Are Autistic and Alexithymic Traits Distinct? A Factor-Analytic and Network Approach

Cuve HC., Murphy J., Hobson H., Ichijo E., Catmur C., Bird G.

AbstractDespite the heterogeneity in autism, socioemotional difficulties are often framed as universal. Increasing evidence, however, suggests that socioemotional difficulties may be explained by alexithymia, a distinct yet frequently co-occurring condition. If, as some propose, autistic traits are responsible for socioemotional impairments, then alexithymia may itself be a symptom of autism. We aimed to determine whether alexithymia should be considered a product of autism or regarded as a separate condition. Using factor-analytic and network approaches, we provide evidence that alexithymic and autistic traits are distinct. We argue that: (1) models of socioemotional processing in autism should conceptualise difficulties as intrinsic to alexithymia; and (2) assessment of alexithymia is crucial for diagnosis and personalised interventions.

DOI

10.1007/s10803-021-05094-6

Type

Journal article

Publisher

Springer Science and Business Media LLC

Publication Date

2022-05-01T00:00:00+00:00

Volume

52

Pages

2019 - 2034

Total pages

15

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