Measuring the effects of alexithymia on perception of emotional vocalizations in autistic spectrum disorder and typical development
Open accessAbstract
Background: The results from recent studies suggest that alexithymia, a disorder characterized by impairments in understanding personal experiences of emotion, is frequently co-morbid with autism spectrum disorder (ASD). However, the extent that alexithymia is associated with primary deficits in recognizing external emotional cues, characteristic in ASD, has yet to be determined. Method: Twenty high-functioning adults with ASD and 20 age- and intelligence-matched typical controls categorized vocal and verbal expressions of emotion and completed an alexithymia assessment. Results: Emotion recognition scores in the ASD group were significantly poorer than in the control group and performance was influenced by the severity of alexithymia and the psycho-acoustic complexity of the presented stimuli. For controls, the effect of complexity was significantly smaller than for the ASD group, although the association between total emotion recognition scores and alexithymia was still strong. Conclusions: Higher levels of alexithymia in the ASD group accounted for some, but not all, of the group difference in emotion recognition ability. However, alexithymia was insufficient to explain the different sensitivities of the two groups to the effects of psycho-acoustic complexity on performance. The results showing strong associations between emotion recognition and alexithymia scores in controls suggest a potential explanation for variability in emotion recognition in non-clinical populations.
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The ability to produce typical emotional facial expressions and to recognise emotion from vocal cues appear to be explained by alexithymia, rather than by ASD presence or severity itself.
“The ability to produce typical emotional facial expressions (Trevisan et al., 2016), and to recognise emotion from vocal cues (Heaton et al., 2012), also appear to be explained by alexithymia, rather than by ASD presence or severity itself.”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Heaton et al., 2012
The Abstract reports that alexithymia accounted for some, but not all, of the difference between the ASD and control groups in recognizing emotion from vocal cues. It also says alexithymia did not explain the groups’ different sensitivities to stimulus complexity, so the claim overstates its explanatory role. The facial-expression finding is attributed to a different citation and is not assessed here. (LLM, conf=0.90)
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- Authors
- Heaton, P., Reichenbacher, L., Sauter, D., Allen, R., Scott, S., & Hill, E.
- Affiliations
- University of London (GB)
- Corresponding author
- Heaton, P.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-04-04
- Volume
- 42
- Issue
- 11
- Pages
- 2453-2459
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2126228263
- Cited by
- 119
- References
- 49
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 17 · 2020: 15 · 2019: 4 · 2018: 16 · 2017: 6 · 2016: 5 · 2015: 10 · 2014: 5 · 2013: 6 · 2012: 2
- FWCI
- 3.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Wellcome Trust (090961)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Keywords
- alexithymia, autism spectrum disorder, emotion recognition, emotional vocalizations, emotion perception, high-functioning adults, typical development, comorbidities
- MeSH terms
- Adult, Affective Symptoms, Aged, Child Development Disorders, Pervasive, Emotions, Female, Humans, Male, Middle Aged, Phonation, Social Perception, Speech Perception, Young Adult
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