Evidence map›Paper›PMID 26192103›Full record

ArticleNeuroscience and biobehavioral reviews2015

Commentary on "Autism, oxytocin and interoception": Alexithymia, not Autism Spectrum Disorders, is the consequence of interoceptive failure.

Rebecca Brewer, Francesca Happé, Richard Cook, Geoffrey Bird

Abstract readComment
PubMed Publisher
In one paragraph

Article in Neuroscience and biobehavioral reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Investigating alexithymia in autism: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Oxytocin Modulates Attention Switching Between Interoceptive Signals and External Social Cues.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Trial
  7. A Reliable Effect of Alexithymia, but Not Autism, on Placebo Hypoalgesia.Autism : the international journal of research and practice · 2026
    Article
  8. Article
  9. Associations Between Autism and Self-Reported Dimensions of Interoception.Autism : the international journal of research and practice · 2026
    Article
  10. Article
  11. Autistic Adult Online Interoception Feasibility Pilot Program.Occupational therapy international · 2026
    Article
  12. Article
  13. The meaning of autistic movements.Autism : the international journal of research and practice · 2024
    Article
  14. Article
  15. Article
  16. Relationships between alexithymia, interoception, and emotional empathy in autism spectrum disorder.Autism : the international journal of research and practice · 2023
    Article
  17. The role of interoception in the overlap between eating disorders and autism: Methodological considerations.European eating disorders review : the journal of the Eating Disorders Association · 2022
    Article
  18. A network analysis of interoception, self-awareness, empathy, alexithymia, and autistic traits.European archives of psychiatry and clinical neuroscience · 2022
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Rebecca BrewerMRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom. Electronic address: Rebecca.1.brewer@kcl.ac.uk.
Francesca HappéMRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom.
Richard CookDepartment of Psychology, City University, London, United Kingdom.
Geoffrey BirdMRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom; Institute of Cognitive Neuroscience, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In "Autism, oxytocin and interoception" (Neuroscience and Biobehavioral Reviews 47, 410-430) Quattrocki and Friston present their theory of the role of oxytocin in interoception from multiple perspectives. The arguments contained therein are compelling, and highlight the fact that interoception, and the role of oxytocin in interoception, should receive more research attention. However, in addition to outlining the role of oxytocin in interoception the authors also suggest that Autism Spectrum Disorder (ASD) is a result of a failure of this system. It is this latter claim that we disagree with, instead suggesting that alexithymia, rather than autism, is most accurately characterised as a general failure of interoception. We review positive evidence that alexithymia produces several of the deficits identified as indicating a failure of interoception, and negative evidence that ASD (in the absence of comorbid alexithymia) is associated with these deficits. We highlight implications for the model, for oxytocin research, and for the clinical management of psychiatric conditions more generally.

Indexed as

Social BehaviorAutistic DisorderBrainHumansInteroceptionOxytocinOxytocinAlexithymiaAutismEmotion recognitionEmpathyImitationInteroceptionOxytocinPredictive codingTheory of mind

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.