The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences

J Autism Dev Disord. 2004 Apr;34(2):163-75. doi: 10.1023/b:jadd.0000022607.19833.00.

Abstract

Empathy is an essential part of normal social functioning, yet there are precious few instruments for measuring individual differences in this domain. In this article we review psychological theories of empathy and its measurement. Previous instruments that purport to measure this have not always focused purely on empathy. We report a new self-report questionnaire, the Empathy Quotient (EQ), for use with adults of normal intelligence. It contains 40 empathy items and 20 filler/control items. On each empathy item a person can score 2, 1, or 0, so the EQ has a maximum score of 80 and a minimum of zero. In Study 1 we employed the EQ with n = 90 adults (65 males, 25 females) with Asperger Syndrome (AS) or high-functioning autism (HFA), who are reported clinically to have difficulties in empathy. The adults with AS/HFA scored significantly lower on the EQ than n = 90 (65 males, 25 females) age-matched controls. Of the adults with AS/HFA, 81% scored equal to or fewer than 30 points out of 80, compared with only 12% of controls. In Study 2 we carried out a study of n = 197 adults from a general population, to test for previously reported sex differences (female superiority) in empathy. This confirmed that women scored significantly higher than men. The EQ reveals both a sex difference in empathy in the general population and an empathy deficit in AS/HFA.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Asperger Syndrome / diagnosis*
  • Asperger Syndrome / psychology*
  • Autistic Disorder / diagnosis*
  • Autistic Disorder / psychology*
  • Empathy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychological Tests*
  • Psychological Theory
  • Sex Characteristics*
  • Surveys and Questionnaires