Evidence map›Paper›PMID 37866060›Full record

ArticleCortex; a journal devoted to the study of the nervous system and behavior2023

Elevated and accelerated: Locus coeruleus activity and visual search abilities in autistic children.

Brandon Keehn, Girija Kadlaskar, Rebecca McNally Keehn

Open access · greenAbstract read
In one paragraph

Article in Cortex; a journal devoted to the study of the nervous system and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Neurobiological influences on event perception: the role of catecholamines.The international journal of neuropsychopharmacology · 2025
    Trial
  3. Atypical Attentional Effort During Visual Search in Autistic Adults: Evidence From Task-Evoked Pupillary Responses.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 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

3 authors at 2 institutions in 1 country.

Brandon KeehnDepartment of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN, USA; Department of Psychological Sciences, Purdue University, West Lafayette, IN, USA. Electronic address: bkeehn@purdue.edu.
Girija KadlaskarDepartment of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN, USA.
Rebecca McNally KeehnDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Purdue University West Lafayette · USIndiana University School of Medicine

Funding

Understanding Attentional Strengths and Weaknesses in Autism Spectrum DisorderR21MH114095 · NIMH · PURDUE UNIVERSITY · PI KEEHN, BRANDON · 2018 to 2019
$415k
NIMH NIH HHS R21 MH114095
6 · The paper itself

Abstract

backgroundAutistic individuals excel at visual search, however, the neural mechanism(s) underlying this advantage remain unclear. The locus coeruleus-norepinephrine (LC-NE) system, which plays a critical role in sensory perception and selective attention, has been shown to function in a persistently elevated state in individuals on the spectrum. However, the relationship between elevated tonic LC-NE activity and accelerated search in autism has not been explored.

objectiveTo examine the relationship between visual search abilities and resting pupil diameter (an indirect measure of tonic LC-NE activation) in autistic and neurotypical children.

methodsParticipants were 24 school-aged autistic children and 24 age- and IQ-matched neurotypical children aged 8-15 years. Children completed two tasks: a resting eye-tracking task and a visual search paradigm. For the resting eye-tracking task, pupil diameter was monitored while participants fixated a central crosshair. For the visual search paradigm, participants were instructed to find the target (vertical line) embedded within an array of tilted (10°) distractor lines. The target was present on 50% of trials, and displayed within set sizes of 18, 24, and 36 items.

resultsConsistent with previous studies, autistic children had significantly larger resting pupil size and searched faster and more efficiently compared to their neurotypical peers. Eye-tracking findings revealed that accelerated search was associated with fewer, not shorter, fixations in the autism group. Autistic children also showed reduced leftward search bias. Larger resting pupil size, indicative of increased tonic activation of the LC-NE system, was associated with greater search efficiency, longer fixation durations, and reduced leftward bias. Finally, within both groups reduced leftward bias was associated with increased autism symptomatology. DISCUSSION: Together, these findings add to the existing body of research highlighting superior search in autism, suggest that elevated tonic LC-NE activity may contribute to more efficient search, and link non-social visual-spatial processing strengths to autism symptoms.

Indexed as

Autistic DisorderLocus CoeruleusAttentionChildHumansNorepinephrineSensationNorepinephrineAutismLocus coeruleusNorepinephrinePseudoneglectPupilVisual search

Identifiers

PMID37866060
PMCPMC10842606
OpenAlexW4387336044

What OpenQuestion holds

Textmetadata
LicenceTDM
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.