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Updated: Jan 4, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Dissociation in How Core Autism Features Relate to Interoceptive Dimensions: Evidence from Cardiac Awareness in
E R Palser1,2,3, A Fotopoulou4, E Pellicano5,6
1Department of Clinical, Educational and Health Psychology, Psychology and Language Sciences, University College London, Gower Street, London, WC1E 6BT, UK. eleanor.palser.14@ucl.ac.uk.
Interoception differences in autism link to core symptoms. Interoceptive accuracy relates to repetitive behaviors, while interoceptive sensibility connects to social-affective traits in autistic children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Autism Research
Background:
- Interoception, the sense of the body's internal state, is increasingly studied in autism spectrum disorder (ASD).
- Previous research indicates altered objective and subjective interoception in autism, often linked to anxiety.
- The relationship between interoception and core autism features remains unclear.
Purpose of the Study:
- To investigate the association between interoceptive accuracy and sensibility with core autism symptoms.
- To examine how these interoceptive aspects relate to social-affective deficits and repetitive, restricted behaviors in autistic children.
Main Methods:
- Assessed interoceptive accuracy using heartbeat detection tasks in 49 autistic children.
- Measured interoceptive sensibility through subjective self-report of interoceptive awareness.
- Correlated interoceptive measures with Autism Diagnostic Observation Schedule (ADOS) severity and specific symptom domains.
Main Results:
- Interoceptive sensibility showed a significant association with socio-affective features of autism.
- Interoceptive accuracy was found to be related to repetitive and restricted behaviors.
- A dissociation was observed between objective and subjective interoceptive measures and distinct autism symptom clusters.
Conclusions:
- Disparate interoceptive mechanisms may underlie the development and persistence of core autism features.
- Findings suggest distinct neural or cognitive pathways for processing internal bodily signals related to social and behavioral aspects of autism.
- This research highlights the complex role of interoception in the autism phenotype.
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