Is autonomic function during resting-state atypical in Autism: A systematic review of evidence.

Neurosci Biobehav Rev

Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Institute of Mental Health, Innovation Park, Triumph Road, Nottingham, NG7 2TU, United Kingdom. Electronic address:

Published: June 2021

AI Article Synopsis

  • - The study reviews how resting-state arousal differs in autistic individuals, affecting their ability to engage with their environment and develop attention and social skills.
  • - Researchers analyzed 51 studies on autonomic arousal (like heart rate and pupil response) between neurotypical and autistic groups, finding that about 60.8% indicated significant differences.
  • - While many autistic individuals showed signs of hyperarousal, hypo-arousal and autonomic dysregulation were also noted, emphasizing that the experimental context influences results, leading to recommendations for future research approaches.

Article Abstract

Background: Theories of differences in resting-state arousal in autistic individuals are influential. Differences in arousal during resting-state would impact engagement and adaptation to the environment, having a cascading effect on development of attentional and social skills.

Objectives: We systematically evaluated the evidence for differences in measures of autonomic arousal (heart rate, pupillometry or electrodermal activity) during resting-state in autistic individuals; to understand whether certain contextual or methodological factors impact reports of such differences.

Data Sources: We searched PsycInfo, MEDLINE and EMBASE databases for papers published until 16th May 2019. Of 1207 titles initially identified, 60 met inclusion criteria.

Results And Conclusions: Of the 51 studies that investigated group differences between neurotypical and autistic participants, 60.8 % found evidence of group differences. While findings of hyperarousal were more common, particularly using indices of parasympathetic function, findings of hypo-arousal and autonomic dysregulation were also consistently present. Importantly, experimental context played a role in revealing such differences. The evidence is discussed with regard to important methodological factors and implications for future research are described.

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http://dx.doi.org/10.1016/j.neubiorev.2021.02.041DOI Listing

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