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Neural self-representation in autistic women and association with 'compensatory camouflaging'.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Lai, Meng-Chuan 
Lombardo, Michael V 
Chakrabarti, Bhismadev 
Ruigrok, Amber Nv 
Bullmore, Edward T 

Abstract

Prior work has revealed sex/gender-dependent autistic characteristics across behavioural and neural/biological domains. It remains unclear whether and how neural sex/gender differences are related to behavioural sex/gender differences in autism. Here, we examined whether atypical neural responses during mentalizing and self-representation are sex/gender-dependent in autistic adults and explored whether 'camouflaging' (acting as if behaviourally neurotypical) is associated with sex/gender-dependent neural responses. In total, N = 119 adults (33 typically developing males, 29 autistic males, 29 typically developing females and 28 autistic females) participated in a task-related functional magnetic resonance imaging paradigm to assess neural activation within right temporo-parietal junction and ventromedial prefrontal cortex during mentalizing and self-representation. Camouflaging in autism was quantified as the discrepancy between extrinsic behaviour in social-interpersonal contexts and intrinsic status. While autistic men showed hypoactive right temporo-parietal junction mentalizing and ventromedial prefrontal cortex self-representation responses compared to typically developing men, such neural responses in autistic women were not different from typically developing women. In autistic women only, increasing camouflaging was associated with heightened ventromedial prefrontal cortex self-representation response. There is a lack of impaired neural self-representation and mentalizing in autistic women compared to typically developing women. Camouflaging is heightened in autistic women and may relate to neural self-representation response. These results reveal brain-behaviour relations that help explain sex/gender-heterogeneity in social brain function in autism.

Description

Keywords

adult, autism, camouflaging, compensation, functional magnetic resonance imaging, gender, heterogeneity, mentalizing, self, sex, Adolescent, Adult, Autistic Disorder, Brain, Case-Control Studies, Female, Functional Neuroimaging, Humans, Magnetic Resonance Imaging, Male, Mentalization, Middle Aged, Self Concept, Sex Factors, Social Behavior, Young Adult

Journal Title

Autism

Conference Name

Journal ISSN

1362-3613
1461-7005

Volume Title

23

Publisher

SAGE Publications
Sponsorship
MRC (via King's College London) (PAGBAGB)
Medical Research Council (G0600977)
Wellcome Trust (091774/Z/10/Z)