Evidence map›Paper›PMID 28881454›Full record

ArticleHuman brain mapping2017

Hypersensitivity to low intensity fearful faces in autism when fixation is constrained to the eyes.

Amandine Lassalle, Jakob Åsberg Johnels, Nicole R Zürcher, Loyse Hippolyte, Eva Billstedt, Noreen Ward, Eric Lemonnier, Christopher Gillberg, Nouchine Hadjikhani

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% of its field
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Dialectical Behavior Therapy in Autism.Current psychiatry reports · 2025
    Review
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  14. Article
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  17. Article
  18. Sensory Processing Patterns and Fusiform Activity During Face Processing in Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2020
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 4 countries.

Amandine LassalleMassachusetts General Hospital, A. Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, Massachusetts, USA.
Jakob Åsberg JohnelsGillberg Neuropsychiatry Center, Gothenburg University, Sweden.
Nicole R ZürcherMassachusetts General Hospital, A. Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, Massachusetts, USA.
Loyse HippolyteService de Génétique Médicale, University of Lausanne, Switzerland.
Eva BillstedtGillberg Neuropsychiatry Center, Gothenburg University, Sweden.
Noreen WardMassachusetts General Hospital, A. Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, Massachusetts, USA.
Eric LemonnierCentre Ressource Autisme, Hopital Universitaire de Limoges, France.
Christopher GillbergGillberg Neuropsychiatry Center, Gothenburg University, Sweden.
Nouchine HadjikhaniMassachusetts General Hospital, A. Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-4075-3106
Harvard University · USUniversity of Gothenburg · SEUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies that showed decreased brain activation in people with autism spectrum disorder (ASD) viewing expressive faces did not control that participants looked in the eyes. This is problematic because ASD is characterized by abnormal attention to the eyes. Here, we collected fMRI data from 48 participants (27 ASD) viewing pictures of neutral faces and faces expressing anger, happiness, and fear at low and high intensity, with a fixation cross between the eyes. Group differences in whole brain activity were examined for expressive faces at high and low intensity versus neutral faces. Group differences in neural activity were also investigated in regions of interest within the social brain, including the amygdala and the ventromedial prefrontal cortex (vmPFC). In response to low intensity fearful faces, ASD participants showed increased activation in the social brain regions, and decreased functional coupling between the amygdala and the vmPFC. This oversensitivity to low intensity fear coupled with a lack of emotional regulation capacity could indicate an excitatory/inhibitory imbalance in their socio-affective processing system. This may result in social disengagement and avoidance of eye-contact to handle feelings of strong emotional reaction. Our results also demonstrate the importance of careful control of gaze when investigating emotional processing in ASD. Hum Brain Mapp 38:5943-5957, 2017. © 2017 Wiley Periodicals, Inc.

Indexed as

AdolescentAdultAutism Spectrum DisorderBrainBrain MappingChildEmotionsFacial RecognitionFixation, OcularHumansInterpersonal RelationsMagnetic Resonance ImagingMaleNeuropsychological TestsPhotic StimulationSeverity of Illness Indexamygdalaautismeye contactfacial expressionsfearfMRI

Identifiers

PMID28881454
PMCPMC6866739
OpenAlexW2752410104

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.