Alexithymia and Social Cognition in the General Population: Further Evidence on the Relationship with Theory of Mind, Emotion Recognition, and Empathy

Alexithymia has been associated with deficits in social cognition, although findings are inconsistent and often limited by methodological constraints. This study aimed to clarify this relationship using ecologically valid and traditional standardized measures across multiple social-cognitive domains. A total of 163 adults from the general population completed a series of measures, including the Toronto Alexithymia Scale (TAS-20), Questionnaire of Cognitive and Affective Empathy (QCAE), Reading the Mind in the Eyes Test (RMET), Movies for the Assessment of Social Cognition (MASC), and Amsterdam Dynamic Facial Expression Set—Bath Intensity Variations (ADFES-BIV). Results of hierarchical regression analyses revealed that alexithymia facets significantly predicted performance on affective and cognitive empathy (QCAE), and Theory of Mind (MASC total and “No ToM” scores). The only exceptions were affective Theory of Mind (RMET) and recognition of others’ emotions (ADFES-BIV), for which none of the alexithymia facets emerged as significant predictors. The findings suggest that alexithymia is associated with poorer performance in cognitive and affective empathy and contextual Theory of Mind, whereas no significant association emerged for emotion recognition. The results suggest that integrating dynamic and context-rich tasks may be useful for detecting subtle social-cognitive difficulties in individuals with alexithymic traits.