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A Three-Layer Cognitive Structure Theory of “Soma-Emotion-Meaning” Based on Embodied Cognition: Integrating Somatic Marker Hypothesis and Progressive Weakening-Compensation Principle — An Integrative Framework for Understanding Autism Spectrum Disorder and Depression Comorbidity

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  • @ARTICLE{10.4108/eetpht.11.11054,
        author={Tianran Zhang and Zixun Wang and Xusheng Zhang},
        title={A Three-Layer Cognitive Structure Theory of “Soma-Emotion-Meaning” Based on Embodied Cognition: Integrating Somatic Marker Hypothesis and Progressive Weakening-Compensation Principle --- An Integrative Framework for Understanding Autism Spectrum Disorder and Depression Comorbidity},
        journal={EAI Endorsed Transactions of Pervasive Health and Technology},
        volume={11},
        number={1},
        publisher={EAI},
        journal_a={PHAT},
        year={2026},
        month={1},
        keywords={Art therapy , Autism Spectrum Disorder, Depression, Embodied cognition, Somatic marker hypothesis, Progressive weakening and compensation principle, Soma-emotion-meaning Theoretical framework},
        doi={10.4108/eetpht.11.11054}
    }
    
  • Tianran Zhang
    Zixun Wang
    Xusheng Zhang
    Year: 2026
    A Three-Layer Cognitive Structure Theory of “Soma-Emotion-Meaning” Based on Embodied Cognition: Integrating Somatic Marker Hypothesis and Progressive Weakening-Compensation Principle — An Integrative Framework for Understanding Autism Spectrum Disorder and Depression Comorbidity
    PHAT
    EAI
    DOI: 10.4108/eetpht.11.11054
Tianran Zhang1,*, Zixun Wang2, Xusheng Zhang2
  • 1: Zhejiang University of Technology
  • 2: Zhejiang University
*Contact email: zhangxs001@zju.edu.cn

Abstract

The comorbidity rate between Autism Spectrum Disorder (ASD) and depression reaches 50%, yet there is a lack of an integrated theoretical framework to guide digital health interventions. Existing research on sensory processing, emotion regulation, and meaning-making is fragmented, which limits the development of technology-enabled treatment solutions. This study integrates embodied cognition theory, the somatic marker hypothesis, and the principle of decreasing entropy and compensation, proposing a three-layer cognitive structure theory of "sensory awareness - emotional awareness - sense of meaning". This framework reveals that the comorbidity of ASD and depression stems from impairments in the three-layer cognitive pathway. Art therapy operates through dual mechanisms: sensory integration activates bottom-up neuroplasticity, while narrative reconstruction achieves top-down cognitive reappraisal. This theoretical model provides clear guidelines for the development of intelligent assessment tools, adaptive intervention algorithms, and data-driven personalized strategies in mobile health applications.

Keywords
Art therapy , Autism Spectrum Disorder, Depression, Embodied cognition, Somatic marker hypothesis, Progressive weakening and compensation principle, Soma-emotion-meaning Theoretical framework
Received
2025-11-22
Accepted
2026-01-06
Published
2026-01-27
Publisher
EAI
http://dx.doi.org/10.4108/eetpht.11.11054

Copyright © 2026 Tianran Zhang et al., licensed to EAI. This is an open access article distributed under the terms of the CC BY-NCSA 4.0, which permits copying, redistributing, remixing, transformation, and building upon the material in any medium so long as the original work is properly cited.

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