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. 2019 Oct;49(10):3956-3964.
doi: 10.1007/s10803-019-04080-3.

Trait Autism is a Better Predictor of Empathy than Alexithymia

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Trait Autism is a Better Predictor of Empathy than Alexithymia

Punit Shah et al. J Autism Dev Disord. 2019 Oct.

Abstract

It has been proposed that atypical empathy in autism spectrum disorder (ASD) is due to co-occurring alexithymia. However, difficulties measuring empathy and statistical issues in previous research raise questions about the role of alexithymia in empathic processing in ASD. Addressing these issues, we compared the associations of trait alexithymia and autism with empathy in large samples from the general population. Multiple regression analyses showed that both trait autism and alexithymia were uniquely associated with atypical empathy, but dominance analysis found that trait autism, compared to alexithymia, was a more important predictor of atypical cognitive, affective, and overall empathy. Together, these findings indicate that atypical empathy in ASD is not simply due to co-occurring alexithymia.

Keywords: Affective empathy; Alexithymia; Autism; Cognitive empathy; Empathy.

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Conflict of interest statement

All authors declare no conflict of interest.

References

    1. Azen R. Using dominance analysis to estimate predictor importance in multiple regression. In: Petscher Y, Schatschneider C, Compton DL, editors. Applied quantitative analysis in education and social sciences. New York, NY: Routledge; 2013. pp. 34–64.
    1. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research. 1994;38(1):23–32. doi: 10.1016/0022-3999(94)90005-1. - DOI - PubMed
    1. Baron-Cohen S, Wheelwright S. The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders. 2004;34(2):163–175. doi: 10.1023/B:JADD.0000022607.19833.00. - DOI - PubMed
    1. Bird G, Cook R. Mixed emotions: The contribution of alexithymia to the emotional symptoms of autism. Translational Psychiatry. 2013;3(7):e285. doi: 10.1038/tp.2013.61. - DOI - PMC - PubMed
    1. Bird G, Silani G, Brindley R, White S, Frith U, Singer T. Empathic brain responses in insula are modulated by levels of alexithymia but not autism. Brain. 2010;133(5):1515–1525. doi: 10.1093/brain/awq060. - DOI - PMC - PubMed

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