Girls with anorexia have elevated autistic traits

Girls with anorexia nervosa show a mild echo of the characteristics of autism, suggests new research in the journal Molecular Autism

This new research is suggesting that underlying the surface behaviour, the mind of a person with anorexia may share a lot with the mind of a person with autism
Simon Baron-Cohen

In particular, compared to typical girls, girls with anorexia have an above average number of autistic traits, an above average interest in systems, whilst they score below average in empathy. This profile resembles – to a lesser degree – that seen in people with autism.

At first glance, anorexia and autism seem very different, but they both share certain features, such as rigid attitudes and behaviours, a tendency to be very self-focussed, and a fascination with detail. Both conditions also share similar alterations in structure and function of brain regions involved in social perception.

The team, led by Professor Simon Baron-Cohen at the Autism Research Centre at Cambridge University, tested how 66 adolescent girls (aged 12-18) with anorexia but without autism scored on tests to measure traits related to autism. They compared them to over 1,600 typical teenagers in the same age range, and measured their autistic traits using the Autism Spectrum Quotient (AQ), their ‘systemizing’ using the Systemising Quotient (SQ), and their empathy using the Empathy Quotient (EQ).

They found that on the AQ, five times more girls with anorexia scored in the range that people with autism score in, compared to the typical girls. In addition, on the AQ, over half of the girls with anorexia showed the ‘broader autism phenotype’, compared to just 15% of typical girls. On the tests of empathy and systemising (how strong an interest the person has in repeating patterns and predictable rule-based systems), girls with anorexia had a higher SQ, and a reduced EQ, a profile that parallels that seen in autism.

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Image credit: Riley Alexandra on Flickr



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