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Record W4412521920 · doi:10.1016/j.jad.2025.119953

Alexithymia and facial expression recognition: A systematic review and meta-analysis

2025· review· en· W4412521920 on OpenAlexaboutno aff
Megan Willis, Melissa Miller, Alissa More, Xochitl de la Piedad Garcia

Bibliographic record

VenueJournal of Affective Disorders · 2025
Typereview
Languageen
FieldMedicine
TopicPsychosomatic Disorders and Their Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsAlexithymiaFacial expressionPsycINFOPsychologySadnessAngerDisgustClinical psychologyMeta-analysisHappinessToronto Alexithymia ScaleEmotional expressionMental healthDevelopmental psychologyMEDLINEPsychiatryMedicineSocial psychologyInternal medicine

Abstract

fetched live from OpenAlex

The primary aim of this systematic review and meta-analysis was to estimate the strength of the relationship between alexithymia and facial expression recognition. Secondary aims were to determine if the strength of the relationship was moderated the type of stimuli (e.g., dynamic, static) used in the study, and whether studies excluded participants with mental health disorders. Web of Science, PsycINFO, MEDLINE, and Scopus database searches were conducted on 21 st June 2024. Studies were included if they comprised participants aged between 16 and 65 years, included a validated measure of alexithymia, a forced choice facial expression recognition labelling task, and reported the relationship between these variables. Risk of bias was assessed using the AXIS tool. Twenty-four studies were included in a random effects meta-analysis revealing a significant, medium, negative relationship between alexithymia and overall facial expression recognition ability, r = −0.24, CI [−0.29, −0.18]. Small, negative relationships were observed for recognition of anger, disgust, fear, happiness, and sadness. The type of stimuli moderated the strength of the relationship, with significant negative relationships between alexithymia and recognition of static facial expressions observed, but no significant relationship observed for dynamic stimuli. Exclusion of participants with mental health disorders did not moderate the strength of the relationship. Results indicate alexithymia is associated with a global deficit labelling static facial expressions, that does not appear to be attributable to comorbid mental health disorders. Further research is needed to clarify the relationship between alexithymia and recognition of dynamic facial expressions. • There is a significant, medium relationship between alexithymia and facial expression recognition • The relationship between alexithymia and facial expression recognition was moderated by stimuli type • There was a significant medium relationship for static facial expressions, but no relationship observed for dynamic facial expressions. • The relationship between alexithymia and facial expression recognition remained when participants with mental health disorders were excluded.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.039
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Meta-analysis · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.017
Threshold uncertainty score0.074

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0140.039
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0170.029
Bibliometrics0.0070.007
Science and technology studies0.0010.001
Scholarly communication0.0040.002
Open science0.0020.002
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.045
GPT teacher head0.359
Teacher spread0.313 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designMeta-analysis
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

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