Alexithymia, Inner Thinking Patterns, and Perceptions of Mental Health Therapy Strategies Among Autistic Adults.

Purpose: Autistic adults are at high risk for mental health challenges, yet there has been limited research on mental health interventions for this population. Individual differences in how thoughts and emotions are perceived may directly relate to the success of specific therapy strategies. This st...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 56; no. 4; pp. 1370 - 1382
Autores principales: Mazurek, Micah O., Pappagianopoulos, Jessica, Brunt, Sophie, Menezes, Michelle, Smith, Jessica V., Howard, Mya
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-024-06643-5
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        atl: Alexithymia, Inner Thinking Patterns, and Perceptions of Mental Health Therapy Strategies Among Autistic Adults.
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          Mazurek, Micah O.
          Pappagianopoulos, Jessica
          Brunt, Sophie
          Menezes, Michelle
          Smith, Jessica V.
          Howard, Mya
        affil: https://ror.org/0153tk833 Department of Human Services, School of Education and Human Development, University of Virginia, PO Box 400267, 417 Emmet Street South, 22904, Charlottesville, VA, USA
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        subj:
          Autism Spectrum Disorder Psychosocial Factors
          Affective Symptoms
          Thinking Evaluation
          Attitude to Mental Illness Evaluation
          Attitude to Medical Treatment Evaluation
          Human
          Adult
          Middle Age
          Aged
          Male
          Female
          Funding Source
          Descriptive Statistics
          Questionnaires
          Mental Health
          Logistic Regression
          Cognition
          Verbal Behavior
          Mind Body Techniques
          Breathing Exercises
          Muscle Relaxation
          Mindfulness
          Meditation
          Self-Talk
          Usability Study
          Exploratory Research
          Cross Sectional Studies
          Scales
          Coefficient alpha
          Nonparametric Statistics
          Bivariate Statistics
          Spearman's Rank Correlation Coefficient
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Psychometrics Evaluation
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Autistic adults are at high risk for mental health challenges, yet there has been limited research on mental health interventions for this population. Individual differences in how thoughts and emotions are perceived may directly relate to the success of specific therapy strategies. This study examined whether alexithymia and inner thinking patterns relate to helpfulness and ease of use of mental health therapy strategies among autistic adults. Method: Participants (n = 269 autistic adults, ages 21–77) completed questionnaires assessing alexithymia, inner thinking patterns (i.e., self-talk, verbal thinking, visual thinking), and experiences with mental health therapy strategies. Ordinal logistic regressions were used to examine associations between alexithymia, inner thinking, and perceived helpfulness and ease of use of therapy strategies. Results: Autistic adults with greater alexithymia found cognitive strategies more difficult to use, while those with greater frequency of self-talk found them easier to use. By contrast, autistic adults with greater visual thinking found guided imagery strategies easier to use. There were no associations between alexithymia or inner thinking and perceived helpfulness or ease of use of behavioral strategies (exposure, behavioral activation), mind–body relaxation strategies (deep breathing, progressive muscle relaxation), or mindfulness meditation. Conclusions: The findings suggest that some mental health strategies may be more difficult to implement for some autistic adults, depending on individual thinking profiles. However, alexithymia and inner thinking patterns were unrelated to the perceived helpfulness of mental health strategies. Overall, this highlights the importance of providing individualized supports and accommodations to optimize mental health therapy for autistic adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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