PMID- 37724352 OWN - NLM STAT- MEDLINE DCOM- 20231002 LR - 20231015 IS - 1747-0927 (Electronic) IS - 1747-0919 (Linking) VI - 18 IP - 4 DP - 2023 Aug TI - The neurobiological map of theory of mind and pragmatic communication in autism. PG - 191-204 LID - 10.1080/17470919.2023.2242095 [doi] AB - Children with autism often have difficulty with Theory of Mind (ToM), the ability to infer mental states, and pragmatic skills, the contextual use of language. Neuroimaging research suggests ToM and pragmatic skills overlap, as the ability to understand another's mental state is a prerequisite to interpersonal communication. To our knowledge, no study in the last decade has examined this overlap further. To assess the emerging consensus across neuroimaging studies of ToM and pragmatic skills in autism, we used coordinate-based activation likelihood estimation (ALE) analysis of 35 functional magnetic resonance imaging (MRI) studies (13 pragmatic skills, 22 ToM), resulting in a meta-analysis of 1,295 participants (647 autistic, 648 non-autistic) aged 7 to 49 years. Group difference analysis revealed decreased left inferior frontal gyrus (LIFG) activation in autistic participants during pragmatic skills tasks. For ToM tasks, we found reduced anterior cingulate cortex (ACC), medial prefrontal cortex (MPFC), and temporoparietal junction (TPJ) activation in autistic participants. Collectively, both ToM and pragmatic tasks showed activation in IFG and superior temporal gyrus (STG) and a reduction in left hemispheric activation in autistic participants. Overall, the findings underscore the cognitive and neural processing similarities between ToM and pragmatic skills, and their underlying neurobiological differences in autism. FAU - Duvall, Lauren AU - Duvall L AD - Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD, USA. FAU - May, Kaitlyn E AU - May KE AUID- ORCID: 0000-0001-6364-4952 AD - Department of Educational Studies in Psychology, Research Methodologies, and Counseling, University of Alabama, Tuscaloosa, AL,USA. FAU - Waltz, Abby AU - Waltz A AD - Department of Psychology & the Center for Innovative Research in Autism, University of Alabama, Tuscaloosa, AL, USA. FAU - Kana, Rajesh K AU - Kana RK AD - Department of Psychology & the Center for Innovative Research in Autism, University of Alabama, Tuscaloosa, AL, USA. LA - eng GR - R01 DC016303/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Meta-Analysis PT - Research Support, N.I.H., Extramural DEP - 20230930 PL - England TA - Soc Neurosci JT - Social neuroscience JID - 101279009 SB - IM MH - Child MH - Humans MH - *Autistic Disorder/diagnostic imaging MH - *Theory of Mind/physiology MH - Prefrontal Cortex/physiology MH - Magnetic Resonance Imaging/methods MH - Language MH - *Autism Spectrum Disorder/diagnostic imaging/psychology OTO - NOTNLM OT - Autism spectrum disorder OT - neuroimaging OT - pragmatic language OT - theory of mind EDAT- 2023/09/19 06:43 MHDA- 2023/10/02 06:42 CRDT- 2023/09/19 04:03 PHST- 2023/10/02 06:42 [medline] PHST- 2023/09/19 06:43 [pubmed] PHST- 2023/09/19 04:03 [entrez] AID - 10.1080/17470919.2023.2242095 [doi] PST - ppublish SO - Soc Neurosci. 2023 Aug;18(4):191-204. doi: 10.1080/17470919.2023.2242095. Epub 2023 Sep 30.