Evidence map›Paper›PMID 42663882›Full record

ArticleJournal of autism and developmental disorders2026

Moral Decision-Making, Machiavellianism, and Social Cognition in Autism: An Exploratory Study.

Margherita Attanasio, Monica Mazza, Ilenia Le Donne, Nicole Covone, Marco Valenti

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Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Margherita Attanasio *Department of Theoretical and Applied Sciences, Research Centre for Applied Psychology, e-Campus University, Novedrate, Como, Italy. margherita.attanasio@uniecampus.it.ORCID http://orcid.org/0000-0002-4571-3173
Monica Mazza *Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID http://orcid.org/0000-0003-4050-2243
Ilenia Le DonneDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID http://orcid.org/0000-0002-8157-2240
Nicole CovoneDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID http://orcid.org/0009-0006-0519-3325
Marco ValentiDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID http://orcid.org/0000-0001-9043-3456

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study explored moral decision-making in autistic and neurotypical individuals through a set of moral dilemmas that varied in the intentionality of harm and personal risk involvement. In addition, the role of Theory of Mind (ToM), empathy, and Machiavellian attitudes was explored.

methodsTwenty autistic (mean chronological age 21.60 ± 8.10; mean years of education 12.40 ± 1.93) and twenty-nine neurotypical (mean chronological age 22.28 ± 2.8; mean years of education 14.38 ± 2.27) adolescents and adults participated in the study. Mixed-design repeated-measures ANOVAs were conducted to examine the effects of group and dilemma characteristics. Exploratory correlations were performed between individual difference measures and utilitarian choices in both groups.

resultsOur results showed overall similar response patterns between the groups, with higher moral acceptability ratings for utilitarian actions in incidental than in instrumental dilemmas. Both groups showed a reduction in utilitarian choices in instrumental dilemmas, although this pattern was less pronounced in the autistic group. Personal risk involvement increased utilitarian choices in the neurotypical group, whereas it did not significantly influence choices in the autistic group. Autistic participants reported lower empathy and ToM abilities, whereas no significant differences emerged in Machiavellianism. Nevertheless, exploratory correlations suggested relationships between ToM, Machiavellianism, and utilitarian choices in specific dilemma conditions within each group.

conclusionMoral decision-making in autistic individuals was broadly comparable to that of neurotypical individuals in overall outcomes, while context-dependent patterns may reflect differences in how harm intentionality, personal involvement, and normative constraints are integrated into moral decision-making.

Indexed as

Autism spectrum disorderEmpathyMachiavellianismMoral decision-makingMoral dilemmaTheory of mind

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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.