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. 2012 Sep;14(3):319–351. doi: 10.31887/DCNS.2012.14.3/gdichter

Table II. Studies investigating theory of mind and mental inference-making in autism spectrum disorders. ASD: Autism Spectrum Disorder; TYP: Neurotypical; †ASD refers to the entire autism sample in a particular study, including high functioning autism, Asperger's syndrome, and pervasive developmental disorder not otherwise specified; *Total number of participants is presented first followed by the number of females in parentheses, if reported; **Not specified; ↓: decreased activation; ↑: increased activation. Abbreviations used in tables: ACC, anterior cingulate cortex; ACG, anterior cingulate gyms; AG, angular gyms; Al, anterior insula; AMY, amygdala; ATL, anterior temporal lobe; BA, Broca's area; BG, basal ganglia; CM, caudate nucleus; DAC, dorsal anterior cingulate; DLPFC, dorsolateral prefrontal cortex; DMPFC, dorsomedial prefrontal cortex; DN, dentate nucleus; FFA, fusiform face area; FG, fusiform gyms; IC, insular cortex; IFA, inferior frontal area; IFC, inferior frontal cortex; IFG, inferior frontal gyrus; IPL, inferior parietal lobe; ITG, inferior temporal gyrus; LG: lingual gyrus; LSTG, left superior temporal gyrus; MCG, >middle cingulate gyrus; MFC, midfrontaI cortex; MFG, midfrontal gryus; MFL, medial frontal lobes; NAC, nucleus accumbens; OFC, orbitofrental cortex; OFG, orbitofrental gyrus; MPFC, medial prefrontal cortex; MTG, medial temporal gyrus; PO, pars opercularis; PCC, posterior cingulate cortex; PFC, prefrontal cortex; PHG, parahippocampal gyrus; PL, parietal lobe; PMC, premotor cortex; PVC, primary visual cortex; RPVC, right primary visual cortex; SFG, superior frontal gyrus; SPL, superior parietal lobe; STG, superior temporal gyrus; STS, superior temporal sulcus; THAL, thalamus; TL, temporal lobe; TPJ, temporoparietal junction; VS, ventral striatium; VLPFC, ventrolateral prefrontal cortex; VOC, ventral occipital cortex; VMPFC, ventromedial prefrontal cortex; WA, Wernicke's Area .

Citation ASD*† TYP*† ASD age TYP age Task(s) Core findings in ASD group (relative to controls) Conclusions
Baron-Cohen, Ring, Wheelwright, et al, 1999 [199] 6 (4) 12 (6) 26.3 ± 2.1 25.5 ±2.8 Inferred mental states from images of eyes ↑Frontal-temporal regions; ↓AMY Supports amygdala theory of autism
Castelli, Frith, Happe, Frith, 2002 [200] 10** 10** 33 ± 7.6 25 ± 4.8 Viewed animated sequence of geometric shapes ↓MPFC, STS, temporal poles; Decreased extrastriate functional connectivity Possible neurofunctional explanation for impaired mentalizing
Dapretto, Davies, Pfeifer, et al, 2006 [201] 10 (9) 9 (9) 12.05 ± 2.5 12.38 ± 2.22 Imitation and observation of emotional expressions ↓IFG; Mirror neuron activity inversely related to social symptom severity Dysfunctional mirror neuron system may underlie social deficits in autism
Kaiser, Hudac, Shultz, et al, 2010 [202] 25 (20) 17 (12) (no sibling with ASD); 20 (9) (sibling with ASD) 11.8 ± 3.6 10.9 ± 3.1 (no sibling with ASD); 11.3 ± 28 (sibIing with ASD) Viewed biological motion clips and scrambled motion clips Differed in right AMY, VMPFC, left VLPFC, right posterior STS, bilateral FG; Controls without ASD sibling differed from other two groups in left DLPFC, right ITG, bilateral FG, CG; Controls with ASD sibling differed from other two groups in right posterior STS, VMPFC Identifies non-overlapping regions associated with ASD phenotypes and ASD genetic vulnerability in the absence of ASD symptoms
Hadjikhani, Joseph, Manoach, et al, 2009 [203] 9** 11 (8) 30 ± 11 31 ± 14 Emotion processing of body expressions No differential brain activation to bodies expressing fear compared with neutral bodies; ↓FC, Al to emotionally neutral bodies Emotion perception deficits in ASD may be due to compromised processing of the emotional component of observed actions
Pitskel, Boiling, Hudac et al, 2011 [204] 15(15) 14 (13) 23.4 ± 6.9 24.2 ± 7.4 Viewed direct and averted gaze of virtual human face ↓Right TPJ, right Al, left lateral OC; ↑ Left DLPFC Brain mechanisms underlying processing gaze direction in ASD
Konishi, Nakajima, Uchida, et al, 1999 [205] 18 (12) 18 (12) 38.6 ± 12.4 33.0 ± 10.7 Imitation inhibition task Imitation scores correlated with ↓medial PFC, TPJ Highlights contribution of hyperimitation to reduced social cognition
Pelphrey, Morris, McCarthy, 2005 [206] 10 (9) 9 (8) 23.2 ± 9.9 23.4 ± 5.8 Viewing congruent and incongruent eye gaze shifts ↓STS on incongruent trials Lack of STS modulation to congruent and incongruent gaze shifts contributes to eye gaze processing deficits
Silani, Bird, Brindley, et al, 2008 [207] 15 (13) 15 (13) 36.6 ± 11.7 33.7 ± 10.3 Emotion introspection task ↓Self-reflection/ mentalizing regions (MPPC, ACC, precuneus, inferior OFC, temporal poles, cerebellum) during self introspection; Al activity predicted alexithymia and empathy in both groups Alexithymia and empathy deficits linked to anomalous Al actvity
Wang, Lee, Sigman, Dapretto, 2007 [208] 18 (18) 18 (18) 12.4 ± 2.9 11.8 ± 1.9 Processed potentially ironic remarks ↓MPFC, right STG to irony; MPFC activity in ASD modulated by instructions to attend to faces and tones of voice; MPFC activity inversely related to symptom severity in ASD group MPFC mediates understanding the intentions of others
Wicker, Fonlupt, Hubert et al, 2008 [209] 12 (11) 14 (14) 27 ± 11 23 ± 10 Emotion and age discrimination ↓DMPFC, right VLPFC, right STG; Abnormal connectivity between AMY, VLPFC, DLPFC, posterior occipital-temporal regions Abnormal connectivity between structures of the social brain could explain social deficits in ASD