Evidence map›Paper›PMID 39659956›Full record

ArticleInternational journal of clinical and health psychology : IJCHP

Neural and gaze pattern responses to happy faces in autism: Predictors of adaptive difficulties and re-evaluation of the social motivation hypothesis.

Mengyuan Yang, Lan Zhang, Zijie Wei, Pingping Zhang, Lei Xu, Lihui Huang, Keith M Kendrick, Yi Lei, Juan Kou

Abstract read
In one paragraph

Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. The Cost of Social Integration: Distinct Neural Inefficiency in Autistic Children Underlies Symptom Severity.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  2. The Impact of Pet Videos on Emotional Face Processing.European journal of investigation in health, psychology and education · 2026
    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.

Mengyuan YangInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.
Lan ZhangChengdu Women's and Children's Central Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, China.
Zijie WeiInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.
Pingping ZhangSchool of Management and Economics, University of Electronic Science and Technology of China, Chengdu 611731, China.
Lei XuInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.
Lihui HuangInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.
Keith M KendrickThe Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu 611731, China.
Yi LeiInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.
Juan KouInstitute of Brain and Psychological Sciences, Sichuan Normal University, 610066, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The "Social Motivation" hypothesis posits that social deficits in autism spectrum disorder (ASD) arise from altered reward perception. However, few studies have examined neural and behavioral responses to social reward-related cues in low functioning ASD children with limited cognitive or language abilities. Objective: This study investigated if young children with ASD show atypical gaze towards happy faces and its association with altered brain reward responses. Methods: Eye-tracking was performed in 36 ASD and 36 typically developing (TD) children (2.5-6 years) viewing happy faces of children or emoticons. Functional near infrared spectroscopy was used to record group differences in orbitofrontal cortex (OFC) activation simultaneously. Results: Children with ASD showed increased pupil diameter and OFC activation compared to TD children when viewing all happy faces and gazed less at the eyes of actual faces and the mouths of emoticons. These atypical responses was associated with lower adaptive behavior scores and greater symptom severity. Conclusion: Our research reveals distinct neural hyperactivity and viewing patterns in young children with ASD when presented with reward-related facial stimuli. These results contradict the Social Motivation Hypothesis. Children with ASD exhibit heightened levels of arousal and employ less efficient facial processing strategies. This heightened demand for cognitive resources could have long-term effects on children's well-being and may hinder their ability to develop adaptive skills effectively.

Indexed as

Autism spectrum disorderEye-mouth gaze patternOrbitofrontal cortexPupil diameterThe social motivation hypothesis

Identifiers

PMID39659956
PMCPMC11629545

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Registered trials

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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.