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Post published on Twitter/X on 26 Jan 2021 12:02

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Carola Bloch, Lana Burghof, Fritz-Georg Lehnhardt, Kai Vogeley, Christine Falter-Wagner (2021). Alexithymia traits outweigh autism traits in the explanation of depression in adults with autism. Scientific Reports, 11(1), 2258. Springer Science and Business Media LLC.

Publication date
26 Jan 2021
Identifier
10.1038/s41598-021-81696-5
Authors
Carola Bloch, Lana Burghof, Fritz-Georg Lehnhardt, Kai Vogeley, Christine Falter-Wagner
Source
Scientific Reports
Details
11(1), 2258
Reference type
article
Publisher
Springer Science and Business Media LLC
Metadata source
crossref

Abstract

Abstract When contemplating the alarming depression rates in adults with autism spectrum disorder (ASD), there is a need to find factors explaining heightened symptoms of depression. Beyond the impact of autism traits, markedly increased levels of alexithymia traits should be considered as a candidate for explaining why individuals with ASD report higher levels of depressive symptoms. Here, we aim to identify the extent to which autism or alexithymia traits indicate depressive symptoms in ASD and whether the pattern of association are specific to ASD. Data of a large (N = 400) representative clinical population of adults referred to autism diagnostics have been investigated and split by cases with a confirmed ASD diagnosis (N = 281) and cases with a ruled out ASD diagnosis (N = 119). Dominance analysis revealed the alexithymia factor, difficulties in identifying feelings, as the strongest predictor for depressive symptomatology in ASD, outweighing autism traits and other alexithymia factors. This pattern of prediction was not specific to ASD and was shared by clinical controls from the referral population with a ruled out ASD diagnosis. Thus, the association of alexithymia traits with depression is not unique to ASD and may constitute a general psychopathological mechanism in clinical samples.

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