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. 2023 Jan 31;13(1):1745.
doi: 10.1038/s41598-023-27709-x.

Emotional descriptions increase accidental harm punishment and its cortico-limbic signatures during moral judgment in autism

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Emotional descriptions increase accidental harm punishment and its cortico-limbic signatures during moral judgment in autism

Sol Fittipaldi et al. Sci Rep. .

Abstract

Individuals with autism spectrum disorder (ASD) present difficulties in integrating mental state information in complex moral tasks. Yet, ASD research has not examined whether this process is influenced by emotions, let alone while capturing its neural bases. We investigated how language-induced emotions modulate intent-based moral judgment in ASD. In a fMRI task, 30 adults with ASD and 27 neurotypical controls read vignettes whose protagonists commit harm either accidentally or intentionally, and then decided how much punishment the protagonist deserved. Emotional content was manipulated across scenarios through the use of graphic language (designed to trigger arousing negative responses) vs. plain (just-the-facts, emotionless) language. Off-line functional connectivity correlates of task performance were also analyzed. In ASD, emotional (graphic) descriptions amplified punishment ratings of accidental harms, associated with increased activity in fronto-temporo-limbic, precentral, and postcentral/supramarginal regions (critical for emotional and empathic processes), and reduced connectivity among the orbitofrontal cortex and the angular gyrus (involved in mentalizing). Language manipulation did not influence intentional harm processing in ASD. In conclusion, in arousing and ambiguous social situations that lack intentionality clues (i.e. graphic accidental harm scenarios), individuals with ASD would misuse their emotional responses as the main source of information to guide their moral decisions. Conversely, in face of explicit harmful intentions, they would be able to compensate their socioemotional alterations and assign punishment through non-emotional pathways. Despite limitations, such as the small sample size and low ecological validity of the task, results of the present study proved reliable and have relevant theoretical and translational implications.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Example of experimental stimuli. From each scenario root (e.g. top row), there are four variations that differ in the intentionality of the protagonist’s action, namely, whether it is accidental or intentional (e.g. middle row), and the language used to describe harm (e.g. bottom row). Both language conditions present identical amount of damage (e.g. death). The example chosen illustrates the counterbalancing.
Figure 2
Figure 2
Moral judgment task. (a) fMRI task flow. Participants had to read scenarios describing a third-party harmful action and rate how much punishment the transgressor deserved in a Likert-scale. The figure displays the accidental harm condition described in GL (see Fig. 1 for the intentional harm/PL counterpart). Analysis of the fMRI data focused on the BOLD modulation during the fixation and response phases, collectively called ‘decision phase’. (b) Behavioral results. Under GL (vs. PL) descriptions, participants with ASD punished more severely the accidental harms and NT controls the intentional harms. Compared to NT controls, participants with ASD punished more the accidental harms described in GL. Only planned contrasts’ results are shown. The black dots and lines inside the boxplots indicate the mean and 95% CI respectively. ASD autism spectrum disorder, GL graphic language, NT neurotypical, PL plain language. *p < 0.05.
Figure 3
Figure 3
fMRI results. (a) Task-related results. Clusters spanning fronto-temporo-limbic (i) and precentral, postcentral/supramarginal, and posterior superior temporal (ii and iii) regions that showed a significant interaction effect between language and group (pcluster-corr < 0.05). In the GL (vs. PL) condition, participants with ASD presented increased activation in cluster 1 for the accidental > intentional harm contrast (pBonferroni-corr = 0.04), and NT controls presented increased activation in the three clusters for the intentional > accidental harm contrast (all psBonferroni-corr ≤ 0.001). Compared to NT controls, participants with ASD presented increased activation in the three clusters in the GL-accidental harm condition (all psBonferroni-corr < 0.05). Contrast maps were created using SPM12 (https://www.fil.ion.ucl.ac.uk/spm/software/spm12/) and plotted in MRIcron (V1.0.20190902, https://www.nitrc.org/projects/mricron). Images are displayed in neurological convention. (b) Resting-state results. Functional connectivity associations with punishment ratings in the GL condition for ASD (i) and NT control (ii) groups. Punishment of accidental harms was negatively associated with medial prefrontal-angular gyrus connectivity in both groups, while punishment of intentional harms was positively associated with fronto-amygdala connectivity only in the ASD group (all psunc < 0.001). Images were created using the Nilearn library for Python (V0.9.2, https://nilearn.github.io/stable/index.html). ASD autism spectrum disorder, NT neurotypical.

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