Background: Although empathy has always been considered to be impaired in individuals with autism spectrum conditions (ASCs), the relevant findings have been inconsistent. The present meta-analysis aims to determine which empathy components are impaired and how culture, gender, and age moderate such empathy impairment.Methods: By using “Autism,” “Asperger Syndrome,” “Empathy,” and related Chinese synonyms as keywords, we searched the databases of Weipu, Wanfang, CNKI, Web of Science, Science Direct, SpringerLink, and Elsevier through “subject” and “keyword” searches. We also conducted a manual search according to the references. In total, 51 studies from Eastern and Western countries were included in this meta-analysis, which comprised 144 independent effects, 2,095 individuals with ASCs and 2,869 controls without ASCs. For the retrieved data, Hedge's g was taken as the quantitative measure of effect, and CMA V2.0 software was used for publication bias tests (by using Rosenthal's Classic Failsafe-N and Egger's methods), heterogeneity tests (by using a Q-test, I2-test, and H-test) and a moderating effect test (by using a univariate regression model).Results: The results showed that the empathy impairment evident in individuals with ASCs is component specific; that is, trait-cognitive empathy, trait-empathic concern, state-cognitive empathy, and state-empathic concern are impaired, whereas state-empathic accuracy remains intact, and trait-empathic accuracy is superior to the trait-empathic accuracy in neurotypical individuals. The univariate regression model showed that gender moderates the impairment of the trait-empathic concern, trait-empathic accuracy, and state-cognitive empathy in autistic individuals and that age moderates the impairment of the trait-cognitive empathy, trait-empathic accuracy, state-empathic concern, and state-empathic accuracy in autistic individuals. However, culture does not moderate any empathy components (trait-cognitive empathy, trait-empathic concern, or state-cognitive empathy) involved in the present meta-analysis.Conclusions: These findings contribute to ending the controversy over the empathic integrity of individuals with ASCs and shed some light on future research about the empathy impairment of autistic individuals. More specifically, subsequent studies should distinguish specific empathy components and consider the role of gender and age when demonstrating empathy impairment in individuals with ASCs. Moreover, related studies based on Asian collectivist cultural samples and female samples should be further enriched.
The ordinal position effect posits that items positioned earlier in an ordinal sequence are responded to faster with the left key than the right key, and items positioned later in an ordinal sequence are responded to faster with the right key than the left key. Although the mechanism of the ordinal position effect has been investigated in many studies, it is unclear whether the ordinal position effect can extend to the auditory modality and the hands crossed context. Therefore, the present study employed days as the order information to investigate this question. Days were visually or acoustically displayed on a screen in random order, and participants were instructed to judge whether the probe day they perceived was before or after the current day (days-relevant task) or to identify the color or voice of the probe day they perceived (days-irrelevant task). The results indicate the following: (a) The days before the current day were responded to faster with the left key than the right key, and the days after the current day were responded to faster with the right key than the left key, both when the days-relevant task and the days-irrelevant task were performed, regardless of the sense modality. (b) The ordinal position effect for judgments of days was also obtained in the auditory modality even when the hands were crossed. These results indicate that the ordinal position effect can extend to the auditory modality and the hands crossed context, similar to the spatial-numerical association of response codes effect of numbers.
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