학술논문

Characterizing Interoceptive Differences in Autism: A Systematic Review and Meta-analysis of Case–control Studies.
Document Type
Academic Journal
Source
Journal of Autism & Developmental Disorders (J AUTISM DEV DISORD), Mar2023; 53(3): 947-962. (16p)
Subject
Language
English
ISSN
0162-3257
Abstract
Interoception, the body's perception of its own internal states, is thought to be altered in autism, though results of empirical studies have been inconsistent. The current study systematically reviewed and meta-analyzed the extant literature comparing interoceptive outcomes between autistic (AUT) and neurotypical (NT) individuals, determining which domains of interoception demonstrate robust between-group differences. A three-level Bayesian meta-analysis compared heartbeat counting performance, heartbeat discrimination performance, heartbeat counting confidence ratings, and self-reported interoceptive attention between AUT and NT groups (15 studies; nAUT = 467, nNT = 478). Autistic participants showed significantly reduced heartbeat counting performance [g = − 0.333, CrI95% (− 0.535, − 0.138)] and higher confidence in their heartbeat counting abilities [g = 0.430, CrI95% (0.123, 0.750)], but groups were equivalent on other meta-analyzed outcomes. Implications for future interoception research in autism are discussed.