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The Externally Oriented Thinking Facet of Alexithymia Mediates the Negative Association of ASD Symptoms With Cognitive and Emotional Empathy

Bibliographic Data

ID21391962
AuthorsMichael Lyvers (0000-0002-8355-3182, School of Psychology Bond University Gold Coast Queensland Australia, corresponding author), Barbara Bittencourt Dallago (School of Psychology Bond University Gold Coast Queensland Australia), Sara Montague (School of Psychology Bond University Gold Coast Queensland Australia), Sara Brickel Enid Montague (Bond University), Fred Arne Thorberg (0000-0002-8835-7631, School of Psychology Bond University Gold Coast Queensland Australia)
Year2026
Volume67
Issue3
Pages867-873
Publication date2026-06-01
Open AccessYes
TypeARTICLE
VenueScandinavian Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0036-5564 • E-ISSN: 1467-9450
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sjop.70077
PMID41532291
OpenAlexW7123407918
LanguageEN
References cited23

Empathy deficits associated with autism spectrum disorder (ASD) may be attributable to alexithymia, which is common in ASD. Alexithymia is defined by deficient emotional self‐awareness and an overly concrete or externally oriented cognitive style. The present study examined this hypothesis, with a focus on the externally oriented thinking (EOT) facet of alexithymia which was previously found to be uniquely associated with deficits in facial recognition of emotions and empathy. There were 331 participants (104 males, 227 females) aged 18–30 years ( M = 25.93 years) recruited online. They completed the Autism Quotient (AQ), Toronto Alexithymia Scale 20 (TAS‐20), Interpersonal Reactivity Index (IRI) indices of emotional and cognitive empathy, and demographic questions. Hierarchical regressions followed by path analyses indicated mediation of the negative relationships of ASD scores with emotional and cognitive empathy by EOT. Implications, limitations, and directions for future research are discussed

Alexithymia · Association (psychology) · Cognition · Emotional intelligence · Empathy · Facet (psychology) · Interpersonal Reactivity Index · Toronto Alexithymia Scale · Autism Spectrum Disorder Research · Child Nutrition and Feeding Issues · Psychosomatic Disorders and Their Treatments

  • Diagnostic and Statistical Manual of Mental Disorders

    American Psychiatric Association American Psychiatric Association, American…•Diagnostic and Statistical Manual…•2022

  • The Autism-Spectrum Quotient (AQ)

    Open Access•Simon Baron‐cohen, Simon Baron-Cohen et al.•Journal of Autism and Developmental…•2001

  • Twenty-five years with the 20-item Toronto Alexithymia Scale

    Open Access•R Michael Bagby, James D A Parker et al.•Journal of Psychosomatic Research•2020

  • Autism in relation to gaming disorder and internet addiction

    Open Access•Ecaterina Eltahir, Paul H Delfabbro et al.•Computers in Human Behavior•2025

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