Assessment & Research

Relationship Between Interoception and Autistic Traits: A Resting-State Functional Connectivity Study.

Yang et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

In neurotypical adults, weaker body-brain resting connectivity lines up with higher autism traits and poorer heartbeat awareness.

✓ Read this if BCBAs working with teens or adults on self-advocacy, emotional regulation, or social skills.
✗ Skip if Clinicians only serving early-childhood verbal behavior programs.

01Research in Context

01

What this study did

Yang et al. (2024) scanned healthy adults while they rested. The team looked at how tightly brain areas that sense heartbeats and stomach rumbles talk to each other.

Each adult also filled out a short quiz about autism traits and tried to count their own heartbeats. The researchers asked: do weaker body-brain links go hand-in-hand with more autism traits?

02

What they found

People whose body-sensing regions were less connected also scored higher on autism traits. They were worse at guessing their own heartbeats.

The weaker the brain link, the poorer the body awareness. This pattern showed up even though no one in the study had an autism diagnosis.

03

How this fits with other research

Lotfizadeh et al. (2020) found no heartbeat accuracy gap between diagnosed adults with ASD and typical adults. The new study shows a gap appears when you look inside the brain, not at the task score. Together they hint that body-brain wiring, not heartbeat skill, tracks with autism traits.

Sasson et al. (2018) saw that typical adults with high autism traits ignore voice tone when reading faces. Han-Xue now shows these same adults also have weaker body-brain links. Both papers paint a picture of reduced cross-system talk in people with sub-clinical traits.

Worsham et al. (2015) reported fewer cross-brain EEG links in autistic boys. The 2024 fMRI result mirrors that pattern in typical young adults, stretching the finding across age, method, and diagnosis level.

04

Why it matters

You can’t scan a client’s brain in clinic, but you can ask, “Can you feel your heartbeat right now?” A shrug may flag weaker body awareness. Pair this with social or flexibility goals: start sessions with quick body checks (pulse, breath) to prime interoceptive input before social skills practice. The study reminds us that traits live on a continuum; mild self-report scores still map to real neural differences, so don’t wait for a diagnosis to add body-awareness training.

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Open session with a 30-second heartbeat count and discuss the feeling; use the number as a baseline before emotion-role-play drills.

02At a glance

Intervention
not applicable
Design
other
Sample size
62
Population
neurotypical
Finding
negative

03Original abstract

Interoception, the sense of the physiological condition of our body, is impaired in individuals with autism spectrum disorders. Evidence suggests that subclinical autistic traits are mild manifestations of autistic symptoms, present in the general population. We examined the resting-state functional connectivity (rsFC) associating with interoception and autistic traits in 62 healthy young adults. Autistic traits correlated negatively with the rsFC between the lateral ventral anterior insula and anterior cingulate cortex. Interoceptive accuracy and sensibility correlated positively with the rsFC between interoceptive brain networks and the cerebellum, supplementary motor area, and visual regions. The results suggest that a negative relationship between interoception and autistic traits is largely accounted for by both self-report measures and decreased rsFC amongst the interoceptive brain network.

Journal of autism and developmental disorders, 2024 · doi:10.1016/j.comppsych.2007.04.007