Evidence map›Paper›PMID 35212373›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2022

Sex-related brain connectivity correlates of compensation in adults with autism: insights into female protection.

Melissa J M Walsh, Broc Pagni, Leanna Monahan, Shanna Delaney, Christopher J Smith, Leslie Baxter, B Blair Braden

Open access · greenAbstract read
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Autistic Traits and Camouflaging: A Meta-Analysis.Autism : the international journal of research and practice · 2026
    Pooled it
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  11. Sensorimotor regulation of facial expression - An untouched frontier.Neuroscience and biobehavioral reviews · 2024
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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

7 authors at 3 institutions in 2 countries.

Melissa J M WalshCollege of Health Solutions, Arizona State University, Tempe, AZ 85281, USA.ORCID 0000-0002-7303-4151
Broc PagniCollege of Health Solutions, Arizona State University, Tempe, AZ 85281, USA.ORCID 0000-0002-9496-7604
Leanna MonahanCollege of Health Solutions, Arizona State University, Tempe, AZ 85281, USA.ORCID 0000-0001-9048-2418
Shanna DelaneyCollege of Health Solutions, Arizona State University, Tempe, AZ 85281, USA.ORCID 0000-0002-7338-6579
Christopher J SmithSouthwest Autism Research and Resource Center, Phoenix, AZ 85006, USA.ORCID 0000-0003-4736-4701
Leslie BaxterMayo Clinic of Arizona, Phoenix, AZ 85054, USA.ORCID 0000-0002-3971-863X
B Blair BradenCollege of Health Solutions, Arizona State University, Tempe, AZ 85281, USA.ORCID 0000-0001-6842-9784
Health Solutions (Sweden) · SEMayo Clinic Hospital · USSouthwest Autism Research & Resource Center · US

Funding

Sex-Specific Brain and Behavioral Predictors of Cognitive Aging in Middle-Aged Adults with Autism Spectrum DisorderK01MH116098 · NIMH · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI BRADEN, BRITTANY BLAIR · 2018 to 2022
$760k
Are aging outcomes worse for women with autism? Sex differences in the neurocircuitry of symptom camouflaging and its vulnerability to agingF31MH122107 · NIMH · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI WALSH, MELISSA · 2019 to 2021
$116k
NIMH NIH HHS F31 MH122107NIMH NIH HHS K01 MH116098
6 · The paper itself

Abstract

The male preponderance in autism spectrum disorder (ASD) led to the hypothesis that aspects of female biology are protective against ASD. Females with ASD (ASD-F) report more compensatory behaviors (i.e. "camouflaging") to overcome ASD-related social differences, which may be a mechanism of protection. No studies have examined sex-related brain pathways supporting camouflaging in ASD-F, despite its potential to inform mechanisms underlying the ASD sex bias. We used functional connectivity (FC) to investigate "sex-atypical" and "sex-typical" FC patterns linked to camouflaging in adults with ASD and examined multimodal coherence of findings via structural connectometry. Exploratory associations with cognitive/emotional functioning examined the adaptive nature of FC patterns. We found (i) "sex-atypical" FC patterns linked to camouflaging in the hypothalamus and precuneus and (ii) "sex-typical" patterns in the right anterior cingulate and anterior parahippocampus. Higher hypothalamic FC with a limbic reward cluster also correlated with better cognitive control/emotion recognition. Structural connectometry validated FC results with consistent brain pathways/effect patterns implicated in ASD-F. In summary, "male-typical" and "female-typical" brain connectivity patterns support camouflaging in ASD-F in circuits implicated in reward, emotion, and memory retrieval. "Sex-atypical" results are consistent with fetal steroidogenic/neuroinflammatory hypotheses. However, female genetics/biology may contribute to "female-typical" patterns implicated in camouflaging.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdultBrainBrain MappingFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysautismcamouflagingDTIMRIresting-statesex/gender

Identifiers

PMID35212373
PMCPMC9837609
OpenAlexW4210405728

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.