archives of Sexual Behavior · doi:10.1007/s10508-012-9931-9 · Cited by 53 · see citing works
Volberg, G., Kliegl, K., Hanslmayr, S., & Greenlee, M. W. (2008) · Human Brain Mapping · doi:10.1002/hbm.20659 · Cited by 45 · see citing works
Peterson, D. J., Mahajan, R., Crocetti, D., Mejia, A. F., & Mostofsky, S. H. (2014) · Autism Research · doi:10.1002/aur.1413 · Cited by 44 · see citing works
Limmer, J., Kornhuber, J., & Martin, A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.07.010 · Cited by 39 · see citing works
Boksem, M. A. S., Kostermans, E., Mattie Tops, A., & Cremer, D. D. (2012) · Journal of Psychophysiology · doi:10.1027/0269-8803/a000067 · Cited by 21 · see citing works
Commentary: Alexithymia, not autism, is associated with impaired interoception
Livingston, L. A., & Livingston, L. M. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01103 · Cited by 14 · see citing works
Lajiness-O'Neill, R. R., Bowyer, S. M., Moran, J. E., Zillgitt, A. J., Richard, A. E., & Boutros, N. N. (2014) · Future Neurology · doi:10.2217/fnl.14.24 · Cited by 9 · see citing works
The International Meeting for Autism Research
(2010) · Autism Research · doi:10.1002/aur.126 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Chen, W. G., Schloesser, D., Arensdorf, A. M., Simmons, J. M., Cui, C., Valentino, R., Gnadt, J. W., Nielsen, L., Hillaire-Clarke, C. S., Spruance, V., et al. (2021) · Trends in Neurosciences · doi:10.1016/j.tins.2020.10.007 · Cited by 707 · see citing works
Coll, M.-P., Hobson, H., Bird, G., & Murphy, J. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.12.012 · Cited by 262 · see citing works
Major Depressive Disorder Is Associated with Impaired Interoceptive Accuracy: A Systematic Review
Eggart, M., Lange, A., Binser, M. J., Queri, S., & Müller-Oerlinghausen, B. (2019) · Brain Sciences · doi:10.3390/brainsci9060131 · Cited by 189 · see citing works
Atypical interoception as a common risk factor for psychopathology: A review
Brewer, R., Murphy, J., & Bird, G. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.07.036 · Cited by 180 · see citing works
Yule, S., Wanik, J., Holm, E. M., Bruder, M. B., Shanley, E., Sherman, C. Q., Fitterman, M., Lerner, J., Marcello, M., Parenchuck, N., et al. (2020) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2020.10.017 · Cited by 88 · see citing works
Klein, M., Witthöft, M., & Jungmann, S. M. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1573263 · Cited by 86 · see citing works
Interoception is Impaired in Children, But Not Adults, with Autism Spectrum Disorder
Nicholson, T., Williams, D., Carpenter, K., & Kallitsounaki, A. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04079-w · Cited by 78 · see citing works
Sensory processing in autism across exteroceptive and interoceptive domains.
Proff, I., Williams, G. L., Quadt, L., & Garfinkel, S. N. (2022) · Psychology & Neuroscience · doi:10.1037/pne0000262 · Cited by 69 · see citing works
Interoceptive impairments do not lie at the heart of autism or alexithymia
Nicholson, T. M., Williams, D. M., Grainger, C., Christensen, J. F., Calvo-Merino, B., & Gaigg, S. B. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000370 · Cited by 61 · see citing works
Tanksale, R., Sofronoff, K., Sheffield, J. K., & Gilmour, J. (2020) · Autism · doi:10.1177/1362361320974841 · Cited by 58 · see citing works
Modelling Me, Modelling You: the Autistic Self
Perrykkad, K., & Hohwy, J. (2019) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-019-00173-y · Cited by 37 · see citing works
Eggart, M., Queri, S., & Müller-Oerlinghausen, B. (2019) · Medical Hypotheses · doi:10.1016/j.mehy.2019.05.004 · Cited by 28 · see citing works
Huggins, C. F., Donnan, G. L. J., Cameron, I. M., & Williams, J. H. G. (2020) · Research in Autism · doi:10.1016/j.rasd.2020.101612 · Cited by 26 · see citing works
Autism Spectrum Disorder May Be Highly Prevalent in People with Functional Neurological Disorders
González‐Herrero, B., Morgante, F., Pagonabarraga, J., Stanton, B. R., & Edwards, M. J. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm12010299 · Cited by 28 · see citing works
(2023) · doi:10.1017/9781108913294 · Cited by 28 · see citing works
Interoception in Autism: A Narrative Review of Behavioral and Neurobiological Data
Loureiro, F., Ringold, S. M., & Aziz‐Zadeh, L. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s410605 · Cited by 26 · see citing works
Body image and autism: A scoping review
Longhurst, P. (2023) · Research in Autism · doi:10.1016/j.rasd.2023.102170 · Cited by 23 · see citing works
Larkin, F., Ralston, B., Dinsdale, S. J., Kimura, S., & Hayiou‐Thomas, M. E. (2022) · Autism · doi:10.1177/13623613221109717 · Cited by 20 · see citing works
New directions in research on somatic concerns in individuals with eating disorders
Cusack, C. E., Ralph‐Nearman, C., Nicholas, J. K., & Levinson, C. A. (2022) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2022.100937 · Cited by 17 · see citing works
Challenges and opportunities for conceptualizing intuitive eating in autistic people
Longhurst, P., & Burnette, C. B. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24057 · Cited by 15 · see citing works
Longhurst, P., Aspell, J. E., Todd, J., & Swami, V. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101655 · Cited by 15 · see citing works
Grist, N., Brown, T., Yu, M., & Clark, E. (2023) · Journal of Occupational Therapy Schools & Early Intervention · doi:10.1080/19411243.2023.2215759 · Cited by 14 · see citing works
Rubido, M. D. V., Hollander, E., McCracken, J. T., Shic, F., Noeldeke, J., Boak, L. M., Khwaja, O., Sadikhov, S., da Fontoura, P. P., & Umbricht, D. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04493-5 · Cited by 10 · see citing works
Coll, M., Hobson, H., & Murphy, J. (2020) · doi:10.31234/osf.io/g2zhc · Cited by 10 · see citing works
Experiences of interoception and anxiety in autistic adolescents: A reflexive thematic analysis
Kiera, A., Jonahs, S., Mary, B., Geoffrey, B., & Polly, W. (2025) · Autism · doi:10.1177/13623613251314595 · Cited by 6 · see citing works
Integrating the Autistic Experience Into Existing Models for Disordered Eating
Longhurst, P., & Clark, L. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.926415 · Cited by 8 · see citing works
Califano, M., Pruccoli, J., Martucci, M., Visconti, C., Barasciutti, E., Sogos, C., & Parmeggiani, A. (2024) · Pediatric Reports · doi:10.3390/pediatric16040092 · Cited by 6 · see citing works
Itoi, C., Ujiie, Y., Matsushima, K., Takahashi, K., & Ide, M. (2022) · Scientific Reports · doi:10.1038/s41598-022-25883-y · Cited by 8 · see citing works
Lampi, A. J., Brewer, R., Bird, G., & Jaswal, V. K. (2023) · Autism Research · doi:10.1002/aur.2938 · Cited by 6 · see citing works
Impaired interoception in Colombian victims of armed conflict with PTSD: a preliminary HEP study
Herrera, E., Gutiérrez-Sterling, D., Barrera-Ocampo, A. A., Jaramillo, J. O., Santamaría‐García, H. A., & Birba, A. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1567574 · Cited by 5 · see citing works
The meltdown pathway: A multidisciplinary account of autistic meltdowns.
Soden, P. A., Bhat, A., Anderson, A. K., & Friston, K. J. (2025) · Psychological Review · doi:10.1037/rev0000543 · Cited by 5 · see citing works
Westwood, H., Mandy, W., & Brewer, R. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06708-5 · Cited by 5 · see citing works
Pultsina, K. I., Stroganova, T. A., Kozunova, G. L., Prokofyev, A. O., Miasnikova, A. S., Rytikova, A. M., & Chernyshev, B. V. (2024) · Cognitive Affective & Behavioral Neuroscience · doi:10.3758/s13415-024-01227-3 · Cited by 4 · see citing works
Developing Therapeutically Attuned Relationships with Autistic Children and Their Caregivers
Bernhard, F. B., Howell, D., & Bray, L. M. P. (2024) · Occupational Therapy In Health Care · doi:10.1080/07380577.2024.2437554 · Cited by 4 · see citing works
Fittipaldi, S., Armony, J. L., Migeot, J., Cadaveira, M., Ibáñez, A. M., & Báez, S. (2023) · European Journal of Neuroscience · doi:10.1111/ejn.15911 · Cited by 4 · see citing works
Atypical Physiological Response to Less Controllable Sensory Stimulation in Children with ASD
Matsushima, K., Matsubayashi, J., Toichi, M., Funabiki, Y., Kato, T., Awaya, T., Tsuchida, R., & Kato, T. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00927-z · Cited by 3 · see citing works
Conner, C. M., Wieckowski, A. T., Day, T. N., & Mazefsky, C. A. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780198855903.013.11 · Cited by 3 · see citing works
Autism spectrum condition: an update for dental practitioners - Part 1
Lee, R. S. C., & Clough, S. (2024) · BDJ · doi:10.1038/s41415-024-8065-5 · Cited by 3 · see citing works
Development and validation of the Interoceptive States Static Images (ISSI) database
Biotti, F., Ahmad, S. A., Quinn, R., & Brewer, R. (2021) · Behavior Research Methods · doi:10.3758/s13428-021-01706-2 · Cited by 3 · see citing works
Fox, J., Carroll, J., & Death, J. (2025) · Autism · doi:10.1177/13623613251344425 · Cited by 2 · see citing works
The role of the body in altered facial emotion perception in autism and social anxiety
Folz, J., Nikić, K., Nikolić, M., Janowicz, V., Koelkebeck, K., & Kret, M. E. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104819 · Cited by 3 · see citing works
Carpita, B., Nardi, B., Giovannoni, F., Parri, F., Pronestì, C., Bonelli, C., Massimetti, G., Pini, S., Bruno, A., Muscatello, M. R. A., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1646586 · Cited by 2 · see citing works
身体を通して感情を知る ―内受容感覚からの感情・臨床心理学―
福島, 宏. (2018) · 心理学評論 · doi:10.24602/sjpr.61.3_301 · Cited by 2 · see citing works
Itoi, C., Ujiie, Y., Ooishi, Y., & Kashino, M. (2024) · Discover Mental Health · doi:10.1007/s44192-024-00065-6 · Cited by 2 · see citing works
Research Issues Involving the Biology of Autism
Edelson, S. M. (2019) · Autism and Developmental Disorders · doi:10.17759/autdd.2019170102 · Cited by 2 · see citing works
Riva, G., Lernia, D. D., & Dakanalis, A. (2019) · Behavioral and Brain Sciences · doi:10.1017/s0140525x18002340 · Cited by 2 · see citing works
Recognition of others’ interoceptive states in those with and without eating disorders
Gajperia, C., McBride, J., Treasure, J. L., Cardi, V., & Brewer, R. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05615-4 · Cited by 2 · see citing works
Arnold, S. R. C., Higgins, J. M., & Trollor, J. N. (2020) · Research and Practice in Intellectual and Developmental Disabilities · doi:10.1080/23297018.2020.1753566 · Cited by 2 · see citing works
Physiological and Epigenetic: Implications of Positive Emotions
Agnoletti, M., & Formica, S. (2022) · doi:10.1002/9781119771418.ch9 · Cited by 2 · see citing works
Vietti, M. B., Chamorro, N., Maxit, C., Gonzalez, A., Mendoza, A., & Paz, E. V. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07201-3 · Cited by 1 · see citing works
Context-dependent basic and moral emotions in adults with autism
Bleier, C., Peralta, V., Holguín, C., Gómez-Carvajal, A.-M., Castellanos, C. A., Fittipaldi, S., Santamaría‐García, H. A., & Báez, S. (2024) · Motivation and Emotion · doi:10.1007/s11031-024-10079-w · Cited by 1 · see citing works
Comorbid Psychiatric Illnesses
Thorsteinsson, E., & Brown, R. F. (2019) · Springer eBooks · doi:10.1007/978-3-030-32545-9_6 · Cited by 1 · see citing works
Self-citation自閉スペクトラム症児における限局化した興味と 情動経験との関連についての予備的検討 —画像刺激に対する主観的評価を用いた検討—
FURUHATA, R., & 岡崎, 慎. (2020) · Institutional Repositories DataBase (IRDB) · doi:10.20847/adsj.44.1_55
INTEROCEPTION: ASSESSMENT OF BODY PERCEPTION IN CHILDREN WITH AUTISM AND SENSORY ISSUE
Iqbal, M. (2022) · Pakistan Journal of Rehabilitation · doi:10.36283/pjr.zu.11.2/021
Komorbide psychiatrische Erkrankungen
Thorsteinsson, E., & Brown, R. F. (2024) · Springer eBooks · doi:10.1007/978-3-031-55637-1_6
Self-citationSoma to neuron communication links stress adaptation to stress avoidance behaviorPreprint
Witrado, J., Gundrum, E., Veroli, M. V., Gilsrud, A. J., Eskandarisani, M., Zervantonakis, I. K., Mullett, S., Gelhaus, S., & Lamitina, T. (2025) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2025.05.07.652728
Weng, Z., Chang, J.-C., Chen, H., & Wang, T. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07288-2
Associations Between Autism and Self-Reported Dimensions of Interoception
Adams, K. L., Catmur, C., & Bird, G. (2026) · Autism · doi:10.1177/13623613261434431
Zhang, J., & Deng, X. (2026) · Phenomenology and the Cognitive Sciences · doi:10.1007/s11097-026-10176-w
Autistic Adult Online Interoception Feasibility Pilot Program
Graziosi, S. G. S., Oliver, E., Arline, V., Mahler, K., Ratcliff, K., Pryor, L., & Hilton, C. L. (2026) · Occupational Therapy International · doi:10.1155/oti/4437761
Midzyanovskaya, I. S. (2026) · Exploration of neuroscience · doi:10.37349/en.2026.1006145
Altered Affective Egocentricity in Autism: Implications for Facial Emotion Perception
Nikić, K., Folz, J., van Dijk, A., Janowicz, V., Suslow, T., Kret, M. E., & Koelkebeck, K. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07493-z
Gut instincts: Multi-level control and neural pathways involved in gastrointestinal interoception
Chai, X.-Y., Wongkrasant, P., Morales‐Soto, W., Meerschaert, K. A., Wang, X. J., & Smith, K. (2026) · Autonomic Neuroscience · doi:10.1016/j.autneu.2026.103476
Savickaite, S., Li, R., & Nagai, Y. (2026) · Frontiers in Neural Circuits · doi:10.3389/fncir.2026.1934104
- Authors
- Hatfield, T. R., Brown, R. F., Giummarra, M. J., & Lenggenhager, B.
- Affiliations
- Australian National University (AU)
- Monash University (AU)
- University of Zurich (CH)
- Corresponding author
- Hatfield, Timothy R
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2017-11-15
- Volume
- 23
- Issue
- 1
- Pages
- 212-222
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- OpenAlex
- W2770302805
- Cited by
- 64
- References
- 96
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 9 · 2023: 7 · 2022: 9 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 2
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- RUNE (Research UNE) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- 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 › Social Psychology › Action Observation and Synchronization
- Keywords
- autism spectrum disorder, interoception, physiological feedback, alexithymia, attention, motivational drive, co-occurring psychopathology
- MeSH terms
- Autism Spectrum Disorder, Child, Child, Preschool, Cognition, Humans, Models, Psychological, Perception, Sense of Coherence, Interoception
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
