Swipe om te navigeren naar een ander artikel
Following recent evidence for a link between interoception, emotion and empathy, we investigated relationships between these factors in autism spectrum disorder (ASD). 26 adults with ASD and 26 healthy participants completed tasks measuring interoception, alexithymia and empathy. ASD participants with alexithymia demonstrated lower cognitive and affective empathy than ASD participants without alexithymia. ASD participants showed reduced interoceptive sensitivity (IS), and also reduced interoceptive awareness (IA). IA was correlated with empathy and alexithymia, but IS was related to neither. Alexithymia fulfilled a mediating role between IA and empathy. Our findings are suggestive of an alexithymic subgroup in ASD, with distinct interoceptive processing abilities, and have implications for diagnosis and interventions.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Arlington, VA: American Psychiatric Association. CrossRef
Bachevalier, J., & Loveland, K. A. (2006). The orbitofrontal–amygdala circuit and self-regulation of social–emotional behavior in autism. Neuroscience & Biobehavioral Reviews, 30(1), 97–117. CrossRef
Brener, J., & Ring, C. (2016). Towards a psychophysics of interoceptive processes: The measurement of heartbeat detection. Philosophical Transactions of the Royal Society B, 371(1708), 20160015. CrossRef
Brewer, R., Happe, F., Cook, R., & Bird, G. (2015). Commentary on “Autism, oxytocin and interoception”: Alexithymia, not Autism Spectrum Disorders, is the consequence of interoceptive failure. Neuroscience & Biobehavioral Reviews, 56, 348–353. CrossRef
Craig, A. (2008). Interoception and emotion: A neuroanatomical perspective. In Handbook of emotions (3rd ed., pp. 272–292). New York: Guildford Press.
Damasio, A. (2000). The feeling of what happens: Body and emotion in the making of consciousness. San Diego: Harvest Books.
Demurie, E., De Corel, M., & Roeyers, H. (2011). Empathic accuracy in adolescents with autism spectrum disorders and adolescents with attention-deficit/hyperactivity disorder. Research in Autism Spectrum Disorders, 5(1), 126–134. CrossRef
Fiene, L., & Brownlow, C. (2015). Investigating interoception and body awareness in adults with and without autism spectrum disorder. Autism Research, 8, 709–716.
Grynberg, D., Luminet, O., Corneille, O., Grèzes, J., & Berthoz, S. (2010). Alexithymia in the interpersonal domain: A general deficit of empathy? Personality and Individual Differences, 49, 845–850. CrossRef
Grynberg, D., & Pollatos, O. (2015). Perceiving one’s body shapes empathy. Physiology & Behavior, 140, 54–60. CrossRef
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
James, W. (1894). Discussion: The physical basis of emotion. Psychological Review, 1, 516–529. CrossRef
Linden, W., Wen, F., & Paulhus, D. (1995). Measuring alexithymia: Reliability, validity, and prevalence. Advances in Personality Assessment, 10, 51–95.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H. Jr., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The autism diagnostic observation schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. CrossRefPubMed
Mehling, W. (2016). Differentiating attention styles and regulatory aspects of self-reported interoceptive sensibility. Philosophical Transactions of the Royal Society B, 371(1708), 20160013. CrossRef
Nemiah, J., Freyberger, H., & Sifneos, P. (1976). Alexithymia: A view of the psychosomatic process. Modern Trends in Psychosomatic Medicine, 3, 430–439.
Ochsner, K. N., Zaki, J., Hanelin, J., Ludlow, D. H., Knierim, K., Ramachandran, T., … Mackey, S. C. (2008). Your pain or mine? Common and distinct neural systems supporting the perception of pain in self and other. Social Cognitive and Affective Neuroscience, 3(2), 144–160. CrossRefPubMedPubMedCentral
Porges, S. (1993). Body perception questionnaire. College Park: Laboratory of Developmental Assessment, University of Maryland.
Quattrocki, E., & Friston, K. (2014). Autism, oxytocin and interoception. Neuroscience & Biobehavioral Reviews, 47, 410–430. CrossRef
Rueda, P., Fernández-Berrocal, P., & Baron-Cohen, S. (2015). Dissociation between cognitive and affective empathy in youth with Asperger syndrome. European Journal of Developmental Psychology, 12, 85–98. CrossRef
Shah, P. (2016). Interoception: The eighth sensory system: Practical solutions for improving self-regulation, self-awareness and social understanding of individuals with autism spectrum and related disorders. Journal of Autism and Developmental Disorders, 46, 3193–3194. CrossRef
Terasawa, Y., Moriguchi, Y., Tochizawa, S., & Umeda, S. (2014). Interoceptive sensitivity predicts sensitivity to the emotions of others. Cognition & Emotion, 28, 1435–1448. CrossRef
Wechsler, D. (2011). Wechsler abbreviated scale of intelligence—second edition (WASI-II). San Antonio, TX: NCS Pearson.
Whitehead, W. E., Drescher, V. M., Heiman, P., & Blackwell, B. (1977). Relation of heart rate control to heartbeat perception. Biofeedback and Self-Regulation, 2(4), 371–392. CrossRef
Wiens, S., Mezzacappa, E. S., & Katkin, E. S. (2000). Heartbeat detection and the experience of emotions. Cognition & Emotion, 14(3), 417–427. CrossRef
- The Feeling of Me Feeling for You: Interoception, Alexithymia and Empathy in Autism
Steven D. Stagg
Jane E. Aspell
- Springer US