Evidence map›Paper›PMID 42396096›Full record

ArticleFrontiers in psychology2026

Differential roles of alexithymia components in linking autistic traits to personal distress and empathy concern.

Xia Wang, Na Li, Yali Wang, Chenyu Shangguan, Huiling Zhou

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xia WangSchool of Education, Hunan First Normal University, Changsha, China.
Na LiSchool of Education, Hunan First Normal University, Changsha, China.
Yali WangSchool of Marxist, Zhejiang University of Finance and Economics, Hangzhou, China.
Chenyu ShangguanCollege of Education Science and Technology, Nanjing University of Posts and Telecommunications, Nanjing, China.
Huiling ZhouSchool of Education, Shanghai Normal University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The alexithymia hypothesis proposes that the empathy deficits commonly found in ASD are driven mainly by coexisting alexithymia, not by ASD itself. Yet, empirical research has produced mixed evidence for this explanation. To further clarify this issue, the present study focused on how different component of alexithymia, such as, difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking link autistic traits to two aspects of emotional empathy: personal distress and empathy concern. Method: A total of 730 participants took part in the investigation and completed three questionnaires assessing autistic traits, alexithymia, and emotional empathy. Result: Analyses revealed a divergent pattern in emotional empathy. Elevated autistic traits predicted heightened personal distress alongside diminished empathy concern. Mediation analyses further indicated that specific components of alexithymia accounted for these associations. Difficulty identifying feelings had a significant indirect effect on the relationship between autistic traits to heightened personal distress, whereas externally oriented thinking had a significant indirect effect on the relationship between autistic traits and empathy concern. Conclusion: These findings highlight the complex and multifaceted influence of alexithymia on empathy in individuals with elevated autistic traits and point to potential intervention strategies for enhancing empathy and social functioning in individuals on the autism spectrum.

Indexed as

alexithymia componentsautistic traitsempathy concernmediating effectpersonal distress

Identifiers

PMID42396096
PMCPMC13323232

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.