SurveyJournal of autism and developmental disorders2019

Trait Autism is a Better Predictor of Empathy than Alexithymia.

Punit Shah, Lucy A Livingston, Mitchell J Callan and 1 others

PMID 31172339

WHAT IT FOUND

Higher autistic traits were linked to lower empathy more strongly than alexithymia was.

The sample was adults from online sources, not a clinical autism sample, so it cannot answer how empathy works in autism care.

Key findings

01Autism and alexithymia were each uniquely linked to lower overall and cognitive empathy, and this pattern replicated in a second sample.

02A relative-importance analysis showed autism was a more important predictor than alexithymia for overall, cognitive, and affective empathy, and this ranking was reproduced in the replication sample.

03The affective empathy result was unstable: the first analysis linked alexithymia, not autism, to higher affective empathy, while the replication linked autism, not alexithymia, to higher affective empathy.

STILL TO COME

How it was doneWhat they found

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What it does not show

The main sample was a general adult community sample, not a clinical autism sample, so it does not directly show how empathy works in people diagnosed with ASD. Empathy, autism, and alexithymia were all measured by self-report questionnaires, not by observed communication or clinical assessment. The study was cross-sectional, so it cannot show that autism or alexithymia causes empathy differences. Findings about affective empathy were inconsistent between the main analysis and the replication. The supplied text does not state the replication sample size.

Declared interests

Funding was provided by the Medical Research Council. The supplied text does not report author conflicts of interest.

The easy way to misread this

Do not conclude that alexithymia is unimportant for empathy in autistic adults. The study compared self-reported autistic traits in a general adult sample, not a clinical autism sample, and the affective empathy results were inconsistent.

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The study

Participants
306 adults in the main sample; replication sample size not stated in supplied text
Certainty of evidence
Low

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    Cite

    Punit Shah, Lucy A Livingston, Mitchell J Callan, et al. Trait Autism is a Better Predictor of Empathy than Alexithymia. Journal of autism and developmental disorders. 2019.

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