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Individuals with high autistic traits (HATs) often exhibit atypical pain responses, potentially due to alterations in anticipatory processing. This study investigated pain anticipation in HAT individuals and examined the modulatory effects of oxytocin using behavioral, computational, and pharmacological approaches. In experiment 1, HAT and low autistic trait (LAT) individuals completed a cue\u2010based pain anticipation task. Anticipatory processing was characterized through two components: decision\u2010related processes and evaluative responses. HAT individuals showed altered decision\u2010making, characterized by greater caution under uncertainty and reduced processing efficiency under certain high\u2010pain conditions. They also exhibited more negative evaluative responses, which were associated with poorer psychological health. In experiment 2, HAT participants received intranasal oxytocin or placebo. Oxytocin selectively influenced decision\u2010related processes under uncertainty, increasing evidence accumulation and reducing nondecision time while also increasing the tendency to choose high\u2010pain outcomes under ambiguous conditions. In contrast, oxytocin showed limited effects on evaluative measures. These findings suggest that pain anticipation in HAT individuals involves partially distinct decision\u2010related and evaluative components and that oxytocin exerts process\u2010specific effects on anticipatory processing.<\/jats:p>","DOI":"10.1111\/nyas.70365","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T12:40:46Z","timestamp":1786538446000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pain Expectation in Individuals With High Autistic Traits: Decision\u2013Evaluation Processes and Oxytocin Modulation"],"prefix":"10.1111","volume":"1562","author":[{"given":"Jiafeng","family":"Zhu","sequence":"first","affiliation":[{"name":"School of Psychology Shenzhen University  Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shihao","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Psychology Shenzhen University  Shenzhen 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