Characterizing Interoceptive Differences in Autism: A Systematic Review and Meta-analysis of Case-control Studies.
Characterizing Interoceptive Differences in Autism: A Systematic Review and Meta-analysis of Case-control Studies.
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DOI：
10.1007/s10803-022-05656-2
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发表时间：
2023-03
影响因子：
3.9
通讯作者：
Woynaroski, Tiffany G.
中科院分区：
文献类型：
--
作者：
Williams, Zachary J.;Suzman, Evan;Bordman, Samantha L.;Markfeld, Jennifer E.;Kaiser, Sophia M.;Dunham, Kacie A.;Zoltowski, Alisa R.;Failla, Michelle D.;Cascio, Carissa J.;Woynaroski, Tiffany G.
内感受，即身体对自身内部状态的感知，被认为在自闭症中发生了改变，尽管结果一直不一致。目前的研究系统地回顾和荟萃分析了现存的文献，比较自闭症（AUT）和神经型（NT）个体之间的内感受结果，确定哪些内感受领域表现出强大的组间差异。一项三水平贝叶斯荟萃分析比较了AUT组和NT组之间的心跳计数性能、心跳辨别性能、心跳计数置信度和自我报告的内感受性注意力（15项研究; nAUT=467，nNT=478）。自闭症参与者的心跳计数能力显著降低（g=-0.333，CrI95% [-0.535，-0.138]），对心跳计数能力的信心更高（g=0.430，CrI95% [0.123，0.750]），但其他荟萃分析结果相同。未来的自闭症内感受研究的影响进行了讨论。
Interoception, the body’s perception of its own internal states, is thought to be altered in autism, though results 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.
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