Evidence map›Paper›PMID 40091308›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2025

Parsing the heterogeneity of social motivation in autism.

Lacey Chetcuti, Antonio Y Hardan, Emily Spackman, Eva Loth, James C McPartland, Thomas W Frazier, Eric A Youngstrom, Mirko Uljarevic

Abstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Social communication development in a contingent world: insights from autism.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lacey ChetcutiStanford University, Stanford, CA, USA.
Antonio Y HardanStanford University, Stanford, CA, USA.
Emily SpackmanStanford University, Stanford, CA, USA.
Eva LothKing's College London, London, UK.
James C McPartlandYale University, New Haven, CT, USA.
Thomas W FrazierJohn Carroll University, University Heights, OH, USA.ORCID 0000-0002-6951-2667
Eric A YoungstromNationwide Children's Hospital, Columbus, OH, USA.
Mirko UljarevicStanford University, Stanford, CA, USA.

Funding

The Autism Biomarkers Consortium for Clinical TrialsU19MH108206 · NIMH · YALE UNIVERSITY · PI NELSON, CHARLES ALEXANDER · 2015 to 2024
$68.8M
Developing a Quantitative Assessment Tool for Characterizing Social DomainsR01MH129833 · NIMH · STANFORD UNIVERSITY · PI HARDAN, ANTONIO, ULJAREVIC, MIRKO · 2022 to 2024
$1.9M
Developing a Quantitative Assessment Tool for Characterizing Social DomainsRF1MH129833 · NIMH · STANFORD UNIVERSITY · PI HARDAN, ANTONIO, ULJAREVIC, MIRKO · 2025 to 2025
$1.4M
NIMH NIH HHS 1R01MH129833NIMH NIH HHS R01 MH129833NIMH NIH HHS RF1 MH129833NIMH NIH HHS U19 MH108206
6 · The paper itself

Abstract

backgroundSocial motivation is posited as a key factor in the expression of the autism phenotype. However, lack of precision in both conceptualization and measurement has impeded a thorough understanding of its diverse presentation and associated outcomes. This study addresses this gap by identifying subgroups of autism characterized by deficits in distinct facets of social motivation, relative to normative benchmarks.

methodsData were from 509 participants with autism, aged 5-to-21 years (M = 10.43, SD = 3.67; 81% male), enrolled in the Healthy Brain Network. Latent profile analysis was employed to identify subgroups characterized by unique configurations of reticence, seeking, and maintaining facets of social motivation, derived from a comprehensive multi-instrument factor analysis of symptom and screening measures. Pearson's chi-square tests and one-way analysis of variance were performed to explore subgroup differences in demographic characteristics, cognitive abilities, co-occurring psychopathologies, and other aspects of social functioning.

resultsFour distinct subgroups were identified: Engaged (n = 247), exhibiting the fewest challenges across each area; Inhibited (n = 143), characterized by high reticence, mild challenges in seeking, and few challenges in maintaining; Aloof (n = 68), characterized by challenges with seeking and maintaining but relatively low reticence; and Avoidant (n = 52), characterized by the highest challenges across all areas. Subgroups did not differ in terms of chronological age or sex. The Engaged subgroup exhibited the fewest challenges in other aspects of social functioning and co-occurring psychopathologies, while the Avoidant subgroup exhibited the greatest challenges, and with the Inhibited and Aloof profiles falling in between.

conclusionsThis study highlights the heterogeneous nature of deficits in social motivation in autism relative to normative benchmarks, suggesting potential avenues for tailored interventions aimed at addressing the specific challenges experienced by individuals within each subgroup. Nevertheless, there remains a need to develop more refined measurement tools capable of capturing even finer-grained aspects and diverse expressions of social motivation, facilitating further characterization of individual differences across diagnostic boundaries.

Indexed as

Autism Spectrum DisorderAutistic DisorderMotivationSocial BehaviorAdolescentChildChild, PreschoolFemaleHumansMaleYoung Adultautism spectrum disordersindividual differencesmotivationSocial behavior

Identifiers

PMID40091308
PMCPMC12353203

What Socratic holds

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Registered trials

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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 Socratic graph.