Objective: We conducted a systematic review and meta-analysis of interventions for social cognition in preschool children with autism spectrum disorder and aimed to provide evidence regarding occupational interventions.
 Methods: The studies included in this review were collected by searching the PubMed, Scopus, ProQuest Health & Medical Collection (PML), and PsycARTICLES databases as well as two trial registries. We searched the databases and registries for articles from January 2013 to January 2023 using the following search strategy: [(autis*) AND (“social cognitive” OR “social cognition”) AND (Intervention or therapy or approach or treatment or training)]. A total of 3 studies were included in the analysis.
 Selection criteria: The studies included in the review were selected if they reported on an applicable intervention for social cognition, presented randomized controlled trial data, and included participants who had a confirmed diagnosis of autism spectrum disorder. The interventions for social cognition were analyzed using descriptive analysis, and the effects of the interventions were meta-analyzed using the ReviewManager (RevMan) 5.4 program.
 Results: Three randomized controlled trials involving 378 participants were included. The Intervention program that includes social cognitive components for preschool children with autism spectrum disorder resulted in an increase in social cognition and functional play skills.
 Conclusion: Through this systematic review, we were able to identify and understand the effect of interventions on social cognition in preschool children with autism spectrum disorder. Further research is required on the need for accessible diagnosis, improving the quality and diversity of early intervention services, and policies for effective intervention provision.