Sex Differences in Body Ownership in Adults With Autism Spectrum Disorder
Open accessAbstract
A strong male prevalence has been observed in autism spectrum disorder (ASD) since its definition, but the behavioral manifestations of sex disparity have yet to be clarified. Here, we investigate sex differences in the perception of the Numbness Illusion (NI), a procedure based on a tactile conflict, in adults with ASD and with typical development. We aim to assess if women and men with ASD perceive NI-dependent body ownership differently and whether sex differences emerge in individuals with typical development. To elicit the NI, participants pressed their right-hand palm against the confederate's hand and stroked with the thumb and the index finger of their left hand the joined index fingers in a synchronous or asynchronous way. Results reveal that women with ASD present a reversed and atypical pattern for the NI compared to men with ASD and a group of matched controls. In particular, women with ASD report a stronger illusion than men with ASD, that is more evident in the asynchronous conditions. In the asynchronous condition, women in the ASD group report stronger NI as compared to women and men in the Control group, whereas men with ASD only to men in the Control group. In the typical sample, the NI emerges only in the synchronous condition and no sex difference is observed. We discuss our results in terms of potential advantage of women in sociality and sensory information processing that might lead women with ASD to use different modalities to solve the illusion compared to men with ASD. In sum, these outcomes describe sex differences in individuals with ASD in the domain of illusory perception. This may be used in the future to support the characterization of the female phenotype of autism.
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
Statistical power analyses using G∗Power 3.1: tests for correlation and regression analyses
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009) · Behavior Research Methods · doi:10.3758/brm.41.4.1149 · Cited by 37,615 · see citing works
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
(1943) · The Nervous child · Cited by 8,870 · see citing works
Does the autistic child have a “theory of mind” ?
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985) · Cognition · doi:10.1016/0010-0277(85)90022-8 · Cited by 8,599 · see citing works
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (2000) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1005592401947 · Cited by 7,520 · see citing works
A theory of cortical responses.
Friston, K. (2005) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2005.1622 · Cited by 4,578 · see citing works
Rubber hands ‘feel’ touch that eyes see
Botvinick, M., & Cohen, J. (1998) · Nature · doi:10.1038/35784 · Cited by 4,410 · see citing works
Baron-Cohen, S., & Wheelwright, S. (2004) · Journal of Autism and Developmental Disorders · doi:10.1023/b:jadd.0000022607.19833.00 · Cited by 4,093 · see citing works
Philosophical conceptions of the self: implications for cognitive science.
Gallagher, S. (2000) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(99)01417-5 · Cited by 2,881 · cited 2× · see citing works
“Developing functional motor, social and communication skills (Gallagher, 2000) and efficiently “walking in someone’s shoes” require the acquisition of the ability to differentiate the self from others and to compare the two entities.”
BackgroundCanonical Microcircuits for Predictive Coding
Bastos, A. M., Usrey, W. M., Adams, R. A., Mangun, G. R., Fries, P., & Friston, K. J. (2012) · Neuron · doi:10.1016/j.neuron.2012.10.038 · Cited by 2,421 · see citing works
Autistic disturbances of affective contact.
Kanner, L. (1968) · PubMed · Cited by 2,273 · see citing works
Wechsler Adult Intelligence Scale--Fourth Edition
Wechsler, D. (2012) · PsycTESTS Dataset · doi:10.1037/t15169-000 · Cited by 2,232 · see citing works
Die „Autistischen Psychopathen” im Kindesalter
Asperger, H. (1944) · Archiv für Psychiatrie und Nervenkrankheiten · doi:10.1007/bf01837709 · Cited by 2,163 · see citing works
The extreme male brain theory of autism
Baron-Cohen, S. (2002) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(02)01904-6 · Cited by 2,007 · see citing works
The Extreme Male-Brain Theory of Autism
Baron‐Cohen, S. (1999) · The MIT Press eBooks · doi:10.7551/mitpress/4945.003.0023 · Cited by 1,413 · see citing works
The roots of empathy: the shared manifold hypothesis and the neural basis of intersubjectivity
Gallese, V. (2003) · Psychopathology · doi:10.1159/000072786 · Cited by 1,249 · see citing works
Sex differences in autism spectrum disorders
Werling, D. M., & Geschwind, D. H. (2013) · Current Opinion in Neurology · doi:10.1097/wco.0b013e32835ee548 · Cited by 1,245 · see citing works
Sex differences in the brain: implications for explaining autism
Baron-Cohen, S., Knickmeyer, R. C., & Belmonte, M. K. (2005) · Science · doi:10.1126/science.1115455 · Cited by 1,145 · see citing works
Sex/Gender Differences and Autism: Setting the Scene for Future Research
Lai, M.-C., Lombardo, M. V., Auyeung, B., Chakrabarti, B., & Baron-Cohen, S. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.10.003 · Cited by 1,120 · see citing works
The Declaration of Helsinki and public health
Williams, J. (2008) · Bulletin of the World Health Organization · doi:10.2471/blt.08.050955 · Cited by 986 · see citing works
The experimental induction of out-of-body experiences
Ehrsson, H. H. (2007) · Science · doi:10.1126/science.1142175 · Cited by 959 · see citing works
Kimura, D. (1992) · Scientific American · doi:10.1038/scientificamerican0992-118 · Cited by 664 · see citing works
A behavioral comparison of male and female adults with high functioning autism spectrum conditions
Lai, M.-C., Lombardo, M. V., Pasco, G., Ruigrok, A. N. V., Wheelwright, S. J., Sadek, S. A., Chakrabarti, B., MRC AIMS Consortium, & Baron-Cohen, S. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020835 · Cited by 650 · see citing works
Dworzynski, K., Ronald, A., Bolton, P., & Happé, F. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.05.018 · Cited by 633 · cited 1× · see citing works
“…sensory stimulation able to shift the belonging of one body part to either external objects (e.g., a rubber object shaped like a human hand, Botvinick and Cohen, 1998; Ehrsson, 2007) or to another person’s body part (e.g., someone else’s finger, Dieguez et al., 2009; Martuzzi et al., 2015).”
BackgroundHalladay, A. K., Bishop, S. L., Constantino, J. N., Daniels, A. M., Koenig, K., Palmer, K., Messinger, D. S., Pelphrey, K. A., Sanders, S., Singer, A., et al. (2015) · Molecular Autism · doi:10.1186/s13229-015-0019-y · Cited by 582 · see citing works
Towards a digital body: the virtual arm illusion
Slater, M. (2008) · Frontiers in Human Neuroscience · doi:10.3389/neuro.09.006.2008 · Cited by 570 · see citing works
Van Wijngaarden-Cremers, P. J. M., van Eeten, E., Groen, W. B., Van Deurzen, P. A., Oosterling, I. J., & Van der Gaag, R. J. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1913-9 · Cited by 547 · see citing works
Examining and interpreting the female protective effect against autistic behavior
Robinson, E. B., Lichtenstein, P., Anckarsäter, H., Happé, F., & Ronald, A. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1211070110 · Cited by 531 · see citing works
The “sense of agency” and its underlying cognitive and neural mechanisms
David, N., Newen, A., & Vogeley, K. (2008) · Consciousness and Cognition · doi:10.1016/j.concog.2008.03.004 · Cited by 506 · see citing works
Kimura, D. (1999) · The MIT Press eBooks · doi:10.7551/mitpress/6194.001.0001 · Cited by 494 · see citing works
Tactile Perception in Adults with Autism: a Multidimensional Psychophysical Study
Cascio, C., McGlone, F., Folger, S., Tannan, V., Baranek, G., Pelphrey, K. A., & Essick, G. (2008) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-007-0370-8 · Cited by 380 · see citing works
Hiller, R. M., Young, R. L., & Weber, N. (2014) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-014-9881-x · Cited by 369 · see citing works
Sex ratios in early childhood autism and related conditions
Wing, L. (1981) · Psychiatry Research · doi:10.1016/0165-1781(81)90043-3 · Cited by 343 · see citing works
Gender differences in emotionality and sociability in children with autism spectrum disorders
Head, A. M., McGillivray, J. A., & Stokes, M. A. (2014) · Molecular Autism · doi:10.1186/2040-2392-5-19 · Cited by 315 · see citing works
Cukier, H. N., Dueker, N., Slifer, S. H., Lee, J. M., Whitehead, P. L., Lalanne, E., Leyva, N., Konidari, I., Gentry, R. C., Hulme, W. F., et al. (2014) · Molecular Autism · doi:10.1186/2040-2392-5-1 · Cited by 312 · see citing works
The Complete Guide to Asperger's Syndrome
Powis, S. (2008) · Tizard Learning Disability Review · doi:10.1108/13595474200800006 · Cited by 290 · see citing works
Sense of body and sense of action both contribute to self-recognition
van den Bos, E., & Jeannerod, M. (2002) · Cognition · doi:10.1016/s0010-0277(02)00100-2 · Cited by 271 · see citing works
Sex Differences in Toddlers with Autism Spectrum Disorders
Carter, A. S., Black, D. O., Tewani, S., Connolly, C. E., Kadlec, M. B., & Tager-Flusberg, H. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0331-7 · Cited by 262 · see citing works
Review of gender differences in core symptomatology in autism spectrum disorders
Rivet, T. T., & Matson, J. L. (2011) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2010.12.003 · Cited by 258 · cited 1× · see citing works
“In this connection, several studies based on clinical observations have suggested that high-functioning girls and women with ASD show different and less severe social and communication impairments compared to boys and men with ASD (Rivet and Matson, 2011; Werling and Geschwind, 2013a).”
BackgroundTavassoli, T., Hoekstra, R. A., & Baron-Cohen, S. (2014) · Molecular Autism · doi:10.1186/2040-2392-5-29 · Cited by 251 · see citing works
Discrimination in Autism Within Different Sensory Modalities
O’Riordan, M., & Passetti, F. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0106-1 · Cited by 228 · see citing works
Bolis, D., Balsters, J., Wenderoth, N., Becchio, C., & Schilbach, L. (2017) · Psychopathology · doi:10.1159/000484353 · Cited by 204 · see citing works
Cascio, C. J., Foss-Feig, J. H., Burnette, C. P., Heacock, J. L., & Cosby, A. A. (2012) · Autism · doi:10.1177/1362361311430404 · Cited by 184 · see citing works
Sex differences in pre-diagnosis concerns for children later diagnosed with autism spectrum disorder
Hiller, R. M., Young, R. L., & Weber, N. (2016) · Autism · doi:10.1177/1362361314568899 · Cited by 153 · see citing works
Rethinking the nature of genetic vulnerability to autistic spectrum disorders
Skuse, D. H. (2007) · Trends in Genetics · doi:10.1016/j.tig.2007.06.003 · Cited by 147 · see citing works
Understanding sex bias in autism spectrum disorder
Werling, D. M., & Geschwind, D. H. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1301602110 · Cited by 135 · see citing works
Beyond the colour of my skin: how skin colour affects the sense of body-ownership
Farmer, H., Tajadura-Jiménez, A., & Tsakiris, M. (2012) · Consciousness and Cognition · doi:10.1016/j.concog.2012.04.011 · Cited by 123 · see citing works
The spatial self in schizophrenia and autism spectrum disorder
Noel, J.-P., Cascio, C. J., Wallace, M. T., & Park, S. (2017) · Schizophrenia Research · doi:10.1016/j.schres.2016.09.021 · Cited by 120 · see citing works
Self-reported sex differences in high-functioning adults with autism: a meta-analysis
Moseley, R. L., Hitchiner, R., & Kirkby, J. A. (2018) · Molecular Autism · doi:10.1186/s13229-018-0216-6 · Cited by 57 · see citing works
Martínez‐Sanchis, S. (2014) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2014.00970 · Cited by 55 · see citing works
Feeling numbness for someone else's finger
Diéguez, S., Mercier, M. R., Newby, N., & Blanke, O. (2009) · Current Biology · doi:10.1016/j.cub.2009.10.055 · Cited by 55 · see citing works
Eyewitness Testimony in Autism Spectrum Disorder: A Review
Maras, K., & Bowler, D. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1502-3 · Cited by 55 · see citing works
Kumazaki, H., Muramatsu, T., Kosaka, H., Fujisawa, T. X., Iwata, K., Tomoda, A., Tsuchiya, K. J., & Mimura, M. (2015) · Research in Autism · doi:10.1016/j.rasd.2014.12.011 · Cited by 50 · see citing works
The Rubber Hand Illusion: Two’s a company, but three’s a crowd
Folegatti, A., Farnè, A., Salemme, R., & de Vignemont, F. (2012) · Consciousness and Cognition · doi:10.1016/j.concog.2012.02.008 · Cited by 43 · see citing works
The disappearing limb trick and the role of sensory suggestibility in illusion experience
Stone, K. D., Bullock, F., Keizer, A., & Dijkerman, H. C. (2018) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2018.07.012 · Cited by 22 · see citing works
Distinct contributions of Brodmann areas 1 and 2 to body ownership
Martuzzi, R., van der Zwaag, W., Diéguez, S., Serino, A., Rolf Gruetter, A., & Blanke, O. (2015) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsv031 · Cited by 21 · see citing works
In sync or not in sync? Illusory body ownership in autism spectrum disorder
Guerra, S., Spoto, A., Parma, V., Straulino, E., & Castiello, U. (2017) · Research in Autism · doi:10.1016/j.rasd.2017.07.003 · Cited by 7 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Gheorghiu V. A. Koch E. Hubner M. (1995). “A group scale for the influence of suggestion on sensory judgments,” in Hypnosis Connecting Disciplines. Proceedings of the Sixth European Congress of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, August 14–20, eds Blocs E. Guttmann G. Martin M. Mende M. Kanitschar H. Walter H. (Vienna: Medizinisch-Pharmazeutische Verlagsgesellschaftm), 14– 17.
Cited by
Sorted by citations
Salari, N., Rasoulpoor, S., Rasoulpoor, S., Shohaimi, S., Jafarpour, S., Abdoli, N., Khaledi-Paveh, B., & Mohammadi, M. (2022) · Italian Journal of Pediatrics · doi:10.1186/s13052-022-01310-w · Cited by 571 · see citing works
“Generally, girls with ASD show fewer unusual behaviours and are less likely to be diagnosed with ASD [113].”
BackgroundPrevalence of autism spectrum disorder in Asia: A systematic review and meta-analysis
Qiu, S., Lu, Y., Li, Y., Shi, J., Cui, H., Gu, Y., Li, Y., Zhong, W., Zhu, X., Liu, Y., et al. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.112679 · Cited by 214 · see citing works
Gut microbiota on gender bias in autism spectrum disorder
Hao, X., Pan, J., Gao, X., Zhang, S., & Li, Y. (2020) · Reviews in the Neurosciences · doi:10.1515/revneuro-2020-0042 · Cited by 19 · see citing works
Self-Reported Voluntary Blame-Taking: Kinship Before Friendship and No Effect of Incentives
Schneider, T., Sauerland, M., Merckelbach, H. L. G. J., Puschke, J., & Cohrs, J. C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.621960 · Cited by 6 · see citing works
From adolescence to old age: how sensory precision shapes body ownership during physiological aging
Martinelli, I., Risso, G., Bertoni, T., Meregalli, V., Collantoni, E., Molteni, F., Pedrocchi, A., Bottini, G., Serino, A., & Bassolino, M. (2025) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2025.1663505 · Cited by 3 · see citing works
Reframing Body Representations in Autistic Individuals: A Systematic Review
Mourad, J., Daniels, K., Bogaerts, K., Sourbron, B., Meekers, S., Vanbuel, A., Beers, R. V., Mattheeussen, M., Desseilles, M., & Bonnechère, B. (2026) · Autism Research · doi:10.1002/aur.70254
Sikora, V., Bové, M., Agosti, L. P., Palmieri, R. P., Zafar, M., Tucci, P., Morgese, M. G., Schiavone, S., & Trabace, L. (2026) · British Journal of Pharmacology · doi:10.1111/bph.70693
The active self in autism: multisensory and sensorimotor foundations of bodily self-representation
Najafabadi, A. J., & Rastegari, A. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08756-w · Cited by 1 · see citing works
- Authors
- Guerra, S., Spoto, A., Castiello, U., & Parma, V.
- Affiliations
- University of Padua (IT)
- Scuola Internazionale Superiore di Studi Avanzati (IT)
- Corresponding author
- Castiello, Umberto
- Parma, Valentina
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2019-02-04
- Volume
- 10
- Pages
- 168-168
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6369199
- OpenAlex
- W2913623747
- Cited by
- 8
- References
- 57
- Citations by year
- 2026: 3 · 2025: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
- Keywords
- autism spectrum disorder, sex differences, body ownership, illusory perception, body perception
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