“…Although the preponderance rate of clinical levels of alexithymia in healthy population is at 10%, it is unusually prevalent (40-65%) in adults and children with ASD [28][29][30][31][32] . Therefore, it is important to account for its effects in emotional processing deficits observed in ASD, especially because trait alexithymia itself has been associated with impaired emotional processing (e.g., empathy [33][34][35] , emotion regulation 36 , emotional interoception 37 , etc.). Thus, it is likely that, when observed, the emotional processing deficits in ASD are due to the presence of elevated levels of alexithymia.…”