Enhancing Social-Emotional Functioning in Autism Spectrum Disorder (ASD) through transcutaneous Vagus Nerve Stimulation (tVNS)
The text below is the abstract of an article taken from our recent research (with my colleagues: Mr. Pooya Zakeri and Dr. Eman Tadros). The field of non-invasive Vagus Nerve Stimulation (nVNS, tVNS, or taVNS) has shown great promise and innovation, especially with FDA approval for various conditions like epilepsy, migraines, and trauma, unlike other well-known interventions such as neurofeedback, tDCS, and tACS. I thought it necessary to share the abstract with you without waiting for the slow review and publication process in a journal. This way, you can learn about this valuable and hopeful field sooner and even consider conducting research in this area. If you have any questions, feel free to contact me at:
Abstract
Background: Autism spectrum disorder (ASD) is characterized by socioemotional and sensory processing difficulties potentially stemming from interoceptive impairments in perceiving internal bodily signals. The vagus nerve represents the main conduit for conveying interoceptive information to the brain. Non-invasive vagus nerve stimulation could rectify these challenges by enhancing parasympathetic activity.
Methods: Twenty children with ASD underwent transcutaneous vagus nerve stimulation (tVNS) or sham treatment concurrently with occupational therapy sessions over 12 weeks. Facial emotion recognition abilities and sensory processing patterns were evaluated before and after the interventions using a computerized test and a Sensory Profile questionnaire.
Results: The tVNS group demonstrated significant improvements after treatment in accurately recognizing facial emotions along with enhanced emotional reactivity and regulation capacities relative to controls. Vagus nerve stimulation also markedly reduced sensory-seeking behaviors and hypersensitivity to external stimuli—furthermore, fine motor skills and the ability to remain seated improved with stimulation. No notable changes occurred in oral sensitivity or distractibility.
Conclusions: Findings indicate that tVNS can ameliorate core symptom domains in pediatric ASD by modulating vagal projections to brain regions governing emotional and interoceptive processing. Sensory-motor abilities likewise showed enhancement, aligning with the vagus nerve’s role as an integrative gateway between mind and body. Overall, non-invasive neuromodulation harnessing the vagus nerve’s functionality could comprise a promising novel approach to ASD therapeutic strategies.
Keywords: autism spectrum disorder, ASD, transcutaneous vagus nerve stimulation, tVNS, interoception, socioemotional functioning, sensory processing, emotion regulation, polyvagal theory, emotion recognition
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