{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:49:32Z","timestamp":1791622172917,"version":"4.3.4"},"reference-count":53,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000073","name":"Autism Speaks","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000073","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01\u2010MH094391"],"award-info":[{"award-number":["R01\u2010MH094391"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"abstract":"\n Background<\/jats:title>\n Recent evidence suggests that many autistic individuals exhibit heightened emotional responsiveness to others' affect despite greater difficulty recognizing others' emotions and accurately inferring their perspectives. This study introduces and preliminarily evaluates the Emotion Regulation and Recognition Account (ERRA), a model proposing that susceptibility to emotion dysregulation and challenges with emotion cue interpretation jointly shape empathy\u2010related processing in autism.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Children aged 6\u201313\u2009years (\n N<\/jats:italic>\n autistic<\/jats:sub>\n =\u2009103;\n N<\/jats:italic>\n non\u2010autistic<\/jats:sub>\n =\u200940) participated; groups were matched demographically. Children watched five videos of youth exhibiting strong affect (e.g. sad and angry) and answered questions about their reactions to and understanding of the videos. These responses were coded for empathy\u2010related processes such as emotional contagion and perspective taking. Electrodermal reactivity to and eye gaze towards the videos were also measured. Multilevel models were employed to test hypothesized pathways in the ERRA.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Autistic children experienced greater affective intensity but exhibited less accurate emotion recognition than non\u2010autistic children when observing youth exhibiting strong affect. Greater physiological and affective intensity were associated with greater attention shifting, and more frequent attention shifting among autistic children was associated with less accurate emotion recognition. Less accurate emotion recognition was, in turn, associated with less emotional synchrony and perspective taking, which were linked with less prosocial motivation.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The findings provide initial support for the ERRA by suggesting that, rather than experiencing indifference, many autistic individuals have strong affective reactions when observing others in distress. These reactions may lead to attention shifting, which can reduce awareness of others' emotional cues, potentially interrupting the unfolding of empathic understanding and responding. Empathy\u2010supporting interventions can build upon the affective responsiveness to others experienced by many autistic individuals.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jcpp.70249","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:27:32Z","timestamp":1791620852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The emotion regulation and recognition account of empathy\u2010related processes in autism: a multimodal, multilevel case\u2013control study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0759-6156","authenticated-orcid":false,"given":"Jeffrey J.","family":"Wood","sequence":"first","affiliation":[{"name":"Department of Education University of California Los Angeles CA USA"},{"name":"David Geffen School of Medicine University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stian","family":"Orm","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Inland Norway Elverum Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen S.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Education University of California Los Angeles CA USA"},{"name":"David Geffen School of Medicine University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolie","family":"Straus","sequence":"additional","affiliation":[{"name":"Department of Education University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samara","family":"Wolpe","sequence":"additional","affiliation":[{"name":"Department of Education University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Morrissey","sequence":"additional","affiliation":[{"name":"Department of Education University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cornejo","family":"Guevara","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila E.","family":"Crowell","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Oregon Eugene OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1111\/jopy.12696","article-title":"The validity of the higher\u2010order structure of effortful control as defined by inhibitory control, attention shifting, and focusing: A longitudinal and multi\u2010informant study","volume":"90","author":"Alessandri G.","year":"2022","journal-title":"Journal of Personality"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/0005-7916(94)90063-9","article-title":"Measuring emotion: The self\u2010assessment manikin and the semantic differential","volume":"25","author":"Bradley M.M.","year":"1994","journal-title":"Journal of Behavior Therapy and Experimental Psychiatry"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"3,941","DOI":"10.1007\/s10803-024-06491-3","article-title":"Empathy and autism: Establishing the structure and different manifestations of empathy in autistic individuals using the Perth empathy scale","volume":"55","author":"Brett J.D.","year":"2024","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s11031-012-9302-9","article-title":"I feel so sorry! 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