학술논문

Relationships between Alexithymia, Interoception, and Emotional Empathy in Autism Spectrum Disorder
Document Type
Journal Articles
Reports - Research
Author
Source
Autism: The International Journal of Research and Practice. Apr 2023 27(3):690-703.
Subject
Autism Spectrum Disorders
Emotional Response
Empathy
Perceptual Impairments
Children
Adolescents
Physiology
Correlation
Stress Variables
Symptoms (Individual Disorders)
Anxiety
Arousal Patterns
Language
English
ISSN
1362-3613
1461-7005
Abstract
Some studies suggest that individuals with autism spectrum disorder have reduced emotional empathy while others do not. The presence of co-occurring alexithymia in autism spectrum disorder and differences in interoception have been associated with reductions in empathic ability. To fully explore the relationships between interoception, alexithymia, and emotional empathy, we collected self-report and interview data in 35 youth with autism spectrum disorder and 40 typically developing controls (ages 8-17 years). The autism spectrum disorder sample had increased alexithymia and physiological hyperarousal compared to typically developing controls, but there were no group differences in interoception or emotional empathy. Alexithymia severity correlated with higher personal distress in both groups and with lower empathic concern in the autism spectrum disorder group. Within the autism spectrum disorder group, higher incidence of reports of bodily sensation when describing emotional experience correlated with lower personal distress and lower alexithymia. In addition, although empathic concern was negatively correlated with alexithymia in the autism spectrum disorder group, across groups, the alexithymia hypothesis was supported in only the personal distress domain of emotional empathy. These results suggest emotional empathy; personal distress, in particular, is not intrinsically impaired in autism spectrum disorder.