Table V. Studies investigating reward processing 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 |
Cascio, Foss-Feig, Heacock, et al, 2012 [268] | 17 (17) | 23** | 12.8 ± 2.5 | 13.2 ± 3.4 | Viewed images of high-calorie foods after fasting | ↑Bilateral insula along anterior-posterior gradient; ↑ACC to food cues | Abnormally enhanced neural response to primary rewards in ASD |
Dichter, Richey, Rittenberg, 2012 [269] | 16 (14) | 20 (14) | 26.0 ± 9.1 | 25.4 ± 7.0 | Incentive delay task with monetary and social rewards | ↓NAC, OFC during monetary anticipation; ↑Right insula to face incentives; ↑Bilateral AMY during face anticipation that correlated with social symptoms | Domain-general reward circuitry dysfunction, atypical amygdala activation to social rewards may contribute to social symptom severity in ASD |
Dichter, Felder, Green, et al, 2012 [270] | 15 (15) | 16 (16) | 30.1 ± 11.6 | 27.5 ± 7.5 | Incentive delay task with monetary rewards and rewards related to circumscribed interests | ↓NAC during monetary anticipation and outcomes; ↑VMPFC to circumscribed interests incentives | Reward circuitry hypoactwation to monetary incentives but hyperactivation to circumscribed interests in ASD. Possible neural mechanism of circumscribed interests in ASD |
Kohls, Schulte-Ruther, Nehrkorn, et al, 2012 [271] | 15 (15) | 17 (17) | 14.6 ± 3.3 | 13.9 ± 3.0 | Go/no-go task with social vs. monetary rewards | ↓Midbrain, THAL, AMY, striatium, ACC to both rewards; ↓NAC to monetary reward, but not social reward | Domain-general reward system dysfunction in ASD |
Schmitz, Rubia, van Amelswoort, et al, 2008 [272] | 10 (10) | 10 (10) | 37.8 ± 7 | 38.2 ± 6 | Rewarded continuous performance task | ↑Left ACG during reward trials that correlated with social symptom severity; | Reward achievement associated with abnormal activation in areas responsible for attention and arousal in ASD |
Scott-Van Zeeland, Dapretto, Ghahremani, 2010 [273] | 16 (16) | 16 (16) | 12.4 ± 2.14 | 12.3 ± 1.76 | Implicit learning task with social vs. monetary rewards | ↓VS to both social and monetary rewards (more pronounced to social rewards. | Diminished neural responses during social reward learning may contribute to social learning impairments in ASD |