Assessment & Research

Empathizing and systemizing in adults with and without autism spectrum conditions: cross-cultural stability.

Wakabayashi et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

Autistic adults score lower on empathy and higher on systemizing across cultures, but the EQ total hides important nuance.

✓ Read this if BCBAs who screen or consult with autistic adults in any setting.
✗ Skip if Clinicians who work only with very young children and never use self-report tools.

01Research in Context

01

What this study did

Wakabayashi et al. (2007) gave the Empathy Quotient and Systemizing Quotient to adults with and without autism in Japan and England.

They wanted to know if the empathy-low, systemizing-high pattern seen in Western autistic adults would show up in a very different culture.

02

What they found

The pattern held in both countries. Autistic adults scored lower on empathy and higher on systemizing than non-autistic adults.

The same sex differences also appeared: women scored higher on empathy, men on systemizing.

03

How this fits with other research

The study repeats the core finding of Baron-Cohen et al. (2004), the team that built the EQ scale. Simon et al. first showed the empathy gap; Akio et al. show it is not just a Western quirk.

Auyeung et al. (2012) later stretched the same tools downward to teens and got the same profile, showing the pattern is stable across age groups.

Rogers et al. (2007) seems to disagree. They found autistic adults had low cognitive empathy but normal or even high emotional empathy. The gap is smaller than the EQ total score suggests, because the EQ mixes both kinds of empathy into one number.

04

Why it matters

If you assess autistic adults, expect lower EQ scores almost anywhere in the world. Yet remember the EQ is a blunt ruler: low total score does not mean the person never feels for others. When empathy matters for treatment planning, dig deeper. Ask how they show care, instead of trusting one number.

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Add a follow-up question after the EQ: “Tell me about a time you felt bad for someone,” to check if low score equals low concern.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
1435
Population
autism spectrum disorder, neurotypical
Finding
positive

03Original abstract

UNLABELLED: This study tests the empathizing-systemizing (E-S) theory of sex differences and the extreme male brain (EMB) theory of autism. Three groups of participants took part: n = 48 people with autism spectrum, n = 137 general population controls, and n = 1,250 university student controls. Each participant completed the Empathy Quotient (EQ) and the Systemizing Quotient (SQ). RESULTS: The autism spectrum condition (ASC) group scored significantly lower than controls on the EQ, and significantly higher on the SQ. Among both control groups, females scored significantly higher than males on the EQ, whilst males scored significantly higher than females on the SQ. The distribution of 'brain types', based on the difference between EQ and SQ scores, showed distinct profiles for people with ASC, control males and control females.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0316-6